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58 publications written by Bratman, Gregory N.

Forest Terpenes and Stress: Examining the Associations of Filtered vs. Non-filtered Air in a Real-Life Natural Environment

Human health may benefit from exposure to a class of biogenic volatile organic compounds (BVOCs) consisting of isoprene units, known as terpenes. In this double-blind, randomized crossover trial, participants sat in a forest for two 60-min sessions, one in which terpenes were filtered out of the ambient air they breathed, and another in which they were not, separated by a minimum of an eight-day washout period. The primary outcome was the high frequency (HF) component of heart rate variability (HRV; measured continuously). Secondary outcomes included skin conductance levels (SCL) (measured continuously), self-reported stress and affect (measured every 20 min), blood pressure, heart rate, cortisol and inflammatory cytokines (measured before and after sessions). Serum concentrations of terpenes (measured before and after sessions) were also assessed to investigate the association of absorbed dose with these outcomes. We did not observe a significant association of filter condition with most outcomes; although the trends for affect, systolic blood pressure, cortisol, TNF-α, and CRP were all in the hypothesized direction. We did observe a significant association with interleukin-6, which was −0.19 pg/mL lower in the terpenes-on vs. terpenes-off condition, adjusted for baseline (95 % CI: −0.35, −0.03); and SCL over the session as a whole. A sensitivity analysis of the subset of data from participants who completed both conditions supports these findings and revealed additional significant associations with SCL (95 % CI: −1.87, −0.05); and TNF-α (95 % CI: −2.63, −0.10). To our knowledge, this is the first RCT to filter terpenes from ambient air during forest contact. Highlights Powered Air Purifying Respirator (PAPR) helmets filtered terpenes from forest air. Psychophysiological and immunological correlates of stress were assessed. IL-6 serum levels lower after sessions with terpenes-on vs. terpenes-off filter. Skin conductance levels (SCL) lower across time with terpenes-on vs. terpenes-off. All other outcomes not significant, but many trended in the hypothesized directions. Keywords Terpenes; Forest; Nature; Health; Stress

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Greenspace Proximity in Relation to Sleep Health Among a Racially and Ethnically Diverse Cohort of US Women

Sleep is essential for overall health. Greenspace may contribute to sleep health through, for instance, improving mood, reducing sleep disruptors (e.g., poor air quality), and promoting physical activity. Although greenspace likely differs across populations, few studies have included diverse populations. To investigate greenspace-sleep health associations, overall and by age, race and ethnicity, and socioeconomic status, we used data collected at enrollment (2003-2009) from women in the Sister Study (n=1,612 Hispanic/Latina, n=4,421 non-Hispanic (NH)-Black, and n=41,657 NH-White). Participants’ geocoded home addresses were linked to NASA’s Moderate Resolution Imaging Spectroradiometer Normalized Difference Vegetation Index data (250m resolution) to capture greenspace tertiles (further categorized as low/moderate vs. high). Participants reported seven sleep dimensions, which we assessed individually, along with a multidimensional sleep health measure (categories: favorable, moderate, poor). Adjusting for individual- and environmental/neighborhood-level characteristics, we used Poisson regression with robust variance to estimate prevalence ratios and 95% confidence intervals (PR[CI]). We tested for interaction and estimated age-, race and ethnicity-, and educational attainment category-specific associations. Among participants (mean±SD age=55.7±9.0 years), those with low/moderate vs. high greenspace had a lower prevalence of favorable sleep (58% vs. 66%). After adjustment, low/moderate vs. high greenspace was associated with a 32% higher prevalence of moderate (PR=1.32 [1.27-1.38]) and 12% higher prevalence of poor (PR=1.12 [1.07-1.16]) vs. favorable sleep health. Magnitudes of associations were higher among NH-White women vs. minoritized racial-ethnic groups and women with higher vs. lower educational attainment. Higher greenspace was associated with favorable sleep, with stronger associations among groups with more social advantages. Highlights Few prior studies of greenspace and sleep included socially diverse samples. We investigated associations between greenspace proximity and sleep among US women. Effect modification by age, race-ethnicity, and socioeconomic status was assessed. Low/moderate greenspace proximity was associated with poorer sleep health. Associations were strongest among women with more social advantages.

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Nature Contact and Health Risk Behaviours: Results From an 18 Country Study

Emerging evidence suggests that residential greenspace is associated with a lower prevalence of health risk behaviours, but it remains unclear whether these effects are generalizable across countries or different types of nature contact. Using representative cross-sectional samples from 18 countries/regions, we examined the associations between two types of nature contact (greenspace, nature visits), current smoking and everyday drinking. After controlling for a range of covariates, greenspace was inversely associated with current smoking and everyday drinking. Visiting natural spaces at least once a week was linked to a lower prevalence of current smoking, but unrelated to everyday drinking. Increasing residential greenspace could be a promising strategy for reducing multiple health risk behaviours, whilst visit-based interventions may be a more appropriate target for smoking cessation. Highlights Examined the links between nature and health-risk behaviours in 18 countries. Greenspace predicted lower current smoking and exceeding alcohol guidelines. Weekly nature visits were associated with a lower prevalence of current smoking. Greenspace-behaviour associations were largely consistent between countries.  

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Psychological Ecosystem Services

The nonmaterial benefits of Cultural Ecosystem Services (CES) include categories that are related to personal and community identity, recreation, cultural diversity, heritage, support of knowledge systems, spiritual experiences, and well-being. In many ways, Psychological Ecosystem Services (Psych ES) are a type of CES, though the fields from which this research come differ somewhat with respect to epistemological foundations. Psych ES include the diverse ways in which nature contributes to the mental and emotional well-being of individuals and communities, and encompass the psychological benefits derived from interactions with natural environments. Some CES approaches and outcomes include nonmaterial benefits that are only indirectly related to Psych ES, while others are directly overlapping and use terms that are explicitly included within the scope of Psych ES. A distinction between them lies both in how the outcomes are typically measured and in what the measures and operationalizations of these outcomes are. We discuss these points in detail throughout this chapter.

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The Importance of (Not Just Visual) Interaction With Nature: A Study With the Girl Scouts

This study investigated whether children’s nature interactions that are embodied (versus only visual) would be associated with a state of being highly aware without thought, including being in “the present moment,” and/or feeling connected to something beyond the self. We refer to this state of being as Presence in nature. Using an interaction pattern approach, we coded written narratives from 127 Girl Scouts (8-11 years old) about a recent meaningful nature experience and, through a questionnaire designed for the study, assessed the degree to which participants experienced Presence in that nature experience. Exploratory analyses indicated that participants who enacted embodied interactions with nature (e.g., “making snowman,” “wrapping arms around tree,” “talking to chickens”) reported a greater sense of Presence in nature than participants whose interactions relied solely on vision (e.g., “seeing snow,” “seeing moss,” “watching pileated woodpecker”). Discussion focuses on the implications of Girl Scouts’ embodied nature interactions for environmental education. Related Media Q&A: UW Researchers Examine Mental Impact of Girl Scouts’ Interactions With Nature (April 21, 2025)

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The Psychological Benefits of Open-Water (Wild) Swimming: Exploring a Self-Determination Approach Using a 19-Country Sample

A growing body of qualitative and quantitative research has explored the potential benefits to mental health and well-being of open-water or “wild” swimming. To date, most studies have used small samples in specific locations, limiting generalisability, and have not distinguished open-water swimming from other forms of outdoor swimming, such as in open-air pools, raising questions about any additional benefits of wild swimming over and above swimming outside per se. Using survey data from n =1,200 recently recalled outdoor swimming visits across 19 different countries, we compared self-reported well-being outcomes for swims in either open-water (wild) locations or open-air pools. Additionally, we explored the degree to which satisfaction of the motivations identified by self-determination theory (i.e. autonomy, relatedness, and competence) may explain any differences. Swimming visits in both locations were associated with high levels of positive, and low levels of negative, well-being, as well as high levels of autonomy, relatedness and competence. Open-water swimming was, nonetheless, associated with significantly higher positive well-being than open-air pool swims, with mediation analysis indicating that feelings of greater autonomy and competence (but not relatedness) primarily accounted for the difference. Results for anxiety were more nuanced, perhaps because more competent swimmers were more likely to swim in less safe, more anxiety inducing, places. Results re-iterate, help explain, and support the generalisation of previous research reporting potential benefits of open-water swimming for mental health and well-being, and highlight the need to support further safe access to high quality open-water locations.

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Associations of Nature Contact with Emotional Ill-Being and Well-Being: The Role of Emotion Regulation

Figure 1. Bayesian structural equation model results with frequency of nature contact, emotion regulation, and emotional ill-being and well-being. Nature contact has associations with emotional ill-being and well-being. However, the mechanisms underlying these associations are not fully understood. We hypothesised that increased adaptive and decreased maladaptive emotion regulation strategies would be a pathway linking nature contact to ill-being and well-being. Using data from a survey of 600 U.S.-based adults administered online in 2022, we conducted structural equation modelling to test our hypotheses. We found that: Frequency of nature contact was significantly associated with lesser emotional ill-being and greater emotional well-being, Effective emotion regulation was significantly associated with lesser emotional ill-being and greater emotional well-being, and The associations of higher frequency of nature contact with these benefits were partly explained via emotion regulation. Moreover, we found a nonlinear relationship for the associations of duration of nature contact with some outcomes, with a rise in benefits up to certain amounts of time, and a levelling off after these points. These findings support and extend previous work that demonstrates that the associations of nature contact with emotional ill-being and well-being may be partly explained by changes in emotion regulation.

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Measuring Urban Nature for Pedestrian Health: Systematic Review and Expert Survey

Walking and access to nature are two of the most effective health promotion and disease prevention strategies. There has been a growing interest in the dynamic pathways among access to nature, walking, and health. Effective measurement of these variables is the prerequisite to advancing our understanding of such pathways. However, contrasting to the rigorous methods available for walking and health measures, methods to quantify nature have been limited. This study uses a systematic literature review to synthesize urban nature measures (UNMs) used in published studies linking urban nature with pedestrian health outcomes (e.g. walking, physical activity, physical health, mental health). A survey of experts (n = 30) was used to identify additional and emerging methods. The literature search identified 115 articles and 48 UNMs most of which (40 or 83%) were objective measures. Results showed no consensus on the optimal UNMs for pedestrian health research, but certain measures such as NDVI, proximity to green spaces, and area/proportion of green spaces, were popularly used in previous studies. Experts suggested emerging methods including LiDAR, GPS, high-resolution imagery, virtual/augmented reality, and context-sensitive ecological momentary assessment. Major gaps in current UNMs included the shortage of eye-level and quality-related measures. While experts acknowledge the promise of emerging technologies, they shared concerns related to privacy, digital divide, confidentiality, and bias. This study offers insights into the UNMs available to quantify nature for pedestrian health research, which can serve to facilitate future research, community actions, and policy changes aimed at promoting walking and nature access for healthier urban communities.  

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Mechanisms Underlying the Associations Between Different Types of Nature Exposure and Sleep Duration: An 18-Country Analysis

Figure 1. Schematic representation of conceptual model of the relationships between nature exposures, proposed mediators and insufficient sleep. Whilst green space has been linked to healthier sleep outcomes, the roles of specific types of nature exposure, potential underlying mechanisms, and between-country variations in nature-sleep associations have received little attention. Drawing on cross-sectional survey data from an 18-country sample of adults (N = 16,077) the current study examined: 1) the relative associations between six different types of nature exposure (streetscape greenery, blue view from home, green space within 1 km, coast within 1 km, green space visits, blue space visits) and insufficient sleep (<6 h vs. 7–10 h per day); 2) whether these relationships were mediated by better mental wellbeing and/or physical activity; and 3) the consistency of these pathways among the different countries. After controlling for covariates, neighbourhood nature measures (green space, coast within 1 km) were not significantly associated with insufficient sleep; but nature visible from home (streetscape greenery, blue views and recreational visits to green and blue spaces were each associated with less insufficient sleep. Significant nature-sleep associations were mediated, to varying degrees, by better mental wellbeing, but not self-reported physical activity. Country-level heterogeneity in the strength of nature-sleep associations was observed. Increasing nature visible from the home may represent a promising strategy for promoting healthier sleep duration at the population level, whilst nature-based interventions encouraging individuals to spend time in local green/blue spaces may be an appropriate target to assist individuals affected by insufficient sleep.

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Nature and Human Well-Being: The Olfactory Pathway

Figure 1. Conceptual framework of the pathway from exposure to natural olfactory environments to human well-being. The olfactory environment is characterized by the concentrations and ratios of airborne chemicals. Dimensions of olfactory function (i.e., sensitivity, discrimination, and identification) are influenced by a variety of individual and environmental factors, which together moderate olfactory perception. Subjective experience is a mediator through which olfactory perceptions lead to well-being outcomes. Relevant determinants of this experience include individual preference, culture, association, prior experience, and multisensory context. Other pathways to well-being include those that occur below the threshold of perception (i.e., subthreshold) and those that occur via initial affective responses that are suprathreshold but independent of top-down processes related to subjective experience. These components lead to a variety of well-being outcomes, from broader dimensions such as quality of and satisfaction with life, to emotional responses and emotion regulation, cognitive function, influences on behavior (social interactions and dietary choices), stress, depressive symptoms, (anti-)inflammatory processes, and effects from exposures to pathogens. Together, these outcomes are the result of subthreshold biochemical processes, initial affective responses, and subjective appraisals of odors from nature. A variety of other pathways mediate the relationship between olfactory environments and human well-being, although they are not illustrated here. Credit: University of Washington The world is undergoing massive atmospheric and ecological change, driving unprecedented challenges to human well-being. Olfaction is a key sensory system through which these impacts occur. The sense of smell influences quality of and satisfaction with life, emotion, emotion regulation, cognitive function, social interactions, dietary choices, stress, and depressive symptoms. Exposures via the olfactory pathway can also lead to (anti-)inflammatory outcomes. Increased understanding is needed regarding the ways in which odorants generated by nature (i.e., natural olfactory environments) affect human well-being. With perspectives from a range of health, social, and natural sciences, we provide an overview of this unique sensory system, four consensus statements regarding olfaction and the environment, and a conceptual framework that integrates the olfactory pathway into an understanding of the effects of natural environments on human well-being. We then discuss how this framework can contribute to better accounting of the impacts of policy and land-use decision-making on natural olfactory environments and, in turn, on planetary health. Related Media How the smells of nature can affect human well-being (May 29, 2024) How do the smells of nature affect well-being? A call for more research. (May 23, 2024) Nature’s scents linked to improved health and well-being (May 16, 2024)

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Public Nature and Health for Homeless Populations: Professionals’ Perceptions of Contingent Human Benefits and Harms

Table 1. Characteristics of the overall homeless and unsheltered homeless population in Washington (statewide), and King and Snohomish counties (US Census, 2020; US HUD, 2022a; 2022b). Highlights Professionals observe benefits and harms of natural area use for homeless populations. Perceived harms include increased environmental exposures and social vulnerability. Perceived benefits include privacy, desired social conditions, and reduced stress. Relationships between nature and health were seen as variable and context dependent. This article investigates relationships between public nature and health for unsheltered homeless populations. It examines perceptions of health benefits and harms for people living in public natural areas including local, state, and national forests and parks in the Seattle metropolitan area (USA). Interviews with environmental, social service, and law enforcement professionals who regularly interact with this vulnerable population were conducted and thematically analyzed to understand perceptions of physical and mental health outcomes. Results show professionals’ perspectives on the health benefits and detriments of time spent in natural environments and the contextual factors perceived to influence health. Interviewees’ observations about the variability of personal circumstances and biophysical, social, and weather conditions encourage the nuanced consideration of how contingent therapeutic landscapes provide deeply needed benefits, but for a population with a diminished capacity to adapt when conditions change. We conclude with insights for future research that directly assesses homeless populations’ exposures and health outcomes of living in public natural areas.

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Street Trees Provide an Opportunity to Mitigate Urban Heat and Reduce Risk of High Heat Exposure

Figure 1. Study area for this work, which is part of the Greening Research in Tacoma (GRIT) project, is located in South Tacoma, Washington, USA, shown by the black square on global map, where solar radiation shields (photographed) containing temperature loggers were installed on utility poles. Here we report on temperature data from loggers at 46 locations throughout the neighborhood (blue dots) during summer 2022. Climate change is exacerbating the need for urban greening and the associated environmental and human well-being benefits. Trees can help mitigate urban heat, but more detailed understanding of cooling effects of green infrastructure are needed to guide management decisions and deploy trees as effective and equitable climate adaptation infrastructure. We investigated how urban trees affect summer air temperature along sidewalks within a neighborhood of Tacoma, Washington, USA, and to what extent urban trees reduce risks of high summer temperatures (i.e., the levels regulated by state outdoor heat exposure rules intended to reduce heat-related illnesses). Air temperature varied by 2.57 °C, on average, across our study area, and the probability of daytime temperatures exceeding regulated high temperature thresholds was up to five times greater in locations with no canopy cover within 10 m compared to those with 100% cover. Air temperatures decreased linearly with increasing cover within 10 m, suggesting that every unit of added tree cover can help cool the air. Our findings highlight the value of trees in mitigating urban heat, especially given expected warming with climate change. Protecting existing urban trees and increasing tree cover (e.g., by planting street trees), are important actions to enhance climate change resilience of urban areas.

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Susceptibility to Stress and Nature Exposure: Unveiling Differential Susceptibility to Physical Environments; A Randomized Controlled Trial

Figure 1. Theoretical framework. Emerging epidemiological evidence indicates that nature exposure could be associated with cardiovascular health among individuals in low socioeconomic positions to a greater degree than among more privileged groups. Continue reading at PLOS ONE. Background Emerging epidemiological evidence indicates nature exposure could be associated with greater health benefits among groups in lower versus higher socioeconomic positions. One possible mechanism underpinning this evidence is described by our framework: (susceptibility) adults in low socioeconomic positions face higher exposure to persistent psychosocial stressors in early life, inducing a pro-inflammatory phenotype as a lifelong susceptibility to stress; (differential susceptibility) susceptible adults are more sensitive to the health risks of adverse (stress-promoting) environments, but also to the health benefits of protective (stress-buffering) environments. Objective Experimental investigation of a pro-inflammatory phenotype as a mechanism facilitating greater stress recovery from nature exposure. Methods We determined differences in stress recovery (via heart rate variability) caused by exposure to a nature or office virtual reality environment (10 min) after an acute stressor among 64 healthy college-age males with varying levels of susceptibility (socioeconomic status, early life stress, and a pro-inflammatory state [inflammatory reactivity and glucocorticoid resistance to an in vitro bacterial challenge]). Results Findings for inflammatory reactivity and glucocorticoid resistance were modest but consistently trended towards better recovery in the nature condition. Differences in recovery were not observed for socioeconomic status or early life stress. Discussion Among healthy college-age males, we observed expected trends according to their differential susceptibility when assessed as inflammatory reactivity and glucocorticoid resistance, suggesting these biological correlates of susceptibility could be more proximal indicators than self-reported assessments of socioeconomic status and early life stress. If future research in more diverse populations aligns with these trends, this could support an alternative conceptualization of susceptibility as increased environmental sensitivity, reflecting heightened responses to adverse, but also protective environments. With this knowledge, future investigators could examine how individual differences in environmental sensitivity could provide an opportunity for those who are the most susceptible to experience the greatest health benefits from nature exposure.

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The Fundamentals of Environmental Neuroscience

In this chapter, we explore the fundamentals of the field of environmental neuroscience. We start by defining the field of environmental neuroscience and then proceed to describing its roots and outlining some of its distinguishing features. We define what we mean by an environment, including those factors that are considered in this work, focus on the effects of natural environments, and note why many researchers do the same. We then discuss some of the mechanisms through which natural environments may affect brain processing through the perception of different visual and acoustic features and the centrality of attentional processes. We close by discussing some of the pitfalls and challenges that environmental neuroscientists face and how those challenges may be overcome in the future.

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What Types of Nature Exposure Are Associated With Hedonic, Eudaimonic and Evaluative Wellbeing? An 18-Country Study

Figure 2. Summary of fully adjusted models of all dimensions of SWB and residential availability and visits to green space, coastal blue space and freshwater blue space. Although spending time in nature can improve subjective wellbeing (SWB), little is known about how different types of nature exposure are associated with different dimensions of SWB or the consistency of associations across national/cultural contexts. Using data from 18 countries, associations between green, coastal and freshwater blue space exposures (including residential availability, visits ‘yesterday’ and visits in the previous four weeks) and hedonic, eudaimonic, and evaluative wellbeing were estimated. Overall, residential nature availability showed little association with any wellbeing outcome, whereas visiting green and coastal locations ‘yesterday’ was associated with better hedonic wellbeing. Although frequently visiting green, coastal and freshwater spaces were all associated with greater evaluative wellbeing, greater eudaimonic wellbeing was only associated with frequent visits to green and freshwater spaces. Variations existed across countries. Results suggest that different types of nature exposure vary in their association with different dimensions of SWB. Understanding these differences may help us maximise the potential of natural environments as SWB-promoting resources.

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Applying an Ecosystem Services Framework on Nature and Mental Health to Recreational Blue Space Visits Across 18 Countries

The effects of nature on mental health and subjective well-being have yet to be consistently integrated into ecosystem service models and frameworks. To address this gap, we used data on subjective mental well-being from an 18-country survey to test a conceptual model integrating mental health with ecosystem services, initially proposed by Bratman et al. We analysed a range of individual and contextual factors in the context of 14,998 recreational visits to blue spaces, outdoor environments which prominently feature water. Consistent with the conceptual model, subjective mental well-being outcomes were dependent upon on a complex interplay of environmental type and quality, visit characteristics, and individual factors. These results have implications for public health and environmental management, as they may help identify the bluespace locations, environmental features, and key activities, that are most likely to impact well-being, but also potentially affect recreational demand on fragile aquatic ecosystems.

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Black Bodies and Green Spaces: Remembering the Eminence of Nature During a Pandemic

The COVID-19 pandemic has revealed not only the true value of nature and open public spaces, but it reified the presence and persistence of racism in and throughout American institutions. As the Centers for Disease Control and Prevention and other public health officials encouraged people to visit parks and green spaces as a way to be safe against COVID-19 transmission, the toxic presence and persistence of racism experienced by Black, Indigenous and People of Color (BIPOC) was fully exposed. Through an examination of built, social and natural environments, this chapter will delve into historical and contemporary inequities stemming from structural racism. The toxic interrelationship between race-/class-based privilege and place, as well as its impact on nature and green space access and connection, particularly throughout the pandemic will be critically assessed.

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Daily Exposure to Virtual Nature Reduces Symptoms of Anxiety in College Students

Figure 3. 360-degree videos shown in the virtual nature intervention (Courtesy of INVIROVR). Exposure to natural environments offers an array of mental health benefits. Virtual reality provides simulated experiences of being in nature when outdoor access is limited. Previous studies on virtual nature have focused mainly on single “doses” of virtual nature. The effects of repeated exposure remain poorly understood. Motivated by this gap, we studied the influence of a daily virtual nature intervention on symptoms of anxiety, depression, and an underlying cause of poor mental health: rumination. Forty college students (58% non-Hispanic White, median age = 19) were recruited from two U.S. universities and randomly assigned to the intervention or control group. Over several weeks, anxious arousal (panic) and anxious apprehension (worry) decreased with virtual nature exposure. Participants identifying as women, past VR users, experienced with the outdoors, and engaged with the beauty in nature benefited particularly strongly from virtual nature. Virtual nature did not help symptoms of anhedonic depression or rumination. Further research is necessary to distinguish when and for whom virtual nature interventions impact mental health outcomes.

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Different Types of Virtual Natural Environments Enhance Subjective Vitality Through Restorativeness

Figure 1. Graphical representation of the experimental procedure. The body of evidence supporting the psychological benefits of exposure to virtual nature, such as increased mood and decreased stress, is rapidly growing. However, few studies have explored the potential of virtual nature to boost subjective vitality, defined as a positive feeling of aliveness and energy. In this contribution, we investigate the role of virtual nature in enhancing subjective vitality through restorativeness. In particular, we expand the existing literature by considering different types of natural environments (i.e., a national park, a lacustrine environment, and an arctic environment vs. an urban environment). We designed a randomized between-subject design with a sample of 113 university students (Mage = 21.99, SD = 1.82). Participants were exposed to four 360-degree panoramic photos with a virtual reality (VR) head-mounted display. We collected measures of the variables of interest immediately before and after exposure, and a series of control variables (i.e., sociodemographics, individual differences and personal conditions, previous VR experience, frequency of contact with nature, and variables related to participants’ experience during VR). We performed a mediation analysis with a multicategorical independent variable (i.e., the experimental condition). Results confirmed our hypotheses, with three significant indirect effects of virtual nature exposure on subjective vitality through restorativeness, one for each natural environment as compared to the urban environment. The wide range of practical implications for different types of psychological interventions as well as future research directions are discussed.

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Emotion Regulation and Virtual Nature: Cognitive Reappraisal as an Individual-Level Moderator for Impacts on Subjective Vitality

Figure 1. Graphical representation of the simple slope analysis. CR cognitive reappraisal. People who make habitual use of an emotion regulation strategy such as cognitive reappraisal may be more sensitive to the emotion cues coming from a surrounding natural environment and, thus, get more benefits from virtual nature exposure such as enhanced subjective vitality. However, no previous study investigated the moderating role of cognitive reappraisal in the relationship between exposure to different types of natural environments (a national park, a lacustrine environment, and an arctic environment vs. an urban environment) and subjective vitality. We designed a between-subject design (four conditions, one per type of environment) with a sample of 187 university students (Mage = 21.17, SD = 2.55). Participants were exposed to four 360° panoramic photos of the environment for one minute each with a virtual reality head-mounted display. The results of a multicategorical moderation analysis attested that there were two significant interactions, respectively between lacustrine and arctic environments and cognitive reappraisal. More specifically, for participants with low levels of habitual use of cognitive reappraisal, the effects of virtual nature (vs. urban) exposure on subjective vitality were not significant, while for participants with high levels, the effects were significant and positive. Findings show how the potential of virtual nature may be boosted with training aimed at increasing the general use of cognitive reappraisal, supports enhancing the applications of virtual nature, and demonstrates the need to take individual differences into account when determining the benefits of these applications.

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Forest Therapy as a Trauma-Informed Approach to Disaster Recovery: Insights from a Wildfire-Affected Community

Figure 1. The Association of Nature and Forest Therapy standard sequence of events used to guide a forest therapy experience. Clifford and Page, 2020. A trauma-informed approach to disaster recovery recognizes the potential impacts of trauma, promotes resilience to protect against retraumatization, and can support catering the needs of disaster survivors in affected communities. A growing body of evidence demonstrates that interaction with nature is associated with a number of physical and mental health benefits, though literature surrounding nature-based therapy and disaster survivors is limited. Through key informant interviews with forest therapy guides from a program in wildfire affected Butte County, CA, this exploratory study investigates if and how “Forest Therapy ’’ can serve as a trauma-informed approach to promote wellbeing in the face of climate change and associated disasters. We find that community-based forest therapy programs offer a promising, flexible approach to community-based trauma-informed mental health services in disaster-affected communities. Findings also identify opportunities to tailor implementation of future programs to better reach populations most impacted by disasters, including through targeted outreach and diverse guide recruitment. Future research should investigate the impacts of forest therapy on the mental health and wellbeing of participants, as well as the scalability of forest therapy programs in disaster-affected communities.

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Leveraging Neuroscience for Climate Change Research

Figure 1: Reciprocal relationships between the brain and a changing environment. Anthropogenic climate change poses a substantial threat to societal living conditions. Here, we argue that neuroscience can substantially contribute to the fight against climate change and provide a framework and a roadmap to organize and prioritize neuroscience research in this domain. We outline how neuroscience can be used to: (1) investigate the negative impact of climate change on the human brain; (2) identify ways to adapt; (3) understand the neural substrates of decisions with pro-environmental and harmful outcomes; and (4) create neuroscience-based insights into communication and intervention strategies that aim to promote climate action. The paper is also a call to action for neuroscientists to join broader scientific efforts to tackle the existential environmental threats Earth is currently facing. Related Media Call for Action: The Power of Neuroscience to fight against Climate Change (November 13, 2023)

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Measuring Population Mental Health

Good mental health is a vital part of people’s well-being, and the COVID-19 pandemic brought renewed attention to its importance. However, discussions so far have not focused sufficiently on how governments should best monitor it at the broader population level, and on how to consider both mental ill-health and positive mental states. This report supports national statistical offices and other data producers in collecting high-quality measures of population mental health outcomes in a more frequent, consistent and internationally harmonised manner. It documents existing measurement practice across OECD countries, discusses the advantages and limitations of available measurement tools, and recommends priority measures to adopt in household, social and health surveys. Measuring Population Mental Health is the first of two reports as part of an assessment of mental health and well-being in the context of the OECD’s work on measuring well-being.

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Nature Contact and General Health: Testing Multiple Serial Mediation Pathways with Data from Adults in 18 Countries

Figure 1. A diagram of the proposed modelling approach. Direct effects from neighbourhood nature and nature visit frequency variables to general health are not shown for clarity. Solid lines represent direct, indirect, or potential confounding effects. Dotted lines represent residual covariances. The role of neighbourhood nature in promoting good health is increasingly recognised in policy and practice, but consistent evidence for the underlying mechanisms is lacking. Heterogeneity in exposure methods, outcome measures, and population characteristics, little exploration of recreational use or the role of different types of green or blue space, and multiple separate mediation models in previous studies have limited our ability to synthesise findings and draw clear conclusions. We examined multiple pathways linking different types of neighbourhood nature with general health using a harmonised international sample of adults. Using cross-sectional survey data from 18 countries (n = 15,917), we developed a multigroup path model to test theorised pathways, controlling for sociodemographic variables. We tested the possibility that neighbourhood nature (e.g. greenspace, inland bluespace, and coastal bluespace) would be associated with general health through lower air pollution exposure, greater physical activity attainment, more social contact, and higher subjective well-being. However, our central prediction was that associations between different types of neighbourhood nature and general health would largely be serially mediated by recent visit frequency to corresponding environment types, and, subsequently, physical activity, social contact, and subjective well-being associated with these frequencies. Several subsidiary analyses assessed the robustness of the results to alternative model specifications as well as effect modification by sociodemographics. Consistent with this prediction, there was statistical support for eight of nine potential serial mediation pathways via visit frequency which held for a range of alternative model specifications. Effect modification by financial strain, sex, age, and urbanicity altered some associations but did not necessarily support the idea that nature reduced health inequalities. The results demonstrate that across countries, theorised nature-health linkages operate primarily through recreational contact with natural environments. This provides arguments for greater efforts to support use of local green/blue spaces for health promotion and disease prevention.

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Nature-Based Solutions and Mental Health

Nature-Based Solutions for Cities This chapter demonstrates the mental health benefits of nature-based solutions in cities. First, factors that determine urban mental health and adverse health effects of environmental stressors in cities are explained. Second, it is demonstrated that green spaces as nature-based solutions for many societal challenges provide co-benefits for mental health by reducing these stressors. It is further discussed how nature-based solutions may target supporting mental health by providing resources for human–nature interaction, enhancing social interaction and strengthening mental resilience. Nature-based interventions that are originally intended to support persons with psychiatric illness are introduced as models for the design of mentally supportive cities. And third, two case studies illustrate the mental health benefits of urban parks with the example of Leipzig, Germany and of street trees by the example of Hyderabad, India. The two case studies were used as application cases for a recent conceptual framework as a guide for putting science into practice.

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The Health and Wellbeing Effects of Forests, Trees and Green Space

This chapter provides an overview of the empirical evidence regarding the association between green space in general, and forests and trees in particular, and health outcomes. The evidence is organised by life stage, and within the three life stages – early life (Section 3.2.), adulthood (Section 3.3.) and the elderly (Section 3.4.) – by type of health outcome. At the end of each of these three sections, the strength of the evidence for the presence (or absence) of a beneficial or detrimental association for a particular health outcome, as assessed by the authors, is summarised. Section 3.6. is devoted to modifiers of the aforementioned associations, such as gender, ethnicity and socio-economic status. In the next section (3.7.), the evidence is placed in the context of global health challenges through elaborating on the potential of green space, and forests and trees in particular, in tackling major contributors to the global burden of disease. The final section concludes that the available evidence already strongly supports a wide range of beneficial associations including neurodevelopment in children, mental health and wellbeing, spiritual wellbeing and cardiometabolic health in adults, and mental health and wellbeing, cognitive ageing and longevity in the elderly. However, this evidence is predominantly based on studies on the health and wellbeing effects of green space, and the available evidence for such effects for forests and trees is still limited for most health outcomes. Moreover, these studies have been mainly conducted in high-income countries, with their generalisability to low- and middle-income countries not being self-evident. Furthermore, the causality of the observed associations is not always clear. Nevertheless, given that many of the involved health outcomes are among the major contributors of the global burden of disease, forests, trees and green spaces have a great potential for improving health and wellbeing of humans across all life stages in our rapidly urbanising world

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The Psychological Impact of the COVID-19 Lockdown in Italy: The Moderating Role of Gender and Emotion Regulation

Figure 1. Simple slope analysis of the interaction between gender and cognitive reappraisal (outcome: Covid-19 related stress, model 1). Many researchers suggest that the COVID-19 pandemic may have more negative effects on women than men. Accordingly, we hypothesized that women would experience greater COVID-19 related distress and more psychopathological symptoms than men during the first COVID-19 lockdown in Italy. Moreover, we expected emotion regulation strategies (cognitive reappraisal and expressive suppression, as protective and risk factors respectively) to interact with gender in shaping psychological health. We administered an online questionnaire to 1519 participants during the first national COVID-19 lockdown in Italy. As predicted, women reported greater COVID-19 related distress and more psychopathological symptoms than men. Furthermore, women who made greater use of reappraisal reported lower levels of distress and fewer psychopathological symptoms. Suppression was associated with more psychopathological symptoms, but there were no interaction effects with gender. Our findings have implications for policymakers wishing to sustain women’s health during stressful situations such as the COVID-19 outbreak and beyond.

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Time Spent Interacting with Nature Is Associated with Greater Well-Being for Girl Scouts Before and During the COVID-19 Pandemic

The onset of the COVID-19 pandemic rendered daily life overwhelmingly difficult for many children. Given the compelling evidence for the physical and mental health benefits of interaction with nature, might it be the case that time spent interacting with nature buffered the negative effects of the pandemic for children? To address this question, we conducted a longitudinal investigation with a cohort of 137 Girl Scouts across two time periods: right before the onset of the pandemic (December 2019–February 2020) and one year later (December 2020–February 2021). We found that during the pandemic (compared to pre-pandemic), Girl Scouts fared worse on measures of physical activity, positive emotions, negative emotions, anxiety, behavioral difficulties, and problematic media use. However, by using mixed models, we also found that, on average, Girl Scouts who spent more time interacting with nature fared less poorly (in this sense, “did better”) on measures of physical activity, positive emotions, anxiety, and behavioral difficulties, irrespective of the pandemic. Further analysis revealed that these advantageous associations were present even when accounting for the amount of nature near each child’s home (as measured by the normalized difference vegetation index, percent of natural land cover, and self-reported access to nature). To the best of our knowledge, this is the first study investigating nature interaction and children’s well-being to use data collected from the same cohort prior to and during the pandemic. In addition, we discuss the importance of opportunities to interact with nature for children’s well-being during future periods of social upheaval.

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Unsheltered Homelessness in Public Natural Areas Across an Urban-to-Wildland System: Institutional Perspectives

Figure 1. Conceptual relationships and interactions among social and ecological subsystems related to unsheltered homelessness in public natural areas. This article conceptualizes homelessness on public lands within a social-ecological systems framework, exploring dynamics in public natural areas in the Seattle metropolitan area (USA), a system with a compact urban-to-wildland gradient. While prior research has studied the dynamics of unsheltered homelessness within particular parks or cities—often in areas where camping is prohibited—our interview-based study makes integrated considerations of these dynamics across a range of jurisdictions. We present a thematic analysis that examines professionally diverse perspectives on the dynamics, stressors, and outcomes of public natural area usage by unsheltered individuals. We found a generally uncoordinated system in continual motion, in which considerable resources were expended for short-term, site-specific solutions that yielded system-wide detrimental outcomes perceived for unsheltered individuals, social service and environmental institutions, and ecosystem health. We discuss how improved institutional coordination and mutual understanding about intersecting governance systems could sustain better public land, public health, and social outcomes.

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Urban Green Space and Mental Health Among People Living Alone: The Mediating Roles of Relational and Collective Restoration in an 18-Country Sample

Figure 1. Theoretical model linking exposure to green space to mental health via social restoration processes. Rates of living alone, especially in more urbanised areas, are increasing across many industrialised countries, with associated increases in feelings of loneliness and poorer mental health. Recent studies have suggested that access to nature (e.g. parks and green spaces) can reduce the stressors associated with loneliness, partly through providing opportunities to nurture personal relationships (relational restoration) and engage in normative community activities (collective restoration). Such associations might vary across different household compositions and socio-demographic or geographical characteristics, but these have not been thoroughly tested. Using data collected across 18 countries/territories in 2017–2018, we grouped urban respondents into those living alone (n = 2062) and those living with a partner (n = 6218). Using multigroup path modelling, we tested whether the associations between neighbourhood greenspace coverage (1-km-buffer from home) and mental health are sequentially mediated by: (a) visits to greenspace; and subsequently (b) relationship and/or community satisfaction, as operationalisations of relational and collective restoration, respectively. We also tested whether any indirect associations varied among subgroups of respondents living alone. Analyses showed that visiting green space was associated with greater mental well-being and marginally lower odds of using anxiety/depression medication use indirectly, mediated via both relationship and community satisfaction. These indirect associations were equally strong among respondents living alone and those living with a partner. Neighbourhood green space was, additionally, associated with more visits among respondents living with a partner, whereas among those living alone, this was sensitive to the green space metric. Within subgroups of people living alone, few overall differences were found. Some indirect pathways were, nevertheless, stronger in males, under 60-year-olds, those with no financial strain, and residents in warmer climates. In conclusion, supporting those living alone, as well as those living with a partner, to more frequently access their local greenspaces could help improve mental health via promoting relational and collective restoration.

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Development and Validation of an Attitudes Towards Spending Time in Nature Scale

Figure 1. Pictorial representation of methodology steps Time spent in nature (TSN) is related to improved health and well-being; however, many adults spend little time in nature. Interventions based on health behavior theories may be effective at increasing TSN. Attitudes toward a behavior have been shown to be a strong predictor of both intention and behaviors, but valid and reliable measures regarding these attitudes are lacking. The study aim was to develop a valid and reliable attitude toward TSN scale. This scale was developed using a sequential procedure: domain identification and item generation, content validity, question pretesting, survey administration, item reduction, factors extraction, dimensionality, reliability, and validity. The investigative team generated 49 unique items. Content validity and pretesting reduced the item set to 21. A countrywide sample of 2109 adults (50.3% male, median age = 58.1; 38.8% non-White) completed an online survey. Using split-half measures, principal components analysis indicated a three-factor solution: positive attitudes, negative attitudes, and concerns about being in nature. The factor structure was upheld in confirmatory factor analyses with strong internal consistency (α = 0.92 positive attitudes; 0.84 negative attitudes; 0.84 concerns). The scales were strongly related to intentions and TSN with large effect sizes. The study resulted in a reliable and valid three-factor attitudes toward spending time in nature scale that could be used to develop interventions to increase TSN.

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Development and Validation of Self-Efficacy and Intention Measures for Spending Time in Nature

Figure 1. Pictorial representation of methodology steps Purpose The purpose of this study was to develop and evaluate the reliability and validity of self-efficacy and intentions measures for time spent in nature (TSN). TSN is related to improvement in psychological well-being and health, yet most American adults spend very little time in such settings. Theory-based interventions have been effective in increasing physical activity, a related behavior, and may be one mechanism to increase TSN. Self-efficacy and intentions have been shown to be strong predictors of health behaviors and are used across several theories. However, scales to measure these factors have not yet been developed and are needed to facilitate effective interventions. Methods TSN self-efficacy and intentions scales were developed using a sequential nine-step procedure: identification of the domain and item generation; content validity; pre-testing of questions; sampling and survey administration; item reduction; extraction of factors; tests of dimensionality; tests of reliability; and tests of validity. The 14-member multidisciplinary, researcher and practitioner investigative team generated 50 unique items for self-efficacy and 24 unique items for intentions. After subjecting items to content validity and pre-testing, item sets were reduced to 21 assessing self-efficacy and nine assessing intentions. A nationwide sample of 2109 adult participants (49.7% female, Mean Age = 58.1; 59.8% White, 18.4% Hispanic, 13.3% Black) answered these items via an on-line survey. Results Using split-half measures, principal components analysis indicated a one-factor solution for both scales. The factor structure was upheld in confirmatory factor analyses and had high internal consistency (α = .93 self-efficacy; .91 intentions). The scales were moderately correlated with each other (r = .56, p < .001) and were strongly related to TSN with large effect sizes (eta2 > .20). Conclusions The study resulted in reliable and valid self-efficacy (14 items) and intentions (8 items) scales that can be used to develop future theory-based interventions to increase TSN and thereby improve population health.

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Inequitable Changes to Time Spent in Urban Nature During COVID-19: A Case Study of Seattle, WA with Asian, Black, Latino, and White Residents

Figure 1. Change to average frequency of urban nature interaction among each racial/ethnic group The COVID-19 pandemic has impacted everyone in urban areas. Some of these impacts in the United States have negatively affected People of Color more than their White counterparts. Using Seattle, Washington as a case study, we investigated whether inequitable effects appear in residents’ interactions with urban nature (such as urban green space). Using a 48-question instrument, 300 residents were surveyed, equally divided across four racial/ethnic groups: Asian, Black and African American, Latino/a/x, and White. Results showed that during the span of about 6 months after the onset of the pandemic, Black and Latino residents experienced a significant loss of time in urban nature, while Asian and White residents did not. The implications of these findings, including inequities in the potential buffering effects of urban nature against COVID-19 and the future of urban nature conservation, are discussed. Multiple variables were tested for association with the changes to time spent in urban nature, including themes of exclusion from urban nature spaces found throughout the existing literature. Findings show that decreases in time spent in urban nature among Black and Latino residents may be associated with their feeling as though they did not belong in urban nature. We provide recommendations based on these findings for how government agencies can promote more equitable access to urban nature during the pandemic and beyond. The results of this study have implications that extend beyond the US and are relevant to the international scholarly literature of inequities and urban nature interaction during the COVID-19 pandemic.

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Mechanisms Underlying Childhood Exposure to Blue Spaces and Adult Subjective Well-Being: An 18-Country Analysis

Figure 1. Conceptual model linking childhood exposure to blue spaces to adult subjective well-being with serial-parallel mediation through intrinsic motivation and recent visits to blue and green spaces (solid lines = indirect paths, dotted lines = direct paths). Contact with natural environments is associated with good health and well-being. Although childhood nature experiences may be important in the development of an individual’s relationship with nature and subsequent well-being, previous studies have tended to focus on ‘nature’ in general, and the mechanisms by which childhood experiences influence well-being in adulthood remain insufficiently studied. Drawing on cross-sectional survey data from an 18-country sample (N = 15,743) the current work extended previous research by examining: a) blue spaces (coasts, rivers, lakes, etc.) in particular; b) associations between adults’ recalled childhood exposure to blue spaces, frequency of recent visits to green and blues spaces, and adult subjective well-being; c) the role of childhood exposure to blue spaces on intrinsic motivations to spend time in nature; and d) the consistency of these relationships across different countries. Tests of a model where childhood exposure to blue spaces was linked to adult subjective well-being serially through intrinsic motivation and then recent blue and green space visits exhibited a good fit, a pattern largely consistent across all 18 countries. However, an alternative model where recent visits predicted intrinsic motivation also demonstrated good fit, indicating that these processes may be iterative. Building familiarity with and confidence in and around blue spaces in childhood may stimulate a joy of, and greater propensity to spend recreational time in, nature in adulthood, with positive consequences for adult subjective well-being.

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Nature and Health: Perspectives and Pathways

As many scholars have noted, research and publications on the benefits of nature experience have grown substantially over recent years. Progress has been made on empirical fronts based on perspectives from psychology, epidemiology, sociology, exposure science, urban design, and other disciplines. Studies have revealed ways in which health outcomes differ by population characteristics (e.g., socioeconomic status), individual differences (e.g., states of baseline mental health), and interactions with different types of nature (e.g., street trees vs. large parks vs. deserts) (Barnes et al., 2019; Mitchell & Popham, 2008; Mitchell, Richardson, & Shortt, 2015; Olvera-Alvarez, Browning, Neophytou, & Bratman, 2021; Tester-Jones et al., 2020; Wheeler et al., 2015; Yin, Bratman, Browning, Spengler, & Olvera-Alvarez, 2022). Together, the evidence also illustrates the importance of accounting for different ways of “operationalizing nature” (e.g., Normalized Difference Vegetation Index [NDVI]), and methods of measuring exposure (e.g., subjective vs. objective), as well as the granularity in assessments of frequency and duration (Ekkel & de Vries, 2017; Shanahan et al., 2016).

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