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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. [1] [2] [3] Additionally, it can enhance cardiovascular health and reduce risks of high blood pressure. [4] [5]
Scientists in the 1950s looked into the reasons humans chose to spend time in nature. [6] There is relatively recent history of the term Shinrin-yoku (森林浴) or 'forest bathing' gaining momentum as a term and concept within American culture; the term 'forest bathing' and Shrinrin-yoku was first popularized in Japan by the former head of the Japanese Ministry of Agriculture, Forestry, and Fisheries, Tomohide Akiyama, in 1982 to encourage more people to visit the forests. [7] [5] [8] [9] [10]
Nature therapy has a benefit in reducing stress and improving a person's mood. [11] [12] Even a small amount of interaction with nature, such as having a tree outside one’s home in urban communities, has been found to increase human wellbeing and promote mental health. [13] This may be due to aesthetic reasons, encouragement of physical activity, or general feelings of connection to nature, where the increased proximity to nature creates higher feelings of connectivity. [13]
Forest therapy has been linked to some physiological benefits as indicated by neuroimaging and the profile of mood states psychological test. [14]
Interaction with nature can decrease stress and depression. [4] [12] [7] [15] Forest therapy might help stress management for all age groups. [16]
Social horticulture could help with depression and other mental health problems of PTSD, abuse, lonely elderly people, [17] 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]
Sounds of nature alone can be enough to affect relaxation and enhance positive emotions while reducing negative emotions, including depression and anger. [21] Perceiving nature can lower stress levels and aid in recovery for diastolic and systolic blood pressures. [22]
Nature therapy could help with general medical recovery, pain reduction, Attention Deficit/Hyperactivity Disorder, dementia, obesity, and vitamin D deficiency. [23] Interactions with nature environments enhance social connections, stewardship, sense of place, and increase environmental participation. [24] Connecting with nature also addresses needs such as intellectual capacity, emotional bonding, creativity, and imagination. [25] Overall, there seems to be benefits to time spent in nature including memory, cognitive flexibility, and attention control. [26]
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. [27]
A 2012 systematic review study showed inconclusive results related to the methodology used in studies. [28] Spending time in forests demonstrated positive health effects, but not enough to generate clinical practice guidelines or demonstrate causality. [29] Additionally, there are concerns from researchers expressing that time spent in nature as a form of regenerative therapy is highly personal and entirely unpredictable. [6] Nature can be harmed in the process of human interaction. [6]
In Finland, researchers recommend five hours a month in nature to reduce depression, alcoholism, and suicide. [30] South Korea has a nature therapy program for firefighters with post-traumatic stress disorder. [30] Canadian physicians can also "prescribe nature" to patients with mental and physical health problems encouraging them to get into nature more. [31]
Anxiety is an emotion which is characterised by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different from fear in that fear is defined as the emotional response to a present threat, whereas anxiety is the anticipation of a future one. It is often accompanied by nervous behavior such as pacing back and forth, somatic complaints, and rumination.
Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to reduce symptoms of various mental health conditions, primarily depression, PTSD and anxiety disorders. Cognitive behavioral therapy focuses on challenging and changing cognitive distortions and their associated behaviors to improve emotional regulation and develop personal coping strategies that target solving current problems. Though it was originally designed to treat depression, its uses have been expanded to include many issues and the treatment of many mental health and other conditions, including anxiety, substance use disorders, marital problems, ADHD, and eating disorders. CBT includes a number of cognitive or behavioral psychotherapies that treat defined psychopathologies using evidence-based techniques and strategies.
Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that develops from experiencing a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a person's life or well-being. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in the way a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event and can include triggers such as misophonia. Young children are less likely to show distress, but instead may express their memories through play. A person with PTSD is at a higher risk of suicide and intentional self-harm.
Mind–body interventions (MBI) or mind-body training (MBT) are health and fitness interventions that are intended to work on a physical and mental level such as yoga, tai chi, and Pilates.
Functional gastrointestinal disorders (FGID), also known as disorders of gut–brain interaction, include a number of separate idiopathic disorders which affect different parts of the gastrointestinal tract and involve visceral hypersensitivity and motility disturbances.
Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. According to the World Health Organization (WHO), it is a "state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and can contribute to his or her community". It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental health includes subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-actualization of one's intellectual and emotional potential, among others.
A relaxation technique is any method, process, procedure, or activity that helps a person to relax; attain a state of increased calmness; or otherwise reduce levels of pain, anxiety, stress or anger. Relaxation techniques are often employed as one element of a wider stress management program and can decrease muscle tension, lower blood pressure, and slow heart and breath rates, among other health benefits.
Breathwork is a term for various breathing practices in which the conscious control of breathing is said to influence a person's mental, emotional, or physical state, with a therapeutic effect.
Animal-assisted therapy (AAT) is an alternative or complementary type of therapy that includes the use of animals in a treatment. The goal of this animal-assisted intervention is to improve a patient's social, emotional, or cognitive functioning. Studies have documented some positive effects of the therapy on subjective self-rating scales and on objective physiological measures such as blood pressure and hormone levels.
The psychological and physiological effects of meditation have been studied. In recent years, studies of meditation have increasingly involved the use of modern instruments, such as functional magnetic resonance imaging and electroencephalography, which are able to observe brain physiology and neural activity in living subjects, either during the act of meditation itself or before and after meditation. Correlations can thus be established between meditative practices and brain structure or function.
Childhood trauma is often described as serious adverse childhood experiences. Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse. They may also witness abuse of a sibling or parent, or have a mentally ill parent. These events can have profound psychological, physiological, and sociological impacts leading to lasting negative effects on health and well-being. These events may include antisocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Additionally, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.
Green exercise refers to physical exercise undertaken in natural environments. Physical exercise is well known to provide physical and psychological health benefits. There is also good evidence that viewing, being in, and interacting with natural environments has positive effects, reducing stress and increasing the ability to cope with stress, reducing mental fatigue and improving concentration and cognitive function. The concept of green exercise has therefore grown out of well-established areas such as the attention restoration theory within environmental psychology which have tended to focus on the psychological and physical effects of viewing nature and well-recognised work about the psychological benefits of physical exercise.
In psychology, relaxation is the emotional state of low tension, in which there is an absence of arousal, particularly from negative sources such as anger, anxiety, or fear.
Mindfulness-Based Stress Reduction (MBSR) therapy is a mindfulness-based program (MBP) designed for stress management and used to treat other conditions. It is structured as an eight to ten week group program.
PTSD or post-traumatic stress disorder, is a psychiatric disorder characterised by intrusive thoughts and memories, dreams or flashbacks of the event; avoidance of people, places and activities that remind the individual of the event; ongoing negative beliefs about oneself or the world, mood changes and persistent feelings of anger, guilt or fear; alterations in arousal such as increased irritability, angry outbursts, being hypervigilant, or having difficulty with concentration and sleep.
The effects of climate change on mental health and wellbeing are being documented as the consequences of climate change become more tangible and impactful. This is especially the case for vulnerable populations and those with pre-existing serious mental illness. There are three broad pathways by which these effects can take place: directly, indirectly or via awareness. The direct pathway includes stress-related conditions caused by exposure to extreme weather events. These include post-traumatic stress disorder (PTSD). Scientific studies have linked mental health to several climate-related exposures. These include heat, humidity, rainfall, drought, wildfires and floods. The indirect pathway can be disruption to economic and social activities. An example is when an area of farmland is less able to produce food. The third pathway can be of mere awareness of the climate change threat, even by individuals who are not otherwise affected by it. This especially manifests in the form of anxiety over the quality of life for future generations.
Trauma-sensitive yoga is yoga as exercise, adapted from 2002 onwards for work with individuals affected by psychological trauma. Its goal is to help trauma survivors to develop a greater sense of mind-body connection, to ease their physiological experiences of trauma, to gain a greater sense of ownership over their bodies, and to augment their overall well-being. However, a 2019 systematic review found that the studies to date were not sufficiently robustly designed to provide strong evidence of yoga's effectiveness as a therapy; it called for further research.
Breastfeeding and mental health is the relationship between postpartum breastfeeding and the mother's and child's mental health. Research indicates breastfeeding may have positive effects on the mother's and child's mental health, though there have been conflicting studies that question the correlation and causation of breastfeeding and maternal mental health. Possible benefits include improved mood and stress levels in the mother, lower risk of postpartum depression, enhanced social emotional development in the child, stronger mother-child bonding and more. Given the benefits of breastfeeding, the World Health Organization (WHO), the European Commission for Public Health (ECPH) and the American Academy of Pediatrics (AAP) suggest exclusive breastfeeding for the first six months of life. Despite these suggestions, estimates indicate 70% of mothers breastfeed their child after birth and 13.5% of infants in the United States are exclusively breastfed. Breastfeeding promotion and support for mothers who are experiencing difficulties or early cessation in breastfeeding is considered a health priority.
Nature exposure and mental health refers to the association between an individual interacting with natural environments and its effect on the individual's mental health. Most studies consider any interaction with nature as exposure, such as a hike, being in a forest or a place with water, going on a walk in a park, etc. Currently there is extensive research on the impact of the exposure to nature on people, which finds a beneficial association in various ways. Studies show that the contact of human beings with nature has decreased with the contemporary lifestyle of being most of the time indoors and with increasing time spent on screens. However, the interaction with nature has been considered to be a general health promoter thanks to the many benefits it brings to mental health and cognition as well. As a consequence, therapists use nature in their treatments to improve mental or physical health. These treatments and techniques are called ecotherapy.
Shinrin-yoku, also known as forest bathing, is a practice or process of therapeutic relaxation where one spends time in a forest or natural atmosphere, focusing on sensory engagement to connect with nature.