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Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry Rosensweig President LFR Consulting

Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

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Page 1: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

Tom Gregersen

Cultural Director

Morikami Museum & Japanese Gardens

JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY

AND APPLICATIONS

Larry RosensweigPresident

LFR Consulting

Page 2: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

The Morikami Museum And Japanese GardensAnd

The Christine E. Lynn College Of Nursing, Florida Atlantic University

Funded In Part By The Institute Of Museum And Library Services

Page 3: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

COMMUNITY NEED• Depression in older Americans is a common

problem

• 15 to 20% of older Americans suffer from some form of depression (American Association for Geriatric Psychiatry, National Institute of Mental Health)

• Depression is associated with greater health care costs, poorer health outcomes, and increased mortality

Page 4: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

THE GARDEN AS A MOOD-ALTERING ENVIRONMENT

• Anecdotal: Visitors to The Morikami report relief of anxiety, symptoms of depression when visiting the garden

• The “Healing Garden”: Viewing natural scenes fosters stress recovery (Ulrich, Texas A&M University)

• 800 years ago monks designed gardens for “spiritual transition” (Ulrich)

Page 5: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

DESIGNED BY HOICHI KURISU AS HEALING GARDEN

• “Kurisu garden designs bring balance to hearts and minds by providing exceptional public and private spaces in which to engage with nature”

www.kurisu.com

Page 6: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

HYPOTHESIS

• Walking in a garden environment on a regular basis or as part of a regular program will have benefits similar to those of art therapy in relieving symptoms of depression among elders

Page 7: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

THE STUDY: AN OVERVIEW

• Participants were randomly divided among three groups

• Group I: Participants walked the garden on their own

• Group II: Participants walked the garden with a trained therapist providing “guided imagery”

• Group III: Participants engaged in art therapy

Page 8: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

THE STUDY

• 3 six-week sessions

• 58 participants/subjects

• Pre-intervention data collection to determine severity of depression

Page 9: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

GROUP I: WALKED ALONE• Met twice weekly on days different from

guided imagery group

• Participants were greeted individually in the museum lobby by the researcher

• After signing an attendance record, each was free to walk the garden at his or her own pace

• Some took 45 minutes, others all morning

Page 10: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

GROUP II: GUIDED IMAGERY

• Met at The Morikami twice weekly

• Met in the museum lobby by the guided imagery leader

• Began each session with stretching exercises

• Walked the garden as a group, with “guided imagery”

• Each session lasted approx 2 hours

Page 11: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

GROUP III: ART THERAPY• Met twice weekly for art classes away from

The Morikami

• Sessions lasted 2 hours

Page 12: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

STUDY RESULTS• Symptoms of depression decreased over the

period of the study

• Both independent walking and walking with guided imagery were as successful as art therapy, but not more successful

• Walking with guided imagery was slightly more successful than independent walking

Page 13: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

MORE FINDINGS FROM THE STUDY

• Walking in the garden by itself positively impacts individuals

• Telling or writing personal stories helps more

• A series of walking sessions is more effective than one or just a few sessions

• Structure helps provide discipline to continue garden walking sessions

Page 14: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

STROLL FOR WELL-BEING

• Morikami developed new program

• Does not require mental health professionals’ regular involvement

• Designed and tested with FAU College of Nursing researchers

Page 15: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

STROLL FOR WELL-BEING• Series of 12 walking sessions begins with

introductory meeting, mid-term and final meetings

• Participants pay fee which includes membership and gives free access

• Offering program this fall to group of highly stressed teachers

Page 16: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

THE JOURNAL• Allows users to record personal thoughts

and observations

• Provides scripts for 12 guided imagery tours

Page 17: Tom Gregersen Cultural Director Morikami Museum & Japanese Gardens JAPANESE GARDEN VISITATION AND MILDLY DEPRESSED ELDERLY: A STUDY AND APPLICATIONS Larry

FOR MORE INFORMATION

www.morikami.org or e-mail [email protected]