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<journal-id journal-id-type="publisher-id">Front. Virtual Real.</journal-id>
<journal-title>Frontiers in Virtual Reality</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Virtual Real.</abbrev-journal-title>
<issn pub-type="epub">2673-4192</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-id pub-id-type="publisher-id">1638419</article-id>
<article-id pub-id-type="doi">10.3389/frvir.2025.1638419</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Virtual Reality</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The impact of natural virtual environments on emotion elicitation: a state-of-the-art review</article-title>
<alt-title alt-title-type="left-running-head">Marocco et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/frvir.2025.1638419">10.3389/frvir.2025.1638419</ext-link>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Marocco</surname>
<given-names>Silvia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1265532/overview"/>
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<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
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<contrib contrib-type="author">
<name>
<surname>Vitale</surname>
<given-names>Valeria</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2881562/overview"/>
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<contrib contrib-type="author">
<name>
<surname>Grossi</surname>
<given-names>Elena</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3123146/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
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<contrib contrib-type="author">
<name>
<surname>Giffi</surname>
<given-names>Veronica</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Santoriello</surname>
<given-names>Morena</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Department of Psychology of Developmental and Socialization Processes, Sapienza University of Rome</institution>, <addr-line>Rome</addr-line>, <country>Italy</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Psychology, University of studies G. d&#x2019;Annunzio</institution>, <addr-line>Chieti Pescara</addr-line>, <country>Italy</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2781581/overview">Athina Papadopoulou</ext-link>, New York Institute of Technology, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/832829/overview">James Lewis</ext-link>, Nottingham Trent University, United Kingdom</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3094242/overview">Xingxing Jia</ext-link>, Nanjing Forestry University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Morena Santoriello, <email>morena.santoriello@phd.unich.it</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>6</volume>
<elocation-id>1638419</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Marocco, Vitale, Grossi, Giffi and Santoriello.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Marocco, Vitale, Grossi, Giffi and Santoriello</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Natural environments have been widely recognized for their calming effects on individuals. However, access to such restorative environments can be limited by various circumstances. In these cases, Virtual Reality can be beneficial, as recent studies have shown that immersion in virtual natural environments has effects comparable to those of real nature. Various characteristics of natural environments can potentially influence the benefits they provide to humans. Additionally, the design of VR interventions can impact the experience and emotional response. This review aims to survey the current state of knowledge on the impact of virtual natural environments on emotion elicitation, addressing the types of interventions used in past studies, the variety of natural environments employed, and their differential impacts on emotional valence and arousal. This analysis shows how longer sessions, especially those involving interactive elements such as hand gestures, proved to be the most effective in enhancing emotional and physiological benefits. Among the various types of natural environments used, green spaces, particularly virtual forests, were the most frequently studied and showed consistent effectiveness in both reducing arousal and eliciting positive emotions. These findings can inform the development of new VR interventions designed to foster restoration and enhance positive emotional responses.</p>
</abstract>
<kwd-group>
<kwd>nature</kwd>
<kwd>virtual reality</kwd>
<kwd>emotion elicitation</kwd>
<kwd>valence</kwd>
<kwd>arousal</kwd>
</kwd-group>
<counts>
<page-count count="18"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Virtual Reality and Human Behaviour</meta-value>
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</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<sec id="s1-1">
<title>1.1 The potential of nature on affective processes</title>
<p>Exposure to natural environments has been widely recognized for its potential to affect emotional and affective processes positively. However, in the research literature, the concept of a natural environment is multifaceted and not uniformly defined. An environment can be considered natural if it includes certain natural elements (<xref ref-type="bibr" rid="B47">Korpela, 2003</xref>; <xref ref-type="bibr" rid="B50">Kuo and Sullivan, 2001</xref>). Various types of natural environments exist, primarily distinguished as blue spaces and green spaces. Green spaces refer to natural areas such as parks, gardens, and forests in both urban and wilderness settings (<xref ref-type="bibr" rid="B107">van Dillen et al., 2012</xref>; <xref ref-type="bibr" rid="B55">Lee and Maheswaran, 2011</xref>; <xref ref-type="bibr" rid="B61">Maas et al., 2006</xref>). Blue spaces encompass aquatic environments, including oceans, lakes, rivers, and smaller water features like fountains and streams (<xref ref-type="bibr" rid="B32">Grellier et al., 2017</xref>; <xref ref-type="bibr" rid="B114">White et al., 2010</xref>).</p>
<p>However, this binary categorization of nature&#x2014;into green and blue spaces&#x2014;fails to capture the diversity of natural landscapes that might offer therapeutic benefits. The health advantages of many natural environments remain underexplored in the burgeoning literature on nature exposure. For example, &#x201c;white space&#x201d;, such as snow-covered landscapes, has been identified as potentially beneficial (<xref ref-type="bibr" rid="B19">Brooke and Williams, 2021</xref>; <xref ref-type="bibr" rid="B25">Finlay, 2018</xref>; <xref ref-type="bibr" rid="B48">Korpela et al., 2014</xref>; <xref ref-type="bibr" rid="B82">Olwig, 2005</xref>; <xref ref-type="bibr" rid="B118">Yli-Panula et al., 2022</xref>). Similarly, &#x201c;brown space&#x201d;, referring to deserts, and &#x201c;red nature&#x201d;, which includes volcanoes, are emerging concepts in the scholarly discussion of nature&#x2019;s therapeutic effects (<xref ref-type="bibr" rid="B78">Nazif-Munoz et al., 2020</xref>; <xref ref-type="bibr" rid="B81">Olvera-Alvarez et al., 2021</xref>; <xref ref-type="bibr" rid="B117">Yin et al., 2022</xref>; <xref ref-type="bibr" rid="B49">Kotera et al., 2021</xref>).</p>
<p>Furthermore, various characteristics of natural environments can potentially influence the benefits they provide to humans, including dimensions, composition, location, and configuration of natural landscapes (<xref ref-type="bibr" rid="B113">Wheeler et al., 2015</xref>), tree canopy density (<xref ref-type="bibr" rid="B41">Jiang et al., 2016</xref>), and biodiversity (<xref ref-type="bibr" rid="B22">Cameron et al., 2020</xref>). Specific features of natural spaces might enhance the effects of certain interactions and offer diverse opportunities for physical activities, relaxation, and engagement (<xref ref-type="bibr" rid="B107">van Dillen et al., 2012</xref>). In this context, the concept of affordance is particularly relevant. <xref ref-type="bibr" rid="B29">Gibson (1979)</xref> highlighted that environments have properties that suggest their possible uses and action opportunities for people. The notion of affordance extends beyond physical actions to include opportunities for a variety of human behaviours, encompassing social, cognitive, and emotional dimensions (<xref ref-type="bibr" rid="B21">Brymer and Davids, 2014</xref>). In this regard, emotional affordance refers to the likelihood that a situation facilitates certain emotions (<xref ref-type="bibr" rid="B93">Schutte et al., 2008</xref>) along the dimensions of pleasure/displeasure and activation/relaxation (<xref ref-type="bibr" rid="B87">Roe and Aspinall, 2017</xref>).</p>
<p>Research also indicates that the effects of nature exposure vary depending on the type of human-nature interaction (<xref ref-type="bibr" rid="B43">Kahn Jr et al., 2018</xref>) and the characteristics of the exposure, such as the duration and frequency of visits to natural environments (<xref ref-type="bibr" rid="B95">Shanahan et al., 2015</xref>). Therefore, an important issue is the conceptualization of nature experience, that encompasses individuals&#x2019; perceptions and interactions with natural stimuli through various sensory modalities (<xref ref-type="bibr" rid="B36">Hartig et al., 2011</xref>).</p>
<p>Nature is widely acknowledged as a restorative environment, providing numerous benefits for human health, performance, and wellbeing. Interacting with nature offers a range of advantages: physiological, physical, affective, cognitive, and social. Physiologically, it helps stabilise heart rate and blood pressure, reduces muscle tension, and lowers cortisol levels (<xref ref-type="bibr" rid="B37">Hartig et al., 2014</xref>; <xref ref-type="bibr" rid="B104">Ulrich, 1983</xref>). Additionally, it is linked to reduced mortality from natural causes, respiratory diseases, cardiovascular diseases, and type 2 diabetes (<xref ref-type="bibr" rid="B88">Rojas-Rueda et al., 2019</xref>; <xref ref-type="bibr" rid="B103">Twohig-Bennett and Jones, 2018</xref>; <xref ref-type="bibr" rid="B7">Astell-Burt et al., 2014</xref>). Cognitive benefits include improved attention, executive function, and memory (<xref ref-type="bibr" rid="B10">Berman et al., 2008</xref>; <xref ref-type="bibr" rid="B13">Berto, 2014</xref>). Socially, nature reduces isolation and loneliness, and enhances perceptions of social support (<xref ref-type="bibr" rid="B62">Maas et al., 2009</xref>; <xref ref-type="bibr" rid="B6">Astell-Burt and Feng, 2021</xref>). Affectively, nature generally reduces stress, depression, anxiety, rumination, and negative emotions, while promoting positive emotions (<xref ref-type="bibr" rid="B16">Bratman et al., 2015</xref>; <xref ref-type="bibr" rid="B80">Ohly et al., 2016</xref>) and wellbeing (<xref ref-type="bibr" rid="B73">McMahan and Estes, 2015</xref>; <xref ref-type="bibr" rid="B86">Roberts et al., 2020</xref>), with long-term effects as well (e.g., <xref ref-type="bibr" rid="B57">Li D. et al., 2021</xref>; <xref ref-type="bibr" rid="B109">Vitale et al., 2022</xref>). Furthermore, research has shown how exposure to nature also has an effect on nature connectedness itself and on nature engagement (<xref ref-type="bibr" rid="B56">Leung et al., 2022</xref>), which in turn can have an effect on pro-environmental behaviour (<xref ref-type="bibr" rid="B3">Anderson and Krettenauer, 2021</xref>), and thus on social wellbeing.</p>
<p>Experimental studies have shown that exposure to natural environments can directly impact emotional processes by reducing negative emotions and enhancing positive ones (<xref ref-type="bibr" rid="B10">Berman et al., 2008</xref>; <xref ref-type="bibr" rid="B35">Hartig et al., 2003</xref>; <xref ref-type="bibr" rid="B36">2011</xref>; <xref ref-type="bibr" rid="B106">van den Berg et al., 2003</xref>). Nature also benefits emotional processes indirectly by restoring attentional resources, thereby improving executive functioning and self-regulation (<xref ref-type="bibr" rid="B10">Berman et al., 2008</xref>; <xref ref-type="bibr" rid="B44">Kaplan and Berman, 2010</xref>; <xref ref-type="bibr" rid="B12">Berto, 2005</xref>). Hence, exposure to natural stimuli effectively influences both affective states (<xref ref-type="bibr" rid="B73">McMahan and Estes, 2015</xref>; <xref ref-type="bibr" rid="B100">Takayama et al., 2022</xref>) and emotion regulation processes (<xref ref-type="bibr" rid="B108">Vitale and Bonaiuto, 2024</xref>; <xref ref-type="bibr" rid="B85">R&#xed;os-Rodr&#xed;guez et al., 2024</xref>; <xref ref-type="bibr" rid="B17">Bratman et al., 2021</xref>).</p>
<p>Several theories explain nature&#x2019;s restorative effects. From a philosophical and evolutionary standpoint, <xref ref-type="bibr" rid="B26">Fromm (1964)</xref> was the first to introduce the concept of Biophilia, which he described as a fundamental human inclination to seek connection with nature. This intrinsic tendency reflects an innate preference for natural or nature-associated environments over artificial or constructed settings. Fromm&#x2019;s insight laid the groundwork for later theoretical developments, such as those of <xref ref-type="bibr" rid="B116">Wilson (1984)</xref>, who extended the concept to evolutionary biology&#x2014;suggesting that this affinity is not merely psychological, but rooted in adaptive survival mechanisms that favored individuals attuned to natural cues.</p>
<p>These initial theories have been expanded and experimentally tested and explained over the years by various authors. <xref ref-type="bibr" rid="B104">Ulrich (1983)</xref> proposed the Stress Reduction Theory (SRT) suggesting that humans are evolutionarily inclined to prefer natural environments, which helps reduce stress by lowering physiological arousal and negative emotions. Moreover, according to the Attention Restoration Theory (ART), by <xref ref-type="bibr" rid="B45">Kaplan and Kaplan (1989)</xref> nature enhances mental health by improving attention through effortless engagement with natural stimuli, offering a break from daily demands and providing captivating, non-demanding elements (<xref ref-type="bibr" rid="B44">Kaplan and Berman, 2010</xref>).</p>
</sec>
<sec id="s1-2">
<title>1.2 Virtual nature: opportunities and challenges</title>
<p>Although spending time in real natural environments may provide greater benefits for wellbeing compared to indirect experiences (<xref ref-type="bibr" rid="B20">Browning et al., 2020</xref>), a significant portion of evidence supporting nature&#x2019;s therapeutic potential comes from studies using digital surrogates (<xref ref-type="bibr" rid="B73">McMahan and Estes, 2015</xref>). For instance, nature-based videos have shown potential in aiding recovery from physiological and psychological stress markers over the past 30 years (e.g., <xref ref-type="bibr" rid="B76">Meuwese et al., 2021</xref>; <xref ref-type="bibr" rid="B105">Ulrich et al., 1991</xref>). Even viewing static images of natural scenes can significantly increase positive emotions (<xref ref-type="bibr" rid="B34">Hartig et al., 1996</xref>), improve mood (<xref ref-type="bibr" rid="B106">van den Berg et al., 2003</xref>), restore attentional capacity (<xref ref-type="bibr" rid="B12">Berto, 2005</xref>), enhance executive attention (<xref ref-type="bibr" rid="B10">Berman et al., 2008</xref>), and reduce impulsivity (<xref ref-type="bibr" rid="B11">Berry et al., 2015</xref>).</p>
<p>The regenerative potential of digital nature representations through images, videos, and projections on various screen sizes has been extensively studied (<xref ref-type="bibr" rid="B20">Browning et al., 2020</xref>). However, these simulated forms of nature often fall short of fully replicating the qualities of real natural environments, potentially limiting their effectiveness (<xref ref-type="bibr" rid="B115">White et al., 2018</xref>). They may lack the extent and scale of natural settings, the ability to transport individuals away from their physical surroundings, offer personalised experiences, or engage multiple sensory modalities (<xref ref-type="bibr" rid="B38">Hedblom et al., 2019</xref>; <xref ref-type="bibr" rid="B46">Kjellgren and Buhrkall, 2010</xref>).</p>
<p>Advancements in Virtual Reality (VR) technology offer a way to overcome some of these limitations by allowing people to immerse themselves more completely in simulated natural environments. VR can be described as a computer-generated, three-dimensional simulation that allows navigation, interaction, and immersion in another environment (<xref ref-type="bibr" rid="B18">Briggs, 1996</xref>). This immersion is achieved by either sitting in a room with nature images projected on all visible surfaces (e.g., <xref ref-type="bibr" rid="B5">Annerstedt et al., 2013</xref>) or by using head-mounted displays (HMDs) that block out or reduce external sensory stimuli, enabling complete immersion in a panoramic view of an alternative environment (<xref ref-type="bibr" rid="B27">Furman et al., 2009</xref>; <xref ref-type="bibr" rid="B77">Mosso et al., 2009</xref>).</p>
<p>The benefits of nature contact appear to extend to these immersive digital environments provided through VR technology (<xref ref-type="bibr" rid="B79">Nukarinen et al., 2022</xref>; <xref ref-type="bibr" rid="B115">White et al., 2018</xref>). VR nature experiences have been linked to improvements in negative emotions, restorativeness, self-reported stress, anxiety, happiness, and creativity (e.g., <xref ref-type="bibr" rid="B83">Palanica et al., 2019</xref>; <xref ref-type="bibr" rid="B94">Schutte et al., 2017</xref>; <xref ref-type="bibr" rid="B92">Schebella et al., 2020</xref>; <xref ref-type="bibr" rid="B119">Yu et al., 2018</xref>; <xref ref-type="bibr" rid="B33">Grossi and Marocco, 2025</xref>; <xref ref-type="bibr" rid="B69">Marocco et al., 2025b</xref>). However, evidence is still mixed (e.g., <xref ref-type="bibr" rid="B58">Li H. et al., 2021</xref>), and further research is needed to evaluate the potential of using VR nature scenarios and their impact on emotional states and other relevant psychological variables.</p>
<p>However, it is crucial to recognize that, within the field of technological innovation, there are also constraints that impact users&#x2019; willingness to adopt new technologies (<xref ref-type="bibr" rid="B66">Marocco et al., 2024c</xref>). These limitations primarily arise from dimensions of User Experience that are closely linked to emotional perception, such as technical usability, user acceptance and domain suitability (<xref ref-type="bibr" rid="B98">Stickdorn and Schneider, 2011</xref>; <xref ref-type="bibr" rid="B64">Marocco et al., 2024a</xref>; <xref ref-type="bibr" rid="B65">b</xref>, <xref ref-type="bibr" rid="B66">c</xref>; <xref ref-type="bibr" rid="B67">d</xref>). Therefore, designing technology with a human-centered perspective (<xref ref-type="bibr" rid="B102">Talamo et al., 2021</xref>; <xref ref-type="bibr" rid="B63">Marocco and Talamo, 2022</xref>; <xref ref-type="bibr" rid="B101">Talamo et al., 2011</xref>) is essential for ensuring the effectiveness of this kind of VR interventions. Nevertheless, due to space constraints, this review will not primarily focus on the design perspective of VR technology or the impact of user acceptability on the emotional response. In the field of User Experience, indeed, emotions play a crucial role. The experience itself can be considered an intuitive and immediate perception of a feeling or an emotion, often preceding rational evaluation. Therefore, investigating how virtual nature elicits emotional responses is a foundational step toward understanding the overall experience of interaction with these technologies.</p>
</sec>
<sec id="s1-3">
<title>1.3 Aim of the present work</title>
<p>Hence, given the growing interest in the therapeutic potential of virtual natural environments, we decided to focus our narrative review on the role of virtual natural environments in emotion elicitation. Most of the existing literature has focused on the general emotional effects of VR, while relatively few studies and reviews have systematically examined the specific impact of virtual nature. A deeper analysis of the main reviews in the field (<xref ref-type="bibr" rid="B151">Somarathna et al., 2023</xref>, <xref ref-type="bibr" rid="B60">Liang et al., 2024</xref>; <xref ref-type="bibr" rid="B14">Bolouki, 2024</xref>; <xref ref-type="bibr" rid="B97">Spano et al., 2023</xref>; <xref ref-type="bibr" rid="B59">Li et al., 2023</xref>; <xref ref-type="bibr" rid="B1">Abdullah et al., 2021</xref>) reveals that many tend to overlook key dimensions that are essential to fully understanding the emotional impact of virtual nature. In particular, three recurring limitations can be identified: a lack of differentiation between types of natural environments (e.g., green or blue spaces); insufficient integration of explicit and implicit emotional measures; a lack of comparative analysis of different exposure modalities. In contrast to the studies discussed above and addressing these limitations, the present review provides a more differentiated perspective on the effects of virtual nature, which has been largely missing from prior reviews. Hence, this review will consolidate the current knowledge, identify gaps, and provide direction for future research, addressing the types of interventions used in past studies, the variety of natural environments utilised, and their differential impacts on emotional responses, measured both by explicit and implicit measures.</p>
</sec>
</sec>
<sec sec-type="methods" id="s2">
<title>2 Methods</title>
<p>A state-of-the-art review was conducted to investigate the role of natural virtual environments in emotion elicitation through VR, adhering to established guidelines and criteria (e.g., <xref ref-type="bibr" rid="B31">Green et al., 2006</xref>; <xref ref-type="bibr" rid="B99">Sukhera, 2022</xref>). Narrative reviews are a form of qualitative research synthesis that describe the results of quantitative studies using diverse methodologies or theoretical frameworks, without focusing on the statistical significance of the findings (<xref ref-type="bibr" rid="B9">Baumeister and Leary, 1997</xref>; <xref ref-type="bibr" rid="B96">Siddaway, Wood and Hedges, 2019</xref>). This type of review is particularly suitable when a comprehensive understanding of the literature is desired in relation to a collection of quantitative studies that have employed various methodologies, or that have examined different theoretical conceptualizations, constructs, and relationships (<xref ref-type="bibr" rid="B8">Baumeister, 2013</xref>).</p>
<p>A narrative review method was chosen for this study due to the heterogeneous nature of the existing research on natural virtual environments and emotion elicitation. The studies in this field used a wide range of methodologies, theoretical perspectives, and constructs, making a narrative review the most appropriate approach to synthesise the findings. This type of review allows for a detailed and holistic examination of the literature, providing an integrated overview of the current state of knowledge. Additionally, narrative reviews are effective in identifying and discussing problems, weaknesses, contradictions, or controversies within a particular area of investigation (<xref ref-type="bibr" rid="B9">Baumeister and Leary, 1997</xref>).</p>
<p>In this review, we aim to survey the state of knowledge on the impact of natural virtual environments in emotion elicitation. This includes providing useful overviews and integrations of the existing literature, highlighting areas of consensus as well as points of contention. In doing so, we aim to provide valuable insights that can inform and guide future research and practice in this emerging field.</p>
<sec id="s2-1">
<title>2.1 Research questions</title>
<p>This review aims to address several key research questions to better understand the impact of natural virtual environments on emotion elicitation, focusing specifically on two crucial components of emotions: valence and arousal. Indeed, emotions can be mapped within a two-dimensional framework encompassing emotional valence and arousal. Valence refers to the positivity or negativity of an emotion, while arousal indicates its intensity (<xref ref-type="bibr" rid="B90">Russell and Barrett, 1999</xref>; <xref ref-type="bibr" rid="B51">Lang et al., 1998</xref>; <xref ref-type="bibr" rid="B89">Russell, 2003</xref>).</p>
<p>The following questions were formulated to guide the analysis:<list list-type="simple">
<list-item>
<p>1. What types of interventions have been adopted by previous studies and which have been the most effective? This question seeks to identify the various methods used in past research to expose participants to natural virtual environments, including the length of exposure and the specific techniques employed, and evaluate their relative effectiveness in eliciting emotional responses.</p>
</list-item>
<list-item>
<p>2. What types of natural environments have been used? This inquiry aims to categorise and describe the different natural environments that have been featured in previous studies, providing a comprehensive overview of the settings used. Also, it refers to the differential effects of various types of natural environments, such as green (e.g., forests, parks), blue (e.g., oceans, rivers), white (e.g., snowy landscapes), and brown (e.g., deserts), on emotion elicitation within virtual reality contexts.</p>
</list-item>
<list-item>
<p>3. Which type of natural environment is most effective in eliciting emotions with positive valence? This question examines which natural environment is most successful in evoking positive emotional responses, such as happiness, contentment, or awe.</p>
</list-item>
<list-item>
<p>4. Which type of natural environment is most effective in reducing arousal? This query focuses on determining which specific natural environment has the greatest impact on lowering physiological arousal levels, contributing to a sense of calm and relaxation.</p>
</list-item>
</list>
</p>
<p>By addressing these research questions, the review aims to synthesize current knowledge and identify gaps in the literature, ultimately providing a foundation for future studies and practical applications in the field of virtual reality and emotion elicitation.</p>
</sec>
<sec id="s2-2">
<title>2.2 Searching and screening</title>
<p>With these questions in mind, a literature search was conducted in June 2024 to find empirical studies on the topic of interest. To ensure the inclusion of good-quality studies that have undergone peer review, the analysis focused exclusively on articles published in scientific journals, prioritising those that have been evaluated by experts in the field. The following databases were used to identify potentially relevant articles: Scopus, Google Scholar, and ScienceDirect.</p>
<p>For all databases, the same set of search keywords was used. About the VR-related literature, the keywords &#x201c;virtual reality&#x201d; and &#x201c;VR&#x201d; were used as search terms. For natural spaces, the keywords included &#x201c;nature&#x201d;, &#x201c;natural environments&#x201d;, and &#x201c;natural scenarios&#x201d;. Regarding the emotion-related literature, the adopted keywords were &#x201c;emotion&#x201d;, &#x201c;mood&#x201d;, &#x201c;emotional states&#x201d;, &#x201c;affect&#x201d;, and &#x201c;affective states&#x201d;. These search terms were used in combination to conduct the research across all databases, focusing on titles and abstracts, as follows: (&#x201c;virtual reality&#x201d; OR &#x201c;VR&#x201d;) AND (&#x201c;nature&#x201d; OR &#x201c;natural environments&#x201d; OR &#x201c;natural scenarios&#x201d;) AND (&#x201c;emotion&#x201d; OR &#x201c;emotional states&#x201d; OR &#x201c;affect&#x201d; OR &#x201c;affective states&#x201d;).</p>
<p>The search was limited to peer-reviewed journal articles published in English. Given the rapid evolution of VR technology over the past decade, we decided to focus only on research published in the last 10 years to exclude studies using outdated technology (<xref ref-type="bibr" rid="B52">LaValle, 2023</xref>). Characteristics such as sample type (e.g., clinical vs nonclinical), age, gender, and research design were not considered exclusion criteria for this review. The full list of inclusion and exclusion criteria is reported in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Inclusion and exclusion criteria for selecting research reports for review.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Inclusion criteria</th>
<th align="left">Exclusion criteria</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Research studies with no clinical and clinical samples</td>
<td align="left">No results or outcomes, or impacts presented</td>
</tr>
<tr>
<td align="left">Papers published in the last 10 years (2014&#x2013;2024)</td>
<td align="left">Papers published before 2014</td>
</tr>
<tr>
<td align="left">Focus on the impact of virtual nature on emotion elicitation, considering at least one of the valence or arousal dimensions</td>
<td align="left">No information about the impact of virtual nature on emotion elicitation</td>
</tr>
<tr>
<td align="left">Use of natural environment scenarios with Virtual Reality technologies</td>
<td align="left">No use of natural environment scenarios with Virtual Reality technologies</td>
</tr>
<tr>
<td align="left">Assessment of emotion elicitation (at least one of the valence or arousal dimensions)</td>
<td align="left">No assessment of emotion elicitation</td>
</tr>
<tr>
<td align="left">Papers full-text available and reporting outcomes, evaluations and impacts</td>
<td align="left">Full-text paper not available</td>
</tr>
<tr>
<td align="left">English language</td>
<td align="left">Non-English language</td>
</tr>
<tr>
<td align="left">Qualitative or quantitative, mixed and/or multi-method research</td>
<td align="left">Non-research articles (e.g., review papers, dissertations, book chapter)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-3">
<title>2.3 Data extraction and synthesis of the evidence</title>
<p>After the selection of the articles, the data extraction was carried out for all the included studies, using a pre-established form. The main components of the data extraction form were: the year of publication and country of study; study design and methods; study sample; characteristics of the virtual nature environments and the intervention (duration and modality); assessment of emotions; and results.</p>
<p>Furthermore, a synthesis of the evidence is provided. First, a preliminary descriptive summary of the included studies is presented, detailing their characteristics in terms of year of publication, location, sample demographics, study design and methods, features of the virtual natural environments, interventions used, and methods for assessing emotions.</p>
<p>Then, a narrative synthesis was adopted to further synthesise the results. Based on the guidelines for discussing narrative reviews (<xref ref-type="bibr" rid="B9">Baumeister and Leary, 1997</xref>), which recommend section critiques rather than critiquing each individual study, the findings have been organised around the two key components of emotion elicitation: valence and arousal. Each section includes a summary of the methods and results of relevant studies, along with a brief outline of the major flaws and limitations in the evidence. This approach allows for a more cohesive and comprehensive discussion of the overall trends and insights within the literature on the potential of virtual nature in emotion elicitation.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Study characteristics</title>
<p>The studies obtained from the search were characterised in terms of participant description (including sample size and age range), country, and research design (refer to <xref ref-type="table" rid="T2">Table 2</xref> for an overview).</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Characteristics of studies included in the review.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Authors</th>
<th align="left">Sample</th>
<th align="left">Methodology</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
<td align="left">N &#x3d; 18<break/>F (n &#x3d; 9) &#x2b; M (n &#x3d; 9)<break/>Average age of 32 &#xb1; 12 years<break/>United States of America</td>
<td align="left">Within-subject design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>
</td>
<td align="left">N &#x3d; 82<break/>F (n &#x3d; 39) &#x2b; M (n &#x3d; 43)<break/>Average age of 20 &#xb1; 1.2 years<break/>United States of America</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref>
</td>
<td align="left">
<italic>Study 1</italic>
<break/>N &#x3d; 71<break/>F (n &#x3d; 33) &#x2b; M (n &#x3d; 38)<break/>Average age of 23.2 years<break/>Students<break/>
<italic>Study 2</italic>
<break/>N &#x3d; 79<break/>F (n &#x3d; 54) &#x2b; M (n &#x3d; 25)<break/>Average age of 24.9 years<break/>Students<break/>Singapore</td>
<td align="left">Study 1<break/>Between-subjects design<break/>Only post-test<break/>Study 2<break/>Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>
</td>
<td align="left">N &#x3d; 120<break/>F (n &#x3d; 62) &#x2b; M (n &#x3d; 58)<break/>Average age of 20.7 &#xb1; 2.13 years<break/>Students<break/>China</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>
</td>
<td align="left">N &#x3d; 14<break/>F (n &#x3d; 8) &#x2b; M (n &#x3d; 6)<break/>Average age of 76.8 years (age range: 66&#x2013;84&#xa0;years)<break/>Germany</td>
<td align="left">Within-subjects design<break/>Pre-post<break/>Mixed-method design combining quantitative (standardised questionnaires) and qualitative (observation protocol, interview) measures<break/>Participants&#x2019; homes</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
<td align="left">N &#x3d; 35<break/>F (n &#x3d; 20) &#x2b; M (n &#x3d; 19)<break/>Age range 20&#x2013;60 years old<break/>Occupation: Factory workers on the production line<break/>China</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Conference room in the workplace</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
<td align="left">N &#x3d; 40<break/>F (n &#x3d; 17) &#x2b; M (n &#x3d; 23)<break/>Average age of 24.4 &#xb1; 2.8 years<break/>(age range: 20&#x2013;34&#xa0;years)<break/>Korea</td>
<td align="left">Within-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>
</td>
<td align="left">N &#x3d; 26<break/>F (n &#x3d; 12) &#x2b; M (n &#x3d; 14)<break/>Average age of 22 &#xb1; 3.7 years<break/>(age range: 18&#x2013;30&#xa0;years)<break/>Students<break/>United States of America</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>
</td>
<td align="left">N &#x3d; 100<break/>F (n &#x3d; 44) &#x2b; M (n &#x3d; 54) &#x2b; Other (n &#x3d; 2)<break/>Age: Younger than 35 (67%), 35 and older (33%)<break/>Occupation: Students (61%), Working (37%), Other (2%)<break/>Finland</td>
<td align="left">Within-subjects design<break/>Pre-post<break/>Quantitative method<break/>Calm office space</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
<td align="left">N &#x3d; 90<break/>F (n &#x3d; 61) &#x2b; M (n &#x3d; 39)<break/>Average age of 22 years<break/>Students<break/>China</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref>
</td>
<td align="left">N &#x3d; 64<break/>F (n &#x3d; 47) &#x2b; M (n &#x3d; 17)<break/>Average age of 23 &#xb1; 3.87 years<break/>Germany</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>
</td>
<td align="left">N &#x3d; 50<break/>F (n &#x3d; 32) &#x2b; M (n &#x3d; 19) &#x2b; Other (1)<break/>Average age of 24.2 &#xb1; 3.7 years<break/>Germany</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting/Urban forest (physical condition)</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
<td align="left">N &#x3d; 26<break/>F (n &#x3d; 13) &#x2b; M (n &#x3d; 13)<break/>Average age of 29.38 years<break/>(age range: 18&#x2013;55&#xa0;years)<break/>Germany</td>
<td align="left">Within-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
<td align="left">N &#x3d; 96<break/>F (n &#x3d; 63) &#x2b; M (n &#x3d; 33)<break/>Average age of 24.03 &#xb1; 5.29 years<break/>(age range: 18&#x2013;35&#xa0;years)<break/>China</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>
</td>
<td align="left">N &#x3d; 30<break/>F (n &#x3d; 12) &#x2b; M (n &#x3d; 18)<break/>Age range: 22&#x2013;26 years old <break/>Taiwan</td>
<td align="left">Between-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
<td align="left">N &#x3d; 30<break/>F (n &#x3d; 17) &#x2b; M (n &#x3d; 13)<break/>Age range: 20&#x2013;35 years old<break/>Students<break/>Taiwan</td>
<td align="left">Within-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
<td align="left">N &#x3d; 34<break/>F (n &#x3d; 28) &#x2b; M (n &#x3d; 6)<break/>Average age of 58.76 &#xb1; 8.36 years<break/>Taiwan</td>
<td align="left">Within-subjects design<break/>Pre-post<break/>Quantitative method<break/>Laboratory setting</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Furthermore, an overview of publication years of the reviewed studies is shown in <xref ref-type="fig" rid="F1">Figure 1</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Number of included studies by year of publication.</p>
</caption>
<graphic xlink:href="frvir-06-1638419-g001.tif">
<alt-text content-type="machine-generated">Bar chart showing the number of studies published per year from 2017 to 2024. In 2017 and 2018, there is one study each. Three studies in 2019, four studies in 2020, two studies in 2021 and 2022, three studies in 2023, and one study in 2024.</alt-text>
</graphic>
</fig>
<sec id="s3-1-1">
<title>3.1.1 Location</title>
<p>The included studies in the review were conducted in a diverse range of countries. <xref ref-type="fig" rid="F2">Figure 2</xref> displays a map illustrating the distribution of the reviewed studies across the different countries.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Map of the number of included studies by countries.</p>
</caption>
<graphic xlink:href="frvir-06-1638419-g002.tif">
<alt-text content-type="machine-generated">World map highlighting countries with studies in shades of blue. Darker blue indicates more studies. The included bar chart shows the number of studies by country: China and Germany have the most, followed by the USA, Taiwan, and others.</alt-text>
</graphic>
</fig>
<p>Specifically, there were four studies from Chinese Mainland (<xref ref-type="bibr" rid="B28">Gao et al., 2019</xref>; <xref ref-type="bibr" rid="B39">Ho et al., 2023</xref>; <xref ref-type="bibr" rid="B75">Meng et al., 2024</xref>; <xref ref-type="bibr" rid="B111">Wang et al., 2019</xref>), three from Taiwan (<xref ref-type="bibr" rid="B42">Jin et al., 2023</xref>; <xref ref-type="bibr" rid="B119">Yu et al., 2018</xref>; <xref ref-type="bibr" rid="B120">Yu et al., 2020</xref>), one from Singapore (<xref ref-type="bibr" rid="B23">Chan et al., 2023</xref>), and one from Korea (<xref ref-type="bibr" rid="B40">Hong et al., 2019</xref>). Additionally, four studies were conducted in Germany (<xref ref-type="bibr" rid="B30">Graf et al., 2020</xref>; <xref ref-type="bibr" rid="B150">Reese et al., 2021</xref>; <xref ref-type="bibr" rid="B84">Reese et al., 2022</xref>; <xref ref-type="bibr" rid="B110">Voigt-Antons et al., 2021</xref>), one in Finland (<xref ref-type="bibr" rid="B72">Mattila et al., 2020</xref>), three in the USA (<xref ref-type="bibr" rid="B4">Anderson et al., 2017</xref>; <xref ref-type="bibr" rid="B20">Browning et al., 2020</xref>; <xref ref-type="bibr" rid="B71">Masters et al., 2022</xref>).</p>
<p>This section may be divided by subheadings. It should provide a concise and precise description of the experimental results, their interpretation, as well as the experimental conclusions that can be drawn.</p>
</sec>
<sec id="s3-1-2">
<title>3.1.2 Sample characteristics</title>
<p>The reviewed studies included a diverse range of participant demographics. Sample sizes across the studies ranged from 14 to 120 participants. Age ranges were fairly consistent, covering mostly young and middle-aged adults, although <xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref> specifically included older adults aged 66&#x2013;84 years, with a mean age of 76.8 years.</p>
<p>All studies included both male and female participants, with some variations in gender distribution. Most studies utilised non-clinical samples, primarily composed of healthy participants, often university students, and excluded participants with psychiatric or chronic medical conditions that could interfere with the use of VR.</p>
<p>This diversity underscores the need for careful consideration of sample characteristics when interpreting the findings and implications of research on virtual natural environments and emotion elicitation.</p>
</sec>
<sec id="s3-1-3">
<title>3.1.3 Methodologies</title>
<p>Methodologically, the majority of the studies employed quantitative methods. Only one study, <xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>, used a mixed-method design that combined quantitative (standardised questionnaires) and qualitative (observation protocol, interview) measures.</p>
<p>Regarding research design, the studies included both between-subjects (<xref ref-type="bibr" rid="B20">Browning et al., 2020</xref>; <xref ref-type="bibr" rid="B23">Chan et al., 2023</xref>; <xref ref-type="bibr" rid="B28">Gao et al., 2019</xref>; <xref ref-type="bibr" rid="B39">Ho et al., 2023</xref>; <xref ref-type="bibr" rid="B71">Masters et al., 2022</xref>; <xref ref-type="bibr" rid="B75">Meng et al., 2024</xref>; <xref ref-type="bibr" rid="B150">Reese et al., 2021</xref>; <xref ref-type="bibr" rid="B84">Reese et al., 2022</xref>; <xref ref-type="bibr" rid="B111">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="B42">Jin et al., 2023</xref>) and within-subjects designs (<xref ref-type="bibr" rid="B4">Anderson et al., 2017</xref>; <xref ref-type="bibr" rid="B30">Graf et al., 2020</xref>; <xref ref-type="bibr" rid="B40">Hong et al., 2019</xref>; <xref ref-type="bibr" rid="B72">Mattila et al., 2020</xref>; <xref ref-type="bibr" rid="B110">Voigt-Antons et al., 2021</xref>; <xref ref-type="bibr" rid="B119">Yu et al., 2018</xref>; <xref ref-type="bibr" rid="B120">Yu et al., 2020</xref>).</p>
<p>Most studies used a pre-post test design to measure the impact of virtual natural environments on emotion elicitation. Only <xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref> included a study (Study 1) with an only post-test design.</p>
<p>In terms of the setting, the majority of the studies were conducted in laboratory settings, with exceptions such as <xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>, who used a conference room at participants&#x2019; workplaces, and <xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>, who conducted their study in participants&#x2019; homes.</p>
</sec>
</sec>
<sec id="s3-2">
<title>3.2 Virtual natural environments</title>
<p>From the analysis of the literature, it emerged that most studies exploring the effect of virtual natural scenarios on emotions used green spaces (i.e., forests, meadows, parks), compared to other types of environments such as blue spaces (i.e., beaches, sea, waterfalls) or brown (i.e., deserts) and red environments (i.e., savannahs and canyons).</p>
<p>More specifically, a significant number of studies used forest environments (i.e., nine). <xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref> used an outdoor forest setting, while <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref> recorded video at Minjuji Mountain using a 360-degree camera. <xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref> and <xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref> focused on a general forest environment. <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref> examined seven different types of forest resting environments. <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> used the natural forest of The Aowanda National Forest Recreation Area, and <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref> showed the Neidong National Forest Recreation Area in Taiwan. Some other studies focused on different kinds of environments or mixed environments. Specifically, <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref> examined both blue spaces, such as an open pond with some greenery, and green spaces with various levels of canopy cover, and <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> used a waterfall environment in The Aowanda National Forest Recreation Area.</p>
<p>Meadow environments were used in three studies (<xref ref-type="bibr" rid="B23">Chan et al., 2023</xref>; <xref ref-type="bibr" rid="B110">Voigt-Antons et al., 2021</xref>; <xref ref-type="bibr" rid="B42">Jin et al., 2023</xref>), providing open, grassy landscapes with natural elements. Parks, particularly urban and peri-urban parks, were featured in two studies. <xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref> used nature-based VR videos showing different areas such as parks, hiking trails, forest paths, and bikeways. <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref> focused on urban parks, peri-urban parks, and nature conservation areas.</p>
<p>Among the blue spaces, coastal environments were featured in two studies. <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> used locations over Ireland with large expansive natural vistas with views of water and beach locations on the Australian coast, while <xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref> investigated a general coastal nature environment. <xref ref-type="table" rid="T3">Table 3</xref> provides a description of all the included studies, categorized by the different types of virtual natural environments used in the research.</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Virtual natural environments used in the included studies.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Study</th>
<th align="left">Type of virtual natural environments</th>
<th align="left">Description of natural environments</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
<td align="left">Blue spaces</td>
<td align="left">Location with a large expansive natural vista with views of water (Ireland) and a beach location (Dream Beach).</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>
</td>
<td align="left">Green spaces</td>
<td align="left">Forest.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref>
</td>
<td align="left">Green and red spaces</td>
<td align="left">Green Meadow and a Red Savannah.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>
</td>
<td align="left">Green and blue spaces</td>
<td align="left">Open pond with some greenery (blue) and partly closed green space, partly open green space, and open green space (green).</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>
</td>
<td align="left">Green and blue spaces</td>
<td align="left">Forest with the view of the ocean or a mountain.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
<td align="left">Green spaces</td>
<td align="left">Parks, hiking trails, forest paths, and bikeways.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
<td align="left">Green spaces</td>
<td align="left">Forest.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>
</td>
<td align="left">Green and brown spaces</td>
<td align="left">Canyon and Forest settings/maps.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>
</td>
<td align="left">Green spaces</td>
<td align="left">Forest.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
<td align="left">Green spaces</td>
<td align="left">Urban park, peri-urban park, or nature conservation area.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref>
</td>
<td align="left">Blue spaces</td>
<td align="left">Coastal nature environment.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>
</td>
<td align="left">Green spaces</td>
<td align="left">Forest.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
<td align="left">Green spaces</td>
<td align="left">Green Meadow.</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-3">
<title>3.3 Interventions</title>
<p>The virtual environment interventions explored were designed with varying exposure durations and modalities.</p>
<p>The durations can be broadly categorised into short (5&#x2013;10&#xa0;min), moderate (15&#x2013;20&#xa0;min), and long exposures (30&#xa0;min). This categorization aims to synthesize and standardize the comparison of studies that employed heterogeneous exposure times. Although these intervals are not universally standardized, they were defined based on the most frequently recurring exposure durations found across the included studies.</p>
<p>The modalities of exposure in virtual natural environments included seated viewing, walking activities, or free exploration, with various levels of interaction.</p>
<p>For short exposure sessions, typically lasting between 5 and 10&#xa0;min, participants were usually seated. In the studies by <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>, <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>, <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>, and <xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref> participants were seated while they watched images/videos or navigated through the virtual scenery for 5&#xa0;min. <xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref> and <xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref> used a swivel chair, allowing participants to turn 360&#xb0; while remaining seated for 5&#xa0;min. In the study by <xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>, participants interacted within the natural virtual scene for 5&#xa0;min under varying conditions (no interaction, interaction with a handle, interaction with gestures). <xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref> conducted a study where participants were asked to remain seated on an office chair for a duration ranging from 5.5 to 9.5&#xa0;min. During this time, they had the freedom to move their body, arms, and head at their discretion. <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref> provided a 10-min VR immersion while seated. In the studies by <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>, (<xref ref-type="bibr" rid="B120">2020</xref>), participants watched videos in any comfortable seated position for 10&#xa0;min. <xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref> allowed participants to roam within the VR scenes or explore the virtual environment for 10&#xa0;min each, respectively.</p>
<p>Moderate exposure studies, ranging from 15 to 20&#xa0;min, often involved seated participants. <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> had participants seated for 15&#xa0;min, with some in a supine position on a lounge chair for specific scenes. <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref> involved participants in playing games while seated for 20&#xa0;min. <xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref> combined seated and walking experiences, alternating between 6&#xa0;min of sitting and 6&#xa0;min of walking, totalling 18&#xa0;min, instructing participants to relax and enjoy the setting during the sitting component.</p>
<p>Long exposure sessions lasted around 30&#xa0;min. <xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref> enabled participants to explore the &#x201c;VR Forest Walk&#x201d; for 30&#xa0;min, guiding them on how to navigate and interact in the virtual world. <xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref> allowed participants to watch VR videos in a 360-degree format for 30&#xa0;min (once a week for 12 weeks), encouraging them to move their heads freely to view from various angles.</p>
<p>An overview of the interventions&#x2019; characteristics, focusing on the duration and the modality of exposure to VR, is shown in <xref ref-type="table" rid="T4">Table 4</xref>.</p>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>Description of the included studies&#x2019; interventions.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Study</th>
<th align="left">Time of exposure</th>
<th align="left">Modality of exposure</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
<td align="left">15&#xa0;min</td>
<td align="left">The subjects were seated but allowed to elevate their legs on the lounge chair.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>
</td>
<td align="left">18&#xa0;min</td>
<td align="left">The subjects experienced each condition for 6&#xa0;min of sitting and 6&#xa0;min of walking.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref>
</td>
<td align="left">5&#xa0;min</td>
<td align="left">The subjects were seated on a swivel chair which enabled them to turn 360&#xb0;.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>
</td>
<td align="left">5&#xa0;min</td>
<td align="left">The subjects watched the images seated.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>
</td>
<td align="left">30&#xa0;min</td>
<td align="left">The participants navigated and interacted in the virtual world.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
<td align="left">30&#xa0;min (12 sessions)</td>
<td align="left">The subjects could freely move the direction of their head to watch the video from various angles. The position of the participants was not specified</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
<td align="left">5&#xa0;min</td>
<td align="left">The subjects watched the video. The position of the participants was not specified.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>
</td>
<td align="left">10&#xa0;min</td>
<td align="left">The subjects were allowed to freely explore the virtual environments. The position of the participants was not specified.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>
</td>
<td align="left">5&#xa0;min</td>
<td align="left">The subjects were seated on a swivel chair which enabled them to turn 360&#xb0;.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
<td align="left">10&#xa0;min</td>
<td align="left">The position of the participants was not specified.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref>
</td>
<td align="left">5&#xa0;min</td>
<td align="left">The subjects were allowed to freely explore the virtual environments. The position of the participants was not specified.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>
</td>
<td align="left">from 5.5 to 9.5&#xa0;min</td>
<td align="left">The subjects were seated on an office chair.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
<td align="left">20&#xa0;min</td>
<td align="left">The subjects were seated.</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
<td align="left">5&#xa0;min</td>
<td align="left">The subjects were seated.</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-4">
<title>3.4 Type of assessment</title>
<p>For the evaluation of the emotional experience, explicit or implicit measures are used. Explicit measures rely on the conscious and intentional assessment of participants. In this type of measurement, subjects are presented with direct questions or asked for subjective evaluations regarding a specific topic. On the other hand, implicit measures aim to assess individuals&#x2019; automatic and unconscious reactions. This type of measurement relies on indirect indicators of responses, such as reaction times or physiological measurements. In the included studies, it emerges that both implicit and explicit measurements were used, sometimes in combination. Specifically, implicit measures were used to assess arousal, while self-reports questionnaires were mostly adopted to obtain information about the valence of the emotional states.</p>
<sec id="s3-4-1">
<title>3.4.1 Explicit measurements</title>
<p>Among the explicit measures, the Positive and Negative Affect Schedule (PANAS; <xref ref-type="bibr" rid="B112">Watson, et al., 1988</xref>) is the most commonly used in the explored literature. The PANAS, in its original version, consists of 20 items, divided equally into two dimensions: positive affect (e.g., enthusiastic, interested, inspired, active) and negative affect (e.g., upset, scared, nervous, irritable). Seven studies, including those by <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>, <xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>, <xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>, <xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>, <xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>, <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>, and <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>, employed the PANAS in its original version to effectively assess positive and negative emotional states.</p>
<p>Four studies including <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>, <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>, <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>, and <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> used another self-report tool to assess multiple mood dimensions, which is the Profile of Mood States (POMS; <xref ref-type="bibr" rid="B74">McNair et al., 1971</xref>). <xref ref-type="bibr" rid="B75">Jin et al. (2023)</xref> and <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref> employed the POMS Scale to assess six distinct mood dimensions, namely, Tension or Anxiety, Anger or Hostility, Vigor or Activity, Fatigue or Inertia, Depression or Dejection, and Confusion or Bewilderment. This tool not only captured the emotional experiences categorising them in two dimensions (positive and negative mood) but also allowed for the calculation of Total Mood Disturbance (TMD). In their analysis, TMD was derived by subtracting the Vigor scores from the cumulative scores of the negative mood dimensions, providing a measure of overall mood disturbance. <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref> and <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> assessed seven mood states, including Esteem, as well as the traditional POMS dimensions. <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref> used the 40-item POMS Short Form (POMS-SF), while <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> a Mandarin-translated questionnaire. Lastly, <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref> used the Brief POMS (BPOMS), a shorter version of the original POMS with 30 items. This version simplifies the assessment by focusing on five core dimensions: Tension, Anxiety, Fatigue, Vigor, and Confusion&#x2013;Depression.</p>
<p>The study of <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref> used the Self-Assessment Manikin (SAM; <xref ref-type="bibr" rid="B15">Bradley and Lang, 1994</xref>), a non-verbal, pictorial measurement scale, to assess the emotional states, specifically focusing on two dimensions: valence and arousal. They used SAM with a nine-point scale to measure valence and arousal, providing a quantitative assessment of the emotional responses.</p>
<p>
<xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref>, used the Scale of Positive and Negative Experience (SPANE, <xref ref-type="bibr" rid="B24">Diener et al., 2010</xref>), which includes twelve items divided into two dimensions: positive affect and negative affect. Participants rated the extent to which they experienced each emotion on a scale from 1 (not much or not at all) to 5 (very much), providing a measure of their overall emotional state.</p>
<p>
<xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref> and <xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref> used the Subjective Vitality Scale (SVS; <xref ref-type="bibr" rid="B91">Ryan and Frederick, 1997</xref>), which refers to the state of feeling alive and alert&#x2013;to having energy available to the self. Ultimately, <xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref> used the Zuckerman Inventory of Personal Emotional Reactions (ZIPERS; <xref ref-type="bibr" rid="B121">Zuckerman, 1977</xref>) to investigate feelings evoked in specific environments. An overview of all the explicit measurements is presented in <xref ref-type="table" rid="T5">Table 5</xref>.</p>
<table-wrap id="T5" position="float">
<label>TABLE 5</label>
<caption>
<p>Explicit measurements used in the included studies.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Type of explicit measures</th>
<th align="left">Study</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="10" align="left">Positive and Negative<break/>Affect Schedule (PANAS)</td>
<td align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="6" align="left">Profile of Mood States (POMS)</td>
<td align="left">
<xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">Self Assessment Manikin (SAM)</td>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Scale of Positive and Negative Experience (SPANE)</td>
<td align="left">
<xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">Subjective Vitality<break/>Scale (SVS)</td>
<td align="left">
<xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Zuckerman Inventory of Personal Emotional Reactions (ZIPERS)</td>
<td align="left">
<xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-4-2">
<title>3.4.2 Implicit measurements</title>
<p>On the other hand, some of the included studies used a range of physiological measures, as implicit measures, to assess participants&#x2019; emotional and physiological responses to virtual natural environments. One common measure is the Skin Conductivity Levels (SCL), which was used by <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref> and <xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>. This measure evaluates the skin&#x2019;s electrical conductance, which varies with moisture levels and provides an indication of emotional arousal. Additionally, Non-Specific Skin Conductance Responses (nSCR), which measure distinct changes in skin conductance associated with emotional reactions, were used by <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>.</p>
<p>Electrodermal activity (EDA), another related measure, was employed by <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> to assess overall changes in the skin&#x2019;s electrical conductance, reflecting sweating and emotional arousal. Contrary, Heart rate (HR) monitoring was a widely used measure across several reviewed studies, including those by <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>, <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>, <xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>, <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>, <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>, <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>, and <xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>. This measure provides data on the number of heartbeats per minute, which can indicate levels of stress and relaxation.</p>
<p>Closely related is Heart Rate Variability (HRV), which measures the variation in time intervals between heartbeats. HRV provides a unique and non-invasive assessment of autonomic nervous system control over cardiovascular dynamics, which change during different affective states, thereby offering valuable insights into physiological arousal. This measure was used by <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>, <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>, <xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>, <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>, and both studies by <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>, (<xref ref-type="bibr" rid="B120">2020</xref>).</p>
<p>
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref> also investigated the activity levels of the sympathetic and parasympathetic nervous systems (SNS and PNS) to further understand stress and relaxation responses. Activation of the SNS redirects the body&#x2019;s resources from processes like digestion and resting to organs involved in physical activity, such as the heart and pupils. In contrast, the PNS is activated during restful states, such as after eating or while relaxing.</p>
<p>Salivary amylase concentration, an indicator of stress response, was measured by <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref> and <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>. This measure evaluates the level of the amylase enzyme in saliva, which indicates stress-reactive bodily changes. Instead, the electroencephalogram (EEG) was used by <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref> to record electrical activity in the brain. Indeed, EEG can be used to detect many activities in the brain, such as stress.</p>
<p>Lastly, blood pressure was another measure used to detect stress. Studies by <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>, <xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>, <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>, and <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> incorporated this measure, which evaluates stress levels by monitoring hypertension. In fact, stress can elevate blood pressure and stimulate the nervous system to produce large amounts of vasoconstricting hormones, leading to increased blood pressure.</p>
<p>These indicators are commonly used in psychophysiological research to infer levels of emotional arousal. Although such measures are often associated with stress responses, it is important to clarify their interpretation in the context of this review. Specifically, while stress is typically connoted as a negative emotional state, physiological arousal refers more broadly to the intensity of an emotional reaction, regardless of its valence (i.e., whether positive or negative). In this review, we include these physiological measures not as direct indicators of stress, but as widely recognized tools for capturing the strength of emotional responses. To fully understand the psychological meaning of these responses, however, it is essential to interpret physiological data in conjunction with explicit self-report measures, which can provide insight into the valence and subjective evaluation of the emotional experience (<xref ref-type="bibr" rid="B68">Marocco et al., 2025a</xref>).</p>
<p>An overview of all the explicit measurements is presented in <xref ref-type="table" rid="T6">Table 6</xref>.</p>
<table-wrap id="T6" position="float">
<label>TABLE 6</label>
<caption>
<p>Implicit measurements used in the included studies.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Type of implicit measures</th>
<th align="left">Study</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="2" align="left">Skin conductivity levels (SCL)</td>
<td align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Significant skin conductance responses (nSCR)</td>
<td align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left">Electrodermal activity (EDA)</td>
<td align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
</tr>
<tr>
<td rowspan="7" align="left">Heart rate (HR)</td>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
</tr>
<tr>
<td rowspan="7" align="left">Heart rate variability (HRV)</td>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">Activity level of sympathetic and parasympathetic nervous system (SNS and PSNS)</td>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="left">Salivary amylase concentration</td>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">Electroencephalogram (EEG)</td>
<td align="left">
<xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>
</td>
</tr>
<tr>
<td rowspan="4" align="left">Blood Pressure</td>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="s3-5">
<title>3.5 Summary of the evidence</title>
<p>This section summarizes the key findings from the reviewed studies regarding the impact of virtual nature interventions on emotional experiences, highlighting the major trends and insights. We will first examine the evidence related to the valence component of emotion elicitation, followed by an analysis of the arousal component.</p>
<sec id="s3-5-1">
<title>3.5.1 Valence</title>
<p>Almost all the studies reviewed in this paper examined the effects of virtual natural environments on emotional valence. Specifically, <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> found that exposure to natural blue environments, including locations with large expansive vistas with water and beach locations, effectively reduced negative affect but did not significantly alter positive affect. This suggests that the soothing visual elements of water and beach scenes, combined with the comfortable setting, were able to reduce negative mood. Similarly, <xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref> observed that while outdoor natural environments significantly increased positive affect, the VR nature condition (forest) did not show a statistically significant improvement in positive affect. However, all conditions, including the indoor control and VR nature, effectively reduced negative affect. The study involved participants sitting and walking in a VR forest setting, with instructions to relax and enjoy the environment. <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref> found that various blue and green natural environments significantly reduced negative mood without affecting positive mood, with partly open green space being the most effective. Also, <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref> noted no significant changes in positive affect after VR immersions in urban and peri-urban park scenarios, though unexpectedly the nature conservation area scenario resulted in a significant decrease in positive affect. However, all scenarios effectively reduced negative emotions.</p>
<p>
<xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref> reported that virtual green meadows significantly increased positive affect, whereas red savannah and museum conditions did not significantly change either positive or negative affect. This indicates that the green natural environment had a greater impact on positive emotions compared to the red one. Additionally, <xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref> noted an increase in positive mood and a slight decrease in negative mood, though neither change was statistically significant. The study had participants interact in a virtual forest with an ocean or mountain view for 30&#xa0;min.</p>
<p>
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref> showed that exposure to virtual natural environments, such as green areas of parks, hiking trails, forest paths, and bikeways, significantly increased positive affect and decreased negative emotions. In the study of <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>, the exposure to a virtual forest reported significant improvements in various dimensions of mood, including increased vigor and decreased tension-anxiety, depression-dejection, and anger-hostility. Similarly, <xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref> demonstrated significant improvements in positive emotional states after exposure to a forest in VR, where participants could rotate freely while seated. Additionally, Yu et al. (2018) and <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref> reported that virtual forest environments significantly reduced negative emotional states such as confusion, fatigue, anger-hostility, tension, and depression while increasing positive feelings and vigor. The first study involved younger adults, while the second focused on middle-aged and older adults, thus generalizing the effect across both age groups. <xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref> and <xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref> both found significant increases in positive affect and decreases in negative affect following VR immersions in coastal nature and forest environments, respectively. <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref> reported that a VR nature experience significantly improved the valence of the emotions after a VR horror game. <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref> found that virtual forest environments effectively reduced mood disturbances, including anxiety and confusion, while increasing vigor. Finally, <xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref> found no significant changes in either positive or negative affect, though there were trends in the data indicating a decrease in negative emotions and an increase in positive affect.</p>
<p>
<xref ref-type="table" rid="T7">Table 7</xref> provides an overview of the evidence regarding emotional responses in terms of valence.</p>
<table-wrap id="T7" position="float">
<label>TABLE 7</label>
<caption>
<p>Summary of the evidence in terms of valence.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="left">Study</th>
<th rowspan="2" align="left">Type of virtual natural environments</th>
<th colspan="2" align="left">Valence</th>
</tr>
<tr>
<th align="left">Positive emotions</th>
<th align="left">Negative emotions</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
<td align="left">Ireland</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Dream Beach</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>
</td>
<td align="left">Forest</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref>
</td>
<td align="left">Green Meadow</td>
<td align="left">Increased</td>
<td align="left">No change</td>
</tr>
<tr>
<td align="left">Red Savannah</td>
<td align="left">No change</td>
<td align="left">No change</td>
</tr>
<tr>
<td rowspan="4" align="left">
<xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>
</td>
<td align="left">Open pond with some greenery</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Partly closed green space</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Partly open green space</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Open green space</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>
</td>
<td align="left">Forest with the view of the ocean or a mountain</td>
<td align="left">Increased (Not significant)</td>
<td align="left">Decreased (Not significant)</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
<td align="left">Areas with parks, hiking trails, forest paths, and bikeways</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
<td align="left">Decreased (Not significant)</td>
</tr>
<tr>
<td align="left">Canyon</td>
<td align="left">Increased</td>
<td align="left">Decreased (Not significant)</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td rowspan="3" align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
<td align="left">Urban park</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Peri-urban park</td>
<td align="left">No significant change</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Nature conservation area</td>
<td align="left">Decreased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref>
</td>
<td align="left">Coastal nature environment</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
<td align="left">Green Meadow</td>
<td align="left">Increased</td>
<td align="left"/>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>
</td>
<td align="left">Green Meadow</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
<td align="left">Decreased</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-5-2">
<title>3.5.2 Arousal</title>
<p>The impact of virtual natural environments on arousal was also examined across a significant number of studies, where high arousal is also referred to as physiological stress and low arousal is also defined as relaxation or restoration. <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> found that exposure to blue natural scenarios resulted in a marked decrease in EDA compared to an indoor control scene, indicating a deeper and more sustained relaxation effect. <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref> found that various natural environments, including an open pond with greenery, partly closed green space, partly open green space, and open green space, all significantly decreased arousal as measured by EEG readings, indicating a calming effect across different natural blue and green settings. <xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref> reported improvements in indicators of HRV compared to the control group (with no intervention), including standard deviations of all normal-to-normal intervals, low-frequency power, and high-frequency power, suggesting the power of VR nature in reducing physiological stress. <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref> found that a VR forest video significantly lowered the stress index and increased HRV, suggesting enhanced physiological resilience and reduced stress. <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref> found that virtual forest environments were more effective in reducing physiological stress indicators, such as blood pressure and salivary amylase levels, compared to forest environments with a higher level of artificiality. <xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref> found that interaction with hand gestures in VR significantly reduced tension and anxiety compared to no interaction or interaction with handles, suggesting that a higher immersion produces the best effect on stress relief.</p>
<p>The study by <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref> revealed that immersion in the peri-urban park and nature conservation area was associated with a significantly faster and more consistent decrease in SCL compared to the urban park. Moreover, nSCR in the nature conservation area remained significantly lower than in the urban park. This result demonstrates how higher biodiversity levels are linked to faster and more substantial stress recovery.</p>
<p>
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> found that participants&#x2019; systolic blood pressure and HR decreased over time, regardless of the type of environment (forest and urban). This suggests that the decrease in blood pressure and heart rate was not specifically influenced by the type of environment. In the same way, <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>, reproposing a similar study with older adults, observed no significant physiological differences between virtual natural and urban environments. The short duration of VR immersion (10&#xa0;min) was considered a potential factor for the lack of significant physiological responses.</p>
<p>On the other hand, <xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref> observed that both the nature conditions, whether outdoors or <italic>via</italic> VR, were associated with increased SCL, indicating higher physiological arousal. However, it should be noted that this increase in physiological arousal was accompanied by enhanced positive affect. This suggests that the heightened arousal was more associated with a state of excitement rather than relaxation, yet still having a positive impact on the emotional states.</p>
<p>Lastly, <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref> reported no significant change in HRV after exposure to a virtual green meadow, arguing that the five-minute time span, participants spent in each condition, was too short for showing clearer results concerning arousal values and HR measures.</p>
<p>
<xref ref-type="table" rid="T8">Table 8</xref> provides an overview of the evidence regarding emotional responses in terms of arousal.</p>
<table-wrap id="T8" position="float">
<label>TABLE 8</label>
<caption>
<p>Summary of the evidence in terms of arousal.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Study</th>
<th align="left">Type of virtual natural environments</th>
<th align="left">Arousal</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>
</td>
<td align="left">Ireland</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Dream Beach</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Increased</td>
</tr>
<tr>
<td rowspan="4" align="left">
<xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>
</td>
<td align="left">Open pond with some greenery</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Partly closed green space</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Partly open green space</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">Open green space</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>
</td>
<td align="left">Areas with parks, hiking trails, forest paths, and bikeways</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td rowspan="3" align="left">
<xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>
</td>
<td align="left">Urban park</td>
<td align="left">Increased</td>
</tr>
<tr>
<td align="left">Peri-urban park</td>
<td align="left">Increased</td>
</tr>
<tr>
<td align="left">Nature conservation area</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref>
</td>
<td align="left">Green Meadow</td>
<td align="left">No significant change</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>
</td>
<td align="left">Green Meadow</td>
<td align="left">Decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>
</td>
<td align="left">Forest</td>
<td align="left">Partially decreased</td>
</tr>
<tr>
<td align="left">
<xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>
</td>
<td align="left">Forest</td>
<td align="left">No significant change</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>Our narrative review examined 17 international studies conducted over the past 10 years to explore the impact of natural virtual environments on emotion elicitation. The main findings are outlined below, addressing our specific research questions.</p>
<sec id="s4-1">
<title>4.1 What types of interventions have been adopted by previous studies and which have been the most effective?</title>
<p>The studies reviewed employed various methods to expose participants to virtual natural environments, with differences in the length of exposure and specific techniques used. The duration of exposure ranged from short sessions of 5&#xa0;minutes (<xref ref-type="bibr" rid="B23">Chan et al., 2023</xref>; <xref ref-type="bibr" rid="B28">Gao et al., 2019</xref>; <xref ref-type="bibr" rid="B40">Hong et al., 2019</xref>; <xref ref-type="bibr" rid="B72">Mattila et al., 2020</xref>) to longer sessions of 30&#xa0;min (<xref ref-type="bibr" rid="B30">Graf et al., 2020</xref>; <xref ref-type="bibr" rid="B39">Ho et al., 2023</xref>). The modalities included seated viewing with or without the possibility to move freely (<xref ref-type="bibr" rid="B39">Ho et al., 2023</xref>; <xref ref-type="bibr" rid="B119">Yu et al., 2018</xref>; <xref ref-type="bibr" rid="B120">Yu et al., 2020</xref>), walking in place (<xref ref-type="bibr" rid="B20">Browning et al., 2020</xref>), and interacting with the environment in different ways (<xref ref-type="bibr" rid="B42">Jin et al., 2023</xref>). The most effective interventions were those that combined longer durations with higher levels of interaction, allowing participants, through hand gestures, to immerse themselves deeply in the virtual natural environments. This comprehensive engagement appears crucial for maximizing the emotional and physiological benefits of VR nature experiences.</p>
</sec>
<sec id="s4-2">
<title>4.2 What types of natural environments have been used?</title>
<p>The studies included in the present review employed a broad spectrum of virtual natural environments, categorized into green, blue, red, and brown environments. Green spaces were the most frequently utilized, with a strong focus on virtual forests (<xref ref-type="bibr" rid="B20">Browning et al., 2020</xref>; <xref ref-type="bibr" rid="B40">Hong et al., 2019</xref>; <xref ref-type="bibr" rid="B72">Mattila et al., 2020</xref>; <xref ref-type="bibr" rid="B84">Reese et al., 2022</xref>; <xref ref-type="bibr" rid="B119">Yu et al., 2018</xref>; <xref ref-type="bibr" rid="B120">Yu et al., 2020</xref>). Parks, hiking trails, forest paths, and bikeways were examined by <xref ref-type="bibr" rid="B39">Ho et al. (2023)</xref>, green meadows were investigated by <xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref> and <xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref>, and urban parks, peri-urban parks, and nature conservation areas were included by <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref>.</p>
<p>Blue spaces were represented in two studies: expansive vistas of water and beach locations were featured by <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref>, while coastal nature environments were explored by <xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref>. Moreover, some studies included different kinds of environments or mixed environments: open ponds and greenery, combining elements of blue and green spaces, were included by <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>, while mixed environments featuring forests with views of oceans or mountains were utilized by <xref ref-type="bibr" rid="B30">Graf et al. (2020)</xref>.</p>
<p>Red and brown environments were less common, with two studies focusing on these settings: a red savannah was examined by <xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref>, and canyons along with forest environments were studied by <xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>. No studies considering white environments were included in the review due to our specified inclusion criteria.</p>
</sec>
<sec id="s4-3">
<title>4.3 Which type of natural environment is most effective in eliciting emotions with positive valence?</title>
<p>This review reveals that virtual green meadows and forest environments are the most effective in eliciting positive emotions. Specifically, green meadows consistently demonstrated an ability to enhance positive affect across multiple studies (<xref ref-type="bibr" rid="B23">Chan et al., 2023</xref>; <xref ref-type="bibr" rid="B110">Voigt-Antons et al., 2021</xref>; <xref ref-type="bibr" rid="B42">Jin et al., 2023</xref>). This trend indicates that green meadows are particularly effective in generating positive emotional responses in virtual environments.</p>
<p>Similarly, virtual forests also showed a strong capacity to elicit positive emotions. Indeed, studies by <xref ref-type="bibr" rid="B20">Browning et al. (2020)</xref>, <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>, <xref ref-type="bibr" rid="B72">Mattila et al. (2020)</xref>, <xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref>, <xref ref-type="bibr" rid="B84">Reese et al. (2022)</xref>, <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>, <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref>, and <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref> found that forest environments increased positive emotions, although in some cases, these increases were not statistically significant. Despite the variability in significance, the consistent trend across multiple studies underscores the effectiveness of virtual forests in enhancing positive emotional experiences.</p>
<p>In contrast, other types of environments such as blue spaces (e.g., beaches, coastal environments) and red or brown environments (e.g., red savannahs, canyons) showed less consistent effects on positive emotions. For example, <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> and <xref ref-type="bibr" rid="B150">Reese et al. (2021)</xref> reported no significant change in positive affect from blue spaces, while <xref ref-type="bibr" rid="B23">Chan et al. (2023)</xref> and <xref ref-type="bibr" rid="B71">Masters et al. (2022)</xref> found mixed results for red and brown environments. Further exploration is needed to identify potential factors contributing to the variability in their effects.</p>
</sec>
<sec id="s4-4">
<title>4.4 Which type of natural environment is most effective in reducing arousal?</title>
<p>The analysis of the included studies reveals that virtual forests as green spaces are most effective in reducing arousal. Specifically, studies by <xref ref-type="bibr" rid="B40">Hong et al. (2019)</xref>, <xref ref-type="bibr" rid="B111">Wang et al. (2019)</xref>, and <xref ref-type="bibr" rid="B119">Yu et al. (2018)</xref> reported decreases in arousal associated with forest environments, indicating their effectiveness in promoting relaxation. Additionally, various types of green spaces, including open green space and partly closed green space, were discovered to be effective in decreasing arousal levels (<xref ref-type="bibr" rid="B39">Ho et al., 2023</xref>; <xref ref-type="bibr" rid="B28">Gao et al., 2019</xref>).</p>
<p>In contrast, green meadows demonstrated mixed results. While <xref ref-type="bibr" rid="B42">Jin et al. (2023)</xref> found a decrease in arousal associated with green meadows, <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref> reported no significant change in arousal after exposure to a green meadow. This variability requires further exploration, given the limited number of studies conducted and analysed on these specific environments.</p>
<p>Blue spaces also showed a notable reduction in arousal, as evidenced by <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> and <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>, where expansive blue vistas and open ponds with greenery contributed to decreased arousal, validating the calming effect of water elements. However, it is important to note that the effect of blue spaces was less frequently studied compared to green environments.</p>
<p>In general, although the included studies revealed a positive impact of virtual natural environments on emotion elicitation, it is noteworthy that some evidence is still mixed and need for further exploration. Particularly, even if most of the studies reported a decrease in negative emotions, suggesting a positive impact of VR experience on emotional states, not all the research revealed significant effects in enhancing positive affect after the VR experience. For example, <xref ref-type="bibr" rid="B28">Gao et al. (2019)</xref>, assessed no significant changes in emotions with positive valence but reported a reduction in negative valence emotions. Similarly, <xref ref-type="bibr" rid="B75">Meng et al. (2024)</xref> and <xref ref-type="bibr" rid="B4">Anderson et al. (2017)</xref> found positive emotions unaltered but negative ones decreased. Moreover, regarding reduction in emotional arousal, most of the studies reported a decreased arousal. However, some studies reported an increased arousal (<xref ref-type="bibr" rid="B20">Browning et al., 2020</xref>) or a not significant change (<xref ref-type="bibr" rid="B110">Voigt-Antons et al., 2021</xref>; <xref ref-type="bibr" rid="B120">Yu et al., 2020</xref>). These unexpected results may be attributed to methodological factors. In <xref ref-type="bibr" rid="B20">Browning et al.&#x2019;s (2020)</xref> study, participants alternated between sitting and walking, a condition that may have physiologically stimulated them. Similarly, <xref ref-type="bibr" rid="B110">Voigt-Antons et al. (2021)</xref> involved participants in gameplay during the VR experience, potentially engaging mechanisms that heightened arousal rather than reducing it. Differently, in <xref ref-type="bibr" rid="B120">Yu et al. (2020)</xref>, participants were seated in a comfortable position but the VR experience only lasted 10&#xa0;min, a very short time to detect differences in physiological states. Further exploration of these dimensions is needed in future research.</p>
</sec>
</sec>
<sec id="s5">
<title>5 Limitations and future directions</title>
<p>This state-of-the-art narrative review provides a comprehensive overview of current research about emotion elicitation through VR; however, it is important to acknowledge its limitations and suggest directions for future works.</p>
<p>Firstly, the selection of databases used for this review was limited to only three major sources. Although these databases are extensive and widely recognized, the exclusion of additional databases may have resulted in the omission of relevant studies. This limitation could have introduced a selection bias, potentially impacting the scope and comprehensiveness of the review. Therefore, future reviews should incorporate a broader range of databases to ensure a more exhaustive collection of relevant literature.</p>
<p>Secondly, this review did not include grey literature, that often contains valuable insights and can provide a more comprehensive perspective on the topic under investigation. The exclusion of these sources may have limited the understanding of the full spectrum of research findings and practical applications, being subject to potential publication bias. Incorporating grey literature in future reviews of VR&#x2019;s potential in emotion elicitation would enhance the comprehensiveness and depth of the analysis.</p>
<p>Third, although the keyword strategy was designed to conceptually capture immersive virtual reality experiences in natural environments, it may have unintentionally excluded studies that used more specific or alternative terms&#x2014;such as names of specific natural settings (e.g., &#x201c;forest&#x201d;, &#x201c;park&#x201d;, &#x201c;lake&#x201d;) or different terminology referring to VR (e.g., &#x201c;simulated nature&#x201d;). While many of these environments were in fact represented in the included studies, future reviews would benefit from adopting a more granular and inclusive keyword strategy that accounts for the evolving and interdisciplinary nature of this research field.</p>
<p>Another limitation is the lack of a formal quality assessment of the included studies. Quality assessment is crucial to ensure that conclusions are drawn from robust and reliable evidence. The absence of such an assessment means that this review may include studies of varying methodological quality, potentially affecting the reliability and validity of the conclusions. Future reviews about the topic should implement systematic quality assessments to evaluate the methodological rigour, risk of bias, and relevance of each study, thereby ensuring that findings are based on high-quality evidence.</p>
<p>Additionally, future reviews should consider analysing the impact of various dimensions of User Experience on the sense of presence and the emotions elicited. Understanding how factors such as usability, engagement, and satisfaction influence emotional responses and the sense of presence can provide deeper insights and inform the design of more effective and emotionally resonant user experiences. Additionally, future research should investigate the role of cybersickness and its impact on user experience and emotional responses within VR scenarios, particularly given its documented association with VR-induced stress (<xref ref-type="bibr" rid="B70">Martirosov et al., 2022</xref>). Moreover, given that our review encompassed studies employing diverse methodologies and sample populations, future reviews could explore the impact of virtual natural environments on emotion elicitation within specific populations, such as clinical groups. This would allow for a nuanced understanding of individual emotional responses to natural scenarios and support the development of therapies tailored to distinct emotional profiles.</p>
<p>Finally, further investigation into the moderating effects contributing to the divergent outcomes identified in this review may prove valuable for future research. Such exploration could help pinpoint and clarify the factors influencing emotional experiences elicited during exposure to natural VR scenarios.</p>
<p>By addressing these areas, future reviews can enhance the comprehensiveness and reliability of the findings, ultimately contributing to a more nuanced understanding of the factors that influence emotional experiences and the sense of presence.</p>
</sec>
<sec sec-type="conclusion" id="s6">
<title>6 Conclusion</title>
<p>The review of studies on virtual natural environments reveals several key insights into their effectiveness and variations in terms of emotion elicitation. Different interventions, including the duration of exposure and interaction methods, played a significant role in the effectiveness of virtual nature experiences. Longer sessions, especially those involving interactive elements such as hand gestures, proved to be the most effective in enhancing emotional and physiological benefits.</p>
<p>Among the various types of natural environments used, green spaces, particularly virtual forests, were the most frequently studied and showed consistent effectiveness in both reducing arousal and eliciting positive emotions. Green meadows also emerged as highly effective in evoking positive emotions, although their impact on reducing arousal showed some variability. Blue spaces, while less frequently studied, also contributed to reduced arousal, particularly in environments featuring expansive water vistas. In contrast, red and brown environments, such as red savannahs and canyons, were less common and showed less consistent effects on emotional outcomes.</p>
<p>Overall, the findings underscore the strong impact of green environments, particularly forests and meadows, in promoting relaxation and positive emotional states, with variations observed in less commonly studied environments like blue spaces.</p>
</sec>
</body>
<back>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>SM: Writing &#x2013; original draft, Methodology, Conceptualization, Writing &#x2013; review and editing. VV: Writing &#x2013; review and editing, Methodology, Writing &#x2013; original draft, Conceptualization. EG: Writing &#x2013; review and editing. VG: Writing &#x2013; review and editing. MS: Writing &#x2013; review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research and/or publication of this article.</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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