[Cultivate your self-esteem: The effects of nature on physical self-perceptions of people living with disordered eating behaviors and attitudes: A narrative review].

Context Beyond the classic categorical approach to eating disorders, recent scientific articles, catalysed by the pandemic context, demonstrate the importance of considering the alternative approach of dysfunctional eating attitudes and behaviors induced by negative physical self-perceptions in order to consider the general and clinical population as a whole. In this context, interventions targeting contact with nature show positive and promising effects on physical self-perceptions, such as perceived physical appearance. Objectives The objective of this narrative review is to identify the literature pertaining to the effects of contact with nature on physical self-perceptions and, more specifically, on perceived physical appearance in a population with dysfunctional eating attitudes and behaviors. Method A comprehensive search of the scientific literature was conducted between August 2022 and September 2023, with an update in December 2023 on the principal databases in the research field. Results Five articles were selected for the narrative review. All of them demonstrate the positive effects of contact with nature on physical self-perceptions in individuals who exhibit dysfunctional eating attitudes and behaviors. These effects can be classified into two categories, namely direct and indirect (mediated) pathways. This finding is consistent with the current literature on non-clinical populations. Discussion and Conclusion Some articles in the review highlighted further implications to be considered in the relationship between nature and physical self-perceptions of individuals with dysfunctional eating attitudes and behaviors. These articles, which are consistent with the existing literature, illustrate the multi-dimensionality of the model of physical self-perceptions and show how reconnecting to one's body functionality can impact perceived physical appearance. Moreover, other articles have demonstrated the potential of nature as a medium for interventional logic and for reconnecting with the self, with others, and with nature. Nevertheless, the limited number of articles indicates a need for further studies in this area of research. Further research should be conducted to assess the actual impact of contact with nature on perceived physical appearance and more broadly on physical self-perceptions of individuals with dysfunctional eating attitudes and behaviors, and to understand how this impact works.

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