Restoration and the City: The Role of Public Urban Squares

Community environmental healing benefits: A systematic review comparing intervening variables, environments, and outcomes

As the smallest spatial unit in the city, the community should be an important space for healing the urban population. This paper presents a systematic review summarizing studies on community healing environments. The study identified 75 publications. The research findings are as follows: the main intervening variables include restorativeness, emotions and mood, stress, and well-being. Little attention has been paid to the intervening variables including social support, environmental preferences and satisfaction, place attachment, behavior types that respond to personal will, self-fulfillment, and the spirit of personal culture. The various types of natural environments in communities have been given focused attention for a long time. However, the superiority of the natural environment should not be a reason to underestimate the healing benefits of community spaces. The mechanisms by which environmental characteristics are transformed into positive individual influences through intervening variables should be explored.

Elucidating and Expanding the Restorative Theory Framework to Comprehend Influential Factors Supporting Ageing-in-Place: A Scoping Review

Exposure to stress and attention fatigue resulting from changes in capabilities and residing in environments that do not align with individual needs can adversely impact older adults' mental health and complicate ageing-in-place. Research into the psychological restoration process can help assist in alleviating these issues. Existing research on restoration perspectives has predominantly centred on university students and lacks comprehensive insights into older adults. Consequently, this study seeks to acquire a deeper understanding of the restorative theory framework within the context of ageing populations. We identified and analysed thirty-nine papers on the restoration process of older adults employing the scoping review method. Our findings indicate that adjustments to the general restorative theory framework are imperative for ageing populations. By incorporating additional features-such as being with and familiarity-the framework can more effectively support the development of age-inclusive neighbourhoods that enhance the mental health of the older population and facilitate healthy ageing-in-place. While more in-depth research is required on the restoration process of older adults, this research marks the initial in adapting the general framework to ageing populations. Furthermore, insight is given into how the adapted framework can contribute to help address the challenges of global ageing and support ageing-in-place.

Nature Photographs as Complementary Care in Chemotherapy: A Randomized Clinical Trial

The incidence of cancer cases is increasing worldwide, and chemotherapy is often necessary as part of the treatment for many of these cases. Nature-based interventions have been shown to offer potential benefits for human well-being.

OBJECTIVE

This study aims to investigate the outcome of nature images on clinical symptom management related to chemotherapy.

METHODS

A randomized clinical trial was conducted in an outpatient cancer unit of a private hospital in Brazil, with 173 participants over the age of 18 who were undergoing chemotherapy and had signed an informed consent form. The intervention consisted of the presentation of a 12-min video featuring nature images categorized under the themes of Tranquility, Beauty, Emotions Up, or Miscellany. Images were sourced from the e-Nature Positive Emotions Photography Database (e-NatPOEM), a publicly available collection of affectively rated images. Sociodemographic and clinical data, as well as the participants' connection to nature, were investigated. The Positive Affect/Negative Affect Scale (PANAS) and the Edmonton Symptom Assessment System (ESAS) were applied pre- and post-intervention.

RESULTS

Data showed very strong evidence of a reduction in negative affect for the intervention group (p < 0.001) and moderate evidence for the control group (p = 0.034). There was also a significant reduction in the intervention group for pain (p < 0.001), tiredness (p = 0.002), sadness (p < 0.001), anxiety (p < 0.001), and appetite (p = 0.001). The Beauty video had the best performance, while the Tranquility video showed no significant improvement in any of the symptoms evaluated. These findings suggest that images of nature may be a valuable tool to help control clinical and psychological symptoms in cancer patients undergoing chemotherapy.

Urban cultural heritage is mentally restorative: an experimental study based on multiple psychophysiological measures

Introduction

Urban cultural heritage sites bear the cultural functions of a city, hold spiritual and cultural value, can recall emotional memories, and serve the cultural leisure activities of the residents. Urban cultural heritage sites can help citizens perceive a sense of belonging and a feeling of relaxation, but whether and to what extent cultural heritage sites affect mental health remains unknown.

Methods

Based on attention restoration theory, multiple research methods are adopted in this study to examine the impact of cultural heritage on human restorative mechanisms. Five representative cultural heritage sites from the cultural heritage-rich city of Xi'an are selected as the research object. In addition, a questionnaire survey and physiological experiments are conducted. Perceived restorative scale, skin conductance response, heart rate variability, and eye movement data while viewing photographs of the cases are collected from the participants.

Results

Results show that cultural heritage sites have psychophysiological restorative effects, which are especially significant in the fascination dimension. Moreover, historical buildings can promote the restorative effects of cultural heritage sites.

Discussion

This finding may lead to new conservation and innovation planning strategies considering the mental health effects of cultural heritage.

Development of the Acoustic Comfort Assessment Scale (ACAS-12): Psychometric properties, validity evidence and back-translation between Spanish and English

A methodological proposal of a scale for human perception assessment of acoustic environment (acoustic comfort) in urban public spaces is presented: Acoustic Comfort Assessment Scale (ACAS 12). This paper shows the process of constructing this scale and its psychometric properties and validation. The approach is based on the soundscape conceptualisation collected in ISO 12913-1:2014 (Acoustics-Soundscape: Definition and conceptual framework). The proposed scale is a 5-point semantic differential scale made up of twelve pairs of bipolar adjectives, grouped around five theoretical dimensions. It is based on previous versions of 2-point and 3-point scales. The ACAS-12 scale is the result of several empirical studies carried out by the authors on environmental and acoustic comfort assessment, beginning in 2011 in some cities of the Basque Country (Spain). Selected urban open places cover a wide variability of acoustic and non-acoustic characteristics, as well as the type of participants (real users) and activities carried out in these places. The original language of this scale is Spanish. The back-translation technique has been applied to create the English version. The results highlight the good psychometric properties of the ACAS 12 scale (Cronbach's alpha 0.91 and composite reliability 0.90) and indicate that the best factorial solution is that of a single factor composed of the 12 pairs of adjectives that would explain approximately 50% of the ACAS-12 variance (44% of extracted variance by Raykov's method or 56% by the MAP test). The absolute and incremental fit indices were above the minimum reference value of 0.90 and the residual-based indices showed values close to suitability (SRMR = 0.057; RMSEA = 0.042). This result supports the consideration of the ACAS-12 scale as a general measure of acoustic comfort.

Research on the psychologically restorative effects of campus common spaces from the perspective of health

Contemporary college students are suffering from increasingly serious psychological health problems, such as attention fatigue, psychological stress and negative emotions. A growing body of evidence has revealed that restorative environment design is conducive to psychological health. As the main choice of venue for students' daily activities, campus common spaces are supposed to be restorative to some extent. Given the above, the author studied 22 common spaces in the South China University of Technology (SCUT) Wushan Campus from the perspective of college students' behavioral patterns based on theories pertaining to restorative environments, then constructed a structural equation model (SEM) analyzing the psychologically restorative effects exerted by the characteristics of campus common spaces upon college students through a scale design and questionnaire survey. With the analysis of 478 valid questionnaires, the research found that the characteristics of campus common spaces with psychologically restorative effects mainly comprise the architectural environment, landscape environment, rest facilities and activity facilities. Among them, the characteristics of activity facilities and the landscape environment have the greatest impact on psychologically restorative effects, accounting for 33 and 30% of the total effects, respectively; they are followed by those of the architectural environment, which accounts for 21% of the total effects; those of the rest facilities have the least impact, accounting for 16% of the total effects. The research also found that the characteristics of campus common spaces can both directly influence college students' psychological recovery and produce psychologically restorative effects mediated by college students' behavioral patterns. The mediation effect of college students' behavioral patterns accounts for approximately 41% of the total effect of psychological restoration, in which the psychologically restorative effect of dynamic exercise behaviors is 2.5 times that of static leisure behaviors. The research reveals how the characteristics of campus common spaces promote the psychological restoration of college students, and it provides inspiration for healthy environment design in campus common spaces.

Integrating Soundscape Criteria in Urban Sustainable Regeneration Processes: An Example of Comfort and Health Improvement

This paper reports an example of an urban sustainable regeneration process in a small open square following the soundscape approach in urban design and involving a transdisciplinary team. The renovation of this urban public space brought changes in its acoustic environment and improved soundscape perception as much more pleasant (enhanced comfort). The rehabilitation broadened the use of the square and enhanced users’ wellbeing and health, showing a significant positive impact of sound: reduction in negative emotions and perceived stress while increasing positive feelings. To conclude, the implications of the results about restorative environments in urban sound planning and future areas of research are discussed.

Exploring the Links Between Biophilic and Restorative Qualities of Exterior and Interior Spaces in Leon, Guanajuato, Mexico

The interactive role of the ecological, architectural, biophilic, and sensory qualities of outdoor and indoor spaces in the restorative experiences of urban inhabitants is little known. We analyzed the restorative influence on mood states and situational stress related to exposure to vegetation proportion, spatial extension, landmark salience, biophilic architecture, people density, street visual access, olfactory pleasantness, and noise of 65 public spaces in a Mexican city. The environmental qualities of these places were analyzed with multidimensional scaling (MDS), leading to eight space categories (e.g., historic squares with biophilic architecture, large parks, street scenes, and interiors with non-biophilic architecture). Ratings of the restorative potential, mood states, situational stress, olfactory pleasantness, and noise annoyance were evaluated on such places and modeled through a structural equation modeling (SEM). The model shows that the restorative influence of the environmental qualities on moods and stress was related to a decrease in experiences of negative moods and perceived stress, and an increase of positive mood states. Based on our findings, we discuss design guidelines, emphasizing the relevance of including vegetation and built elements with biophilic qualities to create restorative environments.

Evaluating the Relationship between Park Features and Ecotherapeutic Environment: A Comparative Study of Two Parks in Istanbul, Beylikdüzü

The impacts of problems related to dense, unplanned, and irregular urbanization on the natural environment, urban areas, and humankind have been discussed in many disciplines for decades. Because of the circular relationship between humans and their environment, human health and psychology have become both agents and patients in interactions with nature. The field of ecopsychology investigates within this reciprocal context the relationship between human psychology and ecological issues and the roles of human psychology and society in environmental problems based on deteriorated nature–human relationships in urbanized areas. This approach has given rise to ecotherapy, which takes a systemic approach to repairing this disturbed nature–human relationship. This study aims to uncover the relationship between the physical attributes of urban green areas and their potential for providing ecotherapy service to users, first by determining the characteristics of ecotherapeutic urban space and urban green areas given in studies in the ecopsychology and ecotherapy literature, and then by conducting a case study in two urban parks from the Beylikdüzü District of the Istanbul Metropolitan Area. The impacts of these parks’ changing physical characteristics on user experiences are determined through a comparison of their physical attributes and the user experiences related to their ecotherapy services.

Influence of Perceived Environmental Quality on the Perceived Restorativeness of Public Spaces

Parks and town squares can play an important role by offering spaces for cognitive restorativeness in urban contexts. Therefore, it is important that these spaces be designed in a way that encourages restorativeness. Indeed, their perceived quality should motivate users to stay and take advantage of them. Yet, it is not clear whether perceptions as to the quality of these spaces is relevant in promoting restorativeness. Thus, the aim of this study is to analyze whether elements of environmental quality perceived by users of public spaces favor restorativeness both in parks and squares. Environmental and social aspects are taken into consideration, since restorative experiences involve cognitive and physiological recovery, as well as a component of interaction with the environment. In this research, 519 users of 32 urban public spaces—town squares and parks—on the island of Tenerife (Spain) participated. Participants evaluated these spaces using four dimensions that focused on spaces’ perceived environmental quality: design of spaces, care of spaces, social interaction, and presence of sensorial elements. Additionally, we evaluated the perceived restorativeness of each space. The results showed that the design of spaces, care of the spaces, social interaction, and presence of sensorial elements explain the variance in perceived restorativeness, although with different weights for parks and squares. We found that perceived quality of a space is a key predictor of its restorativeness. This means that maintaining parks and town squares is a relevant task given that they contribute to reducing cognitive overload, increasing sustainability, and facilitating health care in urban settings.

Biophobia and Urban Restorativeness

Natural areas are now known to be important resources for the health and wellbeing of urban dwellers, through, for example, the opportunities they provide for cognitive and emotional restoration. However, urban populations have also been found not to engage with these spaces and to display some form of biophobia which may hinder them from perceiving any of these benefits. This concept of biophobia is thought to entail both our innate physiological responses to the perceived danger from non-human threats such as spiders and snakes and our cultural attachment to material comfort. The word is often used with derogatory connotations, even if it is part of an evolutionary mechanism honed over thousands of years to keep humans alive. This review presents the current state of knowledge on urban biophobia as well as evidence of instances in which built and mixed urban environments were found to be more restorative than natural ones for the urban population, in order to assess any connection within the two. A series of recommendations for further research but also for the practical implementation of natural areas in cities capable of attracting a wide variety of people regardless of their fears or preferences are also formulated. Only by investigating the psychological and physiological responses of urban dwellers to their daily environments can we hope to design interventions which will remain relevant for the modern world.

Sitting or Walking? Analyzing the Neural Emotional Indicators of Urban Green Space Behavior with Mobile EEG

There is a close relationship between urban green space and the physical and mental health of individuals. Most previous studies have discussed the impact of the structure of green space and its elements. This study focused on the emotional changes caused by common behaviors in urban green space (walking and sitting). We recruited 40 college students and randomly assigned them to walking and sitting groups (20 students per group). The two groups performed the same 8-min high-pressure learning task indoors and then performed 8-min recovery activities in a simulated urban green space (a bamboo-lawn space). We used the Emotiv EPOC+ EEG headset to dynamically measure six neural emotional parameters: "engagement," "valence," "meditation," "frustration," "focus," and "excitement." We conducted a pretest and posttest and used analysis of covariance (ANCOVA) to analyze the posttest data (with the pretest data as covariates). The results of the comparison of the two behaviors showed that the "valence" and "meditation" values of the walking group were higher than those of the sitting group, which suggests that walking in urban green space is more favorable for stress reduction. The sitting group had a higher "focus" value than did the walking group, which suggests that sitting in urban green space is better for attention restoration. The results of this study can provide guidance for urban green space planning and design as well as health guidance for urban residents.

Going beyond Quietness: Determining the Emotionally Restorative Effect of Acoustic Environments in Urban Open Public Spaces

The capacity of natural settings to promote psychological restoration has attracted increasing research attention, especially with regards to the visual dimension. However, there is a need to extend these studies to urban settings, such as squares, parks or gardens, due to the global trend towards urbanisation, and to integrate the dimension of sound into landscape. Such was the main aim of this study, in which 53 participants assessed four public spaces in Vitoria-Gasteiz (Spain) as part of the CITI-SENSE Project (137 observations were used for analysis). A smartphone application was used to simultaneously collect objective and subjective data. The results show that at the end of the urban environmental experience, there was a statistically significant reduction in negative emotions and perceived stress, and a slight increase in positive emotions. Emotional restoration was mainly associated with prior emotional states, but also with global environmental comfort and acoustic comfort. The soundscape characteristics that contributed to greater emotional restoration and a reduction in perceived stress were pleasantness, calm, fun and naturalness. Therefore, in agreement with previous research, the findings of the present study indicate that besides contributing to the quietness of the urban environment, the urban soundscape can promote psychological restoration in users of these spaces.

The Restorative Value of the Urban Environment: A Systematic Review of the Existing Literature

BACKGROUND

Stress poses a major issue in our modern society, making restoration an important research focus. Restoration likelihood has mostly been observed in nature, which was compared with urban environments that have little restorative potential, eg, industrial areas. However, many people reside in and need to find restoration in cities. The main aim of this review is to summarize research that has focused on investigating restoration possibilities in urban environments and the environmental elements interacting with the restoration likelihood of an urban environment.

METHOD

This review focuses on studies addressing the topic of restoration possibilities in urban settings in built and human-made natural urban environments. The studies were searched via Google Scholar, PsycINFO, PsycARTICLES, and PSYNDEX. All studies concerned with restoration in urban environments were included. However, studies concerned with nonoriginal data, solely investigating effects of natural environments or treating urban environments as a control for restoration in nature, were excluded from the review. Overall, 39 studies corresponded to the criteria and were included.

RESULTS

Natural elements in urban environments have a restorative potential and can increase the restorativeness of urban settings. Furthermore, built urban environments vary in their restorative potential, but promising results have been uncovered as well. Architectural elements, cultural, and leisure areas had a restorative value, whereas the findings on streets and residential areas differ. In sum, many urban locations can have restorative effects, but these effects may be influenced by factors such as cultural background, age, social components, and individual dispositions.

DISCUSSION

Certain urban environments hold a restorative potential. However, the literature on restoration in urban environments is still quite scarce and therefore has been of little practical use. Even though applying the findings to real-life environments is desirable, it might prove difficult, considering the overall sparse evidence. More research on the predictors of restoration likelihood (eg, social factors), generational and cultural differences, and comparisons between natural and urban environments is recommended.