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Therapeutic interventions in a rehabilitation garden may induce temporary extrovert and/or introvert behavioural changes in patients,suffering from stress-related disorders
Institution:1. Department of Work Science, Business Economics and Environmental Psychology, Swedish University of Agricultural Sciences, P.O. Box 88, SE-230 53 Alnarp, Sweden;2. Department of Animal Environment and Health, Section of Anthrozoology and Applied Ethology, Swedish University of Agricultural Sciences, P.O. Box 234, SE-532 23 Skara, Sweden;1. Horticultural Therapy, Graduate School of Agriculture and Animal Science, Konkuk University, Seoul, 05029, Republic of Korea;2. Department of Environmental Health Science, Sanghuh College of Life Science, Konkuk University, Seoul, 05029, Republic of Korea;1. Laboratory of Floriculture & Landscape Architecture, Department of Crop Science, School of Agricultural Production, Infrastructure and Environment, Agricultural University of Athens, Iera Odos 75, 11855, Athens, Greece;2. Department of Statistics, Athens University of Economics and Business, 76 Patission Str., 10434, Athens, Greece;3. First Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, Eginition Hospital, 74 Vas. Sophias Avenue, 11528, Athens, Greece;4. University Mental Health Research Institute (UMHRI), 2 Soranou tou Efesiou (PO Box 66 517), Athens, 15601, Greece;5. Eugenides Foundation, 387 Syggrou Ave., 17564, Paleo Faliro, Athens, Greece
Abstract:Patients being treated for stress-related mental illness were observed during two summer programs in order to investigate the influence of multimodal nature-based therapy in a specially designed healing garden on patient recovery. The aim was to distinguish specific qualities, patterns and/or processes during the participants' stay in the healing garden. The study is a single-case study, using participatory observation. The data were coded following an inductive research process. The results showed that patients who underwent psychotherapy were more open and contact-seeking, and carried out extrovert recreational walks. By contrast, patients who underwent physiotherapy were introverted, emotionally withdrawn and performed introvert recreational walks. Interpretation of the data suggested that treatment combined with activities in certain parts of the rehabilitation garden induced and supported different psycho-physiological processes. The mechanisms and progress of these are discussed from the theory of situated cognition, and how these processes are stimulated and supported by characteristics in the garden. Oxytocin, a hypothalamic peptide which stimulates social interaction, induces anti-stress effects and stimulates growth and healing, may hypothetically be involved in these processes.
Keywords:Evidence based health design  Horticultural therapy  Nature based therapy  Common mental disorders  Situated cognition  Oxytocin
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