A Long-Term Follow-Up of the Efficacy of Nature-Based Therapy for Adults Suffering from Stress-Related Illnesses on Levels of Healthcare Consumption and Sick-Leave Absence: A Randomized Controlled Trial

Corazon, Sus Sola; Nyed, Patrik Karlsson; Sidenius, Ulrik; Poulsen, Dorthe Varning; Stigsdotter, Ulrika K.

doi:10.3390/ijerph15010137

Cited by 35 publications

(39 citation statements)

References 15 publications

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“…Health-related benefits include improved attention 32 , cognition 33 , sleep 37 , and stress recovery 38 , and apply across demographic and socioeconomic population sectors 18,19,25 . Research on economic costs of poor mental health recognises four main categories: treatments 39,40 , both consultations and pharmaceuticals; caregivers, both paid and unpaid (e.g. family members); lost workplace productivity, through absenteeism 39 or poor performance (presenteeism) 41 ; and antisocial behaviour 42–44 , both public (e.g.…”

Section: Introduction and Conceptual Frameworkmentioning

confidence: 99%

Economic value of protected areas via visitor mental health

et al. 2019

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We evaluate methods to calculate the economic value of protected areas derived from the improved mental health of visitors. A conservative global estimate using quality-adjusted life years, a standard measure in health economics, is US$6 trillion p.a. This is an order of magnitude greater than the global value of protected area tourism, and two to three orders greater than global aggregate protected area management agency budgets. Future research should: refine this estimate using more precise methods; consider interactions between health and conservation policies and budgets at national scales; and examine links between personalities and protected area experiences at individual scale. C onservation is key to sustainability 1-3 , but biodiversity continues to decrease worldwide 4-6. Protected areas remain the core of global conservation strategies 7,8 , but are under increasing pressure 9-11 from political and economic factors 12,13 as well as climate change 14. Conservation relies on political advocacy, influenced by economic arguments 2,15 , based on ecosystem services 16 or tourism 17. Nature exposure improves human mental health and wellbeing 18-21. Poor mental health imposes major costs on human economies 22-24. Therefore, parks have an additional economic value through the mental health of visitors 25. We refer to this as a health services value. This may be considered as a component of ecosystem services value 26. Here we consider how to calculate health services value. Research on nature exposure and mental health falls into four main categories 20 : spatial correlations between nature access and mental health 27-29 ; joint patterns across populations 30,31 ; experimental tests linking nature exposure to specific psychological parameters 18-22,32-34 ; and qualitative analyses examining the psychological processes underlying these links 35,36. Healthrelated benefits include improved attention 32 , cognition 33 , sleep 37 , and stress recovery 38 , and apply across demographic and socioeconomic population sectors 18,19,25. Research on economic costs of poor mental health recognises four main categories: treatments 39,40 , both consultations and pharmaceuticals; caregivers, both paid and unpaid (e.g. family members); lost workplace productivity, through absenteeism 39 or poor performance (presenteeism) 41 ; and antisocial behaviour 42-44 , both public (e.g. vandalism) and private (e.g. domestic violence). Human economies have underinvested severely in nature conservation, despite the high value of ecosystem services 16 , because these services have been provided free of charge. The same applies for health services, but we suggest that there may be one key difference. In agrarian and manufacturing economies, the relationship between individual mental health and society-scale economic performance is a step function: irrelevant, until it is severe enough to generate crime or workplace absenteeism. In professional and service economies, however, the relationship is gradual: poor mental health decreases contribut...

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Section: Introduction and Conceptual Frameworkmentioning

confidence: 99%

Economic value of protected areas via visitor mental health

et al. 2019

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“…Longer term engagement with nature is important [ 47 , 48 ], it can be especially significant for those who are excluded and who have diverse mental health conditions [ 49 ], as these are people who are less likely to engage with nature in the UK and gain the benefits outlined in much of the recent research [ 5 , 6 ]. A World Health Organisation [ 50 ] report on urban nature-based interventions outlines the importance of planning and designing interventions with the specific community intended for involvement in mind.…”

Section: Discussionmentioning

confidence: 99%

Engaging with and Shaping Nature: A Nature-Based Intervention for Those with Mental Health and Behavioural Problems at the Westonbirt Arboretum in England

O’Brien

2018

IJERPH

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Mental health problems have become one of the leading causes of disease burden worldwide. This study used qualitative mixed methods including in-situ ‘being and doing’ activities with participants, interviews, and participant observations to explore participant’s experiences of a multi-visit nature-based intervention at Westonbirt Arboretum in England. The research found that three engagement types: (1) social, (2) woodland craft, and (3) creative and sensory, provided a meaningful programme to engage those with mental health, addiction, autism and behavioural problems. These types of engagement conferred a wide range of well-being benefits on participants. The study highlights key elements of the programme that were effective including the importance of repeat visits to nature to enable familiarity, using creative, sensory and craft activities, creating a supportive environment, involving the volunteers, and understanding the needs of participants and the organisations that work with them. The research suggests that nature-based programmes can be designed to be flexible and adaptable to meet the needs of participants with mental health and behavioural problems. Small numbers of participants can be involved in an intensive and immersive way that encourages an emotional affinity with nature. Inclusive and supportive programmes are particularly important for those who are vulnerable, as they are less likely to engage with nature than the wider population.

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“…Des améliorations du statut clinique sont constatées -par exemple les symptômes de la dépression -, mais dans certains cas sans répercussions favorables sur la réintégration, c'est-à-dire dans le fonctionnement quotidien et la qualité de vie [22]. Cela étant, des études rigoureuses récentes montrent que les ITN sont efficaces à la fois sur le plan de la santé et de la réintégration dans le monde du travail [23,48].…”

Section: Interventions Thérapeutiquesunclassified

De quelles preuves scientifiques disposons-nous concernant les effets des forêts et des arbres sur la santé et le bien-être humains ?

Nilsson¹,

Bentsen²,

Grahn³

et al. 2019

Santé Publique

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Dans la société actuelle, les maladies liées au mode de vie jouent un rôle de plus en plus important dans les causes de mauvaise santé. L’accès et le séjour dans des environnements qui contiennent des éléments naturels tels que les forêts, les parcs et les jardins ont attiré l’attention pour leur capacité à favoriser la santé et le bien-être humains. Un domaine de recherche à part entière s’est développé pour expliquer et attester du lien entre accès et activités dans la nature et santé humaine. L’action COST E39 « Forêts, arbres et la santé et le bien-être humains », initiée en 2004 et achevée en 2009, avait pour but de réunir des chercheurs européens qui travaillent sur les différents aspects de la relation entre nature et santé. Ses principaux résultats ont été présentés dans le livre Forests, Trees and Human Health publié en 2011. Cet article porte sur trois questions de recherche centrales concernant la relation entre nature et santé : les effets réparateurs, instauratifs et salutaires sur la santé humaine, les effets sur la santé des activités physiques de plein air et les interventions thérapeutiques telles que les jardins thérapeutiques et les bains de forêt. Une revue systématique de la recherche menée à la suite de l’action COST, permet d’aboutir aux conclusions suivantes : 1) Un nombre remarquable de publications de recherche mettent en évidence une corrélation statistique entre l’accès à la nature et aux espaces verts et l’activité physique humaine et la santé. Cependant, peu d’études établissent une relation de cause à effet permettant d’affirmer que l’accès aux espaces verts entraîne une plus grande activité physique et une meilleure santé. 2) La recherche existante sur les activités de plein air dans des environnements naturels fait état d’un certain nombre d’associations positives et effets sur la santé, dont certains sont solidement appuyés par des preuves, bien que sujets à des réserves quant à l’applicabilité immédiate des conclusions qu’on peut en tirer. 3) Beaucoup d’études montrent que des thérapies fondées sur la nature fonctionnent et donnent lieu à des effets clairement positifs, mais la qualité de ces études fait l’objet de sérieuses critiques. Enfin, les auteurs recommandent qu’une plus grande place soit accordée aux recherches sur les bénéfices économiques tirés des effets que la nature procure sur la santé et d’élargir la base théorique des études. De plus, une meilleure intégration de ces connaissances dans les politiques de la santé et leur mise en œuvre pratique dans le cadre de l’urbanisme et de la gestion des forêts sont à envisager.

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A Long-Term Follow-Up of the Efficacy of Nature-Based Therapy for Adults Suffering from Stress-Related Illnesses on Levels of Healthcare Consumption and Sick-Leave Absence: A Randomized Controlled Trial

Cited by 35 publications

References 15 publications

Economic value of protected areas via visitor mental health

Economic value of protected areas via visitor mental health

Engaging with and Shaping Nature: A Nature-Based Intervention for Those with Mental Health and Behavioural Problems at the Westonbirt Arboretum in England

De quelles preuves scientifiques disposons-nous concernant les effets des forêts et des arbres sur la santé et le bien-être humains ?

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