IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v13y2016i3p255-d64364.html
   My bibliography  Save this article

The Effects of Forest Therapy on Coping with Chronic Widespread Pain: Physiological and Psychological Differences between Participants in a Forest Therapy Program and a Control Group

Author

Listed:
  • Jin-Woo Han

    (Stress Research Institute, Inje University, Seoul 100-032, Korea
    These authors contributed equally to this work.)

  • Han Choi

    (Stress Research Institute, Inje University, Seoul 100-032, Korea
    These authors contributed equally to this work.)

  • Yo-Han Jeon

    (Stress Research Institute, Inje University, Seoul 100-032, Korea)

  • Chong-Hyeon Yoon

    (Department of Rheumatology, Uijeongbu St. Mary’s Hospital, Catholic University, Uijeongbu 480-717, Korea)

  • Jong-Min Woo

    (Stress Research Institute, Inje University, Seoul 100-032, Korea
    Department of Psychiatry, Seoul Paik Hospital, Inje University School of Medicine, Seoul 100-032, Korea)

  • Won Kim

    (Stress Research Institute, Inje University, Seoul 100-032, Korea
    Department of Psychiatry, Seoul Paik Hospital, Inje University School of Medicine, Seoul 100-032, Korea)

Abstract

This study aimed to investigate the effects of a two-day forest therapy program on individuals with chronic widespread pain. Sixty one employees of a public organization providing building and facilities management services within the Seoul Metropolitan area participated in the study. Participants were assigned to an experimental group ( n = 33) who participated in a forest therapy program or a control group ( n = 28) on a non-random basis. Pre- and post-measures of heart rate variability (HRV), Natural Killer cell (NK cell) activity, self-reported pain using the visual analog scale (VAS), depression level using the Beck Depression Inventory (BDI), and health-related quality of life measures using the EuroQol Visual Analog Scale (EQ-VAS) were collected in both groups. The results showed that participants in the forest therapy group, as compared to the control group, showed physiological improvement as indicated by a significant increase in some measures of HRV and an increase in immune competence as indicated by NK cell activity. Participants in the forest therapy group also reported significant decreases in pain and depression, and a significant improvement in health-related quality of life. These results support the hypothesis that forest therapy is an effective intervention to relieve pain and associated psychological and physiological symptoms in individuals with chronic widespread pain.

Suggested Citation

  • Jin-Woo Han & Han Choi & Yo-Han Jeon & Chong-Hyeon Yoon & Jong-Min Woo & Won Kim, 2016. "The Effects of Forest Therapy on Coping with Chronic Widespread Pain: Physiological and Psychological Differences between Participants in a Forest Therapy Program and a Control Group," IJERPH, MDPI, vol. 13(3), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:3:p:255-:d:64364
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/13/3/255/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/13/3/255/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Dawou Joung & Geonwoo Kim & Yoonho Choi & HyoJin Lim & Soonjoo Park & Jong-Min Woo & Bum-Jin Park, 2015. "The Prefrontal Cortex Activity and Psychological Effects of Viewing Forest Landscapes in Autumn Season," IJERPH, MDPI, vol. 12(7), pages 1-9, June.
    2. Chorong Song & Harumi Ikei & Maiko Kobayashi & Takashi Miura & Masao Taue & Takahide Kagawa & Qing Li & Shigeyoshi Kumeda & Michiko Imai & Yoshifumi Miyazaki, 2015. "Effect of Forest Walking on Autonomic Nervous System Activity in Middle-Aged Hypertensive Individuals: A Pilot Study," IJERPH, MDPI, vol. 12(3), pages 1-13, March.
    3. Hiroko Ochiai & Harumi Ikei & Chorong Song & Maiko Kobayashi & Ako Takamatsu & Takashi Miura & Takahide Kagawa & Qing Li & Shigeyoshi Kumeda & Michiko Imai & Yoshifumi Miyazaki, 2015. "Physiological and Psychological Effects of Forest Therapy on Middle-Aged Males with High-Normal Blood Pressure," IJERPH, MDPI, vol. 12(3), pages 1-11, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chorong Song & Harumi Ikei & Yoshifumi Miyazaki, 2018. "Physiological Effects of Visual Stimulation with Forest Imagery," IJERPH, MDPI, vol. 15(2), pages 1-11, January.
    2. Chia-Pin Yu & Chia-Min Lin & Ming-Jer Tsai & Yu-Chieh Tsai & Chun-Yu Chen, 2017. "Effects of Short Forest Bathing Program on Autonomic Nervous System Activity and Mood States in Middle-Aged and Elderly Individuals," IJERPH, MDPI, vol. 14(8), pages 1-12, August.
    3. Albert Bach Pagès & Josep Peñuelas & Jana Clarà & Joan Llusià & Ferran Campillo i López & Roser Maneja, 2020. "How Should Forests Be Characterized in Regard to Human Health? Evidence from Existing Literature," IJERPH, MDPI, vol. 17(3), pages 1-15, February.
    4. Hyunju Jo & Chorong Song & Yoshifumi Miyazaki, 2019. "Physiological Benefits of Viewing Nature: A Systematic Review of Indoor Experiments," IJERPH, MDPI, vol. 16(23), pages 1-23, November.
    5. Chorong Song & Harumi Ikei & Bum-Jin Park & Juyoung Lee & Takahide Kagawa & Yoshifumi Miyazaki, 2018. "Psychological Benefits of Walking through Forest Areas," IJERPH, MDPI, vol. 15(12), pages 1-10, December.
    6. Xiaobo Wang & Yaxing Shi & Bo Zhang & Yencheng Chiang, 2019. "The Influence of Forest Resting Environments on Stress Using Virtual Reality," IJERPH, MDPI, vol. 16(18), pages 1-20, September.
    7. Hyeyun Kim & Yong Won Lee & Hyo Jin Ju & Bong Jin Jang & Yeong In Kim, 2019. "An Exploratory Study on the Effects of Forest Therapy on Sleep Quality in Patients with Gastrointestinal Tract Cancers," IJERPH, MDPI, vol. 16(14), pages 1-7, July.
    8. Hiroko Ochiai & Harumi Ikei & Chorong Song & Maiko Kobayashi & Takashi Miura & Takahide Kagawa & Qing Li & Shigeyoshi Kumeda & Michiko Imai & Yoshifumi Miyazaki, 2015. "Physiological and Psychological Effects of a Forest Therapy Program on Middle-Aged Females," IJERPH, MDPI, vol. 12(12), pages 1-11, December.
    9. Chorong Song & Harumi Ikei & Yoshifumi Miyazaki, 2016. "Physiological Effects of Nature Therapy: A Review of the Research in Japan," IJERPH, MDPI, vol. 13(8), pages 1-17, August.
    10. Kathleen L. Wolf & Sharon T. Lam & Jennifer K. McKeen & Gregory R.A. Richardson & Matilda van den Bosch & Adrina C. Bardekjian, 2020. "Urban Trees and Human Health: A Scoping Review," IJERPH, MDPI, vol. 17(12), pages 1-30, June.
    11. Geonwoo Kim & Sujin Park & Dooahn Kwak, 2020. "Is It Possible to Predict the Concentration of Natural Volatile Organic Compounds in Forest Atmosphere?," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    12. Chorong Song & Harumi Ikei & Takahide Kagawa & Yoshifumi Miyazaki, 2019. "Effects of Walking in a Forest on Young Women," IJERPH, MDPI, vol. 16(2), pages 1-12, January.
    13. Margaret M. Hansen & Reo Jones & Kirsten Tocchini, 2017. "Shinrin-Yoku (Forest Bathing) and Nature Therapy: A State-of-the-Art Review," IJERPH, MDPI, vol. 14(8), pages 1-48, July.
    14. Emad Alyan & Theo Combe & Dayang Rohaya Awang Rambli & Suziah Sulaiman & Frederic Merienne & Nadia Diyana Mohd Muhaiyuddin, 2021. "The Influence of Virtual Forest Walk on Physiological and Psychological Responses," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
    15. Agnes Peterfalvi & Matyas Meggyes & Lilla Makszin & Nelli Farkas & Eva Miko & Attila Miseta & Laszlo Szereday, 2021. "Forest Bathing Always Makes Sense: Blood Pressure-Lowering and Immune System-Balancing Effects in Late Spring and Winter in Central Europe," IJERPH, MDPI, vol. 18(4), pages 1-19, February.
    16. Chia-Pin Yu & Heng-Ting Chen & Pei-Hua Chao & Jie Yin & Ming-Jer Tsai, 2021. "The Role of Social Context in Physiological and Psychological Restoration in a Forest: Case Study of a Guided Forest Therapy Program in Taiwan," IJERPH, MDPI, vol. 18(19), pages 1-17, September.
    17. Eleanor M. Taylor & Noelle Robertson & Courtney J. Lightfoot & Alice C. Smith & Ceri R. Jones, 2022. "Nature-Based Interventions for Psychological Wellbeing in Long-Term Conditions: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-23, March.
    18. Hyunju Jo & Chorong Song & Harumi Ikei & Seiya Enomoto & Hiromitsu Kobayashi & Yoshifumi Miyazaki, 2019. "Physiological and Psychological Effects of Forest and Urban Sounds Using High-Resolution Sound Sources," IJERPH, MDPI, vol. 16(15), pages 1-13, July.
    19. Yunjeong Yi & Eunju Seo & Jiyeon An, 2022. "Does Forest Therapy Have Physio-Psychological Benefits? A Systematic Review and Meta-Analysis of Randomized Controlled Trials," IJERPH, MDPI, vol. 19(17), pages 1-21, August.
    20. Liwen Li & Klaus W. Lange, 2023. "Assessing the Relationship between Urban Blue-Green Infrastructure and Stress Resilience in Real Settings: A Systematic Review," Sustainability, MDPI, vol. 15(12), pages 1-28, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:13:y:2016:i:3:p:255-:d:64364. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.