The Relationship between Physical Activity in a Natural Environment and Symptoms of Anxiety and Depressive Disorders A Cross-Sectional Study among University Students

Main Article Content

Yilin Li
Maxine Newell

Abstract

Mental health is a raising concern globally. Anxiety disorders and depression dominate among all mental health problems. Previous studies have shown that physical activity, especially when done in an outdoor natural setting, may have a positive impact on improving mental health including depression and anxiety symptoms. This descriptive correlational study was conducted at Asia-Pacific International University, Thailand to investigate the relationship between physical activity in a natural environment and the occurrence of depressive and anxiety disorder symptoms. In the study conducted, a cross-sectional design was used involving a total of 62 online students who participated in a survey in the midst of the COVID-19 pandemic. The results indicated a high prevalence of depressive (67.2%) and anxiety (77%) symptoms ranging from mild to extremely severe. The data were analyzed using Pearson’s correlation. The results showed a weak but insignificant negative (r = – 0.157) correlation between physical activity in a natural environment and anxiety symptoms, and a weak but insignificant positive (r = 0.134) correlation between physical activity in a natural environment and depressive symptoms.

Article Details

Section
Research Articles

References

American Psychological Association. (2022, August). Anxiety. https://www.apa.org/topics/anxiety

Anxiety & Depression Association of America. (2022, October 28). Anxiety disorders – facts & statistics. https://adaa.org/understanding-anxiety/facts-statistics

Beyer, K. M. M., Kaltenbach, A., Szabo, A., Bogar, S., Nieto, F. J., & Malecki. (2014). Exposure to neighborhood green space and mental health: Evidence from the survey of the health of Wisconsin. International Journal of Environmental Research and Public Health, 11(3), 3453–3472. https://doi.org/10.3390/ijerph110303453

Chekroud, S. R., Gueorguieva, R., Zheutlin, A. B., Paulus, M., Krumholz, H. M., Krystal, J. H., & Chekroud, A. M. (2018). Association between physical exercise and mental health in 1.2 million individuals in the USA between 2011 and 2015: A cross-sectional study [Abstract]. Lancet Psychiatry, 5(9), 739–746. https://doi.org/10.1016/ S2215-0366(18)30227-X

Dattani, S., Ritchie, H., & Roser, M. (2021, August). Mental health. Our World in Data. https://ourworldindata.org/mental-health#citation

Garber, J., & Weersing, V. R. (2010). Comorbidity of anxiety and depression in youth: Implications for treatment and prevention. Clinical Psychology: Science and Practice, 17(4), 293–306. https://doi.org/10.1111/j.1468-2850.2010.01221.x

GBD 2019 Diseases and Injuries Collaborators. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: A systematic analysis for the global burden of disease study 2019. Lancet, 396(10258), 1204–1222. https://www.thelancet.com/action/showPdf?pii=S0140-6736%2820%2930925-9

Grasdalsmoen, M., Eriksen, H. R., Lønning, K. J., & Sivertsen, B. (2020). Physical exercise, mental health problems, and suicide attempts in university students. BMV Psychiatry, 20, 175. https://doi.org/10.1186/s12888-020-02583-3

Hossain, M., Sultana, A., Ma, P., Fan, Q., Sharma, R., Purohit, N., & Sharmin, D. F. (2020). Effects of natural environment on mental health: An umbrella review of systematic reviews and meta-analyses [Preprints]. Psy. Ar. Xiv. https://doi.org/10.31234/osf.io/4r3mh

Howell, A. J., & Passmore, H. (2013). The nature of happiness: Nature affiliation and mental well-being. In C. L. M. Keyes (Ed.), Mental well-being: International contributions to the study of positive mental health (pp. 231–257). https://doi.org/10.1007/978-94-007-5195-8_11

International Physical Activity Questionnaire (IPAQ). (2012). International physical activity questionnaire. https://sites.google.com/site/theipaq/questionnaire_links?fbclid=IwAR3DZqx0I__eHErdi7XLQWah_wbgOA0v-VXb-ii8eqZy5Z-ULYL-Slv2byo

Lawton, E., Brymer, E., Clough, P., & Denovan, A. (2017). The relationship between the physical activity environment, nature relatedness, anxiety, and the psychological well-being benefits of regular exercisers. Frontiers in Psychology, 8, 1058. https://doi.org/10.3389/fpsyg.2017.01058

Mayer, F. S., Frantz, C. M., Bruehlman-Senecal, E., & Dolliver, K. (2009). Why is nature beneficial? The role of connectedness to nature. Environment and Behavior, 41(5), 607–643. https://doi.org/10.1177/ 0013916508319745

Mayo Clinic. (2023). Depression (Major depressive disorder). Mayo Foundation for Medical Education and Research. https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007

Mitchell, R. (2013). Is physical activity in natural environments better for mental health than physical activity in other environments? Social Science & Medicine, 91, 130–134. https://doi.org/10.1016/j.socscimed.2012.04. 012

Norton, P. J. (2007). Depression anxiety and stress scales (DASS-21): Psychometric analysis across four racial groups. Anxiety Stress Coping, 20(3), 253–265. https://doi.org/10.1080/10615800701309279

NovoPsych. (2021). Depression anxiety stress scales - Short form (DASS-21). https://novopsych.com.au/ assessments/depression/depression-anxiety-stress-scales-short-form-dass-21/

Oliva, S., Russo, G., Gili, R., Russo, L., Mauro, A. D., Spagnoli, A., Fegatelli, D. A., Romani, M., Costa, A., Veraldi, S., & Manti, F. (2021). Risks and protective factors associated with mental health symptoms during COVID-19 home confinement in Italian children and adolescents: The #Understandingkids study. Frontiers in Pediatrics, 9, 664702. https://doi.org/10.3389/fped.2021.664702

Pan American Health Organization. (2019, October 2). Mental health problems are the leading cause of disability worldwide, say experts at PAHO Directing Council side event. https://www3.paho.org/hq/index.php?option= com_content&view=article&id=15481:mental-health-problems-are-the-leading-cause-of-disability-worldwide-say-experts-at-paho-directing-council-side-event&Itemid=72565&lang=en

Panchal, N., Kamal, R., Cox, C., & Garfield, R. (2021, February 10). The implications of COVID-19 for mental health and substance use. Kaiser Familu Foundation. https://www.kff.org/coronavirus-covid-19/issue-brief/the-implications-of-covid-19-for-mental-health-and-substance-use/

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. General Psychiatry, 33, 1–3.

Samuelsson, K., Barthel, S., Colding, J., Macassa, G., & Giusti, M. (2020). Urban nature as a source of resilience during social distancing amidst the coronavirus pandemic [Preprint]. https://doi.org/10.31219/osf.io/3wx5a

Schuch F. B., Vancampfort, D., Firth, J., Rosenbaum, S., Ward, P. B., Silva, E.S., Hallgren, M., Leon, A. P. D., Dunn, A. L., Deslandes, A. C., Fleck, M. P., Carvalho, A. F., & Stubbs, B. (2018). Physical activity and incident depression: A meta-analysis of prospective cohort studies. The American Journal of Psychiatry, 175(7), 631–648. https://doi.org/10.1176/appi.ajp.2018.17111194

Stubbs, B., Vancampfort, D., Rosenbaum, S., Firth, J., Cosco, T., Veronese. N., Salum, G. A., & Schuch, F. B. (2017). An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. Psychiatry Research, 249, 102–108. https://doi.org/10.1016/j.psychres.2016.12.020

Taniguchi, K., Takano, M., Tobari, Y., Hayano, M., Nakajima, S., Mimura, M., Tsubota, K., & Noda, Y. (2022). Influence of external natural environment including sunshine exposure on public mental: A systematic review. Psychiatry International, 3(1), 91–113. https://doi.org/10.3390/psychiatryint3010008

University of Wisconsin-Madison. (2023). Depression anxiety stress scale-21(DASS21). Addiction Research Center. https://arc.psych.wisc.edu/self-report/depression-anxiety-stress-scale-21-dass21/

World Health Organization. (2018, March 30). Mental health: Strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response

World Health Organization. (2021, September 13). Depression. https://www.who.int/news-room/fact-sheets/detail/depression