Time to go green?

Open AccessTime to go green?Nature-based physical activity as potential treatment for mental disordersCarina Nigg, Jasper Schipperijn, Oliver Hennig, Moritz Bruno Petzold, Ellen Rulf, Andreas Meyer-Lindenberg, Heike Tost, Ulrich W. Ebner-Priemer, and Markus ReichertCarina NiggCarina Institute of Sport Science, University Bern, Bremgartenstrasse 145, 3012 [email protected]://orcid.org/0000-0002-0225-1503 Switzerland Department Social Health Sciences in Sports, Sports Karlsruhe Technology, Germany Search more papers by this author, Schipperijnhttps://orcid.org/0000-0002-6558-7610 Science Clinical Biomechanics, Southern Denmark, Denmark Hennig Psychiatry Psychotherapy, Central Mental Health, Heidelberg, Medical Faculty Mannheim, Petzoldhttps://orcid.org/0000-0002-7801-1434 Charité – Universitätsmedizin Berlin, Corporate Member Freie Universität Berlin Humboldt zu Neurosciences, Rulf mHealth Lab, Applied Psychology, Meyer-Lindenberghttps://orcid.org/0000-0001-5619-1123 Tosthttps://orcid.org/0000-0002-7339-7569 Ebner-Priemerhttps://orcid.org/0000-0002-2769-5944 Reicherthttps://orcid.org/0000-0003-3290-0962 eHealth Analytics, Ruhr-University Bochum, authorPublished Online:May 03, 2022https://doi.org/10.1024/2674-0052/a000018PDF ToolsAdd favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInReddit SectionsMoreBeyond activity’s health benefits the general population, there is increasing recognition that reduces symptoms people with disorders an adjunctive depression, bipolar disorders, schizophrenia [1]. While general, reviews meta-analyses show positive effects on psychopathology, it still unclear which causal subcomponents are most effective reducing psychiatric enhancing well-being suffering from Commonly discussed characteristics include frequency, intensity, time, type [1].Even less known about role context performed. The majority studies investigated exercise laboratory environments (e.g., treadmill running or stationary cycling) did not specify environment Therefore, a growing interest stronger consideration [2]. To end, one especially promising candidate resilience nature exposure. In particular, recent showed exposure green space decreases risk several types illness, such depression anxiety, improves psychological well-being, including fostering social interactions, happiness, cognitive functioning [3]. Even small doses, urban space, has been shown be beneficial psychologically vulnerable benefiting [4].The combination combined called nature-based refers activities conducted spaces dominated natural features, parks, forest, rocks, lakes Theoretical explanations health-promoting include, example, ecological dynamic approaches emphasize variability environment, different textures, slopes, surfaces require ongoing engagement adaptation motor behavior Beyond enhanced effectiveness, may also contribute solving existing problems, lack pragmatic scalable methods delivering large number patients engaging way For offer programs close patients’ home facilities rather than solely offering indoor programs.Empirically, date, some children adults indicate [5, 6]. However, these were largely non-clinical populations. address gap, we aimed conduct systematic literature review. our search revealed only three heterogenous randomized controlled trials crossover patient Hence further empirical required before review can useful conclusions practice research drawn. first results promising: A study adult major depressive disorder affect working memory capacity increased after walk park compared city center [7]. schizophrenia, 16-week guided group-based outdoor cycling intervention resulted higher improvement psychotic, depressive, anxiety occupational therapy [8]. attention-deficit-hyperactivity disorder, no improvements performance observed 30-min (compared built) [9].In addition populations, other challenges need overcome. First, clinical take months until effect program becomes apparent. population have mainly focused short-term nature, while longer duration lacking Second, Although feasible approach studying practical standpoint, face valid investigate mechanisms linking improved outcomes test high validity, participants should exposed real experiences state-of-the-art methods, ambulatory assessments, used collect data. geolocation tracking via wearables, monitoring accelerometers, assessment psychopathology electronic diaries smartphones successfully real-time within-subject processes everyday life unravel [10]. This allows, crucially, measure who treatment, vary considerably between [4].Therefore, advocate modality knowledge gaps mentioned above. populations improve health, whether shows non-nature-based Such relevant discussion specific guidelines therapies health.References1 Stubbs B, Vancampfort D, Hallgren M, Firth J, Veronese N, Solmi et al. EPA guidance severe illness: meta-review evidence Position Statement European Psychiatric Association (EPA), supported International Organization Physical Therapists (IOPTMH). Eur Psychiatry. 2018;54:124–44. https://doi.org/10.1016/j.eurpsy.2018.07.004 First citation articleGoogle Scholar2 Araújo Brymer E, Brito H, Withagen R, Davids K. empowering affordances nature: Why do exercisers feel better performing same environments? Psychol Exerc. 2019;42:138–45. https://doi.org/10.1016/j.psychsport.2018.12.020 Scholar3 Bratman GN, Anderson CB, Berman MG, Cochran De Vries S, Flanders Nature health: An ecosystem service perspective. Sci Adv. 2019;5(7):eaax0903. https://doi.org/10.1126/sciadv.aax0903 Scholar4 Tost Reichert Braun U, Reinhard I, Peters Lautenbach Neural correlates individual differences affective benefit real-life Nat Neurosci. 2019;22(9):1389–93. https://doi.org/10.1038/s41593-019-0451-y Scholar5 Mnich C, Weyland Jekauc Schipperijn J. Psychosocial physiological adolescents Int J Environ Res Public Health. 2019;16(21):4266. https://doi.org/10.3390/ijerph16214266 Scholar6 Lahart Darcy P, Gidlow Calogiuri G. wellbeing: 2019;16(8):1352. https://doi.org/10.3390/ijerph16081352 Scholar7 Kross Krpan KM, Askren MK, Burson A, Deldin PJ, Interacting cognition individuals depression. Affect Disord. 2012;140(3):300–5. https://doi.org/10.1016/j.jad.2012.03.012 Scholar8 Ryu Jung JH, Kim CH, Lee HB, DH, Outdoor symptoms, objectively measured schizophrenia: trial. Psychiatr Res. 2020;120:144–53. https://doi.org/10.1016/j.jpsychires.2019.10.015 Scholar9 Stevenson MP, McEwan Bentsen Schilhab T, Glue Trani walks versus medication: pre-registered randomized-controlled trial Attention Deficit/Hyperactivity Disorder. Psychol. 2021;77:101679. https://doi.org/10.1016/j.jenvp.2021.101679 Scholar10 Gan G, Renz Brüßler Timm Ambulatory precision psychiatry: Foundations, current developments future avenues. Exp Neurol. 2021;345:113807. https://doi.org/10.1016/j.expneurol.2021.113807 ScholarFiguresReferencesRelatedDetailsCited byPrevention through activity, exercise, sportMarkus Gerber, Todd Stull, Malte Christian Claussen18 August 2022 | Psychiatry, Vol. 1, No. 3 Volume 1Issue 3August 2022ISSN: 2674-0052eISSN: 2674-0052 ReceivedApril 7, 2022AcceptedApril 19, 2022Published onlineMay 3, InformationSports (2022), pp. 116-118 https://doi.org/10.1024/2674-0052/a000018.© 2022The Author(s)LicensesDistributed Hogrefe OpenMind article under license CC BY 4.0 ( https://creativecommons.org/licenses/by/4.0)PDF download