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Sanal Gerçeklikle Doğa Terapilerinin Kaygı Belirtileri Üzerindeki Etkisi: Sistematik Derleme Çalışması

Yıl 2026, Cilt: 13 Sayı: 1, 33 - 57, 31.01.2026

Öz

Bu derleme, sanal gerçeklik (Virtual Reality [VR]) doğa terapilerinin kaygı belirtileri ve psikolojik iyi oluş üzerindeki etkisini incelemeyi amaçlamaktadır. Bu kapsamda ScienceDirect, PubMed, Web of Science ve Wiley Online Library veri tabanlarında “Kaygı” (Anxiety OR Anxious Symptoms), “Doğa Temelli Terapi” (Nature Based Therapy OR Ecotherapy), “Sanal Gerçeklik” (Virtual Reality OR VR OR Simulation) anahtar kelimeleriyle 1985 ve 2025 arasında yayımlanan Türkçe ve İngilizce makaleler taranmış, 262 makaleye ulaşılmıştır. İncelenen makaleler alaka düzeyi, öncül amacı ve müdahale yöntemi, kaygı değişkenlerinin varlığı ve bulguların kalitesi kriterlerine göre değerlendirilerek çalışmaya 13’ü dahil edilmiştir. Derleme; 12’si deneysel, 1’i gözlemsel olan bu çalışmalarda farklı yaş grupları ve sağlık koşulları altında VR doğa terapilerinin etkinliğini araştırmaktadır. Bulgular; VR doğa terapilerinin kaygı belirtilerini azaltmada etkili olduğunu, ayrıca ağrı, stres ve depresyon gibi diğer psikolojik belirtileri azalttığını göstermektedir. VR doğa terapilerinin geleneksel tedavi yöntemlerine kıyasla daha az maliyetli ve daha erişilebilir bir alternatif olabileceği vurgulanmaktadır. Ayrıca klinik uygulamalarda tamamlayıcı veya destekleyici bir seçenek olarak kullanılabileceği öne sürülmektedir. İncelenen çalışmaların bazı sınırlılıkları bulunmaktadır. VR doğa terapilerinin uzun vadeli etkileri hakkında daha fazla araştırmaya ihtiyaç vardır. Mevcut araştırmalar küçük örneklemlere sahip olup spesifik gruplar üzerine yoğunlaşmaktadır. Sonuç olarak bu derleme, VR doğa terapilerinin kaygı belirtileri ve psikolojik iyi oluş üzerinde olumlu etkilerini vurgulamaktadır. Ancak daha fazla araştırmaya ve farklı metodolojik yöntemlere dayalı çalışmalara ihtiyaç duyulmaktadır. Gelecekteki araştırmalar, farklı VR doğa terapisi programlarının etkililiğini ve uzun vadeli etkilerini klinik ve genel örneklemler üzerinde incelemelidir.

Etik Beyan

Bu çalışmanın, özgün bir çalışma olduğunu; çalışmanın tüm aşamalarında bilimsel etik ilke ve kurallarına uygun davrandığımı; bu çalışma kapsamında elde edilmeyen tüm veri ve bilgiler için kaynak gösterdiğimi ve bu kaynaklara kaynakçada yer verdiğimi; kullanılan verilerde herhangi bir değişiklik yapmadığımı, etik görev ve sorumluluklara riayet ettiğimi beyan ederim.

Destekleyen Kurum

Bu çalışma herhangi bir finansal destek almamıştır

Kaynakça

  • Alegría, M., NeMoyer, A., Falgàs Bagué, I., Wang, Y. ve Alvarez, K. (2018). Social determinants of mental health: Where we are and where we need to go. Current Psychiatry Reports, 20(11), 95. https://doi.org/10.1007/s11920-018-09
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5. Basım).
  • Anderson, P. L., Edwards, S. M. ve Goodnight, J. R. (2016). Virtual reality and exposure group therapy for social anxiety disorder: Results from a 4–6 year follow-up. Cognitive Therapy and Research, 41(2), 230–236. https://doi.org/10.1007/s10608-016-9820-y
  • Appel, L., Appel, E., Bogler, O., Wiseman, M., Cohen, L., Ein, N., Abrams, H. B. ve Campos, J. L. (2020). Older adults with cognitive and/or physical impairments can benefit from immersive virtual reality experiences: A feasibility study. Frontiers in Medicine, 6(15), 329. https://doi.org/10.3389/fmed.2019.00329
  • Bandelow, B. ve Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st century. Dialogues in Clinical Neuroscience, 17(3), 327–335. https://doi.org/10.31887/dcns.2015.17.3/bbandelow
  • Bateson, M., Brilot, B. ve Nettle, D. (2011). Anxiety: An evolutionary approach. Canadian Journal of Psychiatry, 56(12), 707–715. https://doi.org/10.1177/070674371105601202
  • Bohil, C. J., Alicea, B. ve Biocca, F. A. (2011). Virtual reality in neuroscience research and therapy. Nature Reviews Neuroscience, 12(12), 752–762. https://doi.org/10.1038/nrn3122
  • Brown, D. K., Barton, J. L. ve Gladwell, V. F. (2013). Viewing nature scenes positively affects recovery of autonomic function following acute-mental stress. Environmental Science & Technology, 47(11), 5562–5569. https://doi.org/10.1021/es305019p
  • Callaghan, A., McCombe, G., Harrold, A., McMeel, C., Mills, G., Moore-Cherry, N., ve Cullen, W. (2020). The impact of green spaces on mental health in urban settings: A scoping review. Journal Of Mental Health, 30(2), 179–193. https://doi.org/10.1080/09638237.2020.1755027
  • Chan, S. H. M., Qiu, L., Esposito, G., Mai, K. P., Tam, K. P. ve Cui, J. (2021). Nature in virtual reality improves mood and reduces stress: Evidence from young adults and senior citizens. Virtual Reality, 27(4), 3285–3300. https://doi.org/10.1007/s10055-021-00604-4
  • Chaze, F., Hayden, L., Azevedo, A., Kamath, A., Bucko, D., Kashlan, Y., Dube, M., De Paula, J., Jackson, A., Reyna, C., Dupuis, K. ve Tsotsos, L. (2022). Virtual reality and well-being in older adults: Results from a pilot implementation of virtual reality in long-term care. Journal of Rehabilitation and Assistive Technologies Engineering, 9. https://doi.org/10.1177/20556683211072384
  • Christie, M. A. ve Cole, F. (2017). The impact of green exercise on volunteers’ mental health and well being: Findings from a community project in a woodland setting. Journal of Therapeutic Horticulture, 27(1), 16–33.
  • Crocq, M. A. (2015). A history of anxiety: From Hippocrates to DSM. Dialogues in Clinical Neuroscience, 17(3), 319–325. https://doi.org/10.31887/DCNS.2015.17.3/macrocq
  • Dascal, J., Reid, M., Ishak, W. W., Spiegel, B., Recacho, J., Rosen, B. ve Danovitch, I. (2017). Virtual reality and medical inpatients: A systematic review of randomized, controlled trials. Innovations in Clinical Neuroscience, 14(1-2), 14–21.
  • Gautama, M. S. N., Haryani, H., Huang, T. W., Chen, J. H., ve Chuang, Y. H. (2024). Effectiveness of smartphone-based virtual reality relaxation (SVR) for enhancing comfort in cancer patients undergoing chemotherapy: A randomized controlled trial. Supportive Care in Cancer: Official Journal Of The Multinational Association Of Supportive Care in Cancer, 32(12), 824. https://doi.org/10.1007/s00520-024-09036-7
  • Gauthier, J. G. (1999). Bridging the gap between biological and psychological perspectives in the treatment of anxiety disorders. Canadian Psychology / Psychologie Canadienne, 40(1), 1–11. https://doi.org/10.1037/h0086822
  • Girishan Prabhu, V., Stanley, L., Morgan, R. ve Shirley, B. (2023). Designing and developing a nature-based virtual reality with heart rate variability biofeedback for surgical anxiety and pain management: Evidence from total knee arthroplasty patients. Aging & Mental Health, 28(5), 738–753. https://doi.org/10.1080/13607863.2023.2270442
  • Vist, G. E., Sæterdal, I., Vandvik, P. O., ve Flottorp, S. A. (2013). Gradering av kvaliteten på dokumentasjonen. Norsk Epidemiologi, 23(2), 151-156. https://doi.org/10.5324/nje.v23i2.1637
  • Grahn, P., Pálsdóttir, A. M., Ottosson, J. ve Jonsdottir, I. H. (2017). Longer nature-based rehabilitation may contribute to a faster return to work in patients with reactions to severe stress and/or depression. International Journal of Environmental Research and Public Health, 14(11), 1310. https://doi.org/10.3390/ijerph14111310
  • Grahn, P. ve Stigsdotter, U. K. (2010). The relation between perceived sensory dimensions of urban green space and stress restoration. Landscape and Urban Planning, 94(3–4), 264–275. https://doi.org/10.1016/j.landurbplan.2009.10.012
  • Guyatt, G. H., Oxman, A. D., Schünemann, H. J., Tugwell, P. ve Knottnerus, A. (2011). GRADE guidelines: A new series of articles in the Journal of Clinical Epidemiology. Journal of Clinical Epidemiology, 64(4), 380–382. https://doi.org/10.1016/j.jclinepi.2010.09.011
  • Ilioudi, M., Lindner, P., Ali, L., Wallström, S., Thunström, A. O., Ioannou, M., Anving, N., Johansson, V., Hamilton, W., Falk, Ö. ve Steingrimsson, S. (2023). Physical versus virtual reality-based calm rooms for psychiatric inpatients: Quasi-randomized trial. Journal of Medical Internet Research, 25(1), e42365. https://doi.org/10.2196/42365
  • Jimenez, M. P., DeVille, N. V., Elliott, E. G., Schiff, J. E., Wilt, G. E., Hart, J. E., ve James, P. (2021). Associations between nature exposure and health: A review of the evidence. International Journal of Environmental Research And Public Health, 18(9), 4790. https://doi.org/10.3390/ijerph18094790
  • Joschko, L., Pálsdóttir, A. M., Grahn, P. ve Hinse, M. (2023). Nature-based therapy in individuals with mental health disorders, with a focus on mental well-being and connectedness to nature-a pilot study. International Journal of Environmental Research and Public Health, 20(3), 2167. https://doi.org/10.3390/ijerph20032167
  • Kaplan, S. (1995). The restorative benefits of nature: Toward an integrative framework. Journal of Environmental Psychology, 15(3), 169–182. https://doi.org/10.1016/0272-4944(95)90001-2
  • Kellert, S. R. ve Wilson, E.O. (1993). The Biophilia Hypothesis (1. Basım). Island Press,
  • Kucher, N., Larson, J. M., Fischer, G., Mertaugh, M., Peterson, L. ve Gershan, L. A. (2020). 3-Dimensional nature-based therapeutics in pediatric patients with total pancreatectomy and islet auto-transplant. Complementary Therapies in Medicine, 48, 102249. https://doi.org/10.1016/j.ctim.2019.102249
  • Kumpulainen, S., Esmaeilzadeh, S. ve Pesola, A. J. (2024). Assessing the well-being benefits of VR nature experiences on group: Heart rate variability insights from a cross-over study. Journal of Environmental Psychology, 97, 102366. https://doi.org/10.1016/j.jenvp.2024.102366
  • Lehto, R. H., Patano, A., Alanazi, M., Bente, G., Mason, A., Caldwell, G., Goldstein, D. ve Wyatt, G. (2024). Evaluation of a nature-based virtual reality intervention to support hospice caregivers: A pilot feasibility study. BMJ Supportive & Palliative Care, 15(2), 249–253. https://doi.org/10.1136/spcare-2024-005087
  • Lepilkina, T. А., Beniashvili, A. G., Cheremin, R. A., Malyukova, N. G., Morozova, M. A., Bogdanov, M. A., Burminsky, D. S., Potanin, S. S., Rodkina, S. V., Rupchev, G. E. ve Eip, M. N. (2023). Efficacy of a relaxation scenario in virtual reality for the comorbid symptoms of anxiety and asthenia in a general hospital setting: A pilot comparative randomized open-label study. Consortium Psychiatricum/Consortium Psychiatricum, 4(1), 38–51. https://doi.org/10.17816/cp221
  • Lundin, R. M., Yeap, Y., ve Menkes, D. B. (2023). Adverse effects of virtual and augmented reality interventions in psychiatry: Systematic review. JMIR Mental Health, 10, e43240. https://doi.org/10.2196/43240
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  • Mazgelytė, E., Rekienė, V., Dereškevičiūtė, E., Petrėnas, T., Songailienė, J., Utkus, A., Chomentauskas, G., ve Karčiauskaitė, D. (2021). Effects of virtual reality-based relaxation techniques on psychological, physiological, and biochemical stress indicators. Healthcare, 9(12), 1729. https://doi.org/10.3390/healthcare9121729
  • Miegel, F., Lohse, L., Jelinek, L., Scheunemann, J., Gabbert, T., Schauenburg, G., Bittner, L., Mostajeran, F., Kühn, S., Gallinat, J. ve Yassari, A. (2025). Digital nature: Unveiling the impact and safety of FlowVR group intervention for depression in a feasibility trial. Acta Psychiatrica Scandinavica, 151(3), 304–316. https://doi.org/10.1111/acps.13731
  • Naor, L., ve Mayseless, O. (2020). The art of working with nature in nature-based therapies. Journal of Experiential Education, 44(2), 184-202. https://doi.org/10.1177/1053825920933639
  • Naor, L., ve Mayseless, O. (2021). Therapeutic factors in nature-based therapies: Unraveling the therapeutic benefits of integrating nature in psychotherapy. Psychotherapy, 58(4), 576–590. https://doi.org/10.1037/pst0000396
  • Pardini, S., Gabrielli, S., Olivetto, S., Fusina, F., Dianti, M., Forti, S., Lancini, C. ve Novara, C. (2024). Personalized virtual reality compared with guided imagery for enhancing the impact of progressive muscle relaxation training: Pilot randomized controlled trial. JMIR Mental Health, 11(1), e48649. https://doi.org/10.2196/48649
  • Pearson, D. G., ve Craig, T. (2014). The great outdoors? Exploring the mental health benefits of natural environments. Frontiers in Psychology, 5, 1178. https://doi.org/10.3389/fpsyg.2014.01178
  • Riches, S., Jeyarajaguru, P., Taylor, L., Fialho, C., Little, J., Ahmed, L., O'Brien, A., van Driel, C., Veling, W., ve Valmaggia, L. (2023). Virtual reality relaxation for people with mental health conditions: A systematic review. Social Psychiatry and Psychiatric Epidemiology, 58(7), 989–1007. https://doi.org/10.1007/s00127-022-02417-5
  • Sharifpour, S., Manshaee, G. R. ve Sajjadian, I. (2021). Effects of virtual reality therapy on perceived pain intensity, anxiety, catastrophising and self-efficacy among adolescents with cancer. Counselling and Psychotherapy Research, 21(1), 218–226. https://doi.org/10.1002/capr.12311
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  • Wilson, E. O. (1984). Biophilia (1. Basım). Harvard University Press.
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  • Xu, J., Khanotia, A., Juni, S., Ku, J., Sami, H., Lin, V., Walterson, R., Payne, E., Jo, H. ve RahimpoorMarnani, P. (2024). Effectiveness of virtual reality-based well-being ınterventions for stress reduction in young adults: Systematic review. JMIR Mental Health, 11, e52186. https://doi.org/10.2196/52186
  • Yaribeygi, H., Panahi, Y., Sahraei, H., Johnston, T. P. ve Sahebkar, A. (2017). The impact of stress on body function: A review. EXCLI Journal, 16, 1057–1072. https://doi.org/10.17179/excli2017-480
  • Yin, J., Yuan, J., Arfaei, N., Catalano, P. J., Allen, J. G. ve Spengler, J. D. (2020). Effects of biophilic indoor environment on stress and anxiety recovery: A between-subjects experiment in virtual reality. Environment International, 136, 105427. https://doi.org/10.1016/j.envint.2019.105427
  • Young, D. R., Hong, B. D., Lo, T., Inzhakova, G., Cohen, D. A., ve Sidell, M. A. (2022). The longitudinal associations of physical activity, time spent outdoors in nature and symptoms of depression and anxiety during COVID-19 quarantine and social distancing in the United States. Preventive Medicine, 154, 106863. https://doi.org/10.1016/j.ypmed.2021.106863
  • Zhou, H., Chen, C., Liu, J. ve Fan, C. (2024). Acute augmented effect of virtual reality (vr)–integrated relaxation and mindfulness exercising on anxiety and insomnia symptoms: A retrospective analysis of 103 anxiety disorder patients with prominent insomnia. Brain and Behavior, 14(10), e70060. https://doi.org/10.1002/brb3.70060

The Impact of Virtual Reality-Based Nature Therapy on Anxiety Symptoms: A Systematic Review

Yıl 2026, Cilt: 13 Sayı: 1, 33 - 57, 31.01.2026

Öz

This systematic review examines the effects of virtual reality (VR) nature therapies on anxiety management and psychological well-being. A literature search was conducted in the ScienceDirect, PubMed, Web of Science, and Wiley Online Library databases using the keywords “Anxiety” (Anxiety OR Anxious Symptoms), “Nature-Based Therapy” (Nature-Based Therapy OR Ecotherapy), and “Virtual Reality” (Virtual Reality OR VR OR Simulation) for studies published between 1985 and 2025 in Turkish and English. Initially, 262 articles were identified. After evaluating them based on relevance, primary aim, intervention method, anxiety-related variables, and the quality of the findings, 13 articles were included: 12 experimental and one observational. These studies assessed VR nature therapies across different age groups and health conditions. The findings suggest that VR nature therapies effectively reduce anxiety symptoms and alleviate other psychological issues, such as pain, stress, and depression. Many studies highlight VR-based nature therapies as a cost-effective and accessible alternative to traditional treatments, supporting their use as complementary clinical options. However, limitations exist, particularly regarding longterm effects. Current studies often involve small samples and focus on specific populations. In conclusion, while VR nature therapies show promise for anxiety management and psychological well-being, further research using diverse methodological approaches is needed. Future studies should explore the long-term efficacy of different VR nature therapy programs in both clinical and general populations.

Etik Beyan

I declare that this is an original study; that I have acted in accordance with scientific ethical principles and rules throughout all stages of the study; that I have properly cited all data and information not obtained within the scope of this study and included these sources in the reference list; that I have not made any alterations to the data used; and that I have fulfilled my ethical duties and responsibilities.

Destekleyen Kurum

This study did not receive any financial support.

Kaynakça

  • Alegría, M., NeMoyer, A., Falgàs Bagué, I., Wang, Y. ve Alvarez, K. (2018). Social determinants of mental health: Where we are and where we need to go. Current Psychiatry Reports, 20(11), 95. https://doi.org/10.1007/s11920-018-09
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5. Basım).
  • Anderson, P. L., Edwards, S. M. ve Goodnight, J. R. (2016). Virtual reality and exposure group therapy for social anxiety disorder: Results from a 4–6 year follow-up. Cognitive Therapy and Research, 41(2), 230–236. https://doi.org/10.1007/s10608-016-9820-y
  • Appel, L., Appel, E., Bogler, O., Wiseman, M., Cohen, L., Ein, N., Abrams, H. B. ve Campos, J. L. (2020). Older adults with cognitive and/or physical impairments can benefit from immersive virtual reality experiences: A feasibility study. Frontiers in Medicine, 6(15), 329. https://doi.org/10.3389/fmed.2019.00329
  • Bandelow, B. ve Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st century. Dialogues in Clinical Neuroscience, 17(3), 327–335. https://doi.org/10.31887/dcns.2015.17.3/bbandelow
  • Bateson, M., Brilot, B. ve Nettle, D. (2011). Anxiety: An evolutionary approach. Canadian Journal of Psychiatry, 56(12), 707–715. https://doi.org/10.1177/070674371105601202
  • Bohil, C. J., Alicea, B. ve Biocca, F. A. (2011). Virtual reality in neuroscience research and therapy. Nature Reviews Neuroscience, 12(12), 752–762. https://doi.org/10.1038/nrn3122
  • Brown, D. K., Barton, J. L. ve Gladwell, V. F. (2013). Viewing nature scenes positively affects recovery of autonomic function following acute-mental stress. Environmental Science & Technology, 47(11), 5562–5569. https://doi.org/10.1021/es305019p
  • Callaghan, A., McCombe, G., Harrold, A., McMeel, C., Mills, G., Moore-Cherry, N., ve Cullen, W. (2020). The impact of green spaces on mental health in urban settings: A scoping review. Journal Of Mental Health, 30(2), 179–193. https://doi.org/10.1080/09638237.2020.1755027
  • Chan, S. H. M., Qiu, L., Esposito, G., Mai, K. P., Tam, K. P. ve Cui, J. (2021). Nature in virtual reality improves mood and reduces stress: Evidence from young adults and senior citizens. Virtual Reality, 27(4), 3285–3300. https://doi.org/10.1007/s10055-021-00604-4
  • Chaze, F., Hayden, L., Azevedo, A., Kamath, A., Bucko, D., Kashlan, Y., Dube, M., De Paula, J., Jackson, A., Reyna, C., Dupuis, K. ve Tsotsos, L. (2022). Virtual reality and well-being in older adults: Results from a pilot implementation of virtual reality in long-term care. Journal of Rehabilitation and Assistive Technologies Engineering, 9. https://doi.org/10.1177/20556683211072384
  • Christie, M. A. ve Cole, F. (2017). The impact of green exercise on volunteers’ mental health and well being: Findings from a community project in a woodland setting. Journal of Therapeutic Horticulture, 27(1), 16–33.
  • Crocq, M. A. (2015). A history of anxiety: From Hippocrates to DSM. Dialogues in Clinical Neuroscience, 17(3), 319–325. https://doi.org/10.31887/DCNS.2015.17.3/macrocq
  • Dascal, J., Reid, M., Ishak, W. W., Spiegel, B., Recacho, J., Rosen, B. ve Danovitch, I. (2017). Virtual reality and medical inpatients: A systematic review of randomized, controlled trials. Innovations in Clinical Neuroscience, 14(1-2), 14–21.
  • Gautama, M. S. N., Haryani, H., Huang, T. W., Chen, J. H., ve Chuang, Y. H. (2024). Effectiveness of smartphone-based virtual reality relaxation (SVR) for enhancing comfort in cancer patients undergoing chemotherapy: A randomized controlled trial. Supportive Care in Cancer: Official Journal Of The Multinational Association Of Supportive Care in Cancer, 32(12), 824. https://doi.org/10.1007/s00520-024-09036-7
  • Gauthier, J. G. (1999). Bridging the gap between biological and psychological perspectives in the treatment of anxiety disorders. Canadian Psychology / Psychologie Canadienne, 40(1), 1–11. https://doi.org/10.1037/h0086822
  • Girishan Prabhu, V., Stanley, L., Morgan, R. ve Shirley, B. (2023). Designing and developing a nature-based virtual reality with heart rate variability biofeedback for surgical anxiety and pain management: Evidence from total knee arthroplasty patients. Aging & Mental Health, 28(5), 738–753. https://doi.org/10.1080/13607863.2023.2270442
  • Vist, G. E., Sæterdal, I., Vandvik, P. O., ve Flottorp, S. A. (2013). Gradering av kvaliteten på dokumentasjonen. Norsk Epidemiologi, 23(2), 151-156. https://doi.org/10.5324/nje.v23i2.1637
  • Grahn, P., Pálsdóttir, A. M., Ottosson, J. ve Jonsdottir, I. H. (2017). Longer nature-based rehabilitation may contribute to a faster return to work in patients with reactions to severe stress and/or depression. International Journal of Environmental Research and Public Health, 14(11), 1310. https://doi.org/10.3390/ijerph14111310
  • Grahn, P. ve Stigsdotter, U. K. (2010). The relation between perceived sensory dimensions of urban green space and stress restoration. Landscape and Urban Planning, 94(3–4), 264–275. https://doi.org/10.1016/j.landurbplan.2009.10.012
  • Guyatt, G. H., Oxman, A. D., Schünemann, H. J., Tugwell, P. ve Knottnerus, A. (2011). GRADE guidelines: A new series of articles in the Journal of Clinical Epidemiology. Journal of Clinical Epidemiology, 64(4), 380–382. https://doi.org/10.1016/j.jclinepi.2010.09.011
  • Ilioudi, M., Lindner, P., Ali, L., Wallström, S., Thunström, A. O., Ioannou, M., Anving, N., Johansson, V., Hamilton, W., Falk, Ö. ve Steingrimsson, S. (2023). Physical versus virtual reality-based calm rooms for psychiatric inpatients: Quasi-randomized trial. Journal of Medical Internet Research, 25(1), e42365. https://doi.org/10.2196/42365
  • Jimenez, M. P., DeVille, N. V., Elliott, E. G., Schiff, J. E., Wilt, G. E., Hart, J. E., ve James, P. (2021). Associations between nature exposure and health: A review of the evidence. International Journal of Environmental Research And Public Health, 18(9), 4790. https://doi.org/10.3390/ijerph18094790
  • Joschko, L., Pálsdóttir, A. M., Grahn, P. ve Hinse, M. (2023). Nature-based therapy in individuals with mental health disorders, with a focus on mental well-being and connectedness to nature-a pilot study. International Journal of Environmental Research and Public Health, 20(3), 2167. https://doi.org/10.3390/ijerph20032167
  • Kaplan, S. (1995). The restorative benefits of nature: Toward an integrative framework. Journal of Environmental Psychology, 15(3), 169–182. https://doi.org/10.1016/0272-4944(95)90001-2
  • Kellert, S. R. ve Wilson, E.O. (1993). The Biophilia Hypothesis (1. Basım). Island Press,
  • Kucher, N., Larson, J. M., Fischer, G., Mertaugh, M., Peterson, L. ve Gershan, L. A. (2020). 3-Dimensional nature-based therapeutics in pediatric patients with total pancreatectomy and islet auto-transplant. Complementary Therapies in Medicine, 48, 102249. https://doi.org/10.1016/j.ctim.2019.102249
  • Kumpulainen, S., Esmaeilzadeh, S. ve Pesola, A. J. (2024). Assessing the well-being benefits of VR nature experiences on group: Heart rate variability insights from a cross-over study. Journal of Environmental Psychology, 97, 102366. https://doi.org/10.1016/j.jenvp.2024.102366
  • Lehto, R. H., Patano, A., Alanazi, M., Bente, G., Mason, A., Caldwell, G., Goldstein, D. ve Wyatt, G. (2024). Evaluation of a nature-based virtual reality intervention to support hospice caregivers: A pilot feasibility study. BMJ Supportive & Palliative Care, 15(2), 249–253. https://doi.org/10.1136/spcare-2024-005087
  • Lepilkina, T. А., Beniashvili, A. G., Cheremin, R. A., Malyukova, N. G., Morozova, M. A., Bogdanov, M. A., Burminsky, D. S., Potanin, S. S., Rodkina, S. V., Rupchev, G. E. ve Eip, M. N. (2023). Efficacy of a relaxation scenario in virtual reality for the comorbid symptoms of anxiety and asthenia in a general hospital setting: A pilot comparative randomized open-label study. Consortium Psychiatricum/Consortium Psychiatricum, 4(1), 38–51. https://doi.org/10.17816/cp221
  • Lundin, R. M., Yeap, Y., ve Menkes, D. B. (2023). Adverse effects of virtual and augmented reality interventions in psychiatry: Systematic review. JMIR Mental Health, 10, e43240. https://doi.org/10.2196/43240
  • Maner, J. K. (2009). Anxiety: Proximate processes and ultimate functions. Social and Personality Psychology Compass, 3(5), 798–811. https://doi.org/10.1111/j.1751-9004.2009.00211.x
  • Mazgelytė, E., Rekienė, V., Dereškevičiūtė, E., Petrėnas, T., Songailienė, J., Utkus, A., Chomentauskas, G., ve Karčiauskaitė, D. (2021). Effects of virtual reality-based relaxation techniques on psychological, physiological, and biochemical stress indicators. Healthcare, 9(12), 1729. https://doi.org/10.3390/healthcare9121729
  • Miegel, F., Lohse, L., Jelinek, L., Scheunemann, J., Gabbert, T., Schauenburg, G., Bittner, L., Mostajeran, F., Kühn, S., Gallinat, J. ve Yassari, A. (2025). Digital nature: Unveiling the impact and safety of FlowVR group intervention for depression in a feasibility trial. Acta Psychiatrica Scandinavica, 151(3), 304–316. https://doi.org/10.1111/acps.13731
  • Naor, L., ve Mayseless, O. (2020). The art of working with nature in nature-based therapies. Journal of Experiential Education, 44(2), 184-202. https://doi.org/10.1177/1053825920933639
  • Naor, L., ve Mayseless, O. (2021). Therapeutic factors in nature-based therapies: Unraveling the therapeutic benefits of integrating nature in psychotherapy. Psychotherapy, 58(4), 576–590. https://doi.org/10.1037/pst0000396
  • Pardini, S., Gabrielli, S., Olivetto, S., Fusina, F., Dianti, M., Forti, S., Lancini, C. ve Novara, C. (2024). Personalized virtual reality compared with guided imagery for enhancing the impact of progressive muscle relaxation training: Pilot randomized controlled trial. JMIR Mental Health, 11(1), e48649. https://doi.org/10.2196/48649
  • Pearson, D. G., ve Craig, T. (2014). The great outdoors? Exploring the mental health benefits of natural environments. Frontiers in Psychology, 5, 1178. https://doi.org/10.3389/fpsyg.2014.01178
  • Riches, S., Jeyarajaguru, P., Taylor, L., Fialho, C., Little, J., Ahmed, L., O'Brien, A., van Driel, C., Veling, W., ve Valmaggia, L. (2023). Virtual reality relaxation for people with mental health conditions: A systematic review. Social Psychiatry and Psychiatric Epidemiology, 58(7), 989–1007. https://doi.org/10.1007/s00127-022-02417-5
  • Sharifpour, S., Manshaee, G. R. ve Sajjadian, I. (2021). Effects of virtual reality therapy on perceived pain intensity, anxiety, catastrophising and self-efficacy among adolescents with cancer. Counselling and Psychotherapy Research, 21(1), 218–226. https://doi.org/10.1002/capr.12311
  • So, J., Kuang, K., ve Cho, H. (2016). Reexamining fear appeal models from cognitive appraisal theory and functional emotion theory perspectives. Communication Monographs, 83(1), 120–144. https://doi.org/10.1080/03637751.2015.1044257
  • Ulrich, R. S. (1983). Aesthetic and affective response to natural environment. Human Behavior & Environment: Advances in Theory & Research, 6, 85–125.
  • Ulu, N. N. (2024). İklim değişikliği ve yaşlıların destinasyon tercihleri ilişkisi: Antalya/Konyaaltı ilçesi örneği. Senex: Yaşlılık Çalışmaları Dergisi, 7(2), 20-33. https://doi.org/10.5281/zenodo.12607979
  • von Lindern, E., Lymeus, F. ve Hartig, T. (2022). The restorative environment and salutogenesis: Complementary concepts revisited. İçinde Mittelmark, M. B., Sagy, S., Eriksson, M., Bauer, G. F., Pelikan, J. M., Lindström, B., ve Espnes, G. A. (Edl.). The Handbook of Salutogenesis. (ss. 371–385). Springer.
  • Wilson, E. O. (1984). Biophilia (1. Basım). Harvard University Press.
  • Wen, Y., Shen, X. ve Shen, Y. (2024). Improving immersive experiences in virtual natural setting for public health and environmental design: A systematic review and meta-analysis of randomized controlled trials. PloS One, 19(4), e0297986–e0297986. https://doi.org/10.1371/journal.pone.0297986
  • Xu, J., Khanotia, A., Juni, S., Ku, J., Sami, H., Lin, V., Walterson, R., Payne, E., Jo, H. ve RahimpoorMarnani, P. (2024). Effectiveness of virtual reality-based well-being ınterventions for stress reduction in young adults: Systematic review. JMIR Mental Health, 11, e52186. https://doi.org/10.2196/52186
  • Yaribeygi, H., Panahi, Y., Sahraei, H., Johnston, T. P. ve Sahebkar, A. (2017). The impact of stress on body function: A review. EXCLI Journal, 16, 1057–1072. https://doi.org/10.17179/excli2017-480
  • Yin, J., Yuan, J., Arfaei, N., Catalano, P. J., Allen, J. G. ve Spengler, J. D. (2020). Effects of biophilic indoor environment on stress and anxiety recovery: A between-subjects experiment in virtual reality. Environment International, 136, 105427. https://doi.org/10.1016/j.envint.2019.105427
  • Young, D. R., Hong, B. D., Lo, T., Inzhakova, G., Cohen, D. A., ve Sidell, M. A. (2022). The longitudinal associations of physical activity, time spent outdoors in nature and symptoms of depression and anxiety during COVID-19 quarantine and social distancing in the United States. Preventive Medicine, 154, 106863. https://doi.org/10.1016/j.ypmed.2021.106863
  • Zhou, H., Chen, C., Liu, J. ve Fan, C. (2024). Acute augmented effect of virtual reality (vr)–integrated relaxation and mindfulness exercising on anxiety and insomnia symptoms: A retrospective analysis of 103 anxiety disorder patients with prominent insomnia. Brain and Behavior, 14(10), e70060. https://doi.org/10.1002/brb3.70060
Toplam 51 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Psikoloji, Klinik ve Sağlık Psikolojisi (Diğer)
Bölüm Derleme
Yazarlar

Malik Zübeyir Kaya 0000-0002-0232-9657

Özden Yalçınkaya Alkar 0000-0001-8484-9199

Gönderilme Tarihi 4 Haziran 2025
Kabul Tarihi 16 Kasım 2025
Yayımlanma Tarihi 31 Ocak 2026
Yayımlandığı Sayı Yıl 2026 Cilt: 13 Sayı: 1

Kaynak Göster

APA Kaya, M. Z., & Yalçınkaya Alkar, Ö. (2026). Sanal Gerçeklikle Doğa Terapilerinin Kaygı Belirtileri Üzerindeki Etkisi: Sistematik Derleme Çalışması. AYNA Klinik Psikoloji Dergisi, 13(1), 33-57. https://doi.org/10.31682/ayna.1714362