ReviewFrontiers in psychology2015
How might contact with nature promote human health? Promising mechanisms and a possible central pathway.
Review in Frontiers in psychology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 216 papers, 14 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
216 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- Community Forests and Public Health: A Research Agenda.International journal of environmental research and public health · 2025Pooled it
- A systematic literature review and meta-analysis of virtual reality nature effects on higher education students' mental health and wellbeing.Applied psychology. Health and well-being · 2025Pooled it
- Exploring the health benefits of outdoor exercise for cancer survivors: a systematic review of more than 700 individuals.Systematic reviews · 2025Pooled it
- Does Forest Therapy Have Physio-Psychological Benefits? A Systematic Review and Meta-Analysis of Randomized Controlled Trials.International journal of environmental research and public health · 2022Pooled it
- Pooled it
- Effects of immersion in a simulated natural environment on stress reduction and emotional arousal: A systematic review and meta-analysis.Frontiers in psychology · 2022Pooled it
- Nature Exposure and Its Effects on Immune System Functioning: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The Effects of Workplace Nature-Based Interventions on the Mental Health and Well-Being of Employees: A Systematic Review.Frontiers in psychiatry · 2020Pooled it
- The Impact of Green Space on Violent Crime in Urban Environments: An Evidence Synthesis.International journal of environmental research and public health · 2019Pooled it
- A Systematic Review and Meta-Analysis of Nature-Based Mindfulness: Effects of Moving Mindfulness Training into an Outdoor Natural Setting.International journal of environmental research and public health · 2019Pooled it
- School Green Space and Its Impact on Academic Performance: A Systematic Literature Review.International journal of environmental research and public health · 2019Pooled it
- Immersive Nature-Experiences as Health Promotion Interventions for Healthy, Vulnerable, and Sick Populations? A Systematic Review and Appraisal of Controlled Studies.Frontiers in psychology · 2019Pooled it
- Health and well-being benefits of spending time in forests: systematic review.Environmental health and preventive medicine · 2017Pooled it
- Within What Distance Does "Greenness" Best Predict Physical Health? A Systematic Review of Articles with GIS Buffer Analyses across the Lifespan.International journal of environmental research and public health · 2017Pooled it
- Virtual exposure to natural versus urban environments: a pilot study on impacts on self-compassion, self-protection, and self-criticism.Scientific reports · 2025Trial
- Reduced hair cortisol concentrations are associated with improved emotional wellbeing in older adults following repeated forest walking.Scientific reports · 2025Trial
- Forest terpenes and stress: Examining the associations of filtered vs. non-filtered air in a real-life natural environment.Environmental research · 2025Trial
- Awe reduces depressive symptoms and improves well-being in a randomized-controlled clinical trial.Scientific reports · 2025Trial
- The effectiveness of nature-based therapy for community psychological distress and well-being during COVID-19: a multi-site trial.Scientific reports · 2023Trial
- Biophilic classroom environments on stress and cognitive performance: A randomized crossover study in virtual reality (VR).PloS one · 2023Trial
156 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
How might contact with nature promote human health? Myriad studies have linked the two; at this time the task of identifying the mechanisms underlying this link is paramount. This article offers: (1) a compilation of plausible pathways between nature and health; (2) criteria for identifying a possible central pathway; and (3) one promising candidate for a central pathway. The 21 pathways identified here include environmental factors, physiological and psychological states, and behaviors or conditions, each of which has been empirically tied to nature and has implications for specific physical and mental health outcomes. While each is likely to contribute to nature's impacts on health to some degree and under some circumstances, this paper explores the possibility of a central pathway by proposing criteria for identifying such a pathway and illustrating their use. A particular pathway is more likely to be central if it can account for the size of nature's impacts on health, account for nature's specific health outcomes, and subsume other pathways. By these criteria, enhanced immune functioning emerges as one promising candidate for a central pathway between nature and health. There may be others.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.