Who Benefits from Barefooting? The Key Role of Baseline Wellbeing in Psychophysical Restoration
Abstract
1. Introduction
- Investigate the extent to which baseline stress level predicts the probability of achieving elevated levels of psychophysiological restoration.
- Investigate the extent to which baseline mental wellbeing predicts the probability of achieving elevated levels of psychophysiological restoration.
- Explore the moderating role of SES level, biological sex, and accessibility to natural green spaces, on the relationship between baseline stress level and probability of achieving elevated levels of psychophysiological restoration.
- Explore the moderating role of SES level, biological sex, and accessibility to natural green spaces on the relationship between baseline mental wellbeing level and the probability of achieving elevated levels of psychophysiological restoration.
2. Materials and Methods
2.1. Procedure
2.2. Barefooting Activity Description
2.3. Participants
2.4. Measures
2.4.1. Perceived Stress
2.4.2. Psychophysical Recovery
2.4.3. Mental Wellbeing
2.4.4. Familiarity with Nature
2.4.5. Moderators and Covariates
2.5. Statistical Analysis
3. Results
3.1. Descriptive Analyses
3.2. Effects of Initial Stress and Mental Wellbeing on Psychophysical Recovery After Barefooting Activity
3.3. The Moderating Effect of Biological Sex, Education Level and Ease of Access to Green Spaces
4. Discussion
4.1. Baseline Stress Level Predicts Psychophysiological Restoration
4.2. Baseline Wellbeing Level Predicts Psychophysiological Restoration
4.3. Moderator Role of SES Level, Biological Sex, and Accessibility to Natural Green Spaces
4.4. Limitations and Future Directions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- White, M.P.; Alcock, I.; Grellier, J.; Wheeler, B.W.; Hartig, T.; Warber, S.L.; Bone, A.; Depledge, M.H.; Fleming, L.E. Spending at least 120 minutes a week in nature is associated with good health and wellbeing. Sci. Rep. 2019, 9, 7730. [Google Scholar] [CrossRef] [Scilit]
- Venter, Z.S.; Barton, D.N.; Gundersen, V.; Figari, H.; Nowell, M. Urban nature in a time of crisis: Recreational use of green space increases during the COVID-19 outbreak in Oslo, Norway. Environ. Res. Lett. 2020, 15, 104075. [Google Scholar] [CrossRef] [Scilit]
- Ma, F. Assessing immediate and lasting impacts of COVID-19-induced isolation on green space usage patterns. GeoHealth 2024, 8, e2024GH001062. [Google Scholar] [CrossRef] [Scilit]
- Jimenez, M.P.; DeVille, N.V.; Elliott, E.G.; Schiff, J.E.; Wilt, G.E.; Hart, J.E.; James, P. Associations between nature exposure and health: A review of the evidence. Int. J. Environ. Res. Public Health 2021, 18, 4790. [Google Scholar] [CrossRef] [Scilit]
- Hansmann, R.; Hug, S.-M.; Seeland, K. Restoration and stress relief through physical activities in forests and parks. Urban For. Urban Green. 2007, 6, 213–225. [Google Scholar] [CrossRef] [Scilit]
- Song, C.; Ikei, H.; Miyazaki, Y. Physiological effects of nature therapy: A review of the research in Japan. Int. J. Environ. Res. Public Health 2016, 13, 781. [Google Scholar] [CrossRef] [Scilit]
- Twohig-Bennett, C.; Jones, A. The health benefits of the great outdoors: A systematic review and meta-analysis of greenspace exposure and health outcomes. Environ. Res. 2018, 166, 628–637. [Google Scholar] [CrossRef] [Scilit]
- Kaplan, S. The restorative benefits of nature: Toward an integrative framework. J. Environ. Psychol. 1995, 15, 169–182. [Google Scholar] [CrossRef] [Scilit]
- Ulrich, R.S.; Simons, R.F.; Losito, B.D.; Fiorito, E.; Miles, M.A.; Zelson, M. Stress recovery during exposure to natural and urban environments. J. Environ. Psychol. 1991, 11, 201–230. [Google Scholar] [CrossRef] [Scilit]
- Rickard, S.C.; White, M.P. The connectedness to nature scale: A measure of individuals’ feeling in community with nature. J. Environ. Psychol. 2004, 24, 503–515. [Google Scholar] [CrossRef] [Scilit]
- Rickard, S.C.; White, M.P. Barefoot walking, nature connectedness and psychological restoration: The importance of stimulating the sense of touch for feeling closer to the natural world. Landsc. Res. 2021, 46, 975–991. [Google Scholar] [CrossRef] [Scilit]
- Koga, K.; Iwasaki, Y. Psychological and physiological effect in humans of touching plant foliage-using the semantic differential method and cerebral activity as indicators. J. Physiol. Anthropol. 2013, 32, 7. [Google Scholar] [CrossRef] [Scilit]
- Ikei, H.; Miyazaki, Y. Positive physiological effects of touching sugi (Cryptomeria japonica) with the sole of the feet. J. Wood Sci. 2020, 66, 29. [Google Scholar] [CrossRef] [Scilit]
- Watkins-Martin, K.; Bolanis, D.; Richard-Devantoy, S.; Pennestri, M.-H.; Malboeuf-Hurtubise, C.; Philippe, F.; Guindon, J.; Gouin, J.-P.; Ouellet-Morin, I.; Geoffroy, M.-C. The effects of walking in nature on negative and positive affect in adult psychiatric outpatients with major depressive disorder: A randomized-controlled study. J. Affect. Disord. 2022, 318, 291–298. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Berman, M.G.; Kross, E.; Krpan, K.M.; Askren, M.K.; Burson, A.; Deldin, P.J.; Kaplan, S.; Sherdell, L.; Gotlib, I.H.; Jonides, J. Interacting with nature improves cognition and affect for individuals with depression. J. Affect. Disord. 2012, 140, 300–305. [Google Scholar] [CrossRef] [Scilit]
- Grigoletto, A.; Toselli, S.; Zijlema, W.; Marquez, S.; Triguero-Mas, M.; Gidlow, C.; Grazuleviciene, R.; Van de Berg, M.; Kruize, H.; Maas, J.; et al. Restoration in mental health after visiting urban green spaces, who is most affected? Comparison between good/poor mental health in four European cities. Environ. Res. 2023, 223, 115397. [Google Scholar] [CrossRef] [Scilit]
- Cohen, S.; Janicki-Deverts, D. Who’s stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009. J. Appl. Soc. Psychol. 2012, 42, 1320–1334. [Google Scholar] [CrossRef] [Scilit]
- Passarelli, M.; Casetta, L.; Rizzi, L.; Perrella, R. Responses to Stress: Investigating the Role of Gender, Social Relationships, and Touch Avoidance in Italy. Int. J. Environ. Res. Public Health 2021, 18, 600. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Williams, J.S.; Cunich, M.; Byles, J. The impact of socioeconomic status on changes in the general and mental health of women over time: Evidence from a longitudinal study of Australian women. Int. J. Equity Health 2013, 12, 25. [Google Scholar] [CrossRef] [Scilit]
- de Vries, S.; Verheij, R.A.; Groenewegen, P.P.; Spreeuwenberg, P. Natural Environments—Healthy Environments? An Exploratory Analysis of the Relationship between Greenspace and Health. Environ. Plan. A Econ. Space 2003, 35, 1717–1731. [Google Scholar] [CrossRef] [Scilit]
- Nutsford, D.; Pearson, A.L.; Kingham, S. An ecological study investigating the association between access to urban green space and mental health. Public Health 2013, 127, 1005–1011. [Google Scholar] [CrossRef] [Scilit]
- Williams, J.R. The Declaration of Helsinki and public health. Bull. World Health Organ. 2008, 86, 650–652. [Google Scholar] [CrossRef] [Scilit]
- Slade, S.C.; Dionne, C.E.; Underwood, M.; Buchbinder, R. Consensus on exercise reporting template (CERT): Explanation and elaboration statement. Br. J. Sports Med. 2016, 50, 1428–1437. [Google Scholar] [CrossRef] [Scilit]
- Cohen, S.; Williamson, G. Perceived stress in a probability sample of the United States. In The Social Psychology of Health; Spacapan, S., Oskamp, S., Eds.; Claremont Symposium on Applied Social Psychology; Sage: Newbury Park, CA, USA, 1998; pp. 31–67. [Google Scholar]
- Mondo, M.; Sechi, C.; Cabras, C. Psychometric evaluation of three versions of the Italian Perceived Stress Scale. Curr. Psychol. 2021, 40, 1884–1892. [Google Scholar] [CrossRef] [Scilit]
- Andreou, E.; Alexopoulos, E.C.; Lionis, C.; Varvogli, L.; Gnardellis, C.; Chrousos, G.P.; Darviri, C. Perceived stress scale: Reliability and validity study in Greece. Int. J. Environ. Res. Public Health 2011, 8, 3287–3298. [Google Scholar] [CrossRef] [Scilit]
- Chaaya, M.; Osman, H.; Naassan, G.; Mahfoud, Z. Validation of the Arabic version of the Cohen perceived stress scale (PSS-10) among pregnant and postpartum women. BMC Psychiatry 2010, 10, 111. [Google Scholar] [CrossRef] [Scilit]
- Eklund, M.; Bäckström, M.; Tuvesson, H. Psychometric properties and factor structure of the Swedish version of the perceived stress scale. Nord. J. Psychiatry 2014, 68, 494–499. [Google Scholar] [CrossRef] [Scilit]
- Lesage, F.X.; Berjot, S.; Deschamps, F. Psychometric properties of the French versions of the perceived stress scale. Int. J. Occup. Med. Environ. Health 2012, 25, 178–184. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Korpela, K.M.; Ylén, M.; Tyrväinen, L.; Silvennoinen, H. Determinants of restorative experiences in everyday favorite places. Health Place 2008, 14, 636–652. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Korpela, K.M.; Ylén, M.; Tyrväinen, L.; Silvennoinen, H. Favorite green, waterside and urban environments, restorative experiences and perceived health in Finland. Health Promot. Int. 2010, 25, 200–209. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Beaton, D.E.; Bombardier, C.; Guillemin, F.; Ferraz, M.B. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000, 25, 3186–3191. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Tennant, R.; Hiller, L.; Fishwick, R.; Platt, S.; Joseph, S.; Weich, S.; Parkinson, J.; Secker, J.; Stewart-Brown, S. The Warwick-Edinburgh mental well-being scale (WEMWBS): Development and UK validation. Health Qual. Life Outcomes 2007, 5, 63. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Gremigni, P.; Stewart-Brown, S.L. Measuring mental well-being: Italian validation of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS). G. Ital. Psicol. 2011, 38, 485–508. [Google Scholar] [CrossRef] [Scilit]
- Broer, M.; Bai, Y.; Fonseca, F. A Review of the Literature on Socioeconomic Status and Educational Achievement. In Socioeconomic Inequality and Educational Outcomes; IEA Research for Education; Springer: Cham, Switzerland, 2019; Volume 5. [Google Scholar] [CrossRef] [Scilit]
- IBM Corp. IBM SPSS Statistics for Windows, version 29.0; [Computer software]; IBM Corp: Armonk, NY, USA, 2025. [Google Scholar]
- Beute, F.; de Kort, Y.A.W. The natural context of wellbeing: Ecological momentary assessment of the influence of nature and daylight on affect and stress for individuals with depression levels varying from none to clinical. Health Place 2018, 49, 7–18. [Google Scholar] [CrossRef] [Scilit]
- Olafsdottir, G.; Cloke, P.; Schulz, A.; van Dyck, Z.; Eysteinsson, T.; Thorleifsdottir, B.; Vögele, C. Health Benefits of Walking in Nature: A Randomized Controlled Study Under Conditions of Real-Life Stress. Environ. Behav. 2018, 52, 248–274. [Google Scholar] [CrossRef] [Scilit]
- Capaldi, C.A.; Dopko, R.L.; Zelenski, J.M. The relationship between nature connectedness and happiness: A meta-analysis. Front. Psychol. 2014, 5, 976. [Google Scholar] [CrossRef] [Scilit]
- Barbiero, G.; Berto, R. Biophilic design: How to enhance physical and psychological health and wellbeing. Front. Psychol. 2021, 12, 700709. [Google Scholar] [CrossRef] [Scilit]
- Bratman, G.N.; Hamilton, J.P.; Hahn, K.S.; Daily, G.C.; Gross, J.J. Nature experience reduces rumination and subgenual prefrontal cortex activation. Proc. Natl. Acad. Sci. USA 2015, 112, 8567–8572. [Google Scholar] [CrossRef] [Scilit]
- Barton, J.; Pretty, J. What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environ. Sci. Technol. 2010, 44, 3947–3955. [Google Scholar] [CrossRef] [Scilit]
- Tyrväinen, L.; Ojala, A.; Korpela, K.; Lanki, T.; Tsunetsugu, Y.; Kagawa, T. The influence of urban green environments on stress relief measures: A field experiment. J. Environ. Psychol. 2014, 38, 1–9. [Google Scholar] [CrossRef] [Scilit]
- Wilson, E.O. The Future of Life: ALA Notable Books for Adults; Vintage: New York, NY, USA, 2002. [Google Scholar]
- Barnes, M.R.; Donahue, M.L.; Keeler, B.L.; Shorb, C.M.; Mohtadi, T.Z.; Shelby, L.J. Characterizing nature and participant experience in studies of nature exposure for positive mental health: An integrative review. Front. Psychol. 2019, 9, 2617. [Google Scholar] [CrossRef] [Scilit]
- Colley, K.; Irvine, K.N.; Currie, M. Who benefits from nature? A quantitative intersectional perspective on inequalities in contact with nature and the gender gap outdoors. Landsc. Urban Plan. 2022, 223, 104420. [Google Scholar] [CrossRef] [Scilit]
- Capizzi, R.; Kempton, H.M. Nature connection, mindfulness, and wellbeing: A network analysis. OBM Integr. Complement. Med. 2023, 8, 1–22. [Google Scholar] [CrossRef] [Scilit]
- Soga, M.; Gaston, K.J.; Yamaura, Y. Gardening is beneficial for health: A meta-analysis. Prev. Med. Rep. 2017, 5, 92–99. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Mitchell, R.; Popham, F. Effect of exposure to natural environment on health inequalities: An observational population study. Lancet 2008, 372, 1655–1660. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Maund, P.R.; Irvine, K.N.; Reeves, J.; Strong, E.; Cromie, R.; Dallimer, M.; Davies, Z.G. Wetlands for wellbeing: Piloting a nature-based health intervention for the management of anxiety and depression. Int. J. Environ. Res. Public Health 2019, 16, 4413. [Google Scholar] [CrossRef] [Scilit]
- Robinson, J.M.; Breed, M.F. Green prescriptions and their co-benefits: Integrative strategies for public and environmental health. Challenges 2019, 10, 9. [Google Scholar] [CrossRef] [Scilit]
- Gascon, M.; Triguero-Mas, M.; Martínez, D.; Dadvand, P.; Forns, J.; Plasència, A.; Nieuwenhuijsen, M.J. Mental health benefits of long-term exposure to residential green and blue spaces: A systematic review. Int. J. Environ. Res. Public Health 2015, 12, 4354–4379. [Google Scholar] [CrossRef] [Scilit]
- Frumkin, H.; Gregory, N.; Bratman, G.N.; Breslow, S.J.; Cochran, B.; Kahn, P.H., Jr.; Lawler, J.J.; Levin, P.S.; Tandon, P.S.; Varanasi, U.; et al. Nature contact and human health: A research agenda. Environ. Health Perspect. 2017, 125, 075001. [Google Scholar] [CrossRef] [Scilit]
| Variables | Sample | Mean (sd) | Skewness | Kurtosis | t-Score |
|---|---|---|---|---|---|
| Wellbeing | Total (n = 249) | 43.79 (6.50) | −0.28 | 0.19 | |
| Female (n = 144) | 44.15 (6.14) | 0.99 | |||
| Male (n = 105) | 43.30 (6.97) | ||||
| Low education level (n = 102) | 44.21 (6.81) | 0.83 | |||
| High education level (n = 147) | 43.50 (6.29) | ||||
| Access to green space (n = 129) | 44.19 (6.44) | 1.00 | |||
| No access to green space (n = 120) | 43.36 (6.57) | ||||
| Psychophysical recovery | Total (n = 249) | 33.72 (6.49) | −1.15 | 1.95 | |
| Female (n = 144) | 35.13 (6.11) | 4.10 ** | |||
| Male (n = 105) | 31.79 (6.53) | ||||
| Low education level (n = 102) | 34.75 (6.90) | 2.04 * | |||
| High education level (n = 147) | 33.01 (6.11) | ||||
| Access to green space (n = 129) | 33.73 (6.71) | 0.02 | |||
| No access to green space (n = 120) | 33.71 (6.27) | ||||
| Stress | Total (n = 249) | 17.77 (5.80) | −0.26 | −0.22 | |
| Female (n = 144) | 17.21 (5.81) | −1.78 | |||
| Male (n = 105) | 18.53 (7.72) | ||||
| Low education level (n = 102) | 16.59 (6.29) | −2.61 * | |||
| High education level (n = 147) | 18.58 (5.30) | ||||
| Access to green space (n = 129) | 17.91 (6.18) | 0.40 | |||
| No access to green space (n = 120) | 17.61 (5.37) |
| Model | B | S.E. | Wald | gl | p | Exp(B) |
|---|---|---|---|---|---|---|
| Model 1 | ||||||
| Stress | −0.03 | 0.02 | 1.70 | 1 | 0.192 | 0.97 |
| Model 2 | ||||||
| Wellbeing | 0.10 | 0.02 | 19.97 | 1 | 0.000 ** | 1.11 |
| Model | B | S.E. | Wald | gl | p | Exp(B) |
|---|---|---|---|---|---|---|
| Model 1 | ||||||
| Stress × Sex | 0.04 | 0.05 | 0.74 | 1 | 0.390 | 1.04 |
| Stress × Education level | 0.05 | 0.05 | 1.02 | 1 | 0.312 | 1.05 |
| Stress × Accessibility to green spaces | −0.03 | 0.05 | 0.54 | 1 | 0.463 | 0.965 |
| Model 2 | ||||||
| Wellbeing × Sex | 0.01 | 0.05 | 0.06 | 1 | 0.770 | 1.01 |
| Wellbeing × Education level | −0.05 | 0.05 | 1.14 | 1 | 0.284 | 0.948 |
| Wellbeing × Accessibility to green spaces | 0.04 | 0.05 | 0.72 | 1 | 0.395 | 1.04 |
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De Lorenzo, A.; Berteotti, S.; Giannotta, F.; Rabaglietti, E. Who Benefits from Barefooting? The Key Role of Baseline Wellbeing in Psychophysical Restoration. Int. J. Environ. Res. Public Health 2025, 22, 1779. https://doi.org/10.3390/ijerph22121779
De Lorenzo A, Berteotti S, Giannotta F, Rabaglietti E. Who Benefits from Barefooting? The Key Role of Baseline Wellbeing in Psychophysical Restoration. International Journal of Environmental Research and Public Health. 2025; 22(12):1779. https://doi.org/10.3390/ijerph22121779
Chicago/Turabian StyleDe Lorenzo, Aurelia, Samuele Berteotti, Fabrizia Giannotta, and Emanuela Rabaglietti. 2025. "Who Benefits from Barefooting? The Key Role of Baseline Wellbeing in Psychophysical Restoration" International Journal of Environmental Research and Public Health 22, no. 12: 1779. https://doi.org/10.3390/ijerph22121779
APA StyleDe Lorenzo, A., Berteotti, S., Giannotta, F., & Rabaglietti, E. (2025). Who Benefits from Barefooting? The Key Role of Baseline Wellbeing in Psychophysical Restoration. International Journal of Environmental Research and Public Health, 22(12), 1779. https://doi.org/10.3390/ijerph22121779

