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Original Article | Publishing Language: Chinese

Psychological restoration and cognitive enhancement by interactive biophilic virtual environments: a comparative study of forest, oceanic and urban settings

Hao JIANG1,2Kang LI2Chunlei JIANG2,3Lei TIAN2Huanliang LIU2Wenqing LAI2Yue SHI2Zhuge XI2( )Bencheng LIN2
College of Oceanography and Ecological Science, Shanghai Ocean University, Shanghai 201306, China
Academy of Military Medical Sciences, Academy of Military Sciences, Tianjin 300050, China
School of Public Health,Binzhou Medical University, Yantai, Shandong 264000, China
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Abstract

Objective

To construct interactive biophilic virtual environments using the virtual reality (VR) technology and biophilia theory in order to study their effects on psychophysiological restoration and cognitive enhancement in individuals exposed to confined environments.

Methods

High-fidelity interactive biophilic virtual environments (forests, oceans, and cities) and a neutral control scenario were created. A randomized controlled trial was conducted in 235 healthy participants. Stress-related physiological responses were assessed using wearable sensors to measure heart rate variability (HRV) and skin conductance levels (SCLs). Cognitive performance was evaluated using the Stroop color-word test and the Alternative Uses Test (AUT).

Results

Significant differences were observed between the virtual environments. Exposure to the virtual forests resulted in the most pronounced improvements in perceived restoration and positive effect. Compared with the virtual urban and oceanic environments,the forest environment significantly increased HRV/root mean square of successive differences (RMSSD) (P<0.0001) but decreased SCLs (P<0.0001). Furthermore,the Stroop reaction time was significantly reduced (P<0.001),and AUT creativity scores were significantly enhanced (P<0.0001).

Conclusion

An interactive virtual biophilic forest environment can effectively mitigate the adverse effects of confinement while delivering dual benefits of psychological restoration and cognitive enhancement. This approach has great implications for maintaining long-term operational capability in individuals exposed to prolonged confinement.

CLC number: B845.6; R493 Document code: A Article ID: 1674-9960(2026)03-0208-08

References

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Military Medical Sciences
Pages 208-215

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Cite this article:
JIANG H, LI K, JIANG C, et al. Psychological restoration and cognitive enhancement by interactive biophilic virtual environments: a comparative study of forest, oceanic and urban settings. Military Medical Sciences, 2026, 50(3): 208-215. https://doi.org/10.7644/j.issn.1674-9960.2025-00287

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Received: 23 December 2025
Published: 25 March 2026
© 2026 Military Medical Sciences