Berman · Journal of affective disorders 2012 · randomized crossover trial · n=20

Interacting with nature improves cognition and affect for individuals with depression.

Cited 809 times in the scientific literature.

Level 2 - randomized trial

Individual randomized crossover trial

PubMed 22464936 · doi:10.1016/j.jad.2012.03.012 · record verified 2026-08-29

What was done

Twenty individuals diagnosed with major depressive disorder (MDD) completed a counterbalanced within-subjects crossover study. Mood and short-term memory span were measured at baseline using the Positive and Negative Affect Schedule (PANAS) and the backwards digit span (BDS) task. Participants were primed for rumination by reflecting on an unresolved negative autobiographical event before taking a 50-minute walk in either a natural or an urban setting. Mood and memory were reassessed post-walk. One week later, participants repeated the protocol in the alternate environment.

What was found

Participants showed a significantly greater increase in memory span following the nature walk compared to the urban walk (p < .001, partial η² = .53). Mood increases were also observed, though changes in mood did not correlate with changes in memory span. Absolute numerical scores for mood and memory were not reported in the abstract.

Why it matters

This study suggests that brief exposure to natural environments may enhance working memory and mood in individuals with major depressive disorder, indicating potential utility as a low-cost adjunctive behavioral intervention.

Limits

The sample size was very small (n = 20), limiting precision and generalizability. Absolute outcome values and confidence intervals were not provided in the abstract, blinding to the intervention environment was impossible, and long-term durability of the observed improvements was not evaluated.

Cited by