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Original Article
Dementia and Neurocognitive Disorders 2024: 23: 1: 44-53

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Effect of Anti-Aging Standard Forest Healing Program With Multiple Visits to a Forest Facility on Cognition in Older Age Patients
Jinseok Park , 1,2 Sheng-Min Wang , 2,3 Dong Woo Kang , 2,4 Beom Lee , 5 Hojin Choi 2,6
1 Department of Neurology, Hanyang University Hospital, Seoul, Korea 2 Society for Cognitive Intervention, Seoul, Korea 3 Department of Psychiatry, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea 4 Department of Psychiatry, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea 5 Forest Welfare Research Center, Korea Forest Welfare Institute, Yeongju, Korea 6 Department of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
Effect of Anti-Aging Standard Forest Healing Program With Multiple Visits to a Forest Facility on Cognition in Older Age Patients
Jinseok Park , 1,2 Sheng-Min Wang , 2,3 Dong Woo Kang , 2,4 Beom Lee , 5 Hojin Choi 2,6
1 Department of Neurology, Hanyang University Hospital, Seoul, Korea 2 Society for Cognitive Intervention, Seoul, Korea 3 Department of Psychiatry, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea 4 Department of Psychiatry, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea 5 Forest Welfare Research Center, Korea Forest Welfare Institute, Yeongju, Korea 6 Department of Neurology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
Background and purpose: The anti-aging standard forest healing program (ASFHP), which
uses forest therapy, was reported to be effective in improving psychological, physical, and
cognitive functions. However, there are several challenges to directly visiting the forest. This
study aimed to investigate the impact of multi-session ASFHP with forest visit on the mental
and physical health of the older people with visits to forest facilities and compared them with
those of the same program conducted indoors.
Methods: Individuals aged over 70 years with concerns about cognitive decline were recruited
at dementia relief centers and divided into control and experimental groups. A total of 33
people were administered ASFHP under the supervision of a forest therapy instructor. The
control group stayed indoors, while the experimental group visited a forest healing center
and repeated the program 20 weeks.
Results: The multiple-session ASFHP positively affected cognitive impairment screening test
(CIST) total scores (p=0.002), memory (p=0.014), Korean version of the Repeatable Battery
for the Assessment of Neuropsychological Status total scores (p<0.001), immediate recall
(p=0.001), visuospatial/construction (p<0.001), language (p<0.001), forest healing standard
questionnaire total scores (p=0.002), and cognitive function (p=0.019), regardless of
location. The forest visits during the ASFHP showed positive effects on orientation (p=0.035),
delayed recall (p=0.042), emotional stability (p=0.032), physical activity (p=0.005), and
health (p=0.022). The CIST scores of the memory domain were the strongest indicator of the
multiple-session ASFHP effects.
Conclusions: The 20-week multi-session ASFHP with forest visit showed effects on cognitive
improvement and physical and emotional stability compared to indoor education.
Key Words: Anti-Aging Standard Forest Healing Program; Forest Therapy; Non-Pharmacological Treatment; Cognitive Decline; Forests
대한치매학회지 (Dementia and Neurocognitive Disorders)