SMD −0.67
horticultural activities moderately reduce depressive symptoms
Exact: SMD -0.67
Horticultural activities have a moderate overall effect on reducing depressive symptoms in community-dwelling adults
The systematic review covered 30 studies and 2,071 participants. The meta-analysis subset of 25 studies used a random-effects model to estimate effect sizes as standardised mean differences. The pooled result (SMD −0.67, 95% CI −0.86 to −0.47) indicates a moderate beneficial effect of horticultural activities — including plant care, artwork, harvesting, food consumption, sensory stimulation, and starting rituals — on alleviating depressive symptoms in community-dwelling adults. Most included studies carried a high risk of bias due to ethical requirements and the nature of the intervention.
The meta-analysis covered 25 studies and indicated that horticultural activities had an overall moderate effect on depressive symptoms (SMD - 0.67, 95 % CI -0.86 to -0.47, I
Related findings
30%
minimum greenery share for a favourable streetscape impression
Most people have a favourable impression of the streetscape when more than 30% of the view consists of greenery
Alenka Fikfak et al., 2024, Urban Science
physiological and psychological responses measured during urban walks
Psychophysiological responses of 29 subjects were analyzed in relation to urban street scene configuration and color
Chiara Maninetti et al., 2026, Frontiers in Psychology
large pre-to-post increase in feeling connected to nature after virtual nature exposure
Virtual nature exposure significantly increased nature connectedness with a large effect size
Elena Brambilla et al., 2025, JMIR Serious Games
Read more in
Healthcare
Housing What an insecure home does to people
Britain abolished no-fault eviction. The evidence reads it as a health intervention, and the market decides who it reaches.
Workplace Pricing biophilia: what the evidence is worth
Read at the primary sources, the business case for nature in buildings is narrower than advertised and strong enough to act on.
More from The Built Review
Healthcare Built to Wake: How Hospital Noise and Light Undermine Patient Sleep
Of the two environmental levers on inpatient sleep, noise control is the better proven and the cheaper, while tunable lighting for the general ward is the one the evidence does not yet support.
Workplace Germany's missing indoor-air bill
France, Britain and Australia have priced bad indoor air. Germany's missing number is a political choice, not a methodological limit.
Housing What insurers don't ask about buildings
Health insurers price age, tobacco and zip code. Building quality is in no model, and the law is only half the reason.