Previous studies have reported that exposure to forest landscapes has many benefits on human physiological and psychological health, as well as effectiveness in reducing stress and improving mood depending on different types of landscape. This study examined the effects of different types of forest landscapes for indirect visual experiences on the physical and mental health of college students (N = 33). Three types of landscape images were selected, in which forest landscapes included vegetated landscapes and water features, and as a control, we set up images of urban landscapes without natural elements. Physiological and psychological assessment was performed before the experiment for each student, followed by each student being exposed consecutively to nine landscape images for 3 min (each type) and assessed after each exposure. The results showed that both forest landscapes decreased stress (p < 0.05 for all) and improved mood and self-esteem (p < 0.01 for all). In contrast, water landscapes showed a slightly higher impact on physical and mental health than vegetated landscapes, but there was no significant difference. Conversely, only for self-esteem, the response after viewing vegetated landscapes (VL, SD = 29.06 ± 3.38) was better than after water views (WL, SD = 28.21 ± 2.48). Despite significant differences between the two types of forest landscapes not being found in our findings, the benefits of forest landscapes were observed through understanding the health-promoting capacities of different forest landscapes.

The aim of this review is to investigate the impacts of various forest therapy activities on the physical and mental health of college students. Additionally, it evaluates the research methodologies and existing issues in current studies, providing an important agenda for future research. Research was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The findings suggest significant effects of forest therapy activities on the physiology and psychology of college students, notably improving the cardiovascular system, enhancing the immune system, boosting emotional well-being, alleviating job-related stress, and enhancing academic performance. This study further clarifies forest therapy as an emerging and effective intervention to reduce stress levels among college students, particularly when carried out continuously in easily accessible campus forest environments. Such therapeutic activities could serve as a component of daily stress-relieving programs for college students. This assessment offers valuable information for college students, educational institutions, and policymakers to promote the development of forest therapy on university campuses. However, some of the studies included in this investigation lacked methodological rigor. Future research should employ rigorous study designs to assess the long-term impacts of various forest therapy approaches on the mental and physical health of college students and identify the primary influencing factors. This will aid in determining suitable content, forms, and strategies for forest therapy projects tailored to college students, thereby maximizing the potential benefits of forest therapy on their mental and physical well-being.