The Influence of Audio-Visual Interactions on Psychological Responses of Young People in Urban Green Areas: A Case Study in Two Parks in China

Blue Space: Extracting the Sensory Characteristics of Waterscapes as a Potential Tool for Anxiety Mitigation

Objective: The purpose of this study is to investigate if there is a physiological stress response to the visual and auditory characteristics of waterscapes. Background: Biophilic research suggests that the presence of water can reduce stress, reduce blood pressure, and increase circulation. However, water has largely been omitted from healthcare design due to concerns of cost, maintenance, waterborne pathogens, and contamination. Existing research has not yet provided a design methodology to incorporate the healing effects of water without the potential diseases, contamination, and maintenance issues associated with physical water. Given the current technological capabilities, the isolation of the auditory and visual sensory stimuli has potential to re-introduce the healing benefits of water into healthcare design. Methods: Participants were either exposed to a slow-moving or fast-moving waterscape for 20 minutes. Pre- and post-anxiety were measured using the State Trait Anxiety Scale in an online Qualtrics survey (118 participants) and through a salivary cortisol biomarker (in which 26 participants also partook). Results: The overall results demonstrate that the utilization of digital blue space was effective in reducing stress. There was no significant difference between the lake or waterfall environment in both salivary cortisol and state-trait anxiety measures. However, it is suggested that the slow and fast-moving waterscapes may be beneficial in different settings. Conclusion: Design recommendations are made regarding potential biophilic design in healthcare facilities. The utilization of sensory waterscapes can also provide a cost affordable, non-pharmacological, alternative for anxiety mitigation for patients and staff undergoing high-stress situations.

Benefits of Urban Forest Healing Program on Depression and Anxiety Symptoms in Depressive Patients

Depression is considered a widespread mental health problem worldwide. Moreover, anxiety symptoms are very closely related to depression in patients, and it is known that the coexistence rate of depression and anxiety diagnosed simultaneously is high. Treatment and preventive management of depression and anxiety are essential for public health. Forest healing is attracting attention as a form of low-cost preventive medicine that is safe and has no side effects. However, although the physiological and psychological effects have been scientifically proven, it is insufficient to reveal a direct relationship between forest healing and depression. This study investigated the benefits of an urban forest healing program on depression and anxiety symptoms in depressive disorders. We employed a randomized controlled trial design. Forty-seven depressive patients were randomly divided into an urban forest healing program group and a control group. Measures included the Montgomery-Asberg depression rating scale (MADRS), the Hamilton Anxiety Rating Scale (HARS), and the State-Trait Anxiety Inventory (STAI) questionnaires. Our results revealed that the combination of general treatment and forest healing programs for patients with depression is more effective in improving depression and anxiety than routine treatment alone. We expect our work to serve as a starting point for more sophisticated research discussing the availability of non-pharmacological treatments in forest healing.

Soundwalk path affecting soundscape assessment in urban parks

Introduction

Previous soundscape studies focused on sound perception and acoustic comfort in sampled sites and ignored the characteristics of the experiential process along the paths. Therefore, the effects of soundwalk paths on soundscape assessment should be explored.

Methods

In this study, a typical urban park was selected as a case study. The differences, characteristics, and effects of soundwalk paths on the soundscapes were explored, based on a soundwalk survey and laboratory study.

Results

The results are as follows: first, in the soundwalk, different soundwalk paths in the urban park had significant effects on the perceived extent of individual sound and soundscape assessment. Second, the soundscape assessment was consistent with the peak-end rule. In the laboratory experiments, the peak assessment of soundscape appeared at the end location of the soundwalk paths, it was critical to the overall soundscape assessment. Furthermore, in the soundwalk, the overall perceived extent of individual sound was strongly affected by the perceived extent of dominant sounds at the end location of the soundwalk paths. Third, in the soundwalk, the sound loudness contrast path (noise-quiet/quiet-noise) and sound source contrast path (natural-artificial sound/artificial-natural sound) were compared. In the noise-quiet path, the assessment of acoustic comfort was higher than that in the quiet-noise path, and the assessment of subjective loudness was lower than that in the quiet-noise path (p < 0.01). The subjective loudness of the artificial-natural sound path was lower than that in the natural-artificial sound path (p < 0.05).

Discussion

Thus, the design of the soundwalk paths was expected to enhance visitors' soundscape assessment of urban parks.

Acoustic information masking effects of natural sounds on traffic noise based on psychological health in open urban spaces

The use of existing resources, such as natural sounds, to promote the mental health of citizens is an area of research that is receiving increasing attention. This research contributes to existing knowledge by combining a field psychological walk method and an experimental acoustic control method to compare the acoustic information masking effects of water and birdsong sounds on traffic noise based on the psychological health responses of 30 participants to such effects. The influence of traffic noise and contextual sounds on the psychological health of participants identified the potential of natural sounds in the acoustic information masking of traffic noise. Furthermore, it was found that 65.0 dBA water sounds did not mask 60.0 dBA traffic noises. However, 45.0 dBA birdsong sounds did mask it, but this effect was not significant. Additionally, contextual factors with and without crowd activity sounds were not significant in influencing psychological health through birdsong. This study contributes to public health cost savings. It may also guide the development of new ideas and methods for configuring open urban spaces according to public health needs.

Effects of Urban Forest Therapy Program on Depression Patients

Depression is a common serious mental health condition that can have negative personal and social consequences, and managing it is critical for treating depression patients. Forest therapy is emerging as a promising non-pharmacological intervention to improve mental health. However, although the effectiveness of forest therapy programs using forests far from the city has been proven, it is not well known that urban forests can be easily accessed in daily life. Therefore, this study aimed to examine the effects of an urban forest therapy program on depression symptoms, sleep quality, and somatization symptoms of depression patients. To evaluate this, a randomized controlled trial (RCT) design was employed. A total of 47 depression patients participated in this study (22 in the urban forest therapy program group and 25 in the control group). The Beck Depression Inventory (BDI), the Hamilton Rating Scale for Depression (HRSD), the Pittsburgh Sleep Quality Index (PSQI), and the Patient Health Questionnaire-15 (PHQ-15) were administered to each participant to assess the effects of the urban forest therapy program. The results of this study revealed that depression patients in the urban forest therapy program had significantly alleviated depression symptoms and improved sleep quality and somatization symptoms compared to the control group. In conclusion, this study demonstrates the possibility that the urban forest therapy program could be used as an effective non-pharmacological treatment to alleviate depression disorder.

Effect of Forest Therapy on Depression and Anxiety: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis aimed to summarize the effects of forest therapy on depression and anxiety using data obtained from randomized controlled trials (RCTs) and quasi-experimental studies. We searched SCOPUS, PubMed, MEDLINE(EBSCO), Web of science, Embase, Korean Studies Information Service System, Research Information Sharing Service, and DBpia to identify relevant studies published from January 1990 to December 2020 and identified 20 relevant studies for the synthesis. The methodological quality of eligible primary studies was assessed by ROB 2.0 and ROBINS-I. Most primary studies were conducted in the Republic of Korea except for one study in Poland. Overall, forest therapy significantly improved depression (Hedges’s g = 1.133; 95% confidence interval (CI): −1.491 to −0.775) and anxiety (Hedges’s g = 1.715; 95% CI: −2.519 to −0.912). The quality assessment resulted in five RCTs that raised potential concerns in three and high risk in two. Fifteen quasi-experimental studies raised high for nine quasi-experimental studies and moderate for six studies. In conclusion, forest therapy is preventive management and non-pharmacologic treatment to improve depression and anxiety. However, the included studies lacked methodological rigor and required more comprehensive geographic application. Future research needs to determine optimal forest characteristics and systematic activities that can maximize the improvement of depression and anxiety.

Waterscapes for Promoting Mental Health in the General Population

The WHO estimates that, with the development of urbanization, 25% of the population is suffering from psychological and mental distress. Preliminary evidence has suggested that aquatic environments and riparian areas, i.e., waterscapes, can benefit psychological and mental wellbeing. The aim of this study was to identify the processes of waterscape psychological and mental health promotion through aliterature review. We propose a design framework of waterscapes for achieving psychological and mental health in the general population that often visits waterscapes, which has the function of therapeutic landscapes through values of accessibility, versatility, habitats, and biodiversity. According to theories, waterscapes can improve psychological and mental health to divert negative emotions through mitigation (e.g., reduced urban heat island), instoration (e.g., physical activity and state of nature connectedness), and restoration (e.g., reduced anxiety/attentional fatigue). By accessing water (e.g., streams, rivers, lakes, wetlands, and the coast) and riparian areas, people can get in close contact with nature and spend more time in activities (e.g., walking, exploring, talking, and relaxing). Waterscapes with healing effects can enhance psychological resilience to promote people's psychological and mental health. Future research should focus on ensuring an adequate supply of waterscapes and promoting the efficiency of waterscape ecosystem services on mental health. Moreover, fora deep understanding of the complexity of nature-human health associations, it is necessary to explore more consistent evidence for therapeutic waterscapes considering the characteristics and functional mechanisms of waterscape quality, in terms of freshness, luminescence, rippling or fluidity, and cultural value, to benefit public health and biodiversity conservation.

Evaluation of Soundscapes in Urban Parks in Olsztyn (Poland) for Improvement of Landscape Design and Management

Soundscape analyses and noise measurements should be a part of pre-design works involved in planning green areas in city centers. The aim of the study was to conduct a multi-criteria analysis of the soundscape of three parks in Olsztyn (Poland) as a part of the landscape planning process to determine the directions of re-design of places most exposed to noise. The research included: 1. functional and spatial analysis of the park surroundings in reference to the city environment, 2. analysis of the acoustic map, 3. measurements of sound pressure levels (SPL) at selected points in two periods (leafless and leafy), 4. analysis of characteristic sounds, 5. interview with park users and preparation of a mental map. The results of research regarding the perception of the soundscape of all three parks by respondents differ slightly from the results of both the acoustic map and SPL measurements. The results also confirm the difference between SPL in the leafless and leafy period. Places most exposed to noise are located at the park boundaries along the main access roads, and at park entrances. Recommendations and sample solutions are proposed, based on two suggested design activities, namely the reduction of undesirable sounds, and introduction of desirable sounds to the parks.