2019
DOI: 10.1016/j.annals.2018.04.001
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Tourism and depressive symptoms

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Cited by 30 publications
(22 citation statements)
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“…A small minority of interviewees indicated a lifetime linkage, operating in both directions simultaneously or successively. This causal direction provides strong evidence to support previous suggestions that outdoor nature and adventure tourism and recreation: (a) could be used as a tool in treating at least some clinically depressed patients (Levi et al, 2018); and (b) can contribute therapeutically to human mental health and psychological well-being (Buckley, 2019).…”
Section: Discussionsupporting
confidence: 81%
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“…A small minority of interviewees indicated a lifetime linkage, operating in both directions simultaneously or successively. This causal direction provides strong evidence to support previous suggestions that outdoor nature and adventure tourism and recreation: (a) could be used as a tool in treating at least some clinically depressed patients (Levi et al, 2018); and (b) can contribute therapeutically to human mental health and psychological well-being (Buckley, 2019).…”
Section: Discussionsupporting
confidence: 81%
“…They are not always feasible: e.g., if they would require too large an intervention in individual lives (Gottfredson et al, 2015;Frieden, 2017). Thus Levi et al (2018), testing the effects of tourism on mental health patients, were unable to use randomised controls, because patients selected and paid for their own holidays. For the current study, an RCT would need to assign members of a pre-selected group of individuals randomly to different levels or patterns of outdoor tourism, and compare their mental health parameters before and after either tourism or a control activity.…”
Section: Options For Testing Causation: Drawbacks and Limitationsmentioning
confidence: 99%
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“…Outcomes included positive emotions, recovery from stress, and changed worldview. Levi, Dolev, Collins-Kreiner, and Zilcha-Mano (2018) conducted repeated clinical interviews, using a psychiatric rating scale, with 14 patients diagnosed with major depressive disorders, who were voluntarily taking part in self-purchased tourism products, of various types. They found that mental health condition improved for some patients, but worsened for others.…”
Section: Theoretical Framework and Literature Reviewmentioning
confidence: 99%
“…These derive both from contemplative nature tourism ( Chen, Yu, & Lee, 2018 ; Hansen et al, 2017 ; Kobayashi et al, 2018 ; Oh et al, 2017 ), and active adventure tourism ( Buckley, 2020b ; Holland et al, 2018 ; Holmbom et al, 2017 ; Roberts et al, 2018 ). They form one component of research on tourism and wellbeing more generally ( Chen & Li, 2018 ; Lengieza et al, 2019 ; Levi et al, 2018 ; Pyke et al, 2016 ; Smith & Diekmann, 2017 ; Uysal et al, 2016 ). Improved wellbeing has an economic health services value through reductions in costs of poor mental health ( McDaid et al, 2019 ; Patel et al, 2018 ).…”
Section: Theoretical Frameworkmentioning
confidence: 99%