IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i22p15322-d978161.html
   My bibliography  Save this article

Spending Time in the Forest or the Field: Investigations on Stress Perception and Psychological Well-Being—A Randomized Cross-Over Trial in Highly Sensitive Persons

Author

Listed:
  • Katja Oomen-Welke

    (Center for Complementary Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetterstr. 55, 79106 Freiburg im Breisgau, Germany)

  • Evelyn Schlachter

    (Center for Complementary Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetterstr. 55, 79106 Freiburg im Breisgau, Germany)

  • Tina Hilbich

    (Center for Complementary Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetterstr. 55, 79106 Freiburg im Breisgau, Germany)

  • Johannes Naumann

    (Interdisciplinary Center for Treatment and Research in Balneology, European Institute for Physical Therapy and Balneology (EIPB), Sonnenbergstr. 35, 79117 Freiburg im Breisgau, Germany)

  • Alexander Müller

    (Center for Complementary Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetterstr. 55, 79106 Freiburg im Breisgau, Germany)

  • Thilo Hinterberger

    (Forschungsbereich Angewandte Bewusstseinswissenschaften, Abteilung für Psychosomatische Medizin, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany)

  • Roman Huber

    (Center for Complementary Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetterstr. 55, 79106 Freiburg im Breisgau, Germany)

Abstract

Research suggests that stays in a forest promote relaxation and reduce stress compared to spending time in a city. The aim of this study was to compare stays in a forest with another natural environment, a cultivated field. Healthy, highly sensitive persons (HSP, SV12 score > 18) aged between 18 and 70 years spent one hour in the forest and in the field at intervals of one week. The primary outcome was measured using the Change in Subjective Self-Perception (CSP-14) questionnaire. Secondary outcomes were measured using the Profile Of Mood States (POMS) questionnaire and by analyzing salivary cortisol. We randomized 43 participants. Thirty-nine were allocated and included in the intention-to-treat analysis (90% female, mean age 45 years). CSP-14 in part showed significant differences—total score ( p = 0.054, Cohen’s d = 0.319), item “integration” ( p = 0.028, Cohen’s d = 0.365)—favoring the effects of the forest. These effects were more pronounced in summer (August). In October, during rainfall, we detected no relevant differences. POMS only showed a significant difference in the subcategory “depression/anxiety” in favor of the field. The amount of cortisol in saliva was not different between the groups. A short-term stay in a forest in summer caused a greater improvement in mood and well-being in HSP than in a field. This effect was not detectable during bad weather in the fall.

Suggested Citation

  • Katja Oomen-Welke & Evelyn Schlachter & Tina Hilbich & Johannes Naumann & Alexander Müller & Thilo Hinterberger & Roman Huber, 2022. "Spending Time in the Forest or the Field: Investigations on Stress Perception and Psychological Well-Being—A Randomized Cross-Over Trial in Highly Sensitive Persons," IJERPH, MDPI, vol. 19(22), pages 1-13, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15322-:d:978161
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/22/15322/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/22/15322/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Daniela Haluza & Regina Schönbauer & Renate Cervinka, 2014. "Green Perspectives for Public Health: A Narrative Review on the Physiological Effects of Experiencing Outdoor Nature," IJERPH, MDPI, vol. 11(5), pages 1-17, May.
    2. Norimasa Takayama & Takeshi Morikawa & Ernest Bielinis, 2019. "Relation between Psychological Restorativeness and Lifestyle, Quality of Life, Resilience, and Stress-Coping in Forest Settings," IJERPH, MDPI, vol. 16(8), pages 1-21, April.
    3. Liisa Andersen & Sus Sola Corazon & Ulrika Karlsson Stigsdotter, 2021. "Nature Exposure and Its Effects on Immune System Functioning: A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-48, February.
    4. Agnes Peterfalvi & Matyas Meggyes & Lilla Makszin & Nelli Farkas & Eva Miko & Attila Miseta & Laszlo Szereday, 2021. "Forest Bathing Always Makes Sense: Blood Pressure-Lowering and Immune System-Balancing Effects in Late Spring and Winter in Central Europe," IJERPH, MDPI, vol. 18(4), pages 1-19, February.
    5. Eva Sahlin & Gunnar Ahlborg & Artur Tenenbaum & Patrik Grahn, 2015. "Using Nature-Based Rehabilitation to Restart a Stalled Process of Rehabilitation in Individuals with Stress-Related Mental Illness," IJERPH, MDPI, vol. 12(2), pages 1-24, February.
    6. Chorong Song & Harumi Ikei & Takahide Kagawa & Yoshifumi Miyazaki, 2019. "Effects of Walking in a Forest on Young Women," IJERPH, MDPI, vol. 16(2), pages 1-12, January.
    7. Christoph Becker & Gabriele Lauterbach & Sarah Spengler & Ulrich Dettweiler & Filip Mess, 2017. "Effects of Regular Classes in Outdoor Education Settings: A Systematic Review on Students’ Learning, Social and Health Dimensions," IJERPH, MDPI, vol. 14(5), pages 1-20, May.
    8. Norimasa Takayama & Kalevi Korpela & Juyoung Lee & Takeshi Morikawa & Yuko Tsunetsugu & Bum-Jin Park & Qing Li & Liisa Tyrväinen & Yoshifumi Miyazaki & Takahide Kagawa, 2014. "Emotional, Restorative and Vitalizing Effects of Forest and Urban Environments at Four Sites in Japan," IJERPH, MDPI, vol. 11(7), pages 1-24, July.
    9. Francesco Meneguzzo & Lorenzo Albanese & Giorgio Bartolini & Federica Zabini, 2019. "Temporal and Spatial Variability of Volatile Organic Compounds in the Forest Atmosphere," IJERPH, MDPI, vol. 16(24), pages 1-24, December.
    10. Margaret M. Hansen & Reo Jones & Kirsten Tocchini, 2017. "Shinrin-Yoku (Forest Bathing) and Nature Therapy: A State-of-the-Art Review," IJERPH, MDPI, vol. 14(8), pages 1-48, July.
    11. Genxiang Mao & Yongbao Cao & Bozhong Wang & Sanying Wang & Zhuomei Chen & Jirong Wang & Wenmin Xing & Xiaoxu Ren & Xiaoling Lv & Jianhua Dong & Shasha Chen & Xiuyuan Chen & Guofu Wang & Jing Yan, 2017. "The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure," IJERPH, MDPI, vol. 14(4), pages 1-12, March.
    12. Chia-Pin Yu & Chia-Min Lin & Ming-Jer Tsai & Yu-Chieh Tsai & Chun-Yu Chen, 2017. "Effects of Short Forest Bathing Program on Autonomic Nervous System Activity and Mood States in Middle-Aged and Elderly Individuals," IJERPH, MDPI, vol. 14(8), pages 1-12, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Francesco Meneguzzo & Lorenzo Albanese & Michele Antonelli & Rita Baraldi & Francesco Riccardo Becheri & Francesco Centritto & Davide Donelli & Franco Finelli & Fabio Firenzuoli & Giovanni Margheritin, 2021. "Short-Term Effects of Forest Therapy on Mood States: A Pilot Study," IJERPH, MDPI, vol. 18(18), pages 1-21, September.
    2. Agnes Peterfalvi & Matyas Meggyes & Lilla Makszin & Nelli Farkas & Eva Miko & Attila Miseta & Laszlo Szereday, 2021. "Forest Bathing Always Makes Sense: Blood Pressure-Lowering and Immune System-Balancing Effects in Late Spring and Winter in Central Europe," IJERPH, MDPI, vol. 18(4), pages 1-19, February.
    3. Sujin Park & Eunsoo Kim & Geonwoo Kim & Soojin Kim & Yeji Choi & Domyung Paek, 2022. "What Activities in Forests Are Beneficial for Human Health? A Systematic Review," IJERPH, MDPI, vol. 19(5), pages 1-29, February.
    4. Albert Bach Pagès & Josep Peñuelas & Jana Clarà & Joan Llusià & Ferran Campillo i López & Roser Maneja, 2020. "How Should Forests Be Characterized in Regard to Human Health? Evidence from Existing Literature," IJERPH, MDPI, vol. 17(3), pages 1-15, February.
    5. Davide Donelli & Francesco Meneguzzo & Michele Antonelli & Diego Ardissino & Giampaolo Niccoli & Giorgio Gronchi & Rita Baraldi & Luisa Neri & Federica Zabini, 2023. "Effects of Plant-Emitted Monoterpenes on Anxiety Symptoms: A Propensity-Matched Observational Cohort Study," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
    6. Sus Sola Corazon & Ulrik Sidenius & Dorthe Varning Poulsen & Marie Christoffersen Gramkow & Ulrika Karlsson Stigsdotter, 2019. "Psycho-Physiological Stress Recovery in Outdoor Nature-Based Interventions: A Systematic Review of the Past Eight Years of Research," IJERPH, MDPI, vol. 16(10), pages 1-21, May.
    7. Alexandra Jiricka-Pürrer & Valeria Tadini & Boris Salak & Karolina Taczanowska & Andrzej Tucki & Giulio Senes, 2019. "Do Protected Areas Contribute to Health and Well-Being? A Cross-Cultural Comparison," IJERPH, MDPI, vol. 16(7), pages 1-18, April.
    8. Ernest Bielinis & Jenni Simkin & Pasi Puttonen & Liisa Tyrväinen, 2020. "Effect of Viewing Video Representation of the Urban Environment and Forest Environment on Mood and Level of Procrastination," IJERPH, MDPI, vol. 17(14), pages 1-23, July.
    9. Liisa Andersen & Sus Sola Corazon & Ulrika Karlsson Stigsdotter, 2021. "Nature Exposure and Its Effects on Immune System Functioning: A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-48, February.
    10. Tomasz Dudek & Mariusz Marć & Bożena Zabiegała, 2022. "Chemical Composition of Atmospheric Air in Nemoral Scots Pine Forests and Submountainous Beech Forests: The Potential Region for the Introduction of Forest Therapy," IJERPH, MDPI, vol. 19(23), pages 1-21, November.
    11. Norimasa Takayama & Takeshi Morikawa & Kazuko Koga & Yoichi Miyazaki & Kenichi Harada & Keiko Fukumoto & Yuji Tsujiki, 2022. "Exploring the Physiological and Psychological Effects of Digital Shinrin-Yoku and Its Characteristics as a Restorative Environment," IJERPH, MDPI, vol. 19(3), pages 1-18, January.
    12. Daniela Huber & Johanna Freidl & Christina Pichler & Michael Bischof & Martin Kiem & Renate Weisböck-Erdheim & Gabriella Squarra & Vincenzo De Nigris & Stefan Resnyak & Marcel Neberich & Susanna Bordi, 2023. "Long-Term Effects of Mountain Hiking vs. Forest Therapy on Physical and Mental Health of Couples: A Randomized Controlled Trial," IJERPH, MDPI, vol. 20(2), pages 1-20, January.
    13. Yunjeong Yi & Eunju Seo & Jiyeon An, 2022. "Does Forest Therapy Have Physio-Psychological Benefits? A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 19(17), pages 1-21, August.
    14. Qiaohui Liu & Xiaoping Wang & Jinglan Liu & Guolin Zhang & Congying An & Yuqi Liu & Xiaoli Fan & Yishen Hu & Heng Zhang, 2021. "The Relationship between the Restorative Perception of the Environment and the Physiological and Psychological Effects of Different Types of Forests on University Students," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    15. Amy Miner Ross & Reo Jane Francesca Jones, 2022. "Simulated Forest Immersion Therapy: Methods Development," IJERPH, MDPI, vol. 19(9), pages 1-17, April.
    16. Hyeyun Kim & Yong Won Lee & Hyo Jin Ju & Bong Jin Jang & Yeong In Kim, 2019. "An Exploratory Study on the Effects of Forest Therapy on Sleep Quality in Patients with Gastrointestinal Tract Cancers," IJERPH, MDPI, vol. 16(14), pages 1-7, July.
    17. Reo J. F. Jones & Chloé O. R. Littzen, 2022. "An Analysis of Theoretical Perspectives in Research on Nature-Based Interventions and Pain," IJERPH, MDPI, vol. 19(19), pages 1-15, October.
    18. Hyeonjin Song & Kevin James Lane & Honghyok Kim & Hyomi Kim & Garam Byun & Minh Le & Yongsoo Choi & Chan Ryul Park & Jong-Tae Lee, 2019. "Association between Urban Greenness and Depressive Symptoms: Evaluation of Greenness Using Various Indicators," IJERPH, MDPI, vol. 16(2), pages 1-13, January.
    19. Norimasa Takayama & Akio Fujiwara & Haruo Saito & Masahiro Horiuchi, 2017. "Management Effectiveness of a Secondary Coniferous Forest for Landscape Appreciation and Psychological Restoration," IJERPH, MDPI, vol. 14(7), pages 1-22, July.
    20. Song Song & Ruoxiang Tu & Yao Lu & Shi Yin & Hankun Lin & Yiqiang Xiao, 2022. "Restorative Effects from Green Exposure: A Systematic Review and Meta-Analysis of Randomized Control Trials," IJERPH, MDPI, vol. 19(21), pages 1-22, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15322-:d:978161. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.