The Feasibility and Impact of Practising Online Forest Bathing to Improve Anxiety, Rumination, Social Connection and Long-COVID Symptoms: A Pilot Study

Journal article


Kirsten McEwan, Collett, H., Nairn, J., Jamie Bird, Mark A. Faghy, Pfeifer, E., Jackson, J., Cook, C. and Bond, A. 2022. The Feasibility and Impact of Practising Online Forest Bathing to Improve Anxiety, Rumination, Social Connection and Long-COVID Symptoms: A Pilot Study. International Journal of Environmental Research and Public Health. 19 (22), pp. 1-12. https://doi.org/10.3390/ijerph192214905
AuthorsKirsten McEwan, Collett, H., Nairn, J., Jamie Bird, Mark A. Faghy, Pfeifer, E., Jackson, J., Cook, C. and Bond, A.
Abstract

Long-COVID affects over 144 million people globally. In the absence of treatments, there is a need to establish the efficacy of therapies that improve patient outcomes. Forest bathing has been demonstrated to improve physical and mental outcomes but there is no evidence in Long-COVID patients. Accordingly, this pilot study sought to determine the feasibility and effectiveness of online forest bathing in adults with Long-COVID. Methods: Feasibility was assessed by monitoring retention rates and participant feedback. In a waitlist controlled, repeated measures design, 22 Long-COVID patients completed weekly online surveys during a four-week waitlist control period, before engaging in four weekly online forest bathing sessions, completing post-intervention surveys following each session. Results: In terms of retention, 27% did not provide post-intervention data, reasons for non-adherence were: feeling too ill, having medical appointments, or having career responsibilities. Compared with the waitlist control period, there were statistically significant improvements in Anxiety (49% decrease), Rumination (48% decrease), Social Connection (78% increase), and Long-COVID symptoms (22% decrease). Written qualitative comments indicated that participants experienced feelings of calm and joy, felt more connected socially and with nature, and experienced a break from the pain and rumination surrounding their illness. Conclusions: Online Forest bathing resulted in significant improvements in well-being and symptom severity and could be considered an accessible and inexpensive adjunct therapy for Long-COVID patients. Where people have limited access to in-person nature, virtual nature may offer an alternative to improve health and well-being outcomes.

Keywordslong COVID; forest bathing ; social connection
Year2022
JournalInternational Journal of Environmental Research and Public Health
Journal citation19 (22), pp. 1-12
PublisherMDPI
ISSN1661-7827
Digital Object Identifier (DOI)https://doi.org/10.3390/ijerph192214905
Web address (URL)https://doi.org/10.3390/ijerph192214905
Output statusPublished
Publication dates12 Nov 2022
Publication process dates
Accepted07 Nov 2022
Deposited19 Dec 2022
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Bates, Lauren, Conners, Ryan, Zieff, Gabriel, Adams, Nathan, T., Edgar, Kyle, M., Stevens, Sandra, Faghy, Mark, Arena, Ross, Vermeesch, Amber, Rodney, Joseph, P., Keith, Nicole and Stoner, Lee 2021. Physical activity and sedentary behavior in people with spinal cord injury: Mitigation strategies during COVID-19 on behalf of ACSM-EIM and HL-PIVOT. Disability and Health Journal. 15 (1). https://doi.org/10.1016/j.dhjo.2021.101177
Current activities centered on healthy living and recommendations for the future: a position statement from the HL-PIVOT network
Arena, Ross, Kaminsky, Leonard A., Williams, Mark, Sabbahi, Ahmad, Popovic, Dejana, Axtell, Robert, Faghy, Mark, Hills, Andrew P., Olivares Olivares, Silvia Lizett, Lopez, Mildred, Pronk, Nicolaas P., Laddu, Deepika, Samuel Babu, Abraham, Josephson, Richard, Whitsel, Laurie P., Severin, Rich, Christle, Jeffrey W., Zuniga Dourado, Victor, Niebauer, Joseph, Savage, Patrick, Austford, Leslie D. and Lavie, Carl J 2021. Current activities centered on healthy living and recommendations for the future: a position statement from the HL-PIVOT network. Current Problems in Cardiology. 46 (6). https://doi.org/10.1016/j.cpcardiol.2021.100823
Using behavioural insights to reduce sugar in primary school children's packed lunches in derby; A cluster randomised controlled trial
Bunten, Amanda, Porter, Lucy, Burgess-Allen, Jilla, Howell-Jones, Rebecca, Jackson, Jessica, Ward, Derek, Staples, Vicki, Staples, Paul, Rowthorn, Harriet, Saei, Ayoub, van Schaik, Paul, Tydeman, Elizabeth, Blair, Penny, Hugueniot, Orla, Gold, Natalie and Chadborn, Tim 2020. Using behavioural insights to reduce sugar in primary school children's packed lunches in derby; A cluster randomised controlled trial. Elsevier BV. https://doi.org/10.1016/j.appet.2020.104987
Against all odds—why UK mothers’ breastfeeding beyond infancy are turning to their international peers for emotional and informative support
Jackson, Jessica and Hallam, Jenny 2020. Against all odds—why UK mothers’ breastfeeding beyond infancy are turning to their international peers for emotional and informative support. Informa UK Limited. https://doi.org/10.1080/07399332.2020.1744147
The magic of the mundane: the vulnerable web of connections between urban nature and wellbeing
Dobson, Julian, Brindley, Paul, Birch, Jo, Henneberry, John, McEwan, Kirsten, Mears, Meagan and Richardson, Miles 2020. The magic of the mundane: the vulnerable web of connections between urban nature and wellbeing. Cities. https://doi.org/10.1016/j.cities.2020.102989
Crisis management for people with dementia at home: Mixed‐methods case study research to identify critical factors for successful home treatment
Hopkinson, Jane, King, Amanda, Young, Lucy, McEwan, Kirsten, Elliot, Fiona, Hydon, Kate, Muthukrishnan, Sabarigirivasan, Tope, Rosie, Veitch, Anne, Howells, Cristie and Hoskins, Mathew 2020. Crisis management for people with dementia at home: Mixed‐methods case study research to identify critical factors for successful home treatment. Health and Social Care in the Community. https://doi.org/10.1111/hsc.13141
Digital-based self-management interventions for people with osteoarthritis: Systematic review with meta-analysis
Safari, Reza, Jackson, Jessica and Sheffield, David 2020. Digital-based self-management interventions for people with osteoarthritis: Systematic review with meta-analysis. Journal of Medical Internet Research. https://doi.org/10.2196/preprints.15365
The schwartz center rounds: supporting mental health workers with the emotional impact of their work.
Allen, Deborah, Spencer, Graham, McEwan, Kirsten, Catarino, Francisca, Evans, Rachael, Crooks, Sarah and Gilbert, Paul 2020. The schwartz center rounds: supporting mental health workers with the emotional impact of their work. International Journal of Mental Health Nursing.. https://doi.org/10.1111/inm.12729
Engaging with distress: training in the compassionate approach
McEwan, Kirsten, Minou, Lina, Moore, Hamish and Gilbert, Paul 2020. Engaging with distress: training in the compassionate approach. Journal of Psychiatric and Mental Health Nursing. https://doi.org/10.1111/jpm.12630
Assessing the feasibility of public engagement in a smartphone app to improve well-being through nature connection ( Evaluation of the feasibility of citizen engagement through a smartphone app to improve well-being through connection with nature )
McEwan, Kirsten, Richardson, Miles, Sheffield, David, Ferguson, Fiona and Brindley, Paul 2021. Assessing the feasibility of public engagement in a smartphone app to improve well-being through nature connection ( Evaluation of the feasibility of citizen engagement through a smartphone app to improve well-being through connection with nature ). PsyEcology. https://doi.org/10.1080/21711976.2020.1851878
Exploring public perspectives of e-professionalism in nursing
Jackson, Jessica 2019. Exploring public perspectives of e-professionalism in nursing. RCN Publishing Ltd.. https://doi.org/10.7748/nm.2019.e1870
Where the wild things are! Do urban green spaces with greater avian biodiversity promote more positive emotions in humans?
Cameron, Ross, Brindley, Paul, Mears, Meagan, McEwan, Kirsten, Ferguson, Fiona, Sheffield, David, Jorgensen, Anna, Riley, J, Goodwick, J, Ballard, L and Richardson, Miles 2020. Where the wild things are! Do urban green spaces with greater avian biodiversity promote more positive emotions in humans? Urban Ecosystems. https://doi.org/10.1007/s11252-020-00929-z
A flow resistive inspiratory muscle training mask worn during high-intensity interval training does not improve 5 km running time-trial performance
Brown, Peter I., Faghy, Mark, Davis, Nichola, Mayes, JP and Maden-Wilkinson, Tom 2020. A flow resistive inspiratory muscle training mask worn during high-intensity interval training does not improve 5 km running time-trial performance. European Journal of Applied Physiology. 121, p. 183–191. https://doi.org/10.1007/s00421-020-04505-3
Using system mapping to help plan and implement city-wide action to promote physical activity
Cavill, Nick, Richardson, Debra, Faghy, Mark, Bussell, Chris and Rutter, Harry 2020. Using system mapping to help plan and implement city-wide action to promote physical activity. Journal of Public Health Research. 9 (3). https://doi.org/10.4081/jphr.2020.1759
Cardiopulmonary exercise testing in the COVID-19 endemic phase
Faghy, Mark, Hull, James, Cooper, Brendan and Sylvester, Karl 2020. Cardiopulmonary exercise testing in the COVID-19 endemic phase. British Journal of Anaesthesia. 125 (4), pp. 447-449. https://doi.org/10.1016/j.bja.2020.06.006
Cross validation of actigraph derived accelerometer cut‐points for assessment of sedentary behaviour and physical activity in children aged 8‐11 years
Duncan, Michael J., Eyre, Emma L.J., Cox, Val, Roscoe, C., Faghy, Mark, Tallis, Jason and Dobell, Alexandra 2020. Cross validation of actigraph derived accelerometer cut‐points for assessment of sedentary behaviour and physical activity in children aged 8‐11 years. Acta Paediatrica. 109 (9), pp. 1825-1830. https://doi.org/10.1111/apa.15189
Fundamental movement skills and accelerometer-measured physical activity levels during early childhood: a systematic review
Dobell, Alexandra, Pringle, Andy, Faghy, Mark and Roscoe, Clare M. P. 2020. Fundamental movement skills and accelerometer-measured physical activity levels during early childhood: a systematic review. MDPI AG. https://doi.org/10.3390/children7110224
A biopsychosocial framework for recovery from COVID-19
Stuart, K., Faghy, M.A., Bidmead, E., Browning, R., Roberts, C., Grimwood, S. and Winn-Reed, T. 2020. A biopsychosocial framework for recovery from COVID-19. International Journal of Sociology and Social Policy. 40 (9/10), pp. 1021-1039. https://doi.org/10.1108/ijssp-07-2020-0301
Integrated sports and respiratory medicine in the aftermath of COVID-19
Faghy, M., Ashton, R., Maden-Wilkinson, T., Copeland, R. J., Bewick, T. and Smith, A. 2020. Integrated sports and respiratory medicine in the aftermath of COVID-19. The Lancet Respiratory Medicine. 8 (9), p. p852. https://doi.org/10.1016/s2213-2600(20)30307-6
An integrative systematic review of creative arts interventions for older informal caregivers of people with neurological conditions
Irons, J Yoon, Garip, Gulcan, Cross, Ainslea J, Sheffield, David and Bird, Jamie 2020. An integrative systematic review of creative arts interventions for older informal caregivers of people with neurological conditions. PLos ONE. 15 (12), p. e0243461. https://doi.org/10.1371/journal.pone.0243461
Calibration and cross-validation of accelerometery for estimating movement skills in children aged 8–12 years
Duncan, M., Dobell, A., Noon, M., Clark, C.T., Roscoe, C., Stodden, D., Sacko, R., Eyre, E. and Faghy, M. 2020. Calibration and cross-validation of accelerometery for estimating movement skills in children aged 8–12 years. Sensors. 20 (10), p. 2776. https://doi.org/10.3390/s20102776
Sodium bicarbonate ingestion improves time-to-exhaustion cycling performance and alters estimated energy system contribution: a dose-response investigation
Gurton, William H., Gough, Lewis A., Sparks, S. Andy, Faghy, Mark and Reed, Katharine E. 2020. Sodium bicarbonate ingestion improves time-to-exhaustion cycling performance and alters estimated energy system contribution: a dose-response investigation. Frontiers in Nutrition. 7. https://doi.org/10.3389/fnut.2020.00154
The good things in urban nature: A thematic framework for optimising urban planning for nature connectedness
McEwan, Kirsten, Ferguson, Fiona J, Richardson, Miles and Cameron, Ross 2019. The good things in urban nature: A thematic framework for optimising urban planning for nature connectedness. Landscape and Urban Planning. https://doi.org/10.1016/j.landurbplan.2019.103687
Using figured worlds to explore parents' attitudes and influences for choosing the content of primary school packed lunches
Jackson, Jessica, Giles, David and Gerrard, Clarabelle 2019. Using figured worlds to explore parents' attitudes and influences for choosing the content of primary school packed lunches. MAG Online Library. https://doi.org/10.12968/bjsn.2019.14.7.335
A smartphone app for improving mental health through connecting with urban nature
McEwan, Kirsten, Richardson, Miles, Sheffield, David, Ferguson, Fiona and Brindley, Paul 2019. A smartphone app for improving mental health through connecting with urban nature. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph16183373
The eye of the beholder
Bird, Jamie 2019. The eye of the beholder. in: Routledge.
Social media: blurred lines between personal and professional behaviour
Jackson, Jessica 2019. Social media: blurred lines between personal and professional behaviour. Practice Nurse.
Domestic violence and suicide attempt among married women: A case‐control study
Rahmani, F, Salmasi, S, Rahmani, F, Bird, J, ASghari, E, Robai, N, Asghari Jafarabadi, M and Gholizadeh, L 2019. Domestic violence and suicide attempt among married women: A case‐control study. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.14901
The relationship between nature connectedness and eudaimonic well-being: A meta-analysis
Pritchard, Alison, Richardson, Miles, Sheffield, David and McEwan, Kirsten 2019. The relationship between nature connectedness and eudaimonic well-being: A meta-analysis. Journal of Happiness Studies. https://doi.org/10.1007/s10902-019-00118-6
'I felt like I was doing something wrong': A qualitative exploration of mothers' experiences of breastfeeding
Jackson, Jessica and Hallam, Jenny 2019. 'I felt like I was doing something wrong': A qualitative exploration of mothers' experiences of breastfeeding. Journal of health visiting. https://doi.org/10.12968/johv.2019.7.4.166
Searching compassion in a crowd: Evaluation of a novel compassion visual search task to reduce self-criticism
McEwan, Kirsten, Dandeneau, Stephane, Gilbert, Paul, Maratos, Frances, Andrew, Lucy, Chotai, Shivani and Elander, James 2019. Searching compassion in a crowd: Evaluation of a novel compassion visual search task to reduce self-criticism. EC PSYCHOLOGY AND PSYCHIATRY.
Shmapped: development of an app to record and promote the well-being benefits of noticing urban nature
McEwan, Kirsten, Richardson, Miles, Brindley, Paul, Sheffield, David, Tait, Crawford, Johnson, Steve, Sutch, Hana and Ferguson, Fiona 2019. Shmapped: development of an app to record and promote the well-being benefits of noticing urban nature. Translational Behavioral Medicine. https://doi.org/10.1093/tbm/ibz027
Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study
Pick, HJ, Faghy, Mark, Cresswell, G, Lim, WS and Bewick, T 2018. Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study. Thorax.
Styles of leadership, fears of compassion, and competing to avoid inferiority.
Basran, Jaskaran, Pires, Claudia, Matos, Marcela, McEwan, Kirsten and Gilbert, Paul 2019. Styles of leadership, fears of compassion, and competing to avoid inferiority. Frontiers in Psychology. 9. https://doi.org/10.3389/fpsyg.2018.02460
A review of inspiratory muscle training. When and why does it work?
Faghy, M. 2019. A review of inspiratory muscle training. When and why does it work? Japanese Journal of Physical Fitness and Sports Medicine. 68 (1), pp. 3-5. https://doi.org/10.7600/jspfsm.68.3
Functional training of the inspiratory muscles improves load carriage performance
Faghy, Mark and Brown, Peter I 2019. Functional training of the inspiratory muscles improves load carriage performance. Ergonomics. 62 (11), pp. 1439-1449. https://doi.org/10.1080/00140139.2019.1652352
Estimating physical activity in children aged 8–11 Years using Accelerometry: Contributions from fundamental movement skills and different Accelerometer placements
Duncan, Mike, Roscoe, Clare M. P., Faghy, Mark, Tallis, Jason and Eyre, Emma 2019. Estimating physical activity in children aged 8–11 Years using Accelerometry: Contributions from fundamental movement skills and different Accelerometer placements. Frontiers in Physiology. https://doi.org/10.3389/fphys.2019.00242
The body of work as a legitimate form of independent scholarship.
Bird, Jamie, Stephanou, Mary and Wellen, Allessandar 2018. The body of work as a legitimate form of independent scholarship. in: Routledge.
30 days wild: who benefits most?
Richardson, Miles, McEwan, Kirsten and Garip, Gulcan 2018. 30 days wild: who benefits most? Journal of Public Mental Health. https://doi.org/10.1108/JPMH-02-2018-0018
30 days wild and the relationships between engagement with nature’s beauty, nature connectedness and well-being.
Richardson, Miles and McEwan, Kirsten 2018. 30 days wild and the relationships between engagement with nature’s beauty, nature connectedness and well-being. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2018.01500
An exploration into depression-focused and anger-focused rumination in relation to depression in a student population.
Gilbert, Paul, Cheung, Mimi, Irons, Christopher Paul and McEwan, Kirsten 2005. An exploration into depression-focused and anger-focused rumination in relation to depression in a student population. Behavioural and Cognitive Psychotherapy. https://doi.org/10.1017/S1352465804002048
The relation of entrapment, shame and guilt to depression, in carers of people with dementia.
Martin, Y., Gilbert, Paul, McEwan, Kirsten and Irons, Christopher Paul 2006. The relation of entrapment, shame and guilt to depression, in carers of people with dementia. Aging and Mental Health. https://doi.org/10.1080/13607860500311953
Interpersonal sensitivities: their link to mood, anger and gender.
Gilbert, Paul, Irons, Christopher Paul, Olsen, K., Gilbert, Jean and McEwan, Kirsten 2006. Interpersonal sensitivities: their link to mood, anger and gender. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608305X43856
Eating attitudes and striving to avoid inferiority.
Bellew, Rebecca, Gilbert, Paul, Mills, Alison, McEwan, Kirsten and Gale, Corinne 2006. Eating attitudes and striving to avoid inferiority. Eating Disorders. https://doi.org/10.1080/10640260600796242
Investigating relationships between perfectionism, forms and functions of self-criticism, and sensitivity to put-down.
Gilbert, Paul, Durrant, R. and McEwan, Kirsten 2006. Investigating relationships between perfectionism, forms and functions of self-criticism, and sensitivity to put-down. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2006.05.004
Social rank and attachment in people with a bipolar disorder.
Gilbert, Paul, McEwan, Kirsten, Hay, J, Irons, Christopher Paul and Cheung, M. 2007. Social rank and attachment in people with a bipolar disorder. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.508
Cultural differences in shame-focused attitudes towards mental health problems in Asian and Non-Asian student women.
Gilbert, Paul, Bhundia, Rakhee, Mitra, Ranjana, McEwan, Kirsten, Irons, Christopher Paul and Sanghera, Jasvinder 2007. Cultural differences in shame-focused attitudes towards mental health problems in Asian and Non-Asian student women. Mental Health Religion & Culture. https://doi.org/10.1080/13694670500415124
Paranoid beliefs and self-criticism in students.
Mills, Alison, Gilbert, Paul, Bellew, Rebecca, McEwan, Kirsten and Gale, Corinne 2007. Paranoid beliefs and self-criticism in students. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.537
Development of a striving to avoid inferiority scale.
Gilbert, Paul, Broomhead, Claire, Irons, Christopher Paul, McEwan, Kirsten, Bellew, Rebecca, Mills, Alison, Gale, Corinne and Knibb, Rebecca C. 2007. Development of a striving to avoid inferiority scale. British Journal of Social Psychology. https://doi.org/10.1348/014466606X157789
A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery.
Rockliff, Helen, Gilbert, Paul, McEwan, Kirsten, Lightman, Stafford and Glover, David 2008. A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Clinical Neuropsychiatry: Journal of Treatment Evaluation.
Feeling safe and content: A specific affect regulation system? Relationship to depression, anxiety, stress, and self-criticism.
Gilbert, Paul, McEwan, Kirsten, Mitra, Ranjana, Franks, Leigh, Richter, Anne and Rockliff, Helen 2008. Feeling safe and content: A specific affect regulation system? Relationship to depression, anxiety, stress, and self-criticism. The Journal of Positive Psychology. https://doi.org/10.1080/17439760801999461
The dark side of competition: How competitive behaviour and striving to avoid inferiority are linked to depression, anxiety, stress and self-harm.
Gilbert, Paul, McEwan, Kirsten, Bellew, Rebecca, Mills, Alison and Gale, Corinne 2009. The dark side of competition: How competitive behaviour and striving to avoid inferiority are linked to depression, anxiety, stress and self-harm. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608308X379806
An exploration of different types of positive affect in students and patients with bipolar disorder.
Gilbert, Paul, McEwan, Kirsten, Mitra, Ranjana, Richter, Anne, Franks, Leigh, Mills, Alison, Bellew, Rebecca and Gale, Corinne 2009. An exploration of different types of positive affect in students and patients with bipolar disorder. Clinical Neuropsychiatry: Journal of Treatment Evaluation.
Development of an early memories of warmth and safeness scale and its relationship to psychopathology.
Richter, Anne, Gilbert, Paul and McEwan, Kirsten 2009. Development of an early memories of warmth and safeness scale and its relationship to psychopathology. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608308X395213
Striving and competing and its relationship to self-harm in young adults.
Williams, Katie, Gilbert, Paul and McEwan, Kirsten 2009. Striving and competing and its relationship to self-harm in young adults. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2009.2.3.282
Self-harm in a mixed clinical population: The roles of self-criticism, shame, and social rank.
Gilbert, Paul, McEwan, Kirsten, Irons, Christopher Paul, Bhundia, Rakhee, Christie, Rachael, Broomhead, Claire and Rockliff, Helen 2010. Self-harm in a mixed clinical population: The roles of self-criticism, shame, and social rank. British Journal of Clinical Psychology. https://doi.org/10.1348/014466509X479771
Effects of intranasal oxytocin on compassion focused imagery.
Rockliff, Helen, Karl, Anke, McEwan, Kirsten, Gilbert, Jean, Matos, Marcela and Gilbert, Paul 2011. Effects of intranasal oxytocin on compassion focused imagery. Emotion. https://doi.org/10.1037/a0023861
Fears of compassion: development of three self-report measures.
Gilbert, Paul, McEwan, Kirsten, Matos, Marcela and Rivis, Amanda 2011. Fears of compassion: development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1348/147608310X526511
The relationship between self-concealment and disclosure, early experiences, attachement, and social comparison.
Cruddas, Sarah, Gilbert, Paul and McEwan, Kirsten 2012. The relationship between self-concealment and disclosure, early experiences, attachement, and social comparison. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2012.5.1.28
An exploration of competitiveness and caring in relation to psychopathology.
McEwan, Kirsten, Gilbert, Paul and Duarte, Joana 2011. An exploration of competitiveness and caring in relation to psychopathology. British Journal of Clinical Psychology. https://doi.org/10.1111/j.2044-8260.2011.02010.x
An exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team.
Judge, Lorna, Cleghorn, Ailish, McEwan, Kirsten and Gilbert, Paul 2012. An exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2012.5.4.420
Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism.
Gilbert, Paul, McEwan, Kirsten, Gibbons, L., Duarte, Joana and Matos, Marcela 2011. Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/j.2044-8341.2011.02046.x
Optimising mobility outcome measures in Huntington's disease.
Busse, Monica, Quinn, Lori, Khalil, Hanan and McEwan, Kirsten 2014. Optimising mobility outcome measures in Huntington's disease. Journal of Huntington's Disease. https://doi.org/10.3233/JHD-140091
M11 A randomised controlled feasibility trial of a physical activity behaviour change intervention compared to social interaction in huntington’s disease.
Busse, Monica, Quinn, Lori, Drew, Cheney, Kelson, Mark, Trubey, Rob, McEwan, Kirsten, Jones, Carys, Townson, Julia, Dawes, Helen, Tudor-Edwards, Rhiannon, Rosser, Anne and Hood, Kerenza 2016. M11 A randomised controlled feasibility trial of a physical activity behaviour change intervention compared to social interaction in huntington’s disease. Journal of Neurology, Neurosurgery & Psychiatry. https://doi.org/10.1136/jnnp-2016-314597.296
Physical activity self-management and coaching compared to social interaction in huntington disease: results from the ENGAGE-HD randomized, controlled, pilot feasibility trial.
Busse, Monica, Quinn, Lori, Drew, Cheney, Kelson, Mark, Trubey, Rob, McEwan, Kirsten, Jones, Carys, Townson, Julia, Dawes, Helen, Tudor-Edwards, Rhiannon, Rosser, Anne and Hood, Kerenza 2017. Physical activity self-management and coaching compared to social interaction in huntington disease: results from the ENGAGE-HD randomized, controlled, pilot feasibility trial. Physical Therapy. https://doi.org/10.1093/ptj/pzx031
Assessing the medium-term impact of a home-visiting programme on child maltreatment in England: protocol for a routine data linkage study.
Ludd-Widger, Fiona V., Cannings-John, Rebecca, Channon, Sue, Fitzsimmons, Deborah, Hood, Kerenza, Jones, Kerina H., Kemp, Alison, Kenkre, Joyce, Longo, Mirella, McEwan, Kirsten, Moody, Gwenllian, Owen-Jones, Eleri, Sanders, Julia, Segrott, Jeremy and Robling, Mike 2017. Assessing the medium-term impact of a home-visiting programme on child maltreatment in England: protocol for a routine data linkage study. BMJ Open. https://doi.org/10.1136/bmjopen-2016-015728
Availability of breastfeeding peer-support in the UK: a cross-sectional survey.
Grant, Aimee, McEwan, Kirsten, Tedstone, Sally, Greene, Giles, Copeland, Lauren, Hunter, Billie, Sanders, Julia, Phillips, Rhiannon, Brown, Amy, Robling, Mike and Paranjothy, Shantini 2017. Availability of breastfeeding peer-support in the UK: a cross-sectional survey. Maternal and Child Nutrition. https://doi.org/10.1111/mcn.12476
Controlled antenatal thyroid screening II: Effect of treating maternal suboptimal thyroid function on child cognition.
Hales, Charlotte, Taylor, Peter N., Channon, Sue, Paradice, Ruth, McEwan, Kirsten, Zhang, Lei, Gyedu, Michael, Bakhsh, Ameen, Okosieme, Onyebuchi, Muller, Ilaria, Draman, Mohd S., Gregory, John W., Dayan, Colin, Lazarus, John H., Rees, D Aled and Ludgate, Marian 2018. Controlled antenatal thyroid screening II: Effect of treating maternal suboptimal thyroid function on child cognition. The Journal of clinical endocrinology and metabolism. https://doi.org/10.1210/jc.2017-02378
Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol.
Nollett, Claire, Lewis, Catrin, Kitchiner, Neil, Roberts, Neil, Addison, Katy, Brookes-Howell, Lucy, Cosgrove, Sarah, Cullen, Katherine, Ehlers, Anke, Heke, Sarah, Kelson, Mark, Lovell, Karina, Madden, Kim, McEwan, Kirsten, McNamara, Rachel, Philips, Ceri, Pickles, Timothy, Simon, Natalie and Bisson, Jonathan 2018. Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol. BMC Psychiatry. https://doi.org/10.1186/s12888-018-1665-3
Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety.
McEwan, Kirsten, Elander, James and Gilbert, Paul 2018. Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety. Interdisciplinary Education and Psychology.
Digital interventions to promote self-management in people with osteoarthritis: systematic review and meta-analysis - Study protocol
Safari, Reza, Jackson, Jessica, Dhadda, Buk, Watkins, Merryl, Sheffield, David, Anthony, Denis and Ward, Derek 2018. Digital interventions to promote self-management in people with osteoarthritis: systematic review and meta-analysis - Study protocol. National Health Service (NHS).
Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample.
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca, Baião, Rita and Palmeira, Lara 2013. Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12037
A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm.
Clarke, Martin, McEwan, Kirsten, Ness, Jennifer, Waters, Keith, Basran, Jaskaran and Gilbert, Paul 2016. A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2016.00155
P25 Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study
HJ Pick, MA Faghy, G Cresswell, WS Lim, T Bewick and Faghy, M. 2018. P25 Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study. BMJ Journals. https://doi.org/10.1136/thorax-2018-212555.183
Active recovery strategy and lactate clearance in elite swimmers
Mark A. Faghy, Mitch Lomax and Peter I. Brown 2018. Active recovery strategy and lactate clearance in elite swimmers. The Journal of Sports Medicine and Physical Fitness. 59 (9), pp. 1487-1491. https://doi.org/10.23736/s0022-4707.18.09228-9
Exploring the long-term influence of the family nurse partnership on the lives of young mothers
Woodward, Amelia, Ward, Derek and Jackson, Jessica 2017. Exploring the long-term influence of the family nurse partnership on the lives of young mothers. Oxford University Press. https://doi.org/10.1093/eurpub/ckx186.308
Using behavioural insights to improve the healthiness of children’s packed lunches.
Jackson, Jessica, Ward, Derek, Giles, David, Bunten, Amanda, Howell-Jones, Rebecca and Burgess-Allen, Jilla 2017. Using behavioural insights to improve the healthiness of children’s packed lunches. Oxford University Press. https://doi.org/10.1093/eurpub/ckx187.316
From startline to frontline: the application of respiratory exercise physiology to occupational performance
Faghy, Mark, Blacker, Sam D. and Brown, Peter I. 2017. From startline to frontline: the application of respiratory exercise physiology to occupational performance. Sport and Exercise Scientist.
A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population
McEwan, Kirsten and Gilbert, Paul 2015. A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12078
Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress
Catarino, Francisca, Gilbert, Paul, McEwan, Kirsten and Baião, Rita 2014. Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress. Journal of Social and Clinical Psychology. https://doi.org/10.1521/jscp.2014.33.5.399
Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study
Baião, Rita, Gilbert, Paul, McEwan, Kirsten and Carvalho, Sérgio 2014. Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12049
Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-004
Fears of compassion in a depressed population: Implication for psychotherapy
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of compassion in a depressed population: Implication for psychotherapy. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-003
Art therapy, arts-based research and transitional stories of domestic violence and abuse
Bird, Jamie 2017. Art therapy, arts-based research and transitional stories of domestic violence and abuse. International Journal of Art Therapy. https://doi.org/10.1080/17454832.2017.1317004
Whole body active warm up and inspiratory muscle warm up do not improve running performance when carrying thoracic loads
Faghy, Mark and Brown, Peter I. 2017. Whole body active warm up and inspiratory muscle warm up do not improve running performance when carrying thoracic loads. Applied physiology, nutrition, and metabolism. 42 (8). https://doi.org/10.1139/apnm-2016-0711
The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics
Maratos, Frances A., Duarte, Joana, Barnes, Christopher, McEwan, Kirsten, Sheffield, David and Gilbert, Paul 2017. The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics. Psychiatry Research. 250, pp. 221-227. https://doi.org/10.1016/j.psychres.2017.01.066
Impact of Weekly Swimming Training Distance on the Ergogenicity of Inspiratory Muscle Training in Well-Trained Youth Swimmers
Lomax M, Kapus J, Brown PI and Faghy M 2017. Impact of Weekly Swimming Training Distance on the Ergogenicity of Inspiratory Muscle Training in Well-Trained Youth Swimmers. Journal of Strength and Conditioning Research. 33 (8), pp. 2185-2193. https://doi.org/10.1519/jsc.0000000000002375
Functional inspiratory muscle training (IMT) improves load carriage performance greater than traditional IMT techniques: 1652 Board #305 June 2, 9: 00 AM - 10: 30 AM.
Faghy, Mark, Lindley, Martin R. and Brown, Peter I. 2016. Functional inspiratory muscle training (IMT) improves load carriage performance greater than traditional IMT techniques: 1652 Board #305 June 2, 9: 00 AM - 10: 30 AM. Wolters Kluwer. https://doi.org/10.1249/01.mss.0000486377.59880.50
Pilot study : can inspiratory muscle training relieve symptoms ff dyspnoea and improve quality of life for advanced cancer patients ?: 1872 Board #24 June 2, 3: 30 PM - 5: 00 PM.
Lindley, Martin R., Faghy, Mark, Sowter, Heidi M. and Mickleborough, Timothy D. 2016. Pilot study : can inspiratory muscle training relieve symptoms ff dyspnoea and improve quality of life for advanced cancer patients ?: 1872 Board #24 June 2, 3: 30 PM - 5: 00 PM. Wolters Kluwer. https://doi.org/10.1249/01.mss.0000486545.72377.ea
Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature
Richardson, Miles, McEwan, Kirsten, Maratos, Frances A. and Sheffield, David 2016. Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature. Evolutionary Psychological Science. https://doi.org/10.1007/s40806-016-0065-5
Limitations and trainability of the respiratory system during exercise with thoracic loads
Faghy, Mark 2016. Limitations and trainability of the respiratory system during exercise with thoracic loads. Thesis
Effects of load mass carried in a backpack upon respiratory muscle fatigue
Faghy, Mark, Blacker, Sam D. and Brown, Peter I. 2016. Effects of load mass carried in a backpack upon respiratory muscle fatigue. European Journal of Sport Science. 16 (8), pp. 1032-1038. https://doi.org/10.1080/17461391.2016.1202326
“I couldn’t move forward if I didn’t look back”: Visual Expression and Transitional Stories of Domestic Violence
Bird, Jamie 2015. “I couldn’t move forward if I didn’t look back”: Visual Expression and Transitional Stories of Domestic Violence. Thesis
Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics?
Duarte, Joana, McEwan, Kirsten, Barnes, Christopher, Gilbert, Paul and Maratos, Frances A. 2015. Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics? Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12043
Training the inspiratory muscles improves running performance when carrying a 25 kg thoracic load in a backpack
Faghy, Mark and Brown, Peter I. 2015. Training the inspiratory muscles improves running performance when carrying a 25 kg thoracic load in a backpack. European Journal of Sport Science. 16 (5), pp. 585-594. https://doi.org/10.1080/17461391.2015.1071878
An exploration of the processing of compassionate and critical faces
McEwan, Kirsten 2012. An exploration of the processing of compassionate and critical faces. Thesis
Preloaded Time Trial to Assess Load Carriage Performance
Mark A. Faghy and Peter I. Brown 2014. Preloaded Time Trial to Assess Load Carriage Performance. Journal of Strength and Conditioning Research. 28 (12), pp. 3354-3362. https://doi.org/10.1519/jsc.0000000000000555
Thoracic load carriage-induced respiratory muscle fatigue
Faghy, M. and Brown, P.I. 2014. Thoracic load carriage-induced respiratory muscle fatigue. European Journal of Applied Physiology. 114, p. 1085–1093. https://doi.org/10.1007/s00421-014-2839-4
Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set
McEwan, Kirsten, Gilbert, Paul, Dandeneau, Stephane, Lipka, Sigrid, Maratos, Frances A., Paterson, Kevin B. and Baldwin, Mark 2014. Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set. PLos ONE. https://doi.org/10.1371/journal.pone.0088783
Ventilatory muscle strength, diaphragm thickness and pulmonary function in world-class powerlifters
Brown, Peter I., Venables, Heather, Liu, Hymsuen, de Witt, Julie T., Brown, Michelle R. and Faghy, Mark 2013. Ventilatory muscle strength, diaphragm thickness and pulmonary function in world-class powerlifters. European Journal of Applied Physiology. 113, p. 2849–2855. https://doi.org/10.1007/s00421-013-2726-4