Evidence map›Paper›PMID 40348807›Full record

Trial reportScientific reports2025

Physiological adjustment effects of viewing natural environment images on heart rate variability in individuals with depressive and anxiety disorders.

Tomohiro Mizumoto, Harumi Ikei, Kosuke Hagiwara, Toshio Matsubara, Fumihiro Higuchi, Masaaki Kobayashi, Takahiro Yamashina, Jun Sasaki, Norihiro Yamada, Naoko Higuchi and 8 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Tomohiro Mizumoto *Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Harumi Ikei *Center for Environment, Health and Field Sciences, Chiba University, Kashiwa, Japan.
Kosuke HagiwaraDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Toshio MatsubaraDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Fumihiro HiguchiDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Masaaki KobayashiDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Takahiro YamashinaDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Jun SasakiDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Norihiro YamadaDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Naoko HiguchiDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Kenichi HaragaDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Fumiaki KiriharaDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Emi OkabeDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Kumi AsaiDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Masako HirotsuDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Chong ChenDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan. cchen@yamaguchi-u.ac.jp.
Yoshifumi MiyazakiCenter for Environment, Health and Field Sciences, Chiba University, Kashiwa, Japan.
Shin NakagawaDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan.

Funding

MEXT | Japan Society for the Promotion of Science (JSPS) JP 22K15764
6 · The paper itself

Abstract

Nature-based interventions improve mood and reduce stress, but their effects on heart rate variability (HRV) remain inconsistent. The physiological adjustment effect theory proposes HRV adjusts to an optimal value during nature contact-increasing when baseline HRV is low and decreasing when high. This study tested this theory in patients with depressive and anxiety disorders and investigated its association with mood changes. A randomized crossover trial was conducted with 60 patients. We assessed the correlation between baseline HRV during control images and HRV change after 3 min natural image viewing. We also examined mood changes in comfort, relaxation, and vigor. A significant negative correlation was found between baseline low-frequency/high-frequency (LF/HF) ratio and changes after viewing natural images, indicating a physiological adjustment effect in sympathetic activity. No significant correlation was found with the parasympathetic indicator, HF. Participants with adjustment effects in LF/HF had greater improvement in vigor. Those without these effects had higher alcohol use and tended towards more comorbid hypertension. Natural interventions may enhance vigor through physiological adjustment in sympathetic activity. The lack of adjustment effects is linked to behaviors and conditions associated with autonomic dysfunction, highlighting the need for targeted therapies in depressive and anxiety disorders.

Indexed as

Anxiety DisordersDepressive DisorderHeart RateAdultAffectCross-Over StudiesFemaleHumansMaleMiddle AgedAnxiety disordersDepressive disordersHeart rate variabilityIndividual differencesMood improvementNature therapy

Identifiers

PMID40348807
PMCPMC12065861

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.