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Completed

NCT Number: NCT07508800

Effects of Brief Nature Exposure on Brain Functioning and Stress Reactivity

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.

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Key information

Conditions

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University of San Francisco California OR San Francisco VA Medical Center

San Francisco, California, 94122, United States

About this study

Associations between urbanization and mental illness have long been recognized, but the mechanistic pathways underlying this association are not well understood and likely multifactorial. Reduced contact with nature may contribute to the increased psychopathology observed in urban environments.

Theories implicating attention restoration and stress reduction functions via cognitive control and reward brain networks have been proposed to explain how natural environments may decrease stress and promote mental health, particularly in individuals with high-stress loads who are at-risk for developing mental illness. However, most research examining nature's effects on mental health have been observational in design, leaving open questions about nature's effects on neural functioning. Well-controlled studies of brain responses to natural environments will inform stakeholders about potential cognitive and health benefits of nature, as well as guide development of clinical applications like parks prescriptions and nature-based behavioral interventions for individuals who may benefit. This team science grant will enable pilot data collection and a novel collaboration combining faculty expertise in pediatric nature-basedinterventions, clinical neuroscience of reward and motivation, electrophysiological biomarkers of psychiatric vulnerability and integrative healthcare. Further, our team will tap the policy and stewardship expertise of parks system leadership. This project's goal is to conduct a pilot clinical neuroscience study to establish a novel academic-community collaboration and support a larger project proposal to examine neurophysiological mechanisms underlying nature-based clinical interventions to improve mental health in individuals experiencing stress-based symptoms.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • 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

Treatment and study plan

Nature vs. Urban walks

Other

We 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

Primary outcomes

  1. Brain functioning

    Time frame: ~1 hour after walking condition

    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).

  2. Heart Rate Variability

    Time frame: ~ 1 hour after walking manipulaation

    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 collaborators

Lead sponsor

National Institutes of Health (NIH)

Nih

Registry information

Official study title

YONDER Study (Effects of Brief Nature Exposure on Brain Functioning and Stress Reactivity)

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Apr 2, 2026
Registry last updated
Jul 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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