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Virtual nature, real relief: how exposure to virtual natural environments reduces anxiety, stress, and depression in healthy adults

Lunxin Chen, Ruixiang Yan, Jialiang Yu

2025npj Digital Medicine9 citationsDOIOpen Access PDF

Abstract

Stress, anxiety, and depression represent significant challenges to global public health. Exposure to virtual natural environments, as a convenient and scalable intervention, has shown uncertain effects on healthy adults. This systematic review and meta-analysis aims to comprehensively evaluate the impact of exposure to virtual natural environments on stress, anxiety, and depression in healthy adults. A total of 24 studies were included after searching five databases. The results indicate that exposure to virtual natural environments effectively reduces anxiety levels (SMD = 0.82, p < 0.001, large effect), stress levels (SMD = 0.577, p = 0.003, moderate effect), and depression levels (SMD = 0.621, p < 0.001, moderate effect) in healthy adults. These findings suggest that exposure to virtual natural environments has a positive impact on mental health and can serve as a viable alternative when direct access to natural environments is not feasible.

Topics & Concepts

Depression (economics)Natural (archaeology)AnxietyPsychologyMental healthVirtual machineComputer scienceApplied psychologyVirtual realityClinical psychologyMedicinePublic healthEnvironmental healthScalabilityNatural experimentAffect (linguistics)Virtual Reality Applications and ImpactsUrban Green Space and HealthSpatial Cognition and Navigation
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