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Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis

BACKGROUND: The COVID-19 pandemic and measures such as lockdowns to control its transmission generated unique effects on psychological health and well-being. In these circumstances, access to nature and outdoor spaces became a potentially important coping strategy, but the evidence exploring the men...

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Autores principales: Patwary, Muhammad Mainuddin, Dzhambov, Angel, Disha, Asma Safia, Bardhan, Mondira, Haque, Md Zahidul, Rahman, Md Atiqur, Tareq, Md Faysal, Browning, Matthew H E M, Larson, Lincoln R, Alam, Md Ashraful, Labib, S M, Shuvo, Faysal Kabir, Parkinson, Colby
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619226/
http://dx.doi.org/10.1016/S2542-5196(22)00282-0
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author Patwary, Muhammad Mainuddin
Dzhambov, Angel
Disha, Asma Safia
Bardhan, Mondira
Haque, Md Zahidul
Rahman, Md Atiqur
Tareq, Md Faysal
Browning, Matthew H E M
Larson, Lincoln R
Alam, Md Ashraful
Labib, S M
Shuvo, Faysal Kabir
Parkinson, Colby
author_facet Patwary, Muhammad Mainuddin
Dzhambov, Angel
Disha, Asma Safia
Bardhan, Mondira
Haque, Md Zahidul
Rahman, Md Atiqur
Tareq, Md Faysal
Browning, Matthew H E M
Larson, Lincoln R
Alam, Md Ashraful
Labib, S M
Shuvo, Faysal Kabir
Parkinson, Colby
author_sort Patwary, Muhammad Mainuddin
collection PubMed
description BACKGROUND: The COVID-19 pandemic and measures such as lockdowns to control its transmission generated unique effects on psychological health and well-being. In these circumstances, access to nature and outdoor spaces became a potentially important coping strategy, but the evidence exploring the mental health benefits of nature exposure during different stages of the pandemic is mixed and poorly understood. We systematically synthesised the evidence to examine larger trends in associations between nature exposure and mental health during the COVID-19 pandemic. METHODS: We did a comprehensive keyword search in PubMed, Web of Science, Scopus, CINAHL, and PsycInfo for articles published between Jan 1, 2020 and April 30, 2022. We followed the PRISMA guidelines to synthesise and report results. Using the Navigation Guide systematic review methodology, we established the risk of bias in studies at the individual level and throughout the body of evidence for each outcome of interest. FINDINGS: A total of 2004 relevant articles were initially identified and after screening for relevancy, 72 were included in the review. Studies found associations between green space visit frequency, green space accessibility, and type of green space (eg, indoor vs outdoor) with mental health outcomes (eg, depression and anxiety) during the pandemic. However, evidence for links between satellite image-driven measures of greenness (eg, normalised difference vegetation index) and mental health was scarce. Meta-analysis shows that access to gardens was associated with lower odds of depression (odds ratio 0·71, 95% CI 0·61–0·82, I(2)=0%) and anxiety (0·73, 0·63–0·84, I(2)=0%). Similarly, higher frequency of visits to green space was associated with improved mental wellbeing (0·10, 95% CI 0·07–0·14, I(2)=0%) and general mental health (0·11, 95% CI 0·03–0·38, I(2)=82%). INTERPRETATION: Interventions that prioritise nature-based infrastructure and emphasise exposure to nearby nature (eg, indoor plants or gardens), and visits to green spaces such as parks, could create more psychologically resilient communities in the face of future public health crises. FUNDING: None.
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spelling pubmed-96192262022-10-31 Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis Patwary, Muhammad Mainuddin Dzhambov, Angel Disha, Asma Safia Bardhan, Mondira Haque, Md Zahidul Rahman, Md Atiqur Tareq, Md Faysal Browning, Matthew H E M Larson, Lincoln R Alam, Md Ashraful Labib, S M Shuvo, Faysal Kabir Parkinson, Colby Lancet Planet Health Abstracts BACKGROUND: The COVID-19 pandemic and measures such as lockdowns to control its transmission generated unique effects on psychological health and well-being. In these circumstances, access to nature and outdoor spaces became a potentially important coping strategy, but the evidence exploring the mental health benefits of nature exposure during different stages of the pandemic is mixed and poorly understood. We systematically synthesised the evidence to examine larger trends in associations between nature exposure and mental health during the COVID-19 pandemic. METHODS: We did a comprehensive keyword search in PubMed, Web of Science, Scopus, CINAHL, and PsycInfo for articles published between Jan 1, 2020 and April 30, 2022. We followed the PRISMA guidelines to synthesise and report results. Using the Navigation Guide systematic review methodology, we established the risk of bias in studies at the individual level and throughout the body of evidence for each outcome of interest. FINDINGS: A total of 2004 relevant articles were initially identified and after screening for relevancy, 72 were included in the review. Studies found associations between green space visit frequency, green space accessibility, and type of green space (eg, indoor vs outdoor) with mental health outcomes (eg, depression and anxiety) during the pandemic. However, evidence for links between satellite image-driven measures of greenness (eg, normalised difference vegetation index) and mental health was scarce. Meta-analysis shows that access to gardens was associated with lower odds of depression (odds ratio 0·71, 95% CI 0·61–0·82, I(2)=0%) and anxiety (0·73, 0·63–0·84, I(2)=0%). Similarly, higher frequency of visits to green space was associated with improved mental wellbeing (0·10, 95% CI 0·07–0·14, I(2)=0%) and general mental health (0·11, 95% CI 0·03–0·38, I(2)=82%). INTERPRETATION: Interventions that prioritise nature-based infrastructure and emphasise exposure to nearby nature (eg, indoor plants or gardens), and visits to green spaces such as parks, could create more psychologically resilient communities in the face of future public health crises. FUNDING: None. The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd. 2022-10 2022-10-31 /pmc/articles/PMC9619226/ http://dx.doi.org/10.1016/S2542-5196(22)00282-0 Text en © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Abstracts
Patwary, Muhammad Mainuddin
Dzhambov, Angel
Disha, Asma Safia
Bardhan, Mondira
Haque, Md Zahidul
Rahman, Md Atiqur
Tareq, Md Faysal
Browning, Matthew H E M
Larson, Lincoln R
Alam, Md Ashraful
Labib, S M
Shuvo, Faysal Kabir
Parkinson, Colby
Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis
title Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis
title_full Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis
title_fullStr Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis
title_full_unstemmed Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis
title_short Exposure to nature during the COVID-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis
title_sort exposure to nature during the covid-19 pandemic and the associated effect on mental health: a systematic review with meta-analysis
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619226/
http://dx.doi.org/10.1016/S2542-5196(22)00282-0
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