Nature-based tourism and mental health: a scoping review of the available evidence
DOI:
https://doi.org/10.59169/pentaciencias.v8i4.1924Keywords:
nature-based tourism; mental health; scoping review; psychological well-being; PRISMA-ScRAbstract
Nature-based tourism has emerged as a potentially valuable non-pharmacological intervention for mental health, in a context of growing disconnection from the natural environment and a high global burden of depression, anxiety, and stress. This scoping review aimed to map the available evidence on the effects and benefits of nature-based tourism (nature tourism or nature-based adventure) on the mental health of people who participate in these activities. The Joanna Briggs Institute framework for scoping reviews was followed, with reporting according to the corresponding guideline. Scopus, Web of Science, and PubMed were searched, yielding 164 records; after removing 33 duplicates and conducting title/abstract screening and full-text review, 16 empirical studies were included. The results showed short-term reductions in depressive, anxiety, and stress symptoms, along with improvements in psychological well-being and restorative experiences, although long-term effects appeared to require more frequent interventions. Gaps were identified in Latin American contexts, longitudinal designs, and the integration of ancestral knowledge. These findings support nature-based tourism as a complementary public health strategy and point to priorities for future research.
Downloads
References
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Avecillas-Torres, I., Herrera-Puente, S., Galarza-Cordero, M., Coello-Nieto, F., Farfán-Pacheco, K., Alvarado-Vanegas, B., Ordóñez-Ordóñez, S., & Espinoza-Figueroa, F. (2025). Nature tourism and mental well-being: Insights from a controlled context on reducing depression, anxiety, and stress. Sustainability, 17(2), 654. https://doi.org/10.3390/su17020654
Bratman, G. N., & Gross, J. J. (2025). Why nature contact is good for us. Trends in Cognitive Sciences. https://doi.org/10.1016/j.tics.2025.11.003
Bratman, G. N., Anderson, C. B., Berman, M. G., Cochran, B., de Vries, S., Flanders, J., Folke, C., Frumkin, H., Gross, J. J., Hartig, T., Kahn, P. H., Jr., Kuo, M., Lawler, J. J., Levin, P. S., Lindahl, T., Meyer-Lindenberg, A., Mitchell, R., Ouyang, Z., Roe, J., … Daily, G. C. (2019). Nature and mental health: An ecosystem service perspective. Science Advances, 5(7), eaax0903. https://doi.org/10.1126/sciadv.aax0903
Buckley, R., Zhong, L., & Martin, S. (2022). Tourism as a tool in nature-based mental health: Progress and prospects post-pandemic. International Journal of Environmental Research and Public Health, 19(20), 13112. https://doi.org/10.3390/ijerph192013112
Chang, L., Moyle, B. D., Vada, S., Filep, S., Dupre, K., & Liu, B. (2024). Re-thinking tourist wellbeing: An integrative model of affiliation with nature and social connections. International Journal of Tourism Research, 26(2), Artículo e2644. https://doi.org/10.1002/jtr.2644
Chen, X., & Cheung, L. T. O. (2025). Balancing nature-based tourism and sustainable well-being: Exploring aesthetic quality, environmental benefits, and pro-environmental behaviour. Asia Pacific Journal of Tourism Research, 30(6), 809–830. https://doi.org/10.1080/10941665.2025.2470639
Choi, S., Choi, N., & Kim, I. (2023). Effect of restorative experience in reducing the risk perception of COVID-19 infection: Korean male campers’ well-being and willingness to pay a premium for camping. Journal of Men’s Health, 19(4), 26–39. https://doi.org/10.22514/jomh.2023.033
Clissold, R., Westoby, R., McNamara, K. E., & Fleming, C. (2022). Wellbeing outcomes of nature tourism: Mt Barney Lodge. Annals of Tourism Research Empirical Insights, 3(2), Artículo 100077. https://doi.org/10.1016/j.annale.2022.100077
Cvikl, D., Avguštin, C., & Kreft, S. (2022). The physiological and psychological effects benefits of forest therapy (FT) on tourists in the Kranjska Gora destination. Forests, 13(10), 1670. https://doi.org/10.3390/f13101670
Danby, P., & Grajfoner, D. (2022). Human–equine tourism and nature-based solutions: Exploring psychological well-being through transformational experiences. Journal of Hospitality & Tourism Research, 46(3), 607–629. https://doi.org/10.1177/1096348020978555
Guardini, B., Secco, L., Moè, A., Pazzaglia, F., De Mas, G., Vegetti, M., Perrone, R., Tilman, A., Renzi, M., & Rapisarda, S. (2023). A three-day forest-bathing retreat enhances positive affect, vitality, optimism, and gratitude: An option for green-care tourism in Italy? Forests, 14(7), 1423. https://doi.org/10.3390/f14071423
Huang, D., & Zhao, Q. (2026). Therapeutic attributes of forest wellness tourism and their impacts on tourists’ health benefits: A case study of the Qinshui Lishan National Primitive Forest Park of China. Sustainability, 18(11), 5432. https://doi.org/10.3390/su18115432
Jung, S., Shin, H., & Lee, H. (2025). Longitudinal analysis of happiness changes in nature-based travel. Annals of Tourism Research, 114, Artículo 104017. https://doi.org/10.1016/j.annals.2025.104017
Karacaoğlu, S. (2024). Searching for life satisfaction in nature through tourism: An exploratory research on hikers. European Journal of Tourism, Hospitality and Recreation, 14(1), 140–152. https://doi.org/10.2478/ejthr-2024-0010
Kotera, Y., Richardson, M., & Sheffield, D. (2022). Effects of shinrin-yoku (forest bathing) and nature therapy on mental health: A systematic review and meta-analysis. International Journal of Mental Health and Addiction, 20, 337–361. https://doi.org/10.1007/s11469-020-00363-4
Ohly, H., White, M. P., Wheeler, B. W., Bethel, A., Ukoumunne, O. C., Nikolaou, V., & Garside, R. (2016). Attention restoration theory: A systematic review of the attention restoration potential of exposure to natural environments. Journal of Toxicology and Environmental Health, Part B, 19(7), 305–343. https://doi.org/10.1080/10937404.2016.1196155
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES-20-00167
Pomfret, G., Sand, M., May, C., & Farkić, J. (2025). Exploring the transformational role of regular nature-based adventure activity engagement in mental health and long-term eudaimonic well-being. Behavioral Sciences, 15(4), 418. https://doi.org/10.3390/bs15040418
Siah, C. J. R., Goh, Y. S., Lee, J., Poon, S. N., Ow Yong, J. Q. Y., & Tam, W. W. (2023). The effects of forest bathing on psychological well-being: A systematic review and meta-analysis. International Journal of Mental Health Nursing, 32(4), 1038–1054. https://doi.org/10.1111/inm.13131
Tang, R., Zhao, X., & Guo, Z. (2024). Place perception and restorative experience of recreationists in the natural environment of rural tourism. Frontiers in Psychology, 15, 1341956. https://doi.org/10.3389/fpsyg.2024.1341956
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Ulrich, R. S., Simons, R. F., Losito, B. D., Fiorito, E., Miles, M. A., & Zelson, M. (1991). Stress recovery during exposure to natural and urban environments. Journal of Environmental Psychology, 11(3), 201–230. https://doi.org/10.1016/S0272-4944(05)80184-7
Vespestad, M.-K., Gressnes, T., & Smørvik, K. K. (2026). The meaning of escapism for tourists’ well-being in nature. Tourism Recreation Research, 51(3), 928–938. https://doi.org/10.1080/02508281.2025.2538235
Williams, A., & Ólafsdóttir, R. (2023). Nature-based tourism as therapeutic landscape in a COVID era: Autoethnographic learnings from a visitor’s experience in Iceland. GeoJournal, 88, 1737–1754. https://doi.org/10.1007/s10708-022-10713-5
World Health Organization. (2022). World mental health report: Transforming mental health for all. https://www.who.int/publications/i/item/9789240049338
Zhang, Y., Edelheim, J. R., & Ueda, H. (2026). Articulating a developmental transformation through forest-based tourism: A process perspective. Journal of Sustainable Tourism, 34(2), 336–354. https://doi.org/10.1080/09669582.2025.2482679
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Revista Científica Arbitrada Multidisciplinaria PENTACIENCIAS - ISSN 2806-5794.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

