confinement Archives | NeuroLandscape

Between 19 April and 12 May 2020, we ran an online survey titled "VHE for Well-Being". Our goal was to better understand people's psychological needs, especially the relationship between Covid-19 confinement and mental health. We also aimed to test feasibility and demand for Virtual Healthy Environments (VHE) - our solution for health and well-being. To do this, we developed a questionnaire in five languages: English, Polish, Italian, Spanish and French and shared it through our website and social media (see the call for responses here). Please check out the summary of our work below! A special thank you to all participants who helped us discover these important trends!

Sample Characteristics

We collected 507 (318 female) responses from nearly every continent, but mainly from Europe. Most were from Poland, Spain and Italy, primarily representing two different socio-geographic zones: South-European (Mediterranean) and Central European regions. There were also contributions from France and the UK to help understand Western European trends.

The respondents were between 19 and 90 years old, with most between 24 and 41 years old (n=294). There were 23 elderly respondents (>65 years old). The largest portion of our respondents was from high-density cities (33%) or large or medium-sized cities (25%). 12% reported living in the suburbs of big cities. This means the majority of respondents (70%) were from the urban population.

Summary of Main Findings

We ran our analysis based on two groups of psychological issues:

1. General mental health & well-being: comprised of the feelings of loneliness, helplessness, isolation, restlessness, sadness or depression, anxiety, worry and uncertainty about the future, higher irritability, and insomnia.

2. Productivity & cognitive performance: comprised of the feeling of boredom, problems with memory, and decreased motivation, productivity and concentration.

- A large majority (85%) of respondents missed meeting with friends and family the most during confinement (Figure 8). Travelling and contact with nature were the second most missed activities with 59% and 58% of people affected, respectively. Over half (53%) of respondents missed events and socialising, 36% missed going to work and/or school and 37% practising sport.

Percentage of respondents listing each activity in response to the question: "What did you miss the most in the period of confinement?", broken down by gender.

Did people miss nature?

- In our survey, 58% of people reported missing contact with nature during the confinement period. Interestingly, this was an activity missed equally by men and women; people of all ages, across all income brackets, and levels of education.
- People living in big cities missed contact with nature significantly more than others (strong link found between city size and missing nature during confinement).
- Also, self-employed individuals and homemakers reported missing nature significantly more than others.

Lack of time in nature was a significant factor during Covid-19 confinement and mental health was negatively affected as a result
Other research shows that people are poor at explicitly seeing the positive health effect of nature: it is good for them, but they are not always aware of it. This makes it challenging to capture these effects in self-reported surveys. This highlights the need for providing education about and evidence for the benefits of exposure to nature on mental health and well-being.

Can Virtual Healthy Environments be a Solution?

At NeuroLandscape we are developing a self-care tool based on Virtual Reality (VR) technology and exposure to nature (read more about the project). It is a solution for all those who cannot access healing natural environments as often as they would like to in order to keep their mind healthy. We addressed some survey questions to test the feasibility of our solution. This will be useful to support our research grant applications. Below are some interesting findings we hope will convince the grantors.

The vast majority (79%) of respondents declared being interested in VR technology. VR use at home and during potential future confinement periods was the preferred situation.
People who declared missing travelling were more likely to try Virtual Healthy Environments.
Women, in general, reported greater interest in using VR for contact with nature and self-care activities than men (32% vs. 17% for contact with nature), while men preferred VR for games and movies.

"For what activities would you use VR technology?" - Percentage of individuals who listed each activity, broken down by gender.

Other interesting findings

Overall, people reported a decline in mental health and wellbeing due to confinement. However, the effect was not incremental over time (more time confined did not correlate with worse mental health and wellbeing). Our respondents missed meeting friends and family the most, followed by travelling, socializing, and contact with nature. The least missed activity was shopping. Nature was missed more by urban than rural dwellers, but it was equally missed by men and women, people of all ages, across all income brackets, and levels of education. Interestingly, people who missed going to work or school reported worsened productivity and cognitive performance as a consequence of confinement.

Conclusions

This survey has more clearly defined the relationship between Covid-19 confinement and mental health. Respondents were not only able to self-report the effects on their mood, but also shared the degree to which specific activities were missed. These findings were useful in evaluating the potential of the VHE app in helping to mitigate the negative effects of adverse stressful circumstances (such as the confinement period). They show it could be effective to provide a digital tool based on VR for improving mental health.

Landscape architects and urban ecology researchers have always been trying to bring people more to the outdoors, make the most of urban parks and gardens, calling the public attention to issues such as nature deficit disorder, mental health consequences from spending our time mostly indoors, looking at phones or monitors…

Today, the situation is calling for staying at home out of social responsibility or simply following the new regulations. Those who haven’t got a garden, those who live in dense cities are being completely disconnected from nature. Many countries, such as Poland for example, have banned access to any forests, parks and gardens for all citizens in the cities or in the countryside.

There is a lot of shaming going on for those who leave homes to get a walk outside. It is in fact socially irresponsible to go out now and risk spreading the virus to others.

As this is not the post to tell people what they should or shouldn’t do. It is rather to remind ourselves of the psychological consequences of social distancing, self-isolation and disconnection with nature that we all are facing now.

Many of us will feel lonely, bored and stuck; our motivation to work, productivity and ability to concentrate on tasks may decrease. We may experience restlessness and insomnia, depression, anxiety and high irritability. All these are typical for “cabin fever syndrome”, and fit very well to what we’re facing today. Adding the worry and uncertainty about the future on the top of this doesn’t make it better…

Getting out from home, and even unconscious contact with nature (being under the sky, feeling the slight breeze of wind, seeing flowers or trees) can have a powerful positive effect on us today. Nature can help us keep sane and grounded. If you cannot go outside, spend time on the balcony, gaze outside the window, observe the moving clouds, or leaves dancing with the wind. Even observing the daylight moving along the daily cycle gives some connection to the environment outside.

Conscious practice of the connection with nature can help you keep mental health hygiene in these difficult times.

Stay healthy and sane everyone!

Agnieszka Olszewska-Guizzo

President and Founder of NeuroLandscape. Ph.D. in Landscape Architecture and Urban Ecology, in her research she explores the relationship between the different features of the natural and built environment’s influence on human health and well-being. She has successfully incorporated neuroscience tools to investigate the changes in brainwave oscillation in people exposed to different types of scenery. She has introduced and operationalized the term contemplative landscape and proposed a quantitative assessment scale – a Contemplative Landscapes Model (CLM) – to identify most beneficial landscapes for mental health in terms of passive exposure. She is an author of “Neuroscience for Designing Green Spaces: Contemplative Landscapes”, Editor-in-Chief of the Journal of Urban Design and Mental Health. She is continuing her research on therapeutic landscapes under two ongoing Horizon Europe projects: GreenME and GreenInCities.