Nature therapy

Short description: Broad group of scientific techniques or treatments for health

Nature therapy, sometimes referred to as ecotherapy, forest therapy, forest bathing, grounding, earthing, Shinrin-Yoku or Sami Lok, is a practice that describes a broad group of techniques or treatments using nature to improve mental or physical health.

Spending time in nature has various physiological benefits such as relaxation and stress reduction. Additionally, it can enhance cardiovascular health and lower blood pressure.[1][2]

## Contents

* 1 History
* 2 Health effects
* 2.1 Mood
* 2.2 Stress and depression
* 2.3 Other possible benefits
* 3 Criticism
* 4 Governmental support
* 5 References

## History

In the 6th century BC, Cyrus the Great planted a garden in the middle of a city to increase human health.[3] In the 16th century AD, Paracelsus wrote: "The art of healing comes from nature, not from the physician."[4] Scientists in the 1950s looked into why people chose to spend time in nature.[5] The term Shinrin-yoku (森林浴) or forest bathing was coined by the head of the Japanese Ministry of Agriculture, Forestry, and Fisheries, Tomohide Akiyama, in 1982 to encourage more visitors to forests.[3][6][7][8][9]

## Health effects

### Mood

120 minutes in nature weekly could improve health and well-being.[10] As little as five minutes in a natural setting, improves mood, self-esteem, and motivation.[11] Nature therapy has a benefit in reducing stress and improving a person's mood.[12][13] People exposed to nature are also more cooperative and pleasant compared to those who are not.[14]

Forest therapy has been linked to some physiological benefits as indicated by neuroimaging and the profile of mood states psychological test.[15]

Horticulture therapy has been linked to general well-being by boosting positive mood and escaping from daily life stressors.[13]

### Stress and depression

Interaction with nature can decrease stress and depression.[1][13] [3][16] Forest therapy might help stress management for all age groups.[17]

Social horticulture could help with depression and other mental health problems of PTSD, abuse, lonely elderly people, drug or alcohol addicts, blind people, and other people with special needs.[18] Nature therapy could also improve self-management, self-esteem, social relations and skills, socio-political awareness and employability.[19] Nature therapy could reduce aggression and improve relationship skills.[20]

This is especially true due to the mental health damage COVID-19 brought. Nature therapy had significant results when it came to reducing stress, anxiety, and depression influenced by COVID-19.[21]

### Other possible benefits

Nature therapy could help with general medical recovery, pain reduction, Attention Deficit/Hyperactivity Disorder, dementia, obesity, and vitamin D deficiency.[22] Interactions with nature environments enhance social connections, stewardship, sense of place, and increase environmental participation.[23] Connecting with nature also addresses needs such as intellectual capacity, emotional bonding, creativity, and imagination.[24] Overall, there seems to be benefits to time spent in nature including memory, cognitive flexibility, and attention control.[25]

Research also suggests that childhood experience in nature are crucial for children in their daily lives as it contributes to several developmental outcomes and various domains of their well-being. Essentially, these experiences also foster an intrinsic care for nature.[26]

## Criticism

A 2012 systematic review study showed inconclusive results related to the methodology used in studies.[27] Spending time in forests demonstrated positive health effects, but not enough to generate clinical practice guidelines or demonstrate causality.[28] Additionally, there are concerns from researchers expressing that time spent in nature as a form of regenerative therapy is highly personal and entirely unpredictable.[5] Nature can be harmed in the process of human interaction.[5]

## Governmental support

In Finland, researchers recommend five hours a month in nature to reduce depression, alcoholism, and suicide.[4] Forest therapy has state-backing in Japan.[17] South Korea has a nature therapy program for firefighters with post-traumatic stress disorder.[4] Canadian physicians can also "prescribe nature" to patients with mental and physical health problems encouraging them to get into nature more.[29]

## References

1. ↑ 1.0 1.1 Schantz P. 2022. Can nature really affect our health? A short review of studies. I: Why Cities Need Large Parks – Large Parks in Large Cities, (ed. R. Murray), London: Routledge
2. ↑ Song, Chorong (August 2016). "Physiological Effects of Nature Therapy: A Review of the Research in Japan". International Journal of Environmental Research and Public Health 13 (8): 781. doi:10.3390/ijerph13080781. PMID 27527193.
3. ↑ 3.0 3.1 3.2 "Shinrin-Yoku (Forest Bathing) and Nature Therapy: A State-of-the-Art Review" (in en). International Journal of Environmental Research and Public Health 14 (8): 851. July 2017. doi:10.3390/ijerph14080851. PMID 28788101.
4. ↑ 4.0 4.1 4.2 Williams, Florence (1 January 2016). "This Is Your Brain On Nature". National Geographic 229 (1): 49, 54–58, 62–63, 66–67.
5. ↑ 5.0 5.1 5.2 MacKinnon, J. B. (21 January 2016). "The Problem with Nature Therapy". http://nautil.us/issue/32/space/the-problem-with-nature-therapy.
6. ↑ Song, Chorong (August 2016). "Physiological Effects of Nature Therapy: A Review of the Research in Japan". International Journal of Environmental Research and Public Health 13 (8): 781. doi:10.3390/ijerph13080781. PMID 27527193.
7. ↑ O'Donoghue, J. J. (2 May 2018). "Stressed out? Bathing in the woods is just what the doctor ordered". https://www.japantimes.co.jp/community/2018/05/02/our-lives/stressed-bathing-woods-just-doctor-ordered/.
8. ↑ Onken, Lisa Simon (1998). "Behavioral therapy development and psychological science: If a tree falls in the forest and no one hears it...". Behavior Therapy 29 (4): 539–543. doi:10.1016/S0005-7894(98)80049-X.
9. ↑ Plevin, Julia (2018). "From haiku to shinrin-yoku". Forest History Today: 17, 18. https://foresthistory.org/wp-content/uploads/2019/06/3-Plevin_Forest_Bathing.pdf. Retrieved 7 August 2021.
10. ↑ White, Mathew P.; Alcock, Ian; Grellier, James; Wheeler, Benedict W.; Hartig, Terry; Warber, Sara L.; Bone, Angie; Depledge, Michael H. et al. (2019). "Spending at least 120 minutes a week in nature is associated with good health and wellbeing". Scientific Reports 9 (1): 7730. doi:10.1038/s41598-019-44097-3. PMID 31197192. Bibcode: 2019NatSR...9.7730W.
11. ↑ Sorgen, Carol. "Nature Therapy (Ecotherapy) Medical Benefits" (in en). https://www.webmd.com/balance/features/nature-therapy-ecotherapy.
12. ↑ Bratman, Gregory N.; Hamilton, J. Paul; Daily, Gretchen C. (February 2012). "The impacts of nature experience on human cognitive function and mental health". Annals of the New York Academy of Sciences 1249 (1): 118–136. doi:10.1111/j.1749-6632.2011.06400.x. PMID 22320203. Bibcode: 2012NYASA1249..118B.
13. ↑ 13.0 13.1 13.2 Cutillo, A.; Rathore, N.; Reynolds, N.; Hilliard, L.; Haines, H.; Whelan, K.; Madan-Swain, A. (2015). "A Literature Review of Nature-Based Therapy and its Application in Cancer Care". Journal of Therapeutic Horticulture 25 (1): 3–15.
14. ↑ Zelenski, John M.; Dopko, Raelyne L.; Capaldi, Colin A. (2015-06-01). "Cooperation is in our nature: Nature exposure may promote cooperative and environmentally sustainable behavior" (in en). Journal of Environmental Psychology 42: 24–31. doi:10.1016/j.jenvp.2015.01.005. ISSN 0272-4944.
15. ↑ Copeland CS. The Forest As Physician: Shinrin Yoku. Healthcare Journal of Baton Rouge. Nov-Dec 2017
16. ↑ Tester-Jones, Michelle; White, Mathew P.; Elliott, Lewis R.; Weinstein, Netta; Grellier, James; Economou, Theo; Bratman, Gregory N.; Cleary, Anne et al. (2020-11-06). "Results from an 18 country cross-sectional study examining experiences of nature for people with common mental health disorders". Scientific Reports 10 (1): 19408. doi:10.1038/s41598-020-75825-9. ISSN 2045-2322. PMID 33159132. Bibcode: 2020NatSR..1019408T.
17. ↑ 17.0 17.1 Rajoo, Keeren Sundara (June 2020). "The physiological and psychosocial effects of forest therapy: A systematic review". Urban For Urban Green 1 (2): 64–74. doi:10.1016/j.ufug.2020.126744.
18. ↑ Chalquist, Craig (June 2009). "A Look at the Ecotherapy Research Evidence". Ecopsychology 1 (2): 64–74. doi:10.1089/eco.2009.0003.
19. ↑ Pedretti-Burls, Ambra (2007). "Ecotherapy: a therapeutic and educative model". Journal of Mediterranean Ecology 8: 19–25. http://www.jmecology.com/wp-content/uploads/2014/03/19-25-Pedretti-Burls.pdf.
20. ↑ Phillips, Lindsey (May 2018). "Using Nature as a Therapeutic Partner". Counseling Today 60 (11): 26–33. https://ct.counseling.org/2018/04/using-nature-as-a-therapeutic-partner.
21. ↑ Sundara Rajoo, Keeren; Singh Karam, Daljit; Abdu, Arifin; Rosli, Zamri; James Gerusu, Geoffery (November 2021). "Addressing psychosocial issues caused by the COVID-19 lockdown: Can urban greeneries help?" (in en). Urban For. Urban Green. 65: 127340. doi:10.1016/j.ufug.2021.127340. ISSN 1618-8667. PMID 34512230.
22. ↑ Summers, James K.; Vivian, Deborah N. (3 August 2018). "Ecotherapy – A Forgotten Ecosystem Service: A Review". Frontiers in Psychology 9: 1389. doi:10.3389/fpsyg.2018.01389. PMID 30123175.
23. ↑ Biedenweg, Kelly; Scott, Ryan P.; Scott, Tyler A. (2017-06-01). "How does engaging with nature relate to life satisfaction? Demonstrating the link between environment-specific social experiences and life satisfaction" (in en). Journal of Environmental Psychology 50: 112–124. doi:10.1016/j.jenvp.2017.02.002. ISSN 0272-4944. https://www.sciencedirect.com/science/article/pii/S027249441730018X.
24. ↑ Humberstone, Barbara; Prince, Heather; Henderson, Karla A. (2015-11-19) (in en). Routledge International Handbook of Outdoor Studies. Routledge. ISBN 978-1-317-66652-3. https://books.google.com/books?id=oJj4CgAAQBAJ&dq=how+do&pg=PA59.
25. ↑ Schertz, Kathryn E.; Berman, Marc G. (October 2019). "Understanding Nature and Its Cognitive Benefits" (in en). Current Directions in Psychological Science 28 (5): 496–502. doi:10.1177/0963721419854100. ISSN 0963-7214.
26. ↑ Adams, Sabirah; Savahl, Shazly (2017-10-20). "Nature as children's space: A systematic review". The Journal of Environmental Education 48 (5): 291–321. doi:10.1080/00958964.2017.1366160. ISSN 0095-8964. https://doi.org/10.1080/00958964.2017.1366160.
27. ↑ Kamioka, Hiroharu; Tsutani, Kiichiro; Mutoh, Yoshiteru; Honda, Takuya; Shiozawa, Nobuyoshi; Okada, Shinpei; Park, Sang-Jun; Kitayuguchi, Jun et al. (26 July 2012). "A systematic review of randomized controlled trials on curative and health enhancement effects of forest therapy". Psychology Research and Behavior Management 5: 85–95. doi:10.2147/PRBM.S32402. PMID 22888281.
28. ↑ Oh, Byeongsang; Lee, Kyung Ju; Zaslawski, Chris; Yeung, Albert; Rosenthal, David; Larkey, Linda; Back, Michael (18 October 2017). "Health and well-being benefits of spending time in forests: systematic review". Environmental Health and Preventive Medicine 22 (1): 71. doi:10.1186/s12199-017-0677-9. PMID 29165173.
29. ↑ Forster, Victoria. "Canadian Physicians Can Now Prescribe Nature To Patients" (in en). https://www.forbes.com/sites/victoriaforster/2022/02/08/canadian-physicians-can-now-prescribe-nature-to-patients/.

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