About this trial
This study is focused on understanding the impact of time spent in nature (relative to an urban control) on stress, neural, and cardiac functioning in people experiencing high levels of stress, depression, and anxiety.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Meets cut-off for high level of perceived stress on PSS-10 during screening (>27 total score); Current or past depressive and anxiety disorders, if present on SCID-5 assessment, will be ncluded due to their high prevalence and overlap with perceived stress
Normal, or corrected to normal, vision (due to the visual nature of the EEG tasks)
If on psychotropic medication, stable regime for > 1 month
Disqualifiers
Major medical conditions with CNS sequelae (e.g., seizure disorders, multiple sclerosis, significant, uncontrolled cardiovascular pathology) Past or present neurological problems (including seizures and head trauma resulting in neurological or cognitive sequelae)
IQ estimate <75 on the Test of Premorbid Functioning
Current or past history of severe mental illness (e.g., bipolar schizophrenia spectrum disorder, or current or past history of substance use disorders
Trial population
Individuals endorsing high stress levels will be recruited from the community and UCSF clinician outreach through flyer, media advertisements. Current or past depressive and anxiety disorders, if present, will be included due to their high prevalence and overlap with perceived stress.
Trial design
Case-crossover
Prospective
Treatments tested in this trial
Nature vs. Urban walks
Other interventionWe will evaluate the impact of spending time in nature vs. an urban control on EEG-based measures of reward and attention and resting heart rate variability
Treatment groups
Trial outcomes
Primary outcomes
Brain functioning
EEG (neural) measures of attention and reward processing ; resting EEG (including frequency-based analyses of canonical frequency bands, e.g., gamma, beta, alpha, delta, theta) and event-related potential measures (reflecting attention, e.g, P300 and reward/affective processing, e.g., reward positivity, late positive potential).
Heart Rate Variability
This measure reflect the variation in heart beat rate, over time. Specifically we will measure heart rate during the EEG recordings and calculate the RMSSD (Root Mean Square of Successive Differences) of heartbeat R-R intervals.
Sponsors and contacts
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National Institutes of Health (NIH)
Lead sponsor
University of California, San Francisco
Sponsor institution