The Effect of Nature-Based Adventure Interventions on Depression: A Systematic Review

IF 5.2 2区心理学 Q1 ENVIRONMENTAL STUDIES

Environment and Behavior Pub Date : 2023-04-01 DOI:10.1177/00139165231174615

Claudio D. Rosa, T. S. Chaves, Silvia Collado, Lincoln R. Larson, C. Profice

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引用次数: 2

Abstract

We conducted a systematic review to synthesize evidence of the effect of nature-based adventure (NBA) interventions on depressive symptoms. Our search was conducted in April 2021 and utilized the following databases: MEDLINE (PubMed), PsycINFO, SPORTDiscus, CINAHL, Google Scholar, and Clinicaltrials.gov. Forty-two studies (n = 2,689 participants) with different designs, published between 1979 and 2021, were included. Collectively, results suggest highly variable effects of NBA interventions on depressive symptoms, ranging from reductions in mean depression scores of up to 64% to increases in means scores of up to 18%. Patient adherence to interventions was also variable, and serious adverse events (e.g., leg fractures) did occur. Despite variability across studies, research generally showed that mountain-based and surfing interventions, coupled with other forms of care, may substantially reduce adults’ depressive symptoms more than usual care alone or no intervention, highlighting the potential benefits of some NBA activities for individuals experiencing depressive symptoms.

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基于自然的冒险干预对抑郁症的影响:一项系统综述

我们进行了一项系统综述，以综合有关自然冒险(NBA)干预对抑郁症状影响的证据。我们的检索于2021年4月进行，使用了以下数据库:MEDLINE (PubMed)、PsycINFO、SPORTDiscus、CINAHL、谷歌Scholar和Clinicaltrials.gov。在1979年至2021年间发表的42项不同设计的研究(n = 2689名参与者)被纳入其中。总的来说，结果表明NBA干预对抑郁症状的影响变化很大，从平均抑郁评分降低高达64%到平均得分增加高达18%不等。患者对干预措施的依从性也各不相同，并且确实发生了严重的不良事件(例如腿部骨折)。尽管各研究存在差异，但研究普遍表明，山地和冲浪干预与其他形式的护理相结合，可能比常规护理单独或不干预更能显著减轻成年人的抑郁症状，这突出了一些NBA活动对经历抑郁症状的个体的潜在益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Environment and Behavior Multiple-

CiteScore

13.30

自引率

1.80%

发文量

期刊介绍： Environment & Behavior is an interdisciplinary journal designed to report rigorous experimental and theoretical work focusing on the influence of the physical environment on human behavior at the individual, group, and institutional levels.