Abstract

Sick leave due to stress-related disorders is increasing in Sweden after a period of decrease. To avoid that individuals living under heavy stress develop more severe stress-related disorders, different stress management interventions are offered. Self-assessed health, burnout-scores and well-being are commonly used as outcome measures. Few studies have used sick-leave to compare effects of stress interventions. A new approach is to use nature and garden in a multimodal stress management context. This study aimed to explore effects on burnout, work ability, stress-related health symptoms, and sick leave for 33 women participating in a 12-weeks nature based stress management course and to investigate how the nature/garden activities were experienced. A mixed method approach was used. Measures were taken at course start and three follow-ups. Results showed decreased burnout-scores and long-term sick leaves, and increased work ability; furthermore less stress-related symptoms were reported. Tools and strategies to better handle stress were achieved and were widely at use at all follow-ups. The garden and nature content played an important role for stress relief and for tools and strategies to develop. The results from this study points to beneficial effects of using garden activities and natural environments in a stress management intervention.

Keywords

nature-based therapy; garden activities; sleep quality; burnout; exhaustion disorder

Published in

International journal of environmental research and public health
2014, Volume: 11, number: 6, pages: 6586-6611
Publisher: MDPI AG

SLU Authors

• Sahlin, Eva

  • Department of People and Society, Swedish University of Agricultural Sciences
    

• Grahn, Patrik

  • Department of People and Society, Swedish University of Agricultural Sciences
    

Associated SLU-program

Nature experiences and health


Sustainable Development Goals

Achieve gender equality and empower all women and girls
Ensure healthy lives and promote well-being for all at all ages
Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all


UKÄ Subject classification

Public Health, Global Health, Social Medicine and Epidemiology
Health Care Service and Management, Health Policy and Services and Health Economy
Landscape Architecture


Publication identifier

DOI: https://doi.org/10.3390/ijerph110606586

Permanent link to this page (URI)

https://res.slu.se/id/publ/61101