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Effect of nature-based health interventions for individuals diagnosed with anxiety, depression and/or experiencing stress—a systematic review and meta-analysis

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Názov: Effect of nature-based health interventions for individuals diagnosed with anxiety, depression and/or experiencing stress—a systematic review and meta-analysis
Autori: Nanna Holt Jessen, Claus Løvschall, Sebastian Dyrup Skejø, Louise Sofia Sofia Madsen, Sus Sola Corazon, Thomas Maribo, Dorthe Varning Poulsen
Zdroj: BMJ Open
BMJ Open, Vol 15, Iss 7 (2025)
Jessen, N H, Løvschall, C, Skejø, S D, Madsen, L S S, Corazon, S S, Maribo, T & Poulsen, D V 2025, ' Effect of nature-based health interventions for individuals diagnosed with anxiety, depression and/or experiencing stress-a systematic review and meta-analysis ', BMJ Open, vol. 15, no. 7, e098598 . https://doi.org/10.1136/bmjopen-2024-098598
Jessen, N H, Løvschall, C, Skejø, S D, Madsen, L S, Corazon, S S, Maribo, T & Poulsen, D V 2025, 'Effect of nature-based health interventions for individuals diagnosed with anxiety, depression and/or experiencing stress-a systematic review and meta-analysis', BMJ Open, vol. 15, no. 7, e098598. https://doi.org/10.1136/bmjopen-2024-098598
Informácie o vydavateľovi: BMJ, 2025.
Rok vydania: 2025
Predmety: Mental Health, Depression and mood disorders, Stress, Psychological/therapy, Anxiety/therapy, Humans, Psychological Stress, Medicine, Depression/therapy, Nature, Anxiety disorders
Popis: Objectives The use of natural environments and nature activities as elements in the treatment and rehabilitation of mental health challenges is gaining international attention. The objective of the present review was to summarise the knowledge on the effects of nature-based health interventions (NBHIs) targeting individuals diagnosed with anxiety, depression and/or experiencing stress. Design Systematic review and meta-analyses. The quality and certainty of evidence were assessed using the SIGN and GRADE. Data sources Searches were performed in Embase, MEDLINE, PsycINFO, CINAHL, Cochrane and Web of Science. Eligibility criteria (1) NBHIs, (2) Individuals with a diagnosis of mild to moderate anxiety, depression and/or experiencing stress, (3) Age of participating individuals: 18–84 years, (4) Study designs: randomised controlled trials, cohort studies, case-control studies and case-series studies and (5) Publication date: 2000–2024. Data extraction and synthesis Screening, quality appraisal and certainty of evidence, assessed using SIGN and GRADE, were performed by two independent reviewers, except title screening. Meta-analyses were performed using random-effect models. Results Nineteen articles were included, of which 14 were included in the meta-analyses. The articles showed substantial variation in design, interventions, settings and risk of bias, limiting the certainty of evidence according to GRADE. Participating in NBHIs led to a small to large effect in mental health with standardised mean changes of −0.80 (95% CI= (−1.56; −0.04)), −0.87 (95% CI= (−1.18; −0.56)), −0.32 (95% CI= (−0.74; 0.09)) and 0.58 (95% CI= (0.39; 0.77)) for anxiety, depression and stress scores and overall mental health scores, respectively. Conclusions This is the first systematic review examining the effect of NBHIs exclusively on individuals diagnosed with anxiety, depression and/or experiencing stress. Our findings suggest small to large improvements after participating in NBHIs. However, methodological limitations to the included articles necessitate cautious interpretation. PROSPERO registration number CRD42024516270.
Druh dokumentu: Article
Other literature type
Popis súboru: application/pdf
Jazyk: English
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2024-098598
Prístupová URL adresa: https://doaj.org/article/5d16da610c6745f7808b7db0b3be39e0
https://curis.ku.dk/ws/files/462366902/Effect_of_nature-based_health_interventions_for_individuals_diagnosed_with_anxiety_depression_and-or_experiencing_stress_a_systematic_review_and_meta-analysis.pdf
Rights: CC BY NC
URL: http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (http://creativecommons.org/licenses/by-nc/4.0/) .
Prístupové číslo: edsair.doi.dedup.....24c224dfd97b2427df6dd1682b6e0cbf
Databáza: OpenAIRE
Popis
Abstrakt:Objectives The use of natural environments and nature activities as elements in the treatment and rehabilitation of mental health challenges is gaining international attention. The objective of the present review was to summarise the knowledge on the effects of nature-based health interventions (NBHIs) targeting individuals diagnosed with anxiety, depression and/or experiencing stress. Design Systematic review and meta-analyses. The quality and certainty of evidence were assessed using the SIGN and GRADE. Data sources Searches were performed in Embase, MEDLINE, PsycINFO, CINAHL, Cochrane and Web of Science. Eligibility criteria (1) NBHIs, (2) Individuals with a diagnosis of mild to moderate anxiety, depression and/or experiencing stress, (3) Age of participating individuals: 18–84 years, (4) Study designs: randomised controlled trials, cohort studies, case-control studies and case-series studies and (5) Publication date: 2000–2024. Data extraction and synthesis Screening, quality appraisal and certainty of evidence, assessed using SIGN and GRADE, were performed by two independent reviewers, except title screening. Meta-analyses were performed using random-effect models. Results Nineteen articles were included, of which 14 were included in the meta-analyses. The articles showed substantial variation in design, interventions, settings and risk of bias, limiting the certainty of evidence according to GRADE. Participating in NBHIs led to a small to large effect in mental health with standardised mean changes of −0.80 (95% CI= (−1.56; −0.04)), −0.87 (95% CI= (−1.18; −0.56)), −0.32 (95% CI= (−0.74; 0.09)) and 0.58 (95% CI= (0.39; 0.77)) for anxiety, depression and stress scores and overall mental health scores, respectively. Conclusions This is the first systematic review examining the effect of NBHIs exclusively on individuals diagnosed with anxiety, depression and/or experiencing stress. Our findings suggest small to large improvements after participating in NBHIs. However, methodological limitations to the included articles necessitate cautious interpretation. PROSPERO registration number CRD42024516270.
ISSN:20446055
DOI:10.1136/bmjopen-2024-098598