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Friluftsliv in Eating Disorder Recovery: A Systematic Review

Lise K.J. Trangsrud, Marit Borg, Solfrid Bratland-Sanda

Abstract


Participation in friluftsliv has gained increased attention along with the growing concern regarding the extended prominence of mental health challenges. The objective of this study was to conduct a systematic review of various forms of friluftsliv as part of recovery processes for people experiencing eating disorders. Following the PRISMA guidelines, we systematically searched in five databases and 5,994 hits were retrieved. Screening of abstracts according to the inclusion and exclusion criteria identified 13 full-text studies as eligible. The most prominent findings were improved body image and enhanced self-esteem following participation in friluftsliv. However, more high-quality research is necessary for an increased understanding of if, and how, friluftsliv can contribute in the recovery processes and reduction of factors associated with eating disorders.

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Keywords


recovery; friluftsliv; eating disorder; body image; self-esteem

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References


Ackard, D. M., Cronemeyer, C. L., Franzen, L. M., Richter, S. A., & Norstrom, J. (2011). Number of Different Purging Behaviors Used Among Women With Eating Disorders: Psychological, Behavioral, Self-Efficacy and Quality of Life Outcomes. Eating Disorders, 19(2), 156-174. doi:10.1080/10640266.2010.511909

American Psychiatric Association. (1994). Diagnostic criteria from DSM-IV. Washington, D.C: American Psychiatric Association.

Annerstedt, M., & Währborg, P. (2011). Nature-assisted therapy: Systematic review of controlled and observational studies. Scandinavian Journal of Public Health, 39(4), 371-388. doi:10.1177/1403494810396400

Arnold, S. (1994). Transforming body image through women's wilderness experiences. Women & Therapy, 15(3-4), 43-54. doi:10.1300/J015v15n03_05

Barr-Wilson, S. K., & Roberts, N. S. (2016). Adolescent girls and body image: Influence of outdoor adventure on healthy living. Journal of Outdoor Recreation, Education and Leadership, 8(2), 148-164. doi:10.18666/JOREL-2016-V8-I2-7693

Beery, T. H. (2013). Nordic in Nature: Friluftsliv and Environmental Connectedness. Environmental Education Research, 19(1), 94-117. doi:10.1080/13504622.2012.688799

Borg, M. (2009). Bedringsprosesser slik de leves i hverdagslivet ; brukererfaringer ved alvorlige psykiske lidelser. Tidsskrift for Norsk

psykologforening, 46(5), 452-459.

Bowler, D. E., Buyung-Ali, L. M., Knight, T. M., & Pullin, A. S. (2010). A systematic review of evidence for the added benefits to health of exposure to natural environments. BMC Public Health, 10, 456-456. doi:10.1186/1471-2458-10-456

Bratland-Sanda, S., Andersson, E., Best, J., Høegmark, S., & Roessler, K. K. (2017). The use of physical activity, sport and outdoor life as tools of psychosocial intervention: the Nordic perspective. Sport in Society, 1-17. doi:10.1080/17430437.2017.1389037

CASP. (2018). Critical Appraisal Skills Programme Qualitative Checklist. Retrieved from https://casp-uk.net/wp-content/uploads/2018/03/CASP-Qualitative-Checklist-Download.pdf

Coker, E., & Abraham, S. (2014). Body weight dissatisfaction: A comparison of women with and without eating disorders. Eating Behaviors, 15(3), 453-459. doi:10.1016/j.eatbeh.2014.06.014

Cook, B., Wonderlich, S. A., Mitchell, J., Thompson, R., Sherman, R., & McCallum, K. (2016). Exercise in Eating Disorders Treatment: Systematic Review and Proposal of Guidelines. Medicine & Science in Sports & Exercise, 1408-1414 doi:10.1249/MSS.0000000000000912

Davidson, L., & Roe, D. (2007). Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery. Journal of Mental Health, 16(4), 459-470. doi:10.1080/09638230701482394

Duesund, L., & Skårderud, F. (2003). Use the Body and Forget the Body: Treating Anorexia Nervosa with Adapted Physical Activity. Clinical Child Psychology and Psychiatry, 8(1), 53-72. doi:10.1177/1359104503008001007

Edwards-Leeper, L. A. (2004). A longitudinal investigation of the psychological benefits of a wilderness program for adolescent girls. (Doctoral Thesis), Bowling Green State University, Ohio.

Eilers, G. M. (1997). My Lessons for Living from Adventure Therapy. Journal of Experiential Education, 20(2), 61-65. doi:10.1177/105382599702000201

Fisker, H. J. (2010). Rehabiliterende friluftsprogram: Udvikling, afprøvning og evaluering af metode vedrørende fritidstilbud med udgangspunkt i friluftsaktiviteter i naturen til unge med spiseforstyrrelser (8779035019). Retrieved from http://docplayer.dk/2931036-Rehabiliterende-friluftsprogram-fisker-hans-joergen.html

Folkehelsebiblioteket. (2017). MeSH på Norsk - begreper innen medisin og helsefag. Retrieved from http://mesh.uia.no/

Gatzemann, T., Schweizer, K., & Hummel, A. (2008). Effectiveness of Sports Activities With an Orientation on Experiential Education, Adventure-Based Learning and Outdoor-Education. Kinesiology, 40(2), 146-152.

Gelter, H. (2000). Friluftsliv: The Scandinavian philosophy of outdoor life. Canadian Journal of Environmental Education (CJEE), 5(1), 77-92.

Gurholt, K. P. (2008a). Norwegian friluftsliv and ideals of becoming an ‘educated man’. Journal of Adventure Education & Outdoor Learning, 8(1), 55-70. doi:10.1080/14729670802097619

Gurholt, K. P. (2008). Norwegian friluftsliv as bildung : a critical review. In P. Becker & J. Schirp (Eds.), Other ways of learning: the European Institute for outdoor adventure and experiential learning 1996-2006 (pp. 131-154). Marburg: bsj.

Haluza, D., Schönbauer, R., & Cervinka, R. (2014). Green Perspectives for Public Health: A Narrative Review on the Physiological Effects of Experiencing Outdoor Nature. International Journal of Environmental Research and Public Health, 11(5), 5445-5461. doi:10.3390/ijerph110505445

Hartig, T., van Den Berg, A. E., Hagerhall, C. M., Tomalak, M., Bauer, N., Hansmann, R., . . . Schipperijn, J. (2011). Health Benefits of Nature Experience: Psychological, Social and Cultural Processes. Dordrecht: Dordrecht: Springer Netherlands. doi:10.1007/978-90-481-9806-1_5

Henderson, B., & Vikander, N. (2007). Nature first : outdoor life the Friluftsliv way. Toronto: Natural Heritage Books.

Henderson, K. A., & King, K. (1998). Recreation programming for adolescent girls: rationale and foundations. Journal of Park and Recreation Administration, 16(2), 1-14.

Hoek, H. W., & Van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. 34, 383-396. Hoboken. doi:10.1002/eat.10222

Hofmann, A. R. (2018). Norwegian friluftsliv : a way of living and learning in nature. Münster: Waxmann.

Horgen, A. (2019). Sikkerhet og risiko i norsk friluftsliv og naturbasert reiseliv — en kulturhistorisk studie. (Doctoral Dissertation), Universitetet i Sørøst-Norge, Bø i Telemark.

Hovey, K., Foland, J., Foley, J. T., Kniffin, M., & Bailey, J. (2016). Predictors of change in body image in female participants of an outdoor education program. Journal of Outdoor Recreation, Education and Leadership, 8(2), 200-208. doi:10.18666/JOREL-2016-V8-I2-7698

Kaptian, J. (2003). Blazing new trails: Adventure Therapy for adolescents with eating disorders. American Journal of Recreation Therapy, 2, 41-44.

Karolinska, I. (2017). Dubblettrensning i Endnote. Retrieved from https://kib.ki.se/soka-vardera/systematiska-oversikter/dubblettrensning-i-endnote

Keniger, L., Gaston, K., Irvine, K., & Fuller, R. (2013). What are the Benefits of Interacting with Nature? International Journal of Environmental Research & Public Health, 10, 913-935. doi:10.3390/ijerph10030913

Klump, K. L., Bulik, C. M., Kaye, W. H., Treasure, J., & Tyson, E. (2009). Academy for eating disorders position paper: Eating disorders are serious mental illnesses. International Journal of Eating Disorders, 42(2), 97-103. doi:10.1002/eat.20589

Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011). Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. British Journal of Psychiatry, 199(6), 445-452. doi:10.1192/bjp.bp.110.083733

Leirhaug, P. E., Haukeland, P. I., & Faarlund, N. (2019). Friluftslivsvegledning som verdidannende læring i møte med fri natur. In L. Hallandvik & J. Høyem (Eds.), Friluftslivspedagogikk (pp. 15-32). Oslo: Cappelen Damm Akademisk.

Maller, C., Townsend, M., Pryor, A., Brown, P., & St Leger, L. (2006). Healthy nature healthy people: 'contact with nature' as an upstream health promotion intervention for populations. Health Promotion International, 21(1), 45-54. doi:10.1093/heapro/dai032

Martin, B. (2006). Outdoor leadership : theory and practice. Champaign, Ill: Human Kinetics.

Matoff, M., & Matoff, S. (2001). Eating Disorder Recovery: Learning from the Client's Healing Journey. Women & Therapy, 23(4), 43-54. doi:10.1300/J015v23n04_04

Mayer, F. S., Frants, C. M., Bruehlman-Senecal, E., & Dolliver, K. (2009). Why Is Nature Beneficial?: The Role of Connectedness to Nature. Environment and Behavior, 41(5), 607-643. doi:10.1177/0013916508319745

McDermott, L. (2004). Exploring intersections of physicality and female‐only canoeing experiences 1. Leisure Studies, 23(3), 283-301. doi:10.1080/0261436042000253039

Mitchison, D., Mond, J., Slewa-Younan, S., & Hay, P. (2013). The prevalence and impact of eating disorder behaviours in Australian men. Journal of Eating Disorders, 1(Suppl 1), O23. doi:10.1186/2050-2974-1-S1-O23

Mitten, D. (1992). Empowering Girls and Women in the Outdoors. Journal of Physical Education, Recreation & Dance, 63(2), 56-60. doi:10.1080/07303084.1992.10604117

Mitten, D., & D'amore, C. (2018). The nature of body image: the relationship between women's body image and physical activity in natural environments. In D. A. Vakoch & S. Mickey (Eds.), Women and Nature? Beyond Dualism in Gender, Body and Environment (pp. 96-116). New york: Routledge. doi:10.4324/9781315167244-7

Mitten, D., & Woodruff, S. (2010). The Impact of Short-Term Adventure Experiences on Body Image Perceptions of Women over 40. 32, 322-326. doi:10.1177/105382590903200320

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Journal of Clinical Epidemiology, 62(10), 1006-1012. doi:10.1016/j.jclinepi.2009.06.005

Newbery, L. (2003). Will Any/Body Carry that Canoe? A Geography of the Body, Ability, and Gender. Canadian Journal of Environmental Education, 8(1), 204-216.

NHLBI. (2018a). National Heart Blood and Lung Institute Quality Assessment Tool for Before-After (Pre-Post) Studies With No Control Group. Retrieved from https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools

NHLBI. (2018b). National Heart Blood and Lung Institute Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Retrieved from https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools

Paxton, S. J., Neumark-Sztainer, D., Hannan, P. J., & Eisenberg, M. E. (2006). Body Dissatisfaction Prospectively Predicts Depressive Mood and Low Self-Esteem in Adolescent Girls and Boys. Journal of Clinical Child and Adolescent Psychology, 35(4), 539-549. doi:10.1207/s15374424jccp3504_5

Peat, C. M., Peyerl, N. L., & Muehlenkamp, J. J. (2008). Body Image and Eating Disorders in Older Adults: A Review. The Journal of General Psychology, 135(4), 343-358. doi:10.3200/GENP.135.4.343-358

Pettersen, G. (2007). Eating disorders: studies of understanding and recovery. (Doctoral Dissertation), Norwegian University of Science and Technology, Trondheim.

Pettersen, G., & Rosenvinge, J. H. (2002). Improvement and Recovery from Eating Disorders: A Patient Perspective. The Journal of Treatment & Prevention, 10(1), 61-71. doi:10.1002/erv.425

Pohl, S. L., Borrie, W. T., & Patterson, M. E. (2000). Women, wilderness, and everyday life: A documentation of the connection between wilderness recreation and women's everyday lives. Journal of Leisure Research, 32(4), 415-434. doi:10.1080/00222216.2000.11949925

Pryor, A., Carpenter, C., & Townsend, M. (2005). Outdoor Education and Bush Adventure Therapy: A Socio-Ecological Approach to Health and Wellbeing. Australian Journal of Outdoor Education, 9(1), 3-13. doi:10.1007/BF03400807

Reed, P., & Rothenberg, D. (1993). Wisdom in the open air: the Norwegian roots of deep ecology. Minneapolis, Minn: University of Minnesota Press.

Richards, K. (2008). A feminist analysis of developing an adventure therapy intervention for the treatment of eating disorders in women. (Doctoral Thesis), Liverpool John Moores University, Liverpool.

Richards, K., Carpenter, C., & Harper, N. (2011). Looking at the landscape of adventure therapy: making links to theory and practice. Journal of Adventure Education & Outdoor Learning, 11(2), 83-90. doi:10.1080/14729679.2011.632877

Riese, H., & Vorkinn, M. (2002). The production of meaning in outdoor recreation: A study of Norwegian practice. Norsk Geografisk Tidsskrift - Norwegian Journal of Geography, 56(3), 199-206. doi:10.1080/00291950260293020

Shapiro, C. M. (2012). Eating Disorders: Causes, Diagnosis and Treatments. New York: Nova Science Publishers, Inc.

Stevenson, M. P., Schilhab, T., & Bentsen, P. (2018). Attention Restoration Theory II: a systematic review to clarify attention processes affected by exposure to natural environments. Journal of toxicology & Environmental Health, Part B, 21(4), 227-268. doi:10.1080/10937404.2018.1505571

Swami, V., Barron, D., Weis, L., & Furnham, A. (2016). Bodies in nature: Associations between exposure to nature, connectedness to nature, and body image in U.S. adults. Body Image, 18, 153-161. doi:10.1016/j.bodyim.2016.07.002

Swami, V., Von Nordheim, L., & Barron, D. (2016). Self-esteem mediates the relationship between connectedness to nature and body appreciation in women, but not men. Body Image, 16, 41-44. doi:10.1016/j.bodyim.2015.11.001

Topor, A., Borg, M., Di Girolamo, S., & Davidson, L. (2011). Not just an individual journey: social aspects of recovery. The International journal of social psychiatry, 57(1), 1-10. doi:10.1177/0020764010345062

Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J., & Hopp, L. (2017). Chapter 3: Systematic reviews of effectiveness. In E. M. Aromataris, Z. (Ed.), Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute.

Vancampfort, D., Vanderlinden, J., De Hert, M., Adámkova, M., Skjaerven, L. H., Catalán-Matamoros, D., . . . Probst, M. (2013). A systematic review on physical therapy interventions for patients with binge eating disorder. Disability and Rehabilitation, 35(26), 2191-2196. doi:10.3109/09638288.2013.771707

Vikene, O. L. (2012). Psykisk helse og opplevelsen av deltakelse i friluftsliv. Tidsskrift for psykisk helsearbeid, 9(04), 345-354.

Warren, K., Mitten, D., D’amore, C., & Lotz, E. (2019). The Gendered Hidden Curriculum of Adventure Education. Journal of Experiential Education, 42(2), 140-154. doi:10.1177/1053825918813398

Whittington, A. (2006). Challenging Girls' Constructions of Femininity in the Outdoors. Journal of Experiential Education, 28(3), 205-221. doi:10.1177/105382590602800304

Whittington, A., Mack, E. N., Budbill, N. W., & McKenney, P. (2011). All-Girls Adventure Programmes: What Are the Benefits? Journal of Adventure Education and Outdoor Learning, 11(1), 1-14. doi:10.1080/14729679.2010.505817




DOI: https://doi.org/10.18666/JOREL-2020-V12-I2-9607

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