Evidence map›Paper›PMID 32703170›Full record

ArticleBMC psychiatry2020

Viewing an alpine environment positively affects emotional analytics in patients with somatoform, depressive and anxiety disorders as well as in healthy controls.

Katharina Hüfner, Cornelia Ower, Georg Kemmler, Theresa Vill, Caroline Martini, Andrea Schmitt, Barbara Sperner-Unterweger

Abstract read
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Interactions with Nature, Good for the Mind and Body: A Narrative Review.International journal of environmental research and public health · 2024
    Review
  4. Article
  5. Lifestyle Prescription for Depression with a Focus on Nature Exposure and Screen Time: A Narrative Review.International journal of environmental research and public health · 2022
    Review
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

7 authors.

Katharina HüfnerDepartment of Psychiatry, Psychotherapy and Psychosomatics, Divison of Psychiatry II (Psychosomatic Medicine), Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria. katharina.huefner@tirol-kliniken.at.ORCID 0000-0002-5453-8792
Cornelia OwerDepartment of Psychiatry, Psychotherapy and Psychosomatics, Divison of Psychiatry II (Psychosomatic Medicine), Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Georg KemmlerDepartment of Psychiatry, Psychotherapy and Psychosomatics, Divison of Psychiatry I, Medical University Innsbruck, Innsbruck, Austria.
Theresa VillDepartment of Psychiatry, Psychotherapy and Psychosomatics, Divison of Psychiatry II (Psychosomatic Medicine), Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Caroline MartiniDepartment of Psychiatry, Psychotherapy and Psychosomatics, Divison of Psychiatry II (Psychosomatic Medicine), Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Andrea SchmittDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilians-University (LMU) Munich, Munich, Germany.
Barbara Sperner-UnterwegerDepartment of Psychiatry, Psychotherapy and Psychosomatics, Divison of Psychiatry II (Psychosomatic Medicine), Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with somatoform, depressive or anxiety disorders often don't respond well to medical treatment and experience many side effects. It is thus of clinical relevance to identify alternative, scientifically based, treatments. Our approach is based on the recent evidence that urbanicity has been shown to be associated with an increased risk for mental disorders. Conversely, green and blue environments show a dose-dependent beneficial impact on mental health.

methodsHere we evaluate the effect of viewing stimuli of individuals in an alpine environment on emotional analytics in 183 patients with psychiatric disorders (mostly somatoform, depressive and anxiety disorders) and 315 healthy controls (HC). Emotional analytics (valence: unhappy vs happy, arousal: calm vs excited, dominance: controlled vs in control) were assessed using the Self-Assessment Manikin. Further parameters related to mental health and physical activity were recorded.

resultsEmotional analytics of patients indicated that they felt less happy, less in control and had higher levels of arousal than HC when viewing neutral stimuli. The comparison alpine>neutral stimuli showed a significant positive effect of alpine stimuli on emotional analytics in both groups. Patients and HC both felt attracted to the scenes displayed in the alpine stimuli. Emotional analytics correlated positively with resilience and inversely with perceived stress.

conclusionsPreventive and therapeutic programs for patients with somatoform, depressive and anxiety disorders should consider taking the benefits of natural outdoor environments, such as alpine environments, into account. Organizational barriers which are preventing the implementation of such programs in clinical practice need to be identified and addressed.

Indexed as

Anxiety DisordersEmotionsArousalExerciseHumansSomatoform DisordersAlpine environmentEmotional analyticsResilienceSelf-Assessment ManikinSelf-perceived stressSomatoform, depressive and anxiety disorders

Identifiers

PMID32703170
PMCPMC7376733

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Registered trials

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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.