Taylor Andrea Faber, Kuo Frances E
Department of Natural Resources and Environmental Sciences, University of Illinois, Urbana-Champaign, Urbana, IL 61801, USA.
J Atten Disord. 2009 Mar;12(5):402-9. doi: 10.1177/1087054708323000. Epub 2008 Aug 25.
In the general population, attention is reliably enhanced after exposure to certain physical environments, particularly natural environments. This study examined the impacts of environments on attention in children with ADHD.
In this within subjects design, each participant experienced each of three treatments (environments) in single blind controlled trials. Seventeen children 7 to 12 years old professionally diagnosed with ADHD experienced each of three environments-a city park and two other well-kept urban settings-via individually guided 20-minute walks. Environments were experienced 1 week apart, with randomized assignment to treatment order. After each walk, concentration was measured using Digit Span Backwards.
Children with ADHD concentrated better after the walk in the park than after the downtown walk (p = .0229) or the neighborhood walk (p = .0072). Effect sizes were substantial (Cohen's d =.52 and .77, respectively) and comparable to those reported for recent formulations of methylphenidate.
Twenty minutes in a park setting was sufficient to elevate attention performance relative to the same amount of time in other settings. These findings indicate that environments can enhance attention not only in the general population but also in ADHD populations. "Doses of nature" might serve as a safe, inexpensive, widely accessible new tool in the tool kit for managing ADHD symptoms.
在普通人群中,接触某些物理环境,尤其是自然环境后,注意力会得到可靠增强。本研究考察了环境对多动症儿童注意力的影响。
在这项被试内设计中,每位参与者在单盲对照试验中体验三种治疗(环境)中的每一种。17名7至12岁被专业诊断为患有多动症的儿童,通过单独引导的20分钟散步,体验了三种环境——一个城市公园和另外两个维护良好的城市环境。环境体验间隔为1周,治疗顺序随机分配。每次散步后,使用数字倒背广度测试来测量注意力。
患有多动症的儿童在公园散步后的注意力比在市中心散步后(p = .0229)或在社区散步后(p = .0072)更好。效应量很大(科恩d值分别为.52和.77),与近期报道的哌甲酯制剂的效应量相当。
相对于在其他环境中相同的时间,在公园环境中待20分钟足以提高注意力表现。这些发现表明,环境不仅可以增强普通人群的注意力,也可以增强多动症人群的注意力。“自然剂量”可能成为管理多动症症状工具包中一种安全、廉价、广泛可用的新工具。