Lee Insook, Choi Heeseung, Bang Kyung-Sook, Kim Sungjae, Song MinKyung, Lee Buhyun
Faculty of College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea.
College of Nursing, Seoul National University, Seoul 03080, Korea.
Int J Environ Res Public Health. 2017 Mar 20;14(3):321. doi: 10.3390/ijerph14030321.
This study systematically reviewed forest therapy programs designed to decrease the level of depression among adults and assessed the methodological rigor and scientific evidence quality of existing research studies to guide future studies. This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The authors independently screened full-text articles from various databases using the following criteria: (1) intervention studies assessing the effects of forest therapy on depressive symptoms in adults aged 18 years and older; (2) studies including at least one control group or condition; (3) peer-reviewed studies; and (4) been published either in English or Korean before July 2016. The Scottish Intercollegiate Guideline Network measurement tool was used to assess the risk of bias in each trial. In the final sample, 28 articles (English: 13, Korean: 15) were included in the systematic review. We concluded that forest therapy is an emerging and effective intervention for decreasing adults' depression levels. However, the included studies lacked methodological rigor. Future studies assessing the long-term effect of forest therapy on depression using rigorous study designs are needed.
本研究系统回顾了旨在降低成年人抑郁水平的森林疗法项目，并评估了现有研究的方法严谨性和科学证据质量，以指导未来的研究。本系统评价按照系统评价和Meta分析的首选报告项目指南进行。作者使用以下标准独立筛选来自各种数据库的全文文章：（1）评估森林疗法对18岁及以上成年人抑郁症状影响的干预研究；（2）至少包括一个对照组或对照条件的研究；（3）同行评审研究；（4）2016年7月之前以英文或韩文发表的研究。使用苏格兰校际指南网络测量工具评估每个试验的偏倚风险。在最终样本中，28篇文章（英文：13篇，韩文：15篇）被纳入系统评价。我们得出结论，森林疗法是一种新兴且有效的降低成年人抑郁水平的干预措施。然而，纳入的研究缺乏方法严谨性。需要未来的研究采用严谨的研究设计来评估森林疗法对抑郁的长期影响。
