Skip to main content
Top
Published in: Environmental Health and Preventive Medicine 1/2019

Open Access 01-12-2019 | Affective Disorder | Research article

A comparative study of the physiological and psychological effects of forest bathing (Shinrin-yoku) on working age people with and without depressive tendencies

Authors: Akemi Furuyashiki, Keiji Tabuchi, Kensuke Norikoshi, Toshio Kobayashi, Sanae Oriyama

Published in: Environmental Health and Preventive Medicine | Issue 1/2019

Login to get access

Abstract

Background

In recent years, many of Japanese workers have complained of fatigue and stress, considering them as risk factors for depression. Studies have found that “forest bathing” (Shinrin-yoku) has positive physiological effects, such as blood pressure reduction, improvement of autonomic and immune functions, as well as psychological effects of alleviating depression and improving mental health. In this study, we investigate the physiological and psychological effects of “forest bathing” on people of a working age with and without depressive tendencies.

Methods

We conducted physiological measurements and psychological surveys before and after forest bathing with subjects who participated in day-long sessions of forest bathing, at a forest therapy base located in Hiroshima Prefecture. After excluding severely depressed individuals, the participants were classified into two groups: those with depressive tendencies (5 ≤ K6 ≤ 12) and those without depressive tendencies (K6 < 5) for comparative study. The evaluation indices measured were systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse rate (PR), autonomic functions, and profile of mood states (POMS).

Results

Of the 155 participants, 37% had depressive tendencies, without any differences observed between males and females. All participants showed significant decrease in SBP, DBP, and in negative POMS items after a forest bathing session. Before the session, those with depressive tendencies scored significantly higher on the POMS negative items than those without depressive tendencies. After forest bathing, those with depressive tendencies demonstrated significantly greater improvement in many of POMS items than those without depressive tendencies, and many of them no longer differed between those with and without depressive tendencies.

Conclusions

Examining the physiological and psychological effects of a day-long session of forest bathing on a working age group demonstrated significant positive effects on mental health, especially in those with depressive tendencies.
Not applicable; this is not a report of intervention trial.
Literature
2.
go back to reference Okamoto Y. Functional brain basis of pathophysiology in depression. Psychiatry Clin Neurosci. 2009;111(11):1330–44. (in Japanese). Okamoto Y. Functional brain basis of pathophysiology in depression. Psychiatry Clin Neurosci. 2009;111(11):1330–44. (in Japanese).
3.
go back to reference Kaji T, Mishima K, Kitamura S, Enomoto M, Nagase Y, Li Q, et al. Relationship between emergence of depressive symptoms in mature and stress on lifestyle-cross-sectional study in a large-scale group representing the general population of Japan. Psychiatry Clin Neurosci. 2011;113(7):633–61. (in Japanese). Kaji T, Mishima K, Kitamura S, Enomoto M, Nagase Y, Li Q, et al. Relationship between emergence of depressive symptoms in mature and stress on lifestyle-cross-sectional study in a large-scale group representing the general population of Japan. Psychiatry Clin Neurosci. 2011;113(7):633–61. (in Japanese).
4.
go back to reference Kawakami N, Takashima T, Ono Y, Uda H, Hata Y, Nakane Y, et al. Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the world mental health Japan survey 2002–2003. Psychiatry Clin Neurosci. 2005;59(4):441–52.CrossRef Kawakami N, Takashima T, Ono Y, Uda H, Hata Y, Nakane Y, et al. Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the world mental health Japan survey 2002–2003. Psychiatry Clin Neurosci. 2005;59(4):441–52.CrossRef
5.
go back to reference Kessler RC, Green JG, Gruber MJ, Sampson NA, Bromet E, Cuiten M, et al. Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO world mental health (WMH) survey. J Methods Psychiatr Res. 2010;19(S1):4–22.CrossRef Kessler RC, Green JG, Gruber MJ, Sampson NA, Bromet E, Cuiten M, et al. Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO world mental health (WMH) survey. J Methods Psychiatr Res. 2010;19(S1):4–22.CrossRef
6.
go back to reference Japan Depression Association. Production guidelines preparation Committee for Mood Disorder Production. Title of chapter 2 mild depression. In: Japan depression society treatment guidelines. Depression (DSM-5)/major depressive disorder; 2016. p. 20–34. (in Japanese). Japan Depression Association. Production guidelines preparation Committee for Mood Disorder Production. Title of chapter 2 mild depression. In: Japan depression society treatment guidelines. Depression (DSM-5)/major depressive disorder; 2016. p. 20–34. (in Japanese).
7.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: Am Psychiatric Assoc; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington: Am Psychiatric Assoc; 2013.CrossRef
8.
go back to reference National Collaborating Centre for Mental Health commissioned. Depression in adults: the treatment and management of depression in adults. London: National Collaborating Centre for Mental Health, University College; 2010. p. 536–64. National Collaborating Centre for Mental Health commissioned. Depression in adults: the treatment and management of depression in adults. London: National Collaborating Centre for Mental Health, University College; 2010. p. 536–64.
9.
go back to reference Social and Economic Research Group. Mindfulness practice in woods and forests: an evidence review. In: Bianca Ambrose-Oji report to the Mersey forestry; 2012. p. 1–56. Social and Economic Research Group. Mindfulness practice in woods and forests: an evidence review. In: Bianca Ambrose-Oji report to the Mersey forestry; 2012. p. 1–56.
10.
go back to reference Brown KW, Ryan RM, Creswell JD. Mindfulness: theoretical foundation and evidence for its salutary effects. Psychol Inq. 2007;18(4):211–37.CrossRef Brown KW, Ryan RM, Creswell JD. Mindfulness: theoretical foundation and evidence for its salutary effects. Psychol Inq. 2007;18(4):211–37.CrossRef
11.
go back to reference Kim W, Lim SK, Chung EJ, Woo JM. The effect of cognitive behavior therapy-based psychotherapy applied in a forest environment on physiological changes and remission of major depressive disorder. Psychiatry Investig. 2009;6(4):245–54.CrossRef Kim W, Lim SK, Chung EJ, Woo JM. The effect of cognitive behavior therapy-based psychotherapy applied in a forest environment on physiological changes and remission of major depressive disorder. Psychiatry Investig. 2009;6(4):245–54.CrossRef
12.
go back to reference Ulrich RS. Title of aesthetic and affective response to natural environment. In: Human behavior and environment. New York: Plenum; 1983. p. 85–125.CrossRef Ulrich RS. Title of aesthetic and affective response to natural environment. In: Human behavior and environment. New York: Plenum; 1983. p. 85–125.CrossRef
13.
go back to reference Kaplan S. The restorative benefits of nature: toward an integrative framework. J Environ Psychol. 1995;15(3):169–82.CrossRef Kaplan S. The restorative benefits of nature: toward an integrative framework. J Environ Psychol. 1995;15(3):169–82.CrossRef
14.
go back to reference Takeda A, Kondo T, Takeda N, Okada R, Kobayashi I. Good mind-healing and health keeping effects in the forest walking. Heart. 2009;41(4):405–12. (in Japanese). Takeda A, Kondo T, Takeda N, Okada R, Kobayashi I. Good mind-healing and health keeping effects in the forest walking. Heart. 2009;41(4):405–12. (in Japanese).
15.
go back to reference Independent Administrative Agency Forestry Research Institute. Comparison of therapy effects in different natural environments and research on familiar forest therapy effect. In: Forestry Research Institute Grant Project Research Outcome Collection, vol. 46; 2011. p. 1–42. (in Japanese). Independent Administrative Agency Forestry Research Institute. Comparison of therapy effects in different natural environments and research on familiar forest therapy effect. In: Forestry Research Institute Grant Project Research Outcome Collection, vol. 46; 2011. p. 1–42. (in Japanese).
18.
go back to reference Park BJ, Tsunetsugu Y, Kasetani T, Kagawa T, Miyazaki Y. The physiological effects of Shinrin-yoku (taking in the forest atmosphere or forest bathing): evidence from field experiments in 24 forests across Japan. Environ Health Prev Med. 2010;15:18–26.CrossRef Park BJ, Tsunetsugu Y, Kasetani T, Kagawa T, Miyazaki Y. The physiological effects of Shinrin-yoku (taking in the forest atmosphere or forest bathing): evidence from field experiments in 24 forests across Japan. Environ Health Prev Med. 2010;15:18–26.CrossRef
19.
go back to reference Tsunetsugu Y, Park BJ, Miyazaki Y. Trends in research related to “Shinrin-yoku” (taking in the forest atmosphere or forest bathing) in Japan. Environ Health Prev Med. 2010;15(1):27–37.CrossRef Tsunetsugu Y, Park BJ, Miyazaki Y. Trends in research related to “Shinrin-yoku” (taking in the forest atmosphere or forest bathing) in Japan. Environ Health Prev Med. 2010;15(1):27–37.CrossRef
20.
go back to reference Tsunetsugu E, Park BJ, Lee J, Kagawa T, Miyazaki Y. Psychological relaxation effect of forest therapy—results of field experiments in 19 forests in Japan involving 228 participants. Jpn J Hyg. 2011;66(4):670–6. (in Japanese).CrossRef Tsunetsugu E, Park BJ, Lee J, Kagawa T, Miyazaki Y. Psychological relaxation effect of forest therapy—results of field experiments in 19 forests in Japan involving 228 participants. Jpn J Hyg. 2011;66(4):670–6. (in Japanese).CrossRef
21.
go back to reference Yokoyama K et al. Profile of mood states-brief form. Kaneko Shobo, Tokyo; 2005. (in Japanese). Yokoyama K et al. Profile of mood states-brief form. Kaneko Shobo, Tokyo; 2005. (in Japanese).
22.
go back to reference Li Q, Kawada T. Possibility of clinical application of forest medicine. Jpn J Hyg. 2014;69(2):117–21. (in Japanese).CrossRef Li Q, Kawada T. Possibility of clinical application of forest medicine. Jpn J Hyg. 2014;69(2):117–21. (in Japanese).CrossRef
24.
go back to reference Morita E, Fukuda S, Nagano J, Hamajima N, Yamamoto H, Iwai Y, et al. Psychological effects of forest environments on healthy adults Shinrin-yoku (forest-air bathing, walking) as a possible method of stress reduction. Public Health. 2007;121(1):54–63.CrossRef Morita E, Fukuda S, Nagano J, Hamajima N, Yamamoto H, Iwai Y, et al. Psychological effects of forest environments on healthy adults Shinrin-yoku (forest-air bathing, walking) as a possible method of stress reduction. Public Health. 2007;121(1):54–63.CrossRef
25.
go back to reference Sakurai K, Nishi A, Kondo K, Yanagida K, Kawakami N. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan. Psychiatry Clin Neurosci. 2011;65:434–41.CrossRef Sakurai K, Nishi A, Kondo K, Yanagida K, Kawakami N. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan. Psychiatry Clin Neurosci. 2011;65:434–41.CrossRef
26.
go back to reference Cuijpers P, Smit F. Subthreshold depression as a risk indicator for major depressive disorder: a systematic review of prospective studies. Acta Psychiatr Scand. 2004;109:325–31.CrossRef Cuijpers P, Smit F. Subthreshold depression as a risk indicator for major depressive disorder: a systematic review of prospective studies. Acta Psychiatr Scand. 2004;109:325–31.CrossRef
27.
go back to reference Prochaska JJ, Sung HY, Max W, Shi Y, Ong M. Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization. J Methods Psychiatr Res. 2012;21(2):88–97.CrossRef Prochaska JJ, Sung HY, Max W, Shi Y, Ong M. Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization. J Methods Psychiatr Res. 2012;21(2):88–97.CrossRef
28.
go back to reference Inoue A, Kawakami N, Tsuno K, Tomioka K, Nakanishi M. Organizational justice and psychological distress among permanent and non-permanent employees in Japan: a prospective cohort study. Int J Behav Med. 2013;20(2):265–76.CrossRef Inoue A, Kawakami N, Tsuno K, Tomioka K, Nakanishi M. Organizational justice and psychological distress among permanent and non-permanent employees in Japan: a prospective cohort study. Int J Behav Med. 2013;20(2):265–76.CrossRef
29.
go back to reference Fukuhara S, Suzukamo Y. Health related QOL SF - 8 TM Japanese edition manual: NPO Health Medical Evaluation Research Organization, Kyoto; 2004. (in Japanese). Fukuhara S, Suzukamo Y. Health related QOL SF - 8 TM Japanese edition manual: NPO Health Medical Evaluation Research Organization, Kyoto; 2004. (in Japanese).
30.
go back to reference Sawada Y, Kato Y. Hemodynamics of ther finger photo-plethysmogram: Examinations with emphasis on normalized pulse volume. J J Physiol Psychol Pshychophysiol. 2014;32(3):157-72. (in Japanese).CrossRef Sawada Y, Kato Y. Hemodynamics of ther finger photo-plethysmogram: Examinations with emphasis on normalized pulse volume. J J Physiol Psychol Pshychophysiol. 2014;32(3):157-72. (in Japanese).CrossRef
31.
go back to reference Yoshida N, Asakawa T, Hayashi T, Matsuno-matumoto Y. Evaluation of the autonomic nervous function with plethysmography under the emotional stress stimuli. Biomed Eng. 2011;49(1):91–69. Yoshida N, Asakawa T, Hayashi T, Matsuno-matumoto Y. Evaluation of the autonomic nervous function with plethysmography under the emotional stress stimuli. Biomed Eng. 2011;49(1):91–69.
32.
33.
go back to reference Ochiai H, Ikei H, Song C, Kobayashi T, Miura T, Takamatsu A, et al. Physiological and psychological effects of a forest therapy program on middle-aged females. J Environ Res Public Health. 2015;12(3):2532–42.CrossRef Ochiai H, Ikei H, Song C, Kobayashi T, Miura T, Takamatsu A, et al. Physiological and psychological effects of a forest therapy program on middle-aged females. J Environ Res Public Health. 2015;12(3):2532–42.CrossRef
34.
go back to reference Horiuchi M, Endo J, Akatsuka S, Uno T, Hasegawa T, Seko Y. Influence of forest walking on blood pressure, profile of mood states and stress markers from the viewpoint of aging. J Aging Gerontol. 2013;1:9–17. Horiuchi M, Endo J, Akatsuka S, Uno T, Hasegawa T, Seko Y. Influence of forest walking on blood pressure, profile of mood states and stress markers from the viewpoint of aging. J Aging Gerontol. 2013;1:9–17.
35.
go back to reference Cooper SJ. From Claude Bernard to Walter Cannon. Emergence of the concept of homeostasis. Appetite. 2008;51:419–27.CrossRef Cooper SJ. From Claude Bernard to Walter Cannon. Emergence of the concept of homeostasis. Appetite. 2008;51:419–27.CrossRef
36.
go back to reference Kai Y, Nagamatsu T, Shiga T, Sugimoto M, Komatsu Y, Suyama Y. Association of leisure time physical activity on depressive symptoms with job strain. Bull Phys Fit Res Inst. 2009;107:1–10. (in Japanese). Kai Y, Nagamatsu T, Shiga T, Sugimoto M, Komatsu Y, Suyama Y. Association of leisure time physical activity on depressive symptoms with job strain. Bull Phys Fit Res Inst. 2009;107:1–10. (in Japanese).
37.
go back to reference Kubota A, Takeuchi R, Harada K. Longitudinal study on relationship between depressed state and physical fitness in workers. Welf Indic. 2011;58(4):15–22. (in Japanese). Kubota A, Takeuchi R, Harada K. Longitudinal study on relationship between depressed state and physical fitness in workers. Welf Indic. 2011;58(4):15–22. (in Japanese).
38.
go back to reference Tsujiura Y, Toyoda K. Physical and mental reactions to forest relaxation video studies on gender differences. Jpn J Hyg. 2013;68(3):175–88. (in Japanese).CrossRef Tsujiura Y, Toyoda K. Physical and mental reactions to forest relaxation video studies on gender differences. Jpn J Hyg. 2013;68(3):175–88. (in Japanese).CrossRef
39.
go back to reference Damasio A, Damasio H. Exploring the concept of homeostasis and considering its implications for economics. J Econ Behav Organ. 2016;216:125–9.CrossRef Damasio A, Damasio H. Exploring the concept of homeostasis and considering its implications for economics. J Econ Behav Organ. 2016;216:125–9.CrossRef
40.
go back to reference Yoshimura S, Okamoto Y, Onoda K, Mitsunaga M, Okada G, Kunisako K, et al. Cognitive behavioral therapy for depression changes medial prefrontal and ventral anterior cingulate cortex activity associated with self-referential processing. Soc Cogn Affect Neurosci. 2014;9(4):487–93.CrossRef Yoshimura S, Okamoto Y, Onoda K, Mitsunaga M, Okada G, Kunisako K, et al. Cognitive behavioral therapy for depression changes medial prefrontal and ventral anterior cingulate cortex activity associated with self-referential processing. Soc Cogn Affect Neurosci. 2014;9(4):487–93.CrossRef
41.
go back to reference Ishida H. Brain mechanisms for prediction of other’s perception and emotion. Emot Stud. 2016;2(1):31–7. (in Japanese). Ishida H. Brain mechanisms for prediction of other’s perception and emotion. Emot Stud. 2016;2(1):31–7. (in Japanese).
42.
go back to reference Roe J, Aspinall P. The restorative benefits of walking in urban and rural settings in adults with good and poor mental health. Health Place. 2011;17:103–13.CrossRef Roe J, Aspinall P. The restorative benefits of walking in urban and rural settings in adults with good and poor mental health. Health Place. 2011;17:103–13.CrossRef
Metadata
Title
A comparative study of the physiological and psychological effects of forest bathing (Shinrin-yoku) on working age people with and without depressive tendencies
Authors
Akemi Furuyashiki
Keiji Tabuchi
Kensuke Norikoshi
Toshio Kobayashi
Sanae Oriyama
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2019
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-019-0800-1

Other articles of this Issue 1/2019

Environmental Health and Preventive Medicine 1/2019 Go to the issue