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Does Residential Green and Blue Space Promote Recovery in Psychotic Disorders? A Cross-Sectional Study in the Province of Utrecht, The Netherlands

Author

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  • Susanne Boers

    (Department of Psychiatry, Faculty of Medicine, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands)

  • Karin Hagoort

    (Department of Psychiatry, Faculty of Medicine, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands)

  • Floortje Scheepers

    (Department of Psychiatry, Faculty of Medicine, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands)

  • Marco Helbich

    (Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, Princetonlaan 8a, 3584 CB Utrecht, The Netherlands)

Abstract

Mental health is reportedly influenced by the presence of green and blue space in residential areas, but scientific evidence of a relation to psychotic disorders is scant. We put two hypotheses to the test: first, compared to the general population, psychiatric patients live in neighborhoods with less green and blue space; second, the amount of green and blue space is negatively associated with the duration of hospital admission. The study population consisted of 623 patients with psychotic disorders who had been admitted to the psychiatric ward of an academic hospital in Utrecht, The Netherlands from 2008 to 2016. Recovery was measured by length of stay. Structured patient data was linked to socio-economic status and the amount of green and blue space in the residential area. Associations were assessed by means of regression models controlling for confounding factors. Compared to the general population, psychiatric patients had a significantly lower amount of green space in their neighborhood. This result was not confirmed for blue space. Furthermore, no significant associations were found between green and blue space and the duration of hospital stay. In conclusion, previous studies focusing on other mental disorders, like anxiety or depression, found positive mental health effects of green and blue space in the neighborhood. We were not able to confirm significant effects among our study population on duration of admission, however. Future research focusing on psychotic patients could investigate the influence of exposure to green and blue space on other influences and outcomes on mental health.

Suggested Citation

  • Susanne Boers & Karin Hagoort & Floortje Scheepers & Marco Helbich, 2018. "Does Residential Green and Blue Space Promote Recovery in Psychotic Disorders? A Cross-Sectional Study in the Province of Utrecht, The Netherlands," IJERPH, MDPI, vol. 15(10), pages 1-8, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:10:p:2195-:d:174151
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    References listed on IDEAS

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    1. Mireia Gascon & Margarita Triguero-Mas & David Martínez & Payam Dadvand & Joan Forns & Antoni Plasència & Mark J. Nieuwenhuijsen, 2015. "Mental Health Benefits of Long-Term Exposure to Residential Green and Blue Spaces: A Systematic Review," IJERPH, MDPI, vol. 12(4), pages 1-26, April.
    2. Jamie Pearce & Niamh Shortt & Esther Rind & Richard Mitchell, 2016. "Life Course, Green Space and Health: Incorporating Place into Life Course Epidemiology," IJERPH, MDPI, vol. 13(3), pages 1-11, March.
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    Cited by:

    1. Rui Zhou & Ying-Jing Zheng & Jing-Yi Yun & Hong-Mei Wang, 2022. "The Effects of Urban Green Space on Depressive Symptoms of Mid-Aged and Elderly Urban Residents in China: Evidence from the China Health and Retirement Longitudinal Study," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    2. Marco Helbich, 2019. "Spatiotemporal Contextual Uncertainties in Green Space Exposure Measures: Exploring a Time Series of the Normalized Difference Vegetation Indices," IJERPH, MDPI, vol. 16(5), pages 1-13, March.
    3. Marco Helbich, 2018. "Mental Health and Environmental Exposures: An Editorial," IJERPH, MDPI, vol. 15(10), pages 1-4, October.
    4. Yu Sun & Xintong Ma & Yifeng Liu & Lingquan Meng, 2023. "Salary Satisfaction of Employees at Workplace on a Large Area of Planted Land," Land, MDPI, vol. 12(11), pages 1-24, November.
    5. Shuai Jiang & Haoran Ma & Ling Yang & Shixian Luo, 2023. "The Influence of Perceived Physical and Aesthetic Quality of Rural Settlements on Tourists’ Preferences—A Case Study of Zhaoxing Dong Village," Land, MDPI, vol. 12(8), pages 1-18, August.

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