Observational studyEuropean archives of psychiatry and clinical neuroscience2019
The effect of physical activity in an alpine environment on quality of life is mediated by resilience in patients with psychosomatic disorders and healthy controls.
Observational study in European archives of psychiatry and clinical neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Intention to Engage in Winter Sport in Climate Change Affected Environments.Frontiers in public health · 2020Trial
- Reliability and validity of Turkish version of stress resilience item bank 10 item short form.BMC psychology · 2026Article
- The Effect of Automated Verbal Commands During Avalanche Transceiver Search on Acute Mental Stress and Arousal-A Mixed-Methods Crossover Field Study.Brain and behavior · 2025Article
- Gender difference in metabolic syndrome and quality of life among elderly people in Noakhali, Bangladesh.Heliyon · 2025Article
- Three distinct patterns of mental health response following accidents in mountain sports: a follow-up study of individuals treated at a tertiary trauma center.European archives of psychiatry and clinical neuroscience · 2024Article
- Interactions with Nature, Good for the Mind and Body: A Narrative Review.International journal of environmental research and public health · 2024Review
- Why do we climb mountains? An exploration of features of behavioural addiction in mountaineering and the association with stress-related psychiatric disorders.European archives of psychiatry and clinical neuroscience · 2023Article
- The effect of exercise on resilience, its mediators and moderators, in a general population during the UK COVID-19 pandemic in 2020: a cross-sectional online study.BMC public health · 2022Article
- Lifestyle Prescription for Depression with a Focus on Nature Exposure and Screen Time: A Narrative Review.International journal of environmental research and public health · 2022Review
- Context, classification and study methodologies in research into nature-based therapies: protocol for a scoping review.BMJ open · 2022Article
- Mental health rescue effects of women's outdoor tourism: A role in COVID-19 recovery.Annals of tourism research · 2020Article
- Viewing an alpine environment positively affects emotional analytics in patients with somatoform, depressive and anxiety disorders as well as in healthy controls.BMC psychiatry · 2020Article
- Economic value of protected areas via visitor mental health.Nature communications · 2019Review
- Going to Altitude with a Preexisting Psychiatric Condition.High altitude medicine & biology · 2019Review
- Aerobic exercise in mental disorders: from basic mechanisms to treatment recommendations.European archives of psychiatry and clinical neuroscience · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePhysical activity (PA) in an outdoor environment has been shown to exert positive effects on mental well-being beyond those found for PA indoors. The specific effect of an alpine environment has not been investigated so far. Here we evaluate the association of PA in an alpine environment with resilience and quality of life (QOL) in patients with psychosomatic disorders and controls.
methods194 patients with psychosomatic disorders (mostly somatoform disorder and major depressive syndrome) and 326 healthy controls were included in this web-based cross-sectional study. PA was scored using an adapted version of the Global Physical Activity Questionnaire including the environmental aspect (indoor, outdoor, alpine environment). Resilience was assessed using the Resilience Scale-13, QOL using the WHOQOL-BREF. Group comparisons, correlation and mediation analyses were performed.
resultsPatients showed significantly lower levels of resilience (p < 0.001) and QOL (p < 0.001) compared to controls. PA in an alpine environment was associated with resilience (patients: r = 0.35, p < 0.001; controls r = 0.18, p < 0.001). There were no significant associations between PA in other environments (outdoor or indoor) and resilience. PA in all three environments correlated with subcategories of QOL. The effect of PA in an alpine environment on QOL was partly mediated by resilience in patients (68% of total effect mediated, p < 0.001) and controls (49% mediated, p = 0.006).
conclusionThere is a positive effect of PA in an alpine environment on mental health beyond that of physical activity itself. Preventive and therapeutic programs should thus include physical activity, but also take additional benefits of natural environments into account.
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