Skip to main content
Research article - Peer-reviewed, 2016

The Role of Soundscape in Nature-Based Rehabilitation: A Patient Perspective

Cerwén, Gunnar; Pedersen, Eja; Pálsdóttir, Anna María;


Nature-based rehabilitation (NBR) has convincing support in research, yet the underlying mechanisms are not fully understood. The present study sought to increase understanding of the role of soundscapes in NBR, an aspect paid little attention thus far. Transcribed interviews with 59 patients suffering from stress-related mental disorders and undergoing a 12-week therapy programme in the rehabilitation garden in Alnarp, Sweden, were analysed using Interpretative Phenomenology Analysis (IPA). Described sounds were categorised as natural, technological or human. The results showed that patients frequently referred to natural sounds as being part of a pleasant and "quiet" experience that supported recovery and induced "soft fascination". Technological sounds were experienced as disturbing, while perception of human sounds varied depending on loudness and the social context. The study further uncovered how sound influenced patients' behaviour and experiences in the garden, through examination of three cross-theme dimensions that materialised in the study; sound in relation to overall perception, sound in relation to garden usage, and increased susceptibility to sound. The findings are discussed in relation to NBR; the need for a more nuanced understanding of susceptibility to sound among people suffering from mental fatigue was identified and design considerations for future rehabilitation gardens were formulated.


garden therapy; soundscape; design; health; mental restoration; nature-based rehabilitation; soft fascination; horticulture therapy; therapeutic landscape

Published in

International journal of environmental research and public health

2016, volume: 13, number: 12, article number: 1229

Authors' information

Pedersen, Eja
Lund University
Pálsdóttir, Anna María (Palsdottir, Anna Maria)

Associated SLU-program

Built environment

Sustainable Development Goals

SDG11 Sustainable cities and communities
SDG3 Good health and wellbeing

UKÄ Subject classification

Landscape Architecture
Environmental Health and Occupational Health

Publication Identifiers


URI (permanent link to this page)