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The Importance of the Outdoor Environment for the Recovery of Psychiatric Patients: A Scoping Review

  • Mikkel Hjort
  • , Martin Riis Mau
  • , Michaela Høj
  • , Kirsten Kaya Roessler
  • University of Southern Denmark

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Background:
Research has shown that patients with mental health diagnoses experience less anxiety and depressive symptoms and higher levels of ‘well-being’ when they spend time in natural environments as part of their treatment. It has been suggested that there is a relationship between the outdoor settings and the recovery of psychiatric patients. Recovery describes an individual process, which can vary from person to person.

Methods:
This scoping review examined the relationship between the physical environment and the recovery of psychiatric patients. Systematic searches in three online databases, namely Medline, Embase, and PsycINFO, were performed using a selection of psychiatric, environmental, and recovery terms and included both quantitative and qualitative studies. In general, ‘well-being’ serves as an overarching indicator when it comes to research on how outdoor settings can affect mental health. Well-being was expressed in terms of mood, social relations, and autonomy.

Results:
A total of 8138 records were screened, 85 studies were included for full-text reading, and five articles were included in the final analysis. The review showed in general that outdoor settings, more specifically gardening, contact with nature, and a safe environment can be related to the well-being of patients on psychiatric wards. (4) Conclusions: The five reviews allow us to conclude that outdoor settings can be seen as a comprehensive resource for mental health.
Original languageEnglish
JournalInternational Journal of Environmental Research and Public Health
ISSN1661-7827
DOIs
Publication statusPublished - 2023

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