Review Article

Overview of “Systematic Reviews” of the Built Environment’s Effects on Mental Health

Table 2

Characteristics of the included systematic reviews.

Author (Year)Population/stageNumber of included studiesInterventionsOutcomeMeta-analysisQuality assessment

Bowler et al. 2010 [44]All ages11studies (6 crossover trial, 1 observational study, 4 pretest-posttest comparison groups-randomised)Exposure to natural environments:
(i) Public parks
(ii) Green university campuses
Well-being
(i) Anger
(ii) Fatigue
(iii) Sadness
(iv) Anxiety
(v) Anger
YesMethodology quality checklist was devised by the authors
Friesinger et al. 2019 [43]People with mental health problems11 studies (6 cross-sectional, 1 longitudinal, 1mixed-method, 1participant observation-free analysis, 1 interview content analysis, and 1 photo-elicitation and interviews)Housing typeWell-beingNoCritical Appraisal Skills Programme (CASP, 2017)
Gascon et al.2015 [45]General population—all ages28 studies (21 cross-sectional, 6 longitudinal, and 1 ecological study)Residential green and blue spacesMental healthNoQuality score was based on 11 different items
Gascon et al.2017 [46]General population—all ages12 studies (7 cross-sectional, 4 longitudinal, and 1 pre/postobservational study)Outdoor blue spacesMental health and well-beingNoQuality score was based on 11 different items
Gong et al 2016 [47]General population—all ages11 studies (11 cross-sectional)Urban environment:
(i) Architectural design
(ii) Land use
(iii) Walkability, connectivity, and accessibility
(iv) Neighborhood and housing quality
Psychological distress
(i) Depression
(ii) Anxiety
NoCritical appraisal proforma developed and validated by the Health Evidence Bulletin Wales project
Ige et al.2018 [48]General population—all ages6 studies (1 randomised controlled trial, 1 quasiexperimental study, 1 before-and-after studies, 2 longitudinal, and 1 case-control)Buildings:
(i) Quality of housing (thermal and ventilation)
(ii) Housing affordability/access to affordable homes or social housing
(i) Mental health
(ii) Well-being
NoQuality assessment tool developed by the Effective Public Health Practice Project (EPHPP)
Moore et al.2018 [49]General population in high-income countries10 studies (5 longitudinal and 5 cross-sectional)Built environment:
(i) Transport infrastructure modifications
(ii) Improving green infrastructure
(iii) Urban regeneration
(i) Mental health
(ii) Well-being
NoCochrane risk of bias tool (RoB 2.0) and risk of bias in nonrandomized studies of interventions (ROBINS-I)
Rautio et al.2017 [15]General population—all ages57 studies (1 controlled trial, 40 cross-sectional, 9 longitudinal, 1 multicohort, 1 ecologic design, and five cross-sectional and longitudinal)Living environment:
(i) House and built environment
(ii) Green spaces
(iii) Noise and air pollution
DepressionNoDowns and Black checklist modified by the authors
Turley et al.2013 [50]Slums—adults/children1 study (1 controlled study with only postintervention data)Cement floors (Piso Firme)(i) Depression
(ii) Stress
NoNICE/GATE tool
van den Berg et al.2015 [51]General population—adults19 studies (15 cross-sectional and 4 longitudinal)Green spaces:
(i) Amount of green space around the residence in circular buffer
(ii) Amount of green space in small area/neighborhood
(iii) Presence/number of green spaces within distance
(iv) Having a garden
(v) Distance to nearest green space
(vi) Amount of green space around the residence in circular buffer
Mental healthNoMethodological quality criteria list
Zhang et al. 2017 [52]People with mobility impairments12 studies (2 cross-sectional analytical, 2 randomized controlled trials, 1 quantitative descriptive study, 1 nonrandomized controlled trial, 4 phenomenology, and 2 qualitative description)Health-promoting nature access:
(i) Surrounding nature of nursing homes
(ii) Green environment near retirement homes
(iii) Outdoor blue and green spaces
Mental healthNoMixed Methods Appraisal Tool (MMAT)

Articles included in the RS with the outcome mental health.