Evidence map›Paper›PMID 31877954›Full record

Trial reportInternational journal of environmental research and public health2019

The Effects of a Forest Therapy Programme on Mental Hospital Patients with Affective and Psychotic Disorders.

Ernest Bielinis, Aneta Jaroszewska, Adrian Łukowski, Norimasa Takayama

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07436481 (The Effectiveness of Forest Therapy on Psychotic Patients), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07436481 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effectiveness of Forest Therapy on Psychotic Patients: Focusing on Changes in Inflammatory Pathways and The Psychotic Condition of Patients

TypeinterventionalSponsorNatalia Dewi Wardani, MDRan2025 to 2025Enrolled80ConditionsPsychotic DisorderArmsForest Therapy
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Green Exercise: Can Nature Video Benefit Isometric Exercise?International journal of environmental research and public health · 2021
    Trial
  6. Trial
  7. Article
  8. Review
  9. Review
  10. Forest bathing (Frontiers in public health · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Ernest BielinisDepartment of Forestry and Forest Ecology, Faculty of Environmental Management and Agriculture, University of Warmia and Mazury, Pl. Łódzki 2, 10-727 Olsztyn, Poland.ORCID 0000-0002-6384-4898
Aneta JaroszewskaDepartment of Psychiatry, University of Warmia and Mazury, Aleja Wojska Polskiego 35, 11-041 Olsztyn, Poland.
Adrian ŁukowskiFaculty of Forestry, Poznań University of Life Sciences, Wojska Polskiego 71c, 60-625 Poznań, Poland.ORCID 0000-0002-4860-4984
Norimasa TakayamaEnvironmental Planning Laboratory, Department of Forest Management, Forestry and Forest Products Research Institute in Japan, 1 Matsunosato, Tsukuba, Ibaraki 305-8687, Japan.ORCID 0000-0002-0136-854X
University of Warmia and Mazury in Olsztyn · PLForestry and Forest Products Research Institute · JPUniversity of Life Sciences in Poznań · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The positive effect of forest bathing on the mental health and wellbeing of those suffering from post-traumatic stress disorder or experiencing stress has been proven. It is not known, however, how 'forest therapy' affects the mental health of people who are treated in a psychiatric hospital for affective or psychotic disorders. Potentially, forest therapy could bring many benefits to these people. To test the potential effectiveness of this therapy, a quasi-experiment was carried out in a psychiatric hospital in Olsztyn (north Poland). In the summer and autumn of 2018, the patients of the psychiatric hospital in Olsztyn participated in forest therapy interventions. The proposed forest therapy consisted of participating in one hour and forty-five minutes walks under the supervision of a therapist. Subjects filled out the Profile of Mood States Questionnaire (POMS) and the State Trait Anxiety Inventory (STAI-S) before and after the study. In the case of a group of patients with affective disorders, forest therapy had a positive effect on nearly all POMS scale subscales, with the exception of the 'anger-hostility' subscale, which did not change its values significantly after the intervention. In these patients, the greatest impacts were noted in the subscales 'confusion' and 'depression-dejection'; the level of anxiety measured with the STAI-S scale also significantly decreased. In the case of patients with psychotic disorders, the values of the 'confusion' and 'vigour' subscales and the STAI-S scale exhibited the greatest changes. These changes were positive for the health of patients. Regarding the 'fatigue' subscale, no significant changes were observed in patients with psychotic disorders. The observed changes in psychological indicators in psychiatric hospital patients with both kinds of disorders indicate that the intervention of forest therapy can positively affect their mental health. The changes observed in psychological indicators were related to the characteristics of the given disorder.

Indexed as

ForestsAdultAnxietyDepressionFemaleHospitals, PsychiatricHostilityHumansInpatientsMaleMental HealthMiddle AgedPersons with Psychiatric DisordersPolandPsychotic DisordersWalkingdepressionforest bathingforest therapymental disordermental hospital inpatientspsychosisShinrin-yoku

Identifiers

PMID31877954
PMCPMC6982075
OpenAlexW2996110155

What OpenQuestion holds

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LicenceCC BY
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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.