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The role of nature in rehabilitation for individuals with stress-related mental disorders

Alnarp Rehabilitation Garden as supportive environment

Pálsdottír, Anna María (2014). The role of nature in rehabilitation for individuals with stress-related mental disorders. Diss. (sammanfattning/summary) Alnarp : Sveriges lantbruksuniv., Acta Universitatis Agriculturae Sueciae, 1652-6880 ; 2014:45
ISBN 978-91-576-8038-9
eISBN 978-91576-8039-6
[Doctoral thesis]

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The Alnarp Rehabilitation Garden was established in 2002 as a research and development project involving nature-based rehabilitation (NBR), based on empirical evidence that natural environments (nature) can have a positive effect on human health and well-being. The aim of this thesis was to investigate the Alnarp Rehabilitation Garden as a supportive environment in NBR with a special focus on the role of nature in relation to the rehabilitation process and essential qualities that might affect health outcome.
Through trans-disciplinary joint co-operation, state-of-the-art NBR was described and research gaps for further studies were identified. The participants’ perspectives on the role of natural environments in NBR and the essential qualities that support rehabilitation processes were identified in a longitudinal prospective single-case study. In a prospective interventional study, the changes in participants’ experienced value of everyday occupations, self-rated health and function in everyday life were assessed after NBR. The results revealed a new quality of supportive environment was i.e. Social quietness, which refers to the participants’ urgent need for solitary encounters with nature. An explanatory model of a supportive environment is presented, illustrating how nature and nature-related occupations can facilitate and support the rehabilitation process in an NBR context. The most essential qualities of supportive environments in the rehabilitation garden were the Perceived Sensory Dimensions of: serene, nature, prospect, refuge and space as well as qualities of extent, being away, fascination and compatibility. Significant positive changes were measured regarding self-rated health, improved function in everyday life and perceived occupational values in daily life, especially the value of self-reward. Nature’s supported role seems to be extended to everyday life for restorative occupations.
These findings are of importance both when designing outdoor environments and as a springboard in the future work of drawing up certification criteria for supportive environments in an NBR context. However, there is a great need to identify specific features of natural environments that may support health processes.

Authors/Creators:Pálsdottír, Anna María
Title:The role of nature in rehabilitation for individuals with stress-related mental disorders
Subtitle:Alnarp Rehabilitation Garden as supportive environment
Series Name/Journal:Acta Universitatis Agriculturae Sueciae
Year of publishing :22 May 2014
Number of Pages:106
I.Stigsdotter, U.K., Palsdottir, A.M., Burls, A., Chermaz, A., Ferrini F. & Grahn P. (2011). Nature-based therapeutic interventions. In Nilsson K, Sangster, M., Gallis, C., Hartig, T., de Vries, S., Seeland, K., Schipperijn, J. (eds). Forests, Trees and Human Health. Dordrecht: Springer Science+Business Media B.V.; 309-42.
II.Pálsdóttir, A.M., Persson, D., Persson, B. & Grahn, P. (2014). The journey of recovery and empowerment embraced by nature – the client’s perspective on nature-based rehabilitation in relation to the role of the natural environments. Journal of Environmental Research and Public Health (in review).
III.Pálsdóttir, A.M., Stigsdotter, U.K., Persson, D., Thorpert, P. & Grahn, P. Client’s perspective on supportive locations at the Alnarp Rehabilitation Garden. – A longitudinal single-case study on nature-based rehabilitation (manuscript).
IV.Pálsdóttir, A.M., Grahn, P. & Persson D. (2014). Perceived value of everyday occupations after nature-based vocational rehabilitation. Scandinavian Journal of Occupational Therapy, volume 21 (1), 58-68, (doi:10.3109/11038128.2013.832794).
Place of Publication:Alnarp
Publisher:Dept. of Work Science, Business Economics and Environmental Psychology, Swedish University of Agricultural Sciences
ISBN for printed version:978-91-576-8038-9
ISBN for electronic version:978-91576-8039-6
Publication Type:Doctoral thesis
Full Text Status:Public
Agris subject categories.:X Agricola extesions > X38 Human medicine, health, and safety
Subjects:(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 305 Other Medical Sciences > Other Medical Sciences not elsewhere specified
(A) Swedish standard research categories 2011 > 4 Agricultural Sciences > 401 Agricultural, Forestry and Fisheries > Horticulture
Agrovoc terms:therapy, mental health, horticulture, interdisciplinary research, health hazards, occupational health, natural environment, gardening
Keywords:Exhaustion disorder, Perceived sensory dimension, Evidence-based health design, Horticultural therapy, Occupation balance, Transdisciplinary rehabilitation, ValMO
Permanent URL:
ID Code:11218
Faculty:LTV - Fakulteten för landskapsarkitektur, trädgårds- och växtproduktionsvetenskap
Department:(LTJ, LTV) > Department of Work Science, Business Economics, and Environmental Psychology (until 2020)
Deposited By: PhD Anna Maria Pálsdóttir
Deposited On:23 May 2014 10:30
Metadata Last Modified:02 Dec 2014 11:06

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