{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T21:07:26Z","timestamp":1790975246125,"version":"4.1.0"},"reference-count":58,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T00:00:00Z","timestamp":1664323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Rehabilitation mobility has become a new demand and travel mode for people to pursue active health. A large number of tourists choose to escape the cold in warm places to improve their health every winter. In this study, we collected the health index data of Seasonal Affective Disorder (SAD) tourists from western China before and after their cold escape in Hainan Island in winter, aiming to compare whether rehabilitating cold escape can improve the Quality of Life (QOL) of SAD tourists by hierarchical analysis. Compared with previous studies, this paper has the following contributions: Firstly, the study samples were accurately screened according to the pathogenesis of SAD tourists and the confounding factors were strictly controlled; Secondly, the observational experimental method was used to conduct inter-group and intra-group control studies on 695 samples, and the results were more objective and reliable. Thirdly, the effect of treatment on the quality of life (QOL) of 397 tourists in the rehabilitation mobility group was quantitatively evaluated from three factors including age, gender and sunshine exposure level by multivariate analysis of variance. Research results show that the rehabilitation environment brought by rehabilitation activities can help improve the health status of tourists. Therefore, this paper proposes the concept of \u201cTourism Therapy\u201d and constructs a theoretical framework. The conclusion of this paper provides a scientific basis and reference for the study of tourism healing as a non-medical alternative therapy.<\/jats:p>","DOI":"10.3389\/fpsyg.2022.976590","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T04:46:51Z","timestamp":1664340411000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Can Rehabilitative Travel Mobility improve the Quality of Life of Seasonal Affective Disorder Tourists?"],"prefix":"10.3389","volume":"13","author":[{"given":"Sha","family":"Sha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wencan","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenzhi","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangquan","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,9,28]]},"reference":[{"key":"ref1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders (DSM-5\u00ae)","year":"2013"},{"key":"ref2","volume-title":"Canadian Consensus Guidelines for the Treatment of Seasonal Affective Disorder","author":"Blashko","year":"1999"},{"key":"ref3","volume-title":"The Age of Melancholy: Major Depression and its Social Origins","author":"Blazer","year":"2005"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2458-10-456","article-title":"A systematic review of evidence for the added benefits to health of exposure to natural environments","volume":"10","author":"Bowler","year":"2010","journal-title":"BMC Public Health"},{"key":"ref02","first-page":"191","article-title":"Progress of phototherapy in the treatment of depression","volume":"37","author":"Cheng","year":"2010","journal-title":"Int. J. Psych."},{"key":"ref5","volume-title":"Measurement and Evaluation Methods of Quality of Life","author":"Chonghua","year":"1999"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1080\/09669582.2014.986489","article-title":"Tourism and health: using positive psychology principles to maximise participants\u2019 wellbeing outcomes \u2013 a design concept for charity challenge tourism","volume":"23","author":"Coghlan","year":"2015","journal-title":"J. Sustain. Tour."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.ecolecon.2006.02.023","article-title":"Quality of life: an approach integrating opportunities, human needs, and subjective well-being","volume":"61","author":"Costanza","year":"2007","journal-title":"Ecol. Econ."},{"key":"ref03","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.psychres.2006.12.016","article-title":"Shortening of the menstrual cycle following light therapy in seasonal affective disorder","volume":"153","author":"Danilenko","year":"2007","journal-title":"Psych. Res."},{"key":"ref8","first-page":"137","article-title":"Diurnal and seasonal variations of melatonin and serotonin in women with seasonal affective disorder","volume":"53","author":"Danilenko","year":"1994","journal-title":"Arctic Med. Res."},{"key":"ref9","first-page":"1","article-title":"Talk about the \u201cmigratory bird,\u201d tourism of the elderly","volume":"6","author":"Dong","year":"2006","journal-title":"Spec. Zone Econ."},{"key":"ref10","author":"Dubovsky","year":"2015"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1080\/07053436.1995.10715491","article-title":"An examination of relationship between psychological well-being and depression and leisure activity participation among older adults","volume":"18","author":"Dupuis","year":"1995","journal-title":"Loisir et Societe"},{"key":"ref12","volume-title":"Mobilities and Health","author":"Gatrell","year":"2011"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1016\/j.healthplace.2013.04.002","article-title":"Therapeutic mobilities: walking and 'steps' to wellbeing and health","volume":"22","author":"Gatrell","year":"2013","journal-title":"Health Place"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.16834\/j.cnki.issn1009-5292.2018.34.049","article-title":"Analysis on behavior characteristics of migratory bird tourists in Sanya","volume":"34","author":"Gong","year":"2018","journal-title":"National Circ. Econ."},{"key":"ref16","first-page":"16","article-title":"Research prospects of health and health tourism from the perspective of rehabilitation mobility","volume":"2","author":"Xu","year":"2018","journal-title":"Tour. Guide"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.1007\/s11482-019-09727-y","article-title":"Understanding leisure trip experience and subjective well-being: an illustration of creative travel experience","volume":"15","author":"Huang","year":"2020","journal-title":"Appl. Res. Qual. Life"},{"key":"ref18","volume-title":"Melacholia: the Ancient Greek Point of View","author":"Ioannidou","year":"2005"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1080\/09291016.2016.1263001","article-title":"Morningness-eveningness and seasonality","volume":"48","author":"Jankowski","year":"2017","journal-title":"Biol. Rhythm. Res."},{"key":"ref04","first-page":"1497","author":"Kline","year":"2011","journal-title":"Principles and practice of structural equation modeling"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.socscimed.2017.01.051","article-title":"Understanding seasonal mobilities, health and wellbeing to sanya, China","volume":"177","author":"Kou","year":"2017","journal-title":"Soc. Sci. Med."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1176\/ajp.2006.163.5.805","article-title":"The can-SAD study: a randomized controlled trial of the effectiveness of light therapy and fluoxetine in patients with winter seasonal affective disorder","volume":"163","author":"Lam","year":"2006","journal-title":"Am. J. Psychiatry"},{"key":"ref22","volume-title":"A Clinician\u2019s Guide to using Light Therapy","author":"Lam","year":"2009"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/S0165-0327(00)00196-8","article-title":"Seasonal depression: the dual vulnerability hypothesis revisited","volume":"63","author":"Lam","year":"2001","journal-title":"J. Affect. Disord."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1080\/10941665.2014.898672","article-title":"Volunteer tourists' motivation change and intended participation","volume":"20","author":"Lee","year":"2015","journal-title":"Asia Pacific J. Tour. Res."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"315","DOI":"10.31887\/DCNS.2007.9.3\/rlevitan","article-title":"The chronobiology and neurobiology of winter seasonal affective disorder","volume":"9","author":"Levitan","year":"2007","journal-title":"Dialogues Clin. Neurosci."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"7414","DOI":"10.1073\/pnas.0602425103","article-title":"The circadian basis of winter depression","volume":"103","author":"Lewy","year":"2006","journal-title":"Proc. Natl. Acad. Sci. U. S. A."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"30","DOI":"10.3969\/j.issn.1674-3784.2013.03.006","article-title":"Tourism activities are beneficial to tourist psychological health-An empirical research based on survey data","volume":"6","author":"Liu","year":"2013","journal-title":"Tour. Forum"},{"key":"ref28","first-page":"307","article-title":"Seasonal affective disorder: a review","volume":"12","author":"Liu","year":"2019","journal-title":"Global J. Tradit. Chin. Med."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1034\/j.1600-0447.2000.101003176.x","article-title":"An overview of epidemiological studies on seasonal affective disorder","volume":"101","author":"Magnusson","year":"2000","journal-title":"Acta Psychiatr. Scand."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1080\/00222216.1996.11949770","article-title":"Measuring leisure motivation: a meta-analysis of the recreation experience preference scales","volume":"28","author":"Manfredo","year":"1996","journal-title":"J. Leis. Res."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1080\/00222216.2012.11950272","article-title":"Leisure in coping with depression","volume":"44","author":"Nimrod","year":"2012","journal-title":"J. Leis. Res."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/j.tourman.2017.04.010","article-title":"Evaluating the relaxation effects of emerging forest-therapy tourism: a multidisciplinary approach","volume":"62","author":"Ohe","year":"2017","journal-title":"Tour. Manag."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/j.eurpsy.2015.11.001","article-title":"Epidemiology and socioeconomic impact of seasonal affective disorder in Austria","volume":"32","author":"Pjrek","year":"2016","journal-title":"Eur. Psychiatry"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"389","DOI":"10.31887\/DCNS.2003.5.4\/npraschakrieder","article-title":"Treatment of seasonal affective disorders","volume":"5","author":"Praschak-Rieder","year":"2003","journal-title":"Dialogues Clin. Neurosci."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1016\/j.jad.2013.04.041","article-title":"The role of beliefs and attitudes about sleep in seasonal and nonseasonal mood disorder, and nondepressed controls","volume":"150","author":"Roecklein","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/0165-1781(90)90116-M","article-title":"Prevalence of seasonal affective disorder at four latitudes","volume":"31","author":"Rosen","year":"1990","journal-title":"Psychiatry Res."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/0165-1781(83)90135-X","article-title":"Seasonal cycling in a bipolar patient","volume":"8","author":"Rosenthal","year":"1983","journal-title":"Psychiatry Res."},{"key":"ref41","first-page":"257","article-title":"Melatonin in seasonal affective disorder and phototherapy","volume":"21","author":"Rosenthal","year":"1986","journal-title":"J. Neural Transm. Suppl."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/j.psychres.2017.08.019","article-title":"Meteorological analysis of symptom data for people with seasonal affective disorder","volume":"257","author":"Sarran","year":"2017","journal-title":"Psychiatry Res."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1080\/1369183X.2013.723253","article-title":"Regimes of mobility across the globe","volume":"39","author":"Schiller","year":"2013","journal-title":"J. Ethn. Migr. Stud."},{"key":"ref05","first-page":"4","article-title":"Review of Domestic health tourism research","volume":"24","author":"Shan","year":"2015","journal-title":"J. Mudanjiang Uni."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1068\/a37268","article-title":"The new mobilities paradigm","volume":"38","author":"Sheller","year":"2006","journal-title":"Environ. Plan A"},{"key":"ref06","first-page":"CD004050","article-title":"Light therapy for non-seasonal depression","volume":"2","author":"Tuunainen","year":"2004","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref07","doi-asserted-by":"crossref","DOI":"10.1515\/IJDHD.2009.8.3.283","article-title":"Short exposure to light treatment improves depression scores in patients with seasonal affective disorder: A brief report.","author":"Virk","year":"2009","journal-title":"Int. J. Disabil. Human."},{"key":"ref45","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1108\/16605371111127206","article-title":"Wellness tourists: in search of transformation","volume":"66","author":"Voigt","year":"2013","journal-title":"Tour. Rev."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"143","DOI":"10.3969\/j.issn.1002-0292.2018.01.022","article-title":"\u201cslow life\u201d: a critical perspective","author":"Wang","year":"2018","journal-title":"Soc. Speed"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"1108","DOI":"10.1001\/archpsyc.58.12.1108","article-title":"A circadian signal of change of season in patients with seasonal affective disorder","volume":"58","author":"Wehr","year":"2001","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1198","DOI":"10.1016\/j.healthplace.2012.06.015","article-title":"Does living by the coast improve health and well-being?","volume":"18","author":"Wheeler","year":"2012","journal-title":"Health Place"},{"key":"ref49","year":"1978"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"748","DOI":"10.11821\/dlyj020210908","article-title":"Research progress and prospect of illiquidity under new flow paradigm","volume":"41","author":"Xiong","year":"2022","journal-title":"Geogr. Res."},{"key":"ref53","first-page":"25","article-title":"State of the art psychopharmacological treatment options in seasonal affective disorder","volume":"28","author":"Yildiz","year":"2016","journal-title":"Psychiatr. Danub."},{"key":"ref54","article-title":"Traceability of happiness and its relationship with quality of life","author":"Yulan","year":"2015","journal-title":"Med. Philos."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"3363","DOI":"10.12114\/j.issn.1007-9572.2019.00.680","article-title":"Research progress of seasonal affective disorder and light therapy","volume":"23","author":"Zhai","year":"2020","journal-title":"Chin. Gen. Practice"},{"key":"ref01","first-page":"7","article-title":"The relationship between leisure and human health development","volume":"11","author":"Zhao","year":"2006","journal-title":"Tour. J."},{"key":"ref56","article-title":"Non-customary environment: a restudy of the Core concept of tourism \u2013 an attempt to construct a tourism research framework","author":"Zhang","year":"2009","journal-title":"J. Tour."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"151","DOI":"10.16323\/j.carolcarrollnkilykx.2022.02.004","article-title":"Quality of life under the vision on the impact of tourism activities on tourists health research review","volume":"4","author":"Zhenzhi","year":"2022","journal-title":"J. Tour. 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