Evaluating the Psychological Impact of Forest Bathing: A Meta-Analysis of Emotional State Outcomes
DOI:
https://doi.org/10.6000/1929-6029.2024.13.27Keywords:
Forest bathing, psychological well-being, stress reduction, meta-analysis, mood disordersAbstract
Background: Forest bathing, a therapeutic practice involving immersion in natural forest environments, has gained attention for its potential mental health benefits. This meta-analysis evaluates the impact of forest bathing on psychological parameters such as tension-anxiety, depression, anger-hostility, fatigue, confusion, and vigor.
Methods: A meta-analysis was conducted on studies assessing forest bathing's effects on psychological states. Six studies were included, analyzing data using fixed and random effects models.
Results: The analysis of six studies with 296 participants revealed a strong positive correlation between forest bathing and reduced tension-anxiety, with correlation coefficients of 0.634 (fixed effects) and 0.613 (random effects). Both models were statistically significant (p < 0.001), despite moderate to high heterogeneity (I² = 67.57%). For depression, five studies (277 participants) showed a significant reduction, with a stronger correlation in the random effects model (0.557) compared to the fixed effects model (0.432). Anger-hostility was similarly reduced, with high heterogeneity (I² = 90.12%) and correlation coefficients of 0.741 (fixed) and 0.767 (random). Fatigue, assessed in six studies (296 participants), also showed significant reductions, with moderate heterogeneity (I² = 45.16%). Confusion was moderately reduced (I² = 29.52%), with correlation coefficients of 0.339 (fixed) and 0.323 (random). Lastly, vigor showed a weak positive association, with a correlation coefficient of 0.269.
Conclusion: The findings confirm the therapeutic potential of forest environments in promoting mental health. Given the observed positive effects, forest bathing could be integrated into public health strategies as a non-pharmacological intervention for stress and mood disorders.
References
Li Q. Effects of forest environment (Shinrin-yoku/Forest bathing) on health promotion and disease prevention -the Establishment of “Forest Medicine”. Environ Health Prev Med 2022; 27: 43. https://doi.org/10.1265/ehpm.22-00160 DOI: https://doi.org/10.1265/ehpm.22-00160
Bang KS, Lee I, Kim S, et al. The Effects of a Campus Forest-Walking Program on Undergraduate and Graduate Students' Physical and Psychological Health. Int J Environ Res Public Health 2017; 14(7): 728. https://doi.org/10.3390/ijerph14070728 DOI: https://doi.org/10.3390/ijerph14070728
a. Chen H-T, Yu C-P, Lee H-Y. The Effects of Forest Bathing on Stress Recovery: Evidence from Middle-Aged Females of Taiwan. Forests 2018; 9(7): 403. https://doi.org/10.3390/f9070403 DOI: https://doi.org/10.3390/f9070403
b. Berman MG, Jonides J, Kaplan S. The cognitive benefits of interacting with nature. Psychological Science 2008; 19(12): 1207-1212. https://doi.org/10.1111/j.1467-9280.2008.02225.x
Keller J, Kayira J, Chawla L, Rhoades JL. Forest Bathing Increases Adolescents' Mental Well-Being: A Mixed-Methods Study. Int J Environ Res Public Health 2023; 21(1): 8. https://doi.org/10.3390/ijerph21010008 DOI: https://doi.org/10.3390/ijerph21010008
Horiuchi M, Endo J, Akatsuka S, et al. An effective strategy to reduce blood pressure after forest walking in middle-aged and aged people. J Phys Ther Sci 2015; 27(12): 3711-3716. https://doi.org/10.1589/jpts.27.3711 DOI: https://doi.org/10.1589/jpts.27.3711
Song C, Ikei H, Kobayashi M, et al. Effect of forest walking on autonomic nervous system activity in middle-aged hypertensive individuals: a pilot study. Int J Environ Res Public Health 2015; 12(3): 2687-2699. https://doi.org/10.3390/ijerph120302687 DOI: https://doi.org/10.3390/ijerph120302687
Li Q, Kobayashi M, Kumeda S, et al. Effects of Forest Bathing on Cardiovascular and Metabolic Parameters in Middle-Aged Males. Evid Based Complement Alternat Med 2016; 2016: 2587381. https://doi.org/10.1155/2016/2587381 DOI: https://doi.org/10.1155/2016/2587381
Yu CP, Lin CM, Tsai MJ, Tsai YC, Chen CY. Effects of Short Forest Bathing Program on Autonomic Nervous System Activity and Mood States in Middle-Aged and Elderly Individuals. Int J Environ Res Public Health 2017; 14(8): 897. https://doi.org/10.3390/ijerph14080897 DOI: https://doi.org/10.3390/ijerph14080897
Mao G, Cao Y, Wang B, et al. The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure. Int J Environ Res Public Health 2017; 14(4): 368. https://doi.org/10.3390/ijerph14040368 DOI: https://doi.org/10.3390/ijerph14040368
Song C, Ikei H, Kagawa T, Miyazaki Y. Effects of Walking in a Forest on Young Women. Int J Environ Res Public Health 2019; 16(2): 229. https://doi.org/10.3390/ijerph16020229 DOI: https://doi.org/10.3390/ijerph16020229
Igarashi M, Miwa M, Ikei H, Song C, Takagaki M, Miyazaki Y. Physiological and Psychological Effects of Viewing a Kiwifruit (Actinidia deliciosa 'Hayward') Orchard Landscape in Summer in Japan. Int J Environ Res Public Health 2015; 12(6): 6657-6668. https://doi.org/10.3390/ijerph120606657 DOI: https://doi.org/10.3390/ijerph120606657
Jia BB, Yang ZX, Mao GX, et al. Health Effect of Forest Bathing Trip on Elderly Patients with Chronic Obstructive Pulmonary Disease. Biomed Environ Sci 2016; 29(3): 212-218.
Song C, Ikei H, Park BJ, Lee J, Kagawa T, Miyazaki Y. Psychological Benefits of Walking through Forest Areas published correction appears in Int J Environ Res Public Health 2020; 17(4): E1316. Int J Environ Res Public Health 2018; 15(12): 2804. https://doi.org/10.3390/ijerph15122804 DOI: https://doi.org/10.3390/ijerph17041316
Takayama N, Fujiwara A, Saito H, Horiuchi M. Management Effectiveness of a Secondary Coniferous Forest for Landscape Appreciation and Psychological Restoration. Int J Environ Res Public Health 2017; 14(7): 800. https://doi.org/10.3390/ijerph14070800 DOI: https://doi.org/10.3390/ijerph14070800
Bielinis E, Takayama N, Boiko S, Omelan A, Bielinis L. The effect of winter forest bathing on psychological relaxation of young Polish adults. Urban For Urban Gree 2018; 29: 276-83. https://doi.org/10.1016/j.ufug.2017.12.006 DOI: https://doi.org/10.1016/j.ufug.2017.12.006
Park BJ, Tsunetsugu Y, Kasetani T, Kagawa T. The physiological effects of Shinrin-yoku (taking in the forest atmosphere or forest bathing): Evidence from field experiments in 24 forests across Japan. Environmental Health and Preventive Medicine 2010; 15(1): 18-26. https://doi.org/10.1007/s12199-009-0086-9 DOI: https://doi.org/10.1007/s12199-009-0086-9
Bratman GN, Hamilton JP, Daily GC. The impacts of nature experience on human health and cognition. Annual Review of Psychology 2015; 66: 601-630.
Berman MG, Jonides J, Kaplan S. The cognitive benefits of interacting with nature. Psychol Sci 2008; 19(12): 1207-1212. https://doi.org/10.1111/j.1467-9280.2008.02225.x DOI: https://doi.org/10.1111/j.1467-9280.2008.02225.x
Lee J, Jordan M, Horsley J. Contact with nature and mental health: A review of the evidence. European Journal of Public Health 2015; 25(4): 769-776.
Hartig T, Mang M, Evans GW. Restorative effects of natural environment experiences. Environment and Behavior 1991; 23(1): 3-26. https://doi.org/10.1177/0013916591231001 DOI: https://doi.org/10.1177/0013916591231001
Maller C, Townsend M, Pryor A, Brown P, St Leger L. Healthy nature healthy people: ‘Contact with nature’ as an upstream health promotion intervention for populations. Health Promotion International 2006; 21(1): 45-54. https://doi.org/10.1093/heapro/dai032 DOI: https://doi.org/10.1093/heapro/dai032
Varma RS, Kumar BGP, Krishna CSM. Serum acetylcarnitine as a diagnostic marker in depression episodes. Biomedical and Biotechnology Research Journal 2024; 8(2): 194-199. https://doi.org/10.4103/bbrj.bbrj_132_24 DOI: https://doi.org/10.4103/bbrj.bbrj_132_24
Ahmed I, Bernhardt GV, Shivappa P. Prevalence of academic procrastination and its negative impact on students. Biomedical and Biotechnology Research Journal 2023; 7(3): 363-370.
Gholami M, Emanuele E, Motaghinejad M. Constant romantic feelings and experiences can protect against neurodegeneration: Potential role of oxytocin-induced nerve growth factor/protein kinase B/cyclic response element-binding protein and nerve growth factor/protein kinase B/phospholipase C-gamma signaling pathways. Biomedical and Biotechnology Research Journal 2023; 7(1): 24-31. https://doi.org/10.4103/bbrj.bbrj_28_23 DOI: https://doi.org/10.4103/bbrj.bbrj_28_23
Fatima N, Sonkar GK, Singh S, Sonkar SK, Mahdi AA. Impact of blue light intervention on physiological parameters and circadian rhythms: Insights from a Wistar rat model study. Biomedical and Biotechnology Research Journal 2024; 8(2): 160-165. https://doi.org/10.4103/bbrj.bbrj_117_24 DOI: https://doi.org/10.4103/bbrj.bbrj_117_24
Libyan Pharmacy Professionals’ Knowledge, Attitudes, and Practices Regarding Generic Substitution for Prescribed Brand Medications. Biomedical and Biotechnology Research Journal 2024; 8(Abstract Supplement): S2. https://doi.org/10.4103/bbrj.bbrj_59_24 DOI: https://doi.org/10.4103/bbrj.bbrj_59_24
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Policy for Journals/Articles with Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
Policy for Journals / Manuscript with Paid Access
Authors who publish with this journal agree to the following terms:
- Publisher retain copyright .
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work .