Evidence map›Paper›PMID 33159132›Full record

ArticleScientific reports2020

Results from an 18 country cross-sectional study examining experiences of nature for people with common mental health disorders.

Michelle Tester-Jones, Mathew P White, Lewis R Elliott, Netta Weinstein, James Grellier, Theo Economou, Gregory N Bratman, Anne Cleary, Mireia Gascon, Kalevi M Korpela and 5 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.0field-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.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Testing nature-based biopsychosocial resilience theory: a research programme protocol.Archives of public health = Archives belges de sante publique · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Tourism as a Tool in Nature-Based Mental Health: Progress and Prospects Post-Pandemic.International journal of environmental research and public health · 2022
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Measuring Nature Contact: A Narrative Review.International journal of environmental research and public health · 2021
    Review
  17. Article
  18. 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

15 authors at 10 institutions in 7 countries.

Michelle Tester-JonesEuropean Centre for Environment and Human Health, University of Exeter Medical School, c/o Knowledge Spa, Royal Cornwall Hospital, Truro, TR1 3HD, Cornwall, UK.
Mathew P WhiteEuropean Centre for Environment and Human Health, University of Exeter Medical School, c/o Knowledge Spa, Royal Cornwall Hospital, Truro, TR1 3HD, Cornwall, UK. mathew.white@univie.ac.at.
Lewis R ElliottEuropean Centre for Environment and Human Health, University of Exeter Medical School, c/o Knowledge Spa, Royal Cornwall Hospital, Truro, TR1 3HD, Cornwall, UK.
Netta WeinsteinSchool of Psychology, Cardiff University, Cardiff, UK.
James GrellierEuropean Centre for Environment and Human Health, University of Exeter Medical School, c/o Knowledge Spa, Royal Cornwall Hospital, Truro, TR1 3HD, Cornwall, UK.
Theo EconomouCollege of Engineering, Mathematics, and Physical Sciences, University of Exeter, Exeter, UK.
Gregory N BratmanSchool of Environmental and Forest Sciences, University of Washington, Washington, USA.
Anne ClearyGriffith University, Brisbane, Australia.
Mireia GasconBarcelona Institute for Global Health, Barcelona, Spain.
Kalevi M KorpelaFaculty of Social Sciences/ Psychology, Tampere University, Tampere, Finland.
Mark NieuwenhuijsenBarcelona Institute for Global Health, Barcelona, Spain.
Aisling O'ConnorEnvironmental Protection Agency, Wexford, Ireland.
Ann OjalaNatural Resources Institute Finland, Helsinki, Finland.
Matilda van den BoschSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.
Lora E FlemingEuropean Centre for Environment and Human Health, University of Exeter Medical School, c/o Knowledge Spa, Royal Cornwall Hospital, Truro, TR1 3HD, Cornwall, UK.
University of Exeter · GBBarcelona Institute for Global Health · ESRoyal Cornwall Hospital · GBCardiff University · GBEnvironmental Protection Agency · IEGriffith University · AUNatural Resources Institute Finland · FITampere University · FIUniversity of British Columbia · CAUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure to natural environments is associated with a lower risk of common mental health disorders (CMDs), such as depression and anxiety, but we know little about nature-related motivations, practices and experiences of those already experiencing CMDs. We used data from an 18-country survey to explore these issues (n = 18,838), taking self-reported doctor-prescribed medication for depression and/or anxiety as an indicator of a CMD (n = 2698, 14%). Intrinsic motivation for visiting nature was high for all, though slightly lower for those with CMDs. Most individuals with a CMD reported visiting nature ≥ once a week. Although perceived social pressure to visit nature was associated with higher visit likelihood, it was also associated with lower intrinsic motivation, lower visit happiness and higher visit anxiety. Individuals with CMDs seem to be using nature for self-management, but 'green prescription' programmes need to be sensitive, and avoid undermining intrinsic motivation and nature-based experiences.

Indexed as

AdolescentAdultAgedAnxietyAnxiety DisordersCross-Sectional StudiesDepressive DisorderFemaleHappinessHumansInternationalityMaleMental HealthMiddle AgedMotivationPleasure

Identifiers

PMID33159132
PMCPMC7648621
OpenAlexW3097967883

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.