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Lifestyle Prescription for Depression with a Focus on Nature Exposure and Screen Time: A Narrative Review

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  • Vicent Balanzá-Martínez

    (Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), 28029 Madrid, Spain
    Teaching Unit of Psychiatry and Psychological Medicine, Department of Medicine, University of Valencia, 46010 Valencia, Spain)

  • Jose Cervera-Martínez

    (Department of Medicine, University of Valencia, 46010 Valencia, Spain
    Hospital de Denia-Marina Salud, 03700 Denia, Spain)

Abstract

Recent lifestyles changes have favored increased time in contact with screens and a parallel reduction in contact with natural environments. There is growing awareness that nature exposure and screen time are related to depression. So far, the roles of how these environmental lifestyles affect depressive symptoms and disorders have not been reviewed simultaneously. The aim of this review was to gather the literature regarding the role of nature exposure and screen time in depression. An emphasis was made on clinical samples of patients with well-defined depression and the different methodological approaches used in the field. A second goal was to suggest an agenda for clinical practice and research. Studies were included if they assessed depressive symptoms in patients with a clinical diagnosis of depression. An overview of the published literature was conducted using three scientific databases up to December 2021. Several interventions involving nature exposure have shown positive effects on depressive symptoms and mood-related measures. The most consistent finding suggests that walks in natural environments may decrease depressive symptoms in patients with clinical depression. Less researched interventions, such as psychotherapy delivered in a forest or access to natural environments via virtual reality, may also be effective. In contrast, fewer observational studies and no experimental research on screen time have been conducted in patients with clinical depression. Thus, recommendations for practice and research are also discussed. Scarce research, diverse interventions, and several methodological shortcomings prevent us from drawing conclusions in this area. More high-quality experimental research is needed to establish interventions with proven efficacy in clinical depression. At this stage, it is too early to formulate practice guidelines and advise the prescription of these lifestyles to individuals with depression. The present findings may serve as a basis to develop strategies based on nature exposure and screen time targeting clinical depression.

Suggested Citation

  • Vicent Balanzá-Martínez & Jose Cervera-Martínez, 2022. "Lifestyle Prescription for Depression with a Focus on Nature Exposure and Screen Time: A Narrative Review," IJERPH, MDPI, vol. 19(9), pages 1-17, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5094-:d:799486
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    References listed on IDEAS

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    1. Ernest Bielinis & Aneta Jaroszewska & Adrian Łukowski & Norimasa Takayama, 2019. "The Effects of a Forest Therapy Programme on Mental Hospital Patients with Affective and Psychotic Disorders," IJERPH, MDPI, vol. 17(1), pages 1-10, December.
    2. Sus Sola Corazon & Ulrik Sidenius & Dorthe Varning Poulsen & Marie Christoffersen Gramkow & Ulrika Karlsson Stigsdotter, 2019. "Psycho-Physiological Stress Recovery in Outdoor Nature-Based Interventions: A Systematic Review of the Past Eight Years of Research," IJERPH, MDPI, vol. 16(10), pages 1-21, May.
    3. Lara S. Franco & Danielle F. Shanahan & Richard A. Fuller, 2017. "A Review of the Benefits of Nature Experiences: More Than Meets the Eye," IJERPH, MDPI, vol. 14(8), pages 1-29, August.
    4. Insook Lee & Heeseung Choi & Kyung-Sook Bang & Sungjae Kim & MinKyung Song & Buhyun Lee, 2017. "Effects of Forest Therapy on Depressive Symptoms among Adults: A Systematic Review," IJERPH, MDPI, vol. 14(3), pages 1-18, March.
    5. 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.
    6. Mike Rogerson & Carly Wood & Jules Pretty & Patrick Schoenmakers & Dan Bloomfield & Jo Barton, 2020. "Regular Doses of Nature: The Efficacy of Green Exercise Interventions for Mental Wellbeing," IJERPH, MDPI, vol. 17(5), pages 1-15, February.
    7. Liisa Andersen & Sus Sola Corazon & Ulrika Karlsson Stigsdotter, 2021. "Nature Exposure and Its Effects on Immune System Functioning: A Systematic Review," IJERPH, MDPI, vol. 18(4), pages 1-48, February.
    8. Isabel Holland & Nicole V. DeVille & Matthew H. E. M. Browning & Ryan M. Buehler & Jaime E. Hart & J. Aaron Hipp & Richard Mitchell & Donald A. Rakow & Jessica E. Schiff & Mathew P. White & Jie Yin & , 2021. "Measuring Nature Contact: A Narrative Review," IJERPH, MDPI, vol. 18(8), pages 1-15, April.
    9. Yasuhiro Kotera & Melinda Lyons & Katia Correa Vione & Briony Norton, 2021. "Effect of Nature Walks on Depression and Anxiety: A Systematic Review," Sustainability, MDPI, vol. 13(7), pages 1-17, April.
    10. Phoebe R. Maund & Katherine N. Irvine & Jonathan Reeves & Emily Strong & Ruth Cromie & Martin Dallimer & Zoe G. Davies, 2019. "Wetlands for Wellbeing: Piloting a Nature-Based Health Intervention for the Management of Anxiety and Depression," IJERPH, MDPI, vol. 16(22), pages 1-17, November.
    11. Bowen, Daniel J. & Neill, James T. & Crisp, Simon J.R., 2016. "Wilderness adventure therapy effects on the mental health of youth participants," Evaluation and Program Planning, Elsevier, vol. 58(C), pages 49-59.
    12. Nevin J. Harper & Carina R. Fernee & Leiv E. Gabrielsen, 2021. "Nature’s Role in Outdoor Therapies: An Umbrella Review," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    13. Rikuto Yamashita & Chong Chen & Toshio Matsubara & Kosuke Hagiwara & Masato Inamura & Kohei Aga & Masako Hirotsu & Tomoe Seki & Akiyo Takao & Erika Nakagawa & Ayumi Kobayashi & Yuko Fujii & Keiko Hira, 2021. "The Mood-Improving Effect of Viewing Images of Nature and Its Neural Substrate," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
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