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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. Additionally, it can enhance cardiovascular health and lower blood pressure. [1] [2]
Scientists in the 1950s looked into the reasons humans chose to spend time in nature. [3] 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 a man named Tomohide Akiyama, who was the head of the Japanese Ministry of Agriculture, Forestry, and Fisheries; this happened in 1982 to encourage more people to visit the forests. [4] [5] [6] [7] [8]
Nature therapy has a benefit in reducing stress and improving a person's mood. [9] [10]
Forest therapy has been linked to some physiological benefits as indicated by neuroimaging and the profile of mood states psychological test. [11]
Horticulture therapy has been linked to general well-being by boosting positive mood and escaping from daily life stressors. [10]
Interaction with nature can decrease stress and depression. [1] [10] [4] [12] Forest therapy might help stress management for all age groups. [13]
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. [14] Nature therapy could also improve self-management, self-esteem, social relations and skills, socio-political awareness and employability. [15] Nature therapy could reduce aggression and improve relationship skills. [16]
Nature therapy could help with general medical recovery, pain reduction, Attention Deficit/Hyperactivity Disorder, dementia, obesity, and vitamin D deficiency. [17] Interactions with nature environments enhance social connections, stewardship, sense of place, and increase environmental participation. [18] Connecting with nature also addresses needs such as intellectual capacity, emotional bonding, creativity, and imagination. [19] Overall, there seems to be benefits to time spent in nature including memory, cognitive flexibility, and attention control. [20]
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. [21]
A 2012 systematic review study showed inconclusive results related to the methodology used in studies. [22] Spending time in forests demonstrated positive health effects, but not enough to generate clinical practice guidelines or demonstrate causality. [23] Additionally, there are concerns from researchers expressing that time spent in nature as a form of regenerative therapy is highly personal and entirely unpredictable. [3] Nature can be harmed in the process of human interaction. [3]
In Finland, researchers recommend five hours a month in nature to reduce depression, alcoholism, and suicide. [24] Forest therapy has state-backing in Japan. [13] South Korea has a nature therapy program for firefighters with post-traumatic stress disorder. [24] Canadian physicians can also "prescribe nature" to patients with mental and physical health problems encouraging them to get into nature more. [25]
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. 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.
Exercise is physical activity that enhances or maintains fitness and overall health. It is performed for various reasons, including weight loss or maintenance, to aid growth and improve strength, develop muscles and the cardiovascular system, hone athletic skills, improve health, or simply for enjoyment. Many individuals choose to exercise outdoors where they can congregate in groups, socialize, and improve well-being as well as mental health.
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.
Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. According to 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. From the perspectives of positive psychology or holism, mental health may include an individual's ability to enjoy life and to create a balance between life activities and efforts to achieve psychological resilience. Cultural differences, personal philosophy, subjective assessments, and competing professional theories all affect how one defines "mental health". Some early signs related to mental health difficulties are sleep irritation, lack of energy, lack of appetite, thinking of harming oneself or others, self-isolating, and frequently zoning out.
Mindfulness is the cognitive skill, usually developed through meditation, of sustaining meta-attention of the contents of one's own mind in the present moment. Mindfulness derives from sati, a significant element of Hindu and Buddhist traditions, and is based on Zen, Vipassanā, and Tibetan meditation techniques. Though definitions and techniques of mindfulness are wide-ranging, Buddhist traditions describe what constitutes mindfulness such as how past, present and future moments arise and cease as momentary sense impressions and mental phenomena. Individuals who have contributed to the popularity of mindfulness in the modern Western context include Thích Nhất Hạnh, Joseph Goldstein, Herbert Benson, Jon Kabat-Zinn, and Richard J. Davidson.
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 New Age 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.
Therapeutic effect refers to the response(s) after a treatment of any kind, the results of which are judged to be useful or favorable. This is true whether the result was expected, unexpected, or even an unintended consequence. An adverse effect is the converse and refers to harmful or undesired response(s). What constitutes a therapeutic effect versus a side effect is a matter of both the nature of the situation and the goals of treatment. No inherent difference separates therapeutic and undesired side effects; both responses are behavioral/physiologic changes that occur as a response to the treatment strategy or agent.
Horticultural therapy is defined by the American Horticultural Therapy Association (AHTA) as the engagement of a person in gardening and plant-based activities, facilitated by a trained therapist, to achieve specific therapeutic treatment goals. Direct contact with plants is believed to guide a person's focus away from stress enhancing their overall quality of life. The AHTA believes that horticultural therapy is an active process which occurs in the context of an established treatment plan. Horticultural therapists are specially educated and trained members of rehabilitation teams who involve the client in all phases of gardening, from propagation to selling products, as a means of bringing about improvement in their life.
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 fMRI and EEG, 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 (ACEs). 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, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, 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) is an eight-week evidence-based program that offers secular, intensive mindfulness training to assist people with stress, anxiety, depression and pain. Developed at the University of Massachusetts Medical Center in the 1970s by Professor Jon Kabat-Zinn, MBSR uses a combination of mindfulness meditation, body awareness, yoga and exploration of patterns of behavior, thinking, feeling and action. Mindfulness can be understood as the non-judgmental acceptance and investigation of present experience, including body sensations, internal mental states, thoughts, emotions, impulses and memories, in order to reduce suffering or distress and to increase well-being. Mindfulness meditation is a method by which attention skills are cultivated, emotional regulation is developed, and rumination and worry are significantly reduced. During the past decades, mindfulness meditation has been the subject of more controlled clinical research, which suggests its potential beneficial effects for mental health, athletic performance, as well as physical health. While MBSR has its roots in wisdom teachings of Zen Buddhism, Hatha Yoga, Vipassana and Advaita Vedanta, the program itself is secular. The MBSR program is described in detail in Kabat-Zinn's 1990 book Full Catastrophe Living.
The effects of climate change on mental health and wellbeing are documented. 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.
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.
There is increasing evidence suggesting that COVID-19 causes both acute and chronic neurologicalor psychological symptoms. Caregivers of COVID-19 patients also show a higher than average prevalence of mental health concerns. These symptoms result from multiple different factors.
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.