Efficacy of nature-based therapy for individuals with stress-related illnesses: randomised controlled trial

Stigsdotter, Ulrika K.; Corazon, Sus Sola; Sidenius, Ulrik; Nyed, Patrik Karlsson; Larsen, Helmer Bøving; Fjorback, Lone Overby

doi:10.1192/bjp.2018.2

Cited by 45 publications

(41 citation statements)

References 24 publications

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“…Choosing an ecovillage in the countryside as a setting for the intervention was therefore believed to be important. Based on our findings, we also proposed that there is evidence for the positive impact of a nature environment and horticultural or nature-based activity on mental health, which is in line with the findings of other studies [ 61 , 62 , 63 , 64 ]. Due to their poor mental health, some of the participants needed an even more sheltered environment to support their mental restoration such as a sheltered therapeutic garden.…”

Section: Discussionsupporting

confidence: 91%

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

Poulsen

Pálsdóttir

Christensen³

et al. 2020

IJERPH

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Background: Globally, the number of refugees is growing. For many refugees, entering the labor market in their new country of residence is challenging. Some remain forever dependent on welfare services, and this not only weakens their chances of integration, but also harms their health and well-being. Methods: This qualitative single case study focused on a group of war-stricken refugees in Denmark. The study investigated the impact of an eight-month horticultural vocational program aimed at improving their ability to complete an education program or to work. A total of 29 interviews were conducted and analyzed using the interpretative phenomenological analysis (IPA) method. Results: The natural environment in the eco-village evoked a feeling of safety as well as positive memories in the participants, in contrast to the traumatic memories they had of their flight. Horticultural activities and the positive and respectful attitude from staff initiated a recovery process. New skills were achieved at an individual pace, and feelings of isolation decreased. These findings can be implicated in future interventions.

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Section: Discussionsupporting

confidence: 91%

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

Poulsen

Pálsdóttir

Christensen³

et al. 2020

IJERPH

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“…The results from the background questionnaire showed that the vast majority of participants were women (NBT: 82%, CBT: 82%) with a mean age of 47.9 in NBT and 44.9 in CBT [ 11 ]. The majority had a university bachelor degree or higher education (NBT: 76%, CBT: 68%).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, the participants in the NBT and the CBT still caused greater healthcare costs in regard to this variable when compared to the general population. It was decided to focus only on the variable “number of contacts with a GP” concerning healthcare consumption, because this was stated by the participants as their most common personal re-habilitation initiative prior to treatment [ 11 ]. No participants were hospitalized prior to treatment due to stress-related illness.…”

Section: Discussionmentioning

confidence: 99%

“…The NNBT was compared to a validated cognitive behavioral therapy known as STreSS (Specialized Treatment for Severe Bodily Distress Syndromes) [ 10 ]. The study found that the Nacadia ® NBT was equal in efficacy to the STreSS with regard to improving the subjects’ mental health status, measured from before to immediately after treatment [ 11 ]. Furthermore, the positive effect on mental health was found to be sustained a year after the treatment had ended [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…The study found that the Nacadia ® NBT was equal in efficacy to the STreSS with regard to improving the subjects’ mental health status, measured from before to immediately after treatment [ 11 ]. Furthermore, the positive effect on mental health was found to be sustained a year after the treatment had ended [ 11 ]. Although the participants’ perceived mental health improved, the question remains whether the NNBT also had an effect on sick leave and healthcare consumption, thereby leading to fewer economic consequences for society.…”

Section: Introductionmentioning

confidence: 99%

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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

Corazon

Nyed

Sidenius

et al. 2018

IJERPH

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Stress-related illnesses are a growing health problem in the Western world; which also has economic significance for society. As a consequence; there is a growing demand for effective treatments. The study investigates the long-term efficacy of the Nacadia® nature-based therapy (NNBT) by comparing it to the efficacy of a validated cognitive behavioral therapy, called STreSS. The study is designed as a randomized controlled trial in which 84 participants are randomly allocated between the treatments. Long-term efficacy is investigated through data extracts from the national database of Statistics Denmark on the sick leave and the health-care consumption. The results show that both the NNBT and the STreSS lead to a significant decrease in number of contacts with a general practitioner in the period from twelve months prior to treatment to twelve months after treatment; and, a significant decrease in long-term sick leave from the month prior to treatment to twelve months after treatment. The positive long-term effects provide validation for the NNBT as an efficient treatment of stress-related illnesses.

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Walking and talking for well‐being: Exploring the effectiveness of walk and talk therapy

Prince‐Llewellyn,

McCarthy

2024

Couns and Psychother Res

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Despite the rising trend of integrating nature and movement into talking therapy, the extent of empirical support remains limited. This study explored the effects of a walk and talk intervention on adult mood and well‐being using a multiple baseline design with pre, post and follow‐up assessments. Five adults (3 males and 2 females) from a technology company took part in a walk and talk intervention lasting approximately 6–8 sessions. They completed self‐report measures at baseline, post‐intervention and follow‐up, with semi‐structured interviews conducted at follow‐up. Results showed a reduction in psychological distress and an increase in well‐being for all participants from baseline to follow‐up. Qualitative data from a thematic analysis supported these findings: participants found the natural, calming effect of the outdoors, combined with the movement of walking, facilitated a sense of freedom to express themselves and, in doing so, maximise the benefits of the therapeutic space. These included gaining a broader perspective, heightened self‐awareness and greater acceptance of oneself, others and life's challenges. This study offers real‐world evidence supporting walk and talk therapy as an effective intervention for adult well‐being and mood.

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Efficacy of nature-based therapy for individuals with stress-related illnesses: randomised controlled trial

Abstract: The study showed no statistical evidence of a difference between NNBT and STreSS for treating patients with stress-related illnesses.Declaration of interestNone.

Cited by 45 publications

References 24 publications

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

Therapeutic Nature Activities: A Step Toward the Labor Market for Traumatized Refugees

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

Walking and talking for well‐being: Exploring the effectiveness of walk and talk therapy

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