Mental health benefits of interactions with nature in children and teenagers: a systematic review

Background It is commonly believed that nature has positive impacts on children’s health, including physical, mental and social dimensions. This review focuses on how accessibility to, exposure to and engagement with nature affects the mental health of children and teenagers. Methods Ten academic databases were used to systematically search and identify primary research papers in English or French from 1990 to 1 March 2017. Papers were included for review based on their incorporation of nature, children and teenagers (0–18 years), quantitative results and focus on mental health. Results Of the 35 papers included in the review, the majority focused on emotional well-being and attention deficit disorder/hyperactivity disorder. Other outcome measures included overall mental health, self-esteem, stress, resilience, depression and health-related quality of life. About half of all reported findings revealed statistically significant positive relationships between nature and mental health outcomes and almost half reported no statistical significance. Conclusions Findings support the contention that nature positively influences mental health; however, in most cases, additional research with more rigorous study designs and objective measures of both nature and mental health outcomes are needed to confirm statistically significant relationships. Existing evidence is limited by the cross-sectional nature of most papers.

[1]  S. Stansfeld,et al.  A systematic review of the evidence on the effect of the built and physical environment on mental health , 2007 .

[2]  J. Roemmich,et al.  Neighbourhood parks and reduction in stress among adolescents: Results from Buffalo, New York , 2015 .

[3]  Payam Dadvand,et al.  Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review , 2015, International journal of environmental research and public health.

[4]  F. E. Kuo,et al.  Coping with add , 2001 .

[5]  K. Russell,et al.  Catherine Freer Wilderness Therapy Expeditions: An Exploratory Case Study of Adolescent Wilderness Therapy, Family Functioning, and the Maintenance of Change , 2007 .

[6]  C. Brayne,et al.  A commentary on studies presenting projections of the future prevalence of dementia , 2013, BMC Public Health.

[7]  M. Brauer,et al.  Exploring pathways linking greenspace to health: Theoretical and methodological guidance , 2017, Environmental research.

[8]  M. Depledge,et al.  Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental wellbeing than physical activity indoors? A systematic review , 2011, Journal of Epidemiology & Community Health.

[9]  J. Hinds.  Woodland Adventure for Marginalized Adolescents: Environmental Attitudes, Identity and Competence , 2011 .

[10]  S. Audrey,et al.  Healthy urban environments for children and young people: A systematic review of intervention studies , 2015, Health and Place.

[11]  Shlomo Romi,et al.  Wilderness Programs: Principles, Possibilities and Opportunities for Intervention with Dropout Adolescents , 2004 .

[12]  S. Andrušaitytė,et al.  Impact of Residential Greenness on Preschool Children’s Emotional and Behavioral Problems , 2014, International journal of environmental research and public health.

[13]  Nancy M. Wells,et al.  Nearby Nature , 2003 .

[14]  F. E. Kuo,et al.  A potential natural treatment for attention-deficit/hyperactivity disorder: evidence from a national study. , 2004, American journal of public health.

[15]  E. Flouri,et al.  The role of urban neighbourhood green space in children's emotional and behavioural resilience , 2014 .

[16]  Payam Dadvand,et al.  Green and Blue Spaces and Behavioral Development in Barcelona Schoolchildren: The BREATHE Project , 2014, Environmental health perspectives.

[17]  C. Wood,et al.  A Repeated Measures Experiment of School Playing Environment to Increase Physical Activity and Enhance Self-Esteem in UK School Children , 2014, PloS one.

[18]  Stephen Houghton,et al.  The influence of the neighborhood physical environment on early child health and development: A review and call for research. , 2015, Health & place.

[19]  M. Petticrew,et al.  Systematic Reviews in the Social Sciences: A Practical Guide , 2005 .

[20]  V. Lehti,et al.  Mental health, substance use and suicidal behaviour among young indigenous people in the Arctic: a systematic review. , 2009, Social science & medicine.

[21]  Kathrin Röderer,et al.  The Restorative Effects of Redesigning the Schoolyard , 2015 .

[22]  P. Währborg,et al.  Nature-assisted therapy: Systematic review of controlled and observational studies , 2011, Scandinavian journal of public health.

[23]  Ellen Beate Hansen Sandseter,et al.  What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review , 2015, International journal of environmental research and public health.

[24]  M. Nieuwenhuijsen,et al.  Access to urban green spaces and behavioural problems in children: Results from the GINIplus and LISAplus studies. , 2014, Environment international.

[25]  P. Aspinall,et al.  The restorative outcomes of forest school and conventional school in young people with good and poor behaviour , 2011 .

[26]  Frances E. Kuo,et al.  Could Exposure to Everyday Green Spaces Help Treat ADHD? Evidence from Children's Play Settings , 2011 .

[27]  R. Maheswaran,et al.  The health benefits of urban green spaces: a review of the evidence. , 2011, Journal of public health.

[28]  Edmund Seto,et al.  Natural outdoor environments and mental health: Stress as a possible mechanism , 2017, Environmental research.

[29]  A. E. van den Berg,et al.  A comparison of children with ADHD in a natural and built setting. , 2011, Child: care, health and development.

[30]  W. Avison.  Incorporating Children’s Lives into a Life Course Perspective on Stress and Mental Health , 2010, Journal of health and social behavior.

[31]  Jun-Hyun Kim,et al.  Urban Natural Environments, Obesity, and Health-Related Quality of Life among Hispanic Children Living in Inner-City Neighborhoods , 2016, International journal of environmental research and public health.

[32]  Promoting resiliency in adolescent girls through adventure programming , 2016 .

[33]  T. M. Waliczek,et al.  The Green Brigade: The Psychological Effects of a Community-based Horticultural Program on the Self-development Characteristics of Juvenile Offenders , 2002 .

[34]  Phil A. Silva,et al.  Adult mental health and social outcomes of adolescent girls with depression and conduct disorder , 1996, Development and Psychopathology.

[35]  William Pickett,et al.  Exposure to public natural space as a protective factor for emotional well-being among young people in Canada , 2013, BMC Public Health.

[36]  K. Stronks,et al.  The impact of greenery on physical activity and mental health of adolescent and adult residents of deprived neighborhoods: A longitudinal study. , 2016, Health & place.

[37]  I. Markevych,et al.  Urban residential greenspace and mental health in youth: Different approaches to testing multiple pathways yield different conclusions , 2018, Environmental research.

[38]  Mathijs F. G. Lucassen,et al.  Home Gardening and the Health and Well-Being of Adolescents , 2017, Health promotion practice.

[39]  Jeffrey P. Clark,et al.  The Effects of Wilderness Therapy on the Clinical Concerns (on Axes I, II, and IV) of Troubled Adolescents , 2004 .

[40]  M. Mutz,et al.  Mental health benefits of outdoor adventures: Results from two pilot studies. , 2016, Journal of adolescence.

[41]  J. Pretty,et al.  The effect of playground- and nature-based playtime interventions on physical activity and self-esteem in UK school children , 2015, International journal of environmental health research.

[42]  B. Gatersleben,et al.  Let’s go outside! Environmental restoration amongst adolescents and the impact of friends and phones , 2016 .

[43]  K. Mcewan,et al.  Preventing Mental Disorders in Children , 2007 .

[44]  A. Gow,et al.  Associations between urban greenspace and health-related quality of life in children , 2016, Preventive medicine reports.

[45]  Daniel J. Bowen,et al.  Effects of the PCYC Catalyst outdoor adventure intervention program on youths' life skills, mental health, and delinquent behaviour , 2016 .

[46]  J. Pretty,et al.  A Repeated Measures Experiment of Green Exercise to Improve Self-Esteem in UK School Children , 2013, PloS one.

[47]  N. Young,et al.  Promoting resilience and wellbeing through an outdoor intervention designed for Aboriginal adolescents. , 2014, Rural and remote health.

[48]  van den Agnes Berg,et al.  A comparison of children with ADHD in a natural and built setting , 2011 .

[49]  Tom Stewart,et al.  The impact of children's exposure to greenspace on physical activity, cognitive development, emotional wellbeing, and ability to appraise risk. , 2016, Health & place.

[50]  A. Logan,et al.  Natural environments and mental health , 2015 .

[51]  F. Mårtensson,et al.  The quality of the outdoor environment influences childrens health – a cross‐sectional study of preschools , 2013, Acta paediatrica.

[52]  Frances E. Kuo,et al.  Children With Attention Deficits Concentrate Better After Walk in the Park , 2009, Journal of attention disorders.

[53]  M. Townsend,et al.  Children's mental health and wellbeing and hands-on contact with nature , 2006 .

[54]  G. Nestadt,et al.  The burden of mental disorders. , 2008, Epidemiologic reviews.

[55]  Kaarin J Anstey,et al.  Can social dancing prevent falls in older adults? a protocol of the Dance, Aging, Cognition, Economics (DAnCE) fall prevention randomised controlled trial , 2013, BMC Public Health.

[56]  Daniel J. Bowen,et al.  Wilderness adventure therapy effects on the mental health of youth participants. , 2016, Evaluation and program planning.

[57]  L. Fletcher,et al.  Efficacy of outdoor adventure education in developing emotional intelligence during adolescence , 2014 .