Bing Ye

Background: The escalating mental health crisis among graduate students has become a pressing public health concern, necessitating the development of effective, accessible, and low-cost stress management strategies. While exposure to green spaces is known to benefit psychological well-being, the differential efficacy of structured versus unstructured forest activities remains understudied. Methods: This investigation evaluated the emotion regulation benefits of short-term forest healing experiences among graduate students in Beijing. The study compared the effects of forest versus urban environments and compared therapist-guided versus unguided modalities. Results: Results indicated that: (1) Brief outdoor activities significantly reduced negative emotions (tension, depression, anger, fatigue, confusion) across all groups; (2) Compared with the urban environment, the forest environment demonstrated greater efficacy in regulating emotions, supported by superior environmental quality (e.g., higher negative air ions, lower noise) ; and (3) Notably, the presence of a forest therapist did not yield statistically superior benefits compared to unguided forest exposure. Conclusion: These findings suggest that self-guided forest bathing serves as a sufficient, cost-effective, and easily accessible intervention for daily stress reduction. Consequently, promoting unguided nature exposure offers a scalable public health solution to mitigate the mental health burden in high-stress academic populations.

With the progress of science and technology, humans’ ability to transform and create has been greatly enhanced, but so have the physical and mental ailments associated with environmental degradation and urbanization. Human survival and health are strongly linked to nature, and there is growing evidence that exposure to nature promotes health and well-being. However, there is currently a lack of synthesis among empirical studies on these aspects for the findings to be sufficient for informing public health strategies and social policy. Here, following basic guidelines for systematic review and meta-analysis, we searched PubMed, Web of Science, ScienceDirect, and Scopus databases in January 2023. The results of our search and analysis show that nature can improve people’s health and well-being from two aspects: physical (reduces CVDs, increases immunity, improves autonomic nervous system function, and improves sleep quality) and psychological (restores attention, improves mood, reduces stress, and improves cognitive development). The ways in which people derive health from nature are varied, and tailored, personalized, symptom-specific exposure can further increase the health benefits. More importantly, it seems that people can gain the health benefits of nature by only being exposed to it for a short time. We incorporate the existing scientific evidence in our review and develop a new heuristic point of view on the necessity of exposure to natural environments for the health of individuals.

Forests have provided support for human health and survival since ancient times. With improved public awareness of health issues and the importance of forest ecological functions, forest therapy has gradually gained momentum. Forest therapies have been applied around the world as preventive and alternative therapies to promote human health. As a safe, side-effect-free, low-cost, preventive, and alternative therapy, forest therapy has been scientifically proven to promote physical and mental health in humans. However, the forest therapy service system is still underdeveloped, and forest therapy has not become a mainstream part of clinical medical treatment methods in most countries worldwide. Therefore, in order to better present the development path and current situation of forest therapy in different countries and provide guidance for how other countries can develop similar interventions and clinical sites to base these activities, this study uses Germany, Japan, and China as examples to systematically tease out how forest therapy has developed and the status of forest therapy services in different countries, as well as the health benefits of forest therapy. Furthermore, the key components and traditional cultural and socioeconomic backgrounds related to forest therapy are discussed. Finally, based on published empirical research, we believe that forest therapy can be a solution to public health problems thanks to its multiple, medically proven health benefits. Forest therapy facilitates the return of people to the forest and nature to achieve health and well-being effects. However, there is a need for more research on the mechanisms (such as the immune system, endocrine system, nervous system, etc.) underlying forest therapy’s effectiveness, which should include strengthened collaborations between disciplines. In addition, the role of forest therapy services in promoting human health needs to be emphasized.

As an important part of the ecological infrastructure in urban areas, urban wetland parks have the significant ecological function of relieving the discomfort of people during their outdoor activities. In recent years, the specific structures and ecosystem services of urban wetland parks have been investigated from different perspectives. However, the microclimate and human thermal comfort (HTC) of urban wetland parks have rarely been discussed. In particular, the changing trends of HTC in different seasons and times have not been effectively presented. Accordingly, in this research, a monitoring platform was established in Xixi National Wetland Park, China, to continually monitor its microclimate in the long term. Via a comparison with a control site in the downtown area of Hangzhou, China, the temporal variations of the microclimate and HTC in the urban wetland park are quantified, and suggestions for clothing are also provided. The results of this study demonstrate that urban wetland parks can mitigate the heat island effect and dry island effect in summer. In addition, urban wetland parks can provide ecological services at midday during winter to mitigate the cold island effect. More importantly, urban wetland parks are found to exhibit their best performance in improving HTC during the daytime of the hot season and the midday period of the cold season. Finally, the findings of this study suggest that citizens should take protective measures and enjoy their activities in the morning, evening, or at night, not at midday in hot weather. Moreover, extra layers are suggested to be worn before going to urban wetland parks at night in cold weather, and recreational activities involving accommodation are not recommended. These findings provide not only basic scientific data for the assessment of the management and ecological health value of Xixi National Wetland Park and other urban wetland parks with subtropical monsoon climates, but also a reference for visitor timing and clothing suggestions for recreational activities.

As a result of rapid urbanization and urban sprawl, natural ecosystems are shrinking or are fragmented, affecting people’s health and quality of life. Modern people prefer to live in large cities rather than rural areas because of greater convenience and more comfortable living conditions. As a consequence, people are suffering from many psycho-physiological health problems and have a longing for natural environments to escape the concrete jungle. Forest therapy has emerged as a preventive and alternative therapy to cope with stress and enhance people’s health and wellbeing as a result of spending time in a green and healthy environment. Here, we review the activities related to forest therapy in China and discuss the commonalities and differences between the forest therapy types. Furthermore, we summarize the current achievements of forest therapy in basic research and the development of the forest therapy industry. We also describe the challenges that forest therapy has been facing. Finally, we provide suggestions for further development in research and industry.