Evidence map›Paper›PMID 41605676›Full record

Trial reportEnvironmental health and preventive medicine2026

A comprehensive evaluation of the health benefits of forest therapy for cancer survivors.

Renn-Shiuan Wei, Yi-Shun Chu, Ming-Yu Hong, Ming-Yi Li, Su-Wei Fan, Gene-Sheng Tung, Chung-Hua Hsu

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Environmental health and preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06001723 (A Feasibility Study to Determine Whether the Botanical Garden Become a Region of Forest Therapy for Cancer Survivors), which is not on this 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.

NCT06001723 nacompletednot on this map

A Feasibility Study to Determine Whether the Botanical Garden Become a Region of Forest Therapy for Cancer Survivors

TypeinterventionalSponsorTaipei City HospitalRan2022 to 2023Enrolled50ConditionsNeoplasms, Cancer, Mental Health Disorder, DepressionArmsForest Therapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Experiences of Nature Through Immersive Virtual Reality Among People with Type 2 Diabetes Mellitus.International journal of environmental research and public health · 2026
    Article
  2. 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.

Renn-Shiuan WeiDepartment of Chinese Medicine, Branch of Linsen, Chinese Medicine, and Kunming, Taipei City Hospital.
Yi-Shun ChuInstitute of Traditional Medicine, College of Medicine, National Yang Ming Chiao Tung University.
Ming-Yu HongInstitute of Health and Welfare Policy, National Yang Ming Chiao Tung University.
Ming-Yi LiFushan Research Center, Taiwan Forestry Research Institute, Ministry of Agriculture.
Su-Wei FanForest Ecology Division, Taiwan Forestry Research Institute, Ministry of Agriculture.
Gene-Sheng TungInstitute of Health and Welfare Policy, National Yang Ming Chiao Tung University.
Chung-Hua HsuInstitute of Traditional Medicine, College of Medicine, National Yang Ming Chiao Tung University.ORCID http://orcid.org/0000-0002-9136-228X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile advancements in cancer treatment have improved survival rates, some survivors continue to experience emotional difficulties that adversely affect overall well-being. Forest therapy, a nature-based intervention, has demonstrated potential in alleviating psychological and physiological stress.

methodsThis single-arm pre-post study evaluated a two-hour guided forest therapy session in a submontane forest in Taiwan. Participants were recruited via posters and online registration forms disseminated by the Linsen Chinese Medicine and Kunming Branch (LCMKB) of Taipei City Hospital and were screened for eligibility according to predefined inclusion and exclusion criteria. Outcomes included psychological measures-the Profile of Mood States 2nd Edition-Adult Short (POMS 2-A), Beck Depression Inventory-Second Edition (BDI-II), and Beck Anxiety Inventory (BAI)-along with physiological indicators (heart rate, blood pressure, heart rate variability, salivary cortisol).

resultsOf the 40 participants, 38 completed the program. Significant improvements were observed in mood disturbance (The Total Mood Disturbance of POMS 2-A: 4.0 → -8.0), anxiety (BAI: 5.0 → 3.5), depression (BDI-II: 5.5 → 4.0), and salivary cortisol levels (1.07 → 0.42 µg/dL), all with large effect sizes. Regression analyses suggested that baseline emotional status and certain demographic factors may have influenced outcomes. Participants with higher initial anxiety and depression, younger age, and shorter cancer duration appeared to show relatively greater improvements.

conclusionsThis first study of forest therapy among cancer survivors in Taiwan provides preliminary evidence that guided forest therapy may be a useful complementary approach for enhancing emotional well-being and reducing physiological stress. Significant improvements were observed across multiple psychological measures (POMS 2-A, BAI, BDI-II) and in salivary cortisol. Benefits were more pronounced among participants with higher baseline distress, younger age, or shorter cancer duration, underscoring the importance of considering baseline health profiles and demographic characteristics when designing interventions.

trial registrationApproved by the Taipei City Hospital Research Ethics Committee (TCHIRB-11104010). CLINICALTRIALS: gov Identifier: NCT06001723.

Indexed as

Cancer SurvivorsForestsNeoplasmsStress, PsychologicalAdultAgedAnxietyDepressionFemaleForest TherapyHumansHydrocortisoneMaleMiddle AgedTaiwanHydrocortisoneCancer survivorsForest bathingForest therapyMood disturbancePhysiological indicatorsStress reduction

Identifiers

PMID41605676
PMCPMC12876116

What OpenQuestion holds

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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.