The influence of immersion environment on mood: comparing sea versus laboratory cold exposure

Kelly, J. S. (2025) The influence of immersion environment on mood: comparing sea versus laboratory cold exposure. Lifestyle Medicine, 7 (1). pp. 1-9. ISSN 2688-3740

[thumbnail of This is the peer reviewed version of the following article: Kelly, J. S., The influence of immersion environment on mood: Lifestyle Medicine, which has been published in final form at https://doi.org/10.1002/lim2.70044.]
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Abstract

Background: Cold water immersion (CWI) has gained attention as a potential strategy for improving mental health. Although studies demonstrate consistent mood‐enhancing effects following sea swimming and controlled CWI, the role of environmental context remains unclear. No previous studies have directly compared natural and artificial immersion settings using a within‐subjects design. This study aimed to isolate the influence of immersion environment on acute mood outcomes. Methods: Twenty‐seven healthy university students (16 males, 11 females; age 20 ± 4 years, height 1.71 ± 0.08 m, mass 70.4 ± 9.2 kg) completed a within‐subject crossover design comparing two CWIs: one in the sea and one in a laboratory tank, 1 week apart. Mood was assessed using the Profile of Mood States—Short Form (POMS‐SF) before and after a 5‐min chest‐deep immersion. Immersions were completed individually to minimise social facilitation. One‐ and two‐way repeated measures ANOVAs analysed total mood disturbance (TMD) and subscales, with Bonferroni‐corrected post hoc t‐tests. Results: Mood improved significantly following both immersions and across all subscales. Paired‐sample t‐tests showed greater reductions in TMD (t(26) = −2.69, p = 0.012, d = −0.52) and larger increases in esteem‐related affect (t(26) = 2.41, p = 0.023, d = 0.46) after sea immersion compared to laboratory immersion. A trend in favour of sea immersion was also observed for vigour (t(26) = −1.998, p = 0.056, d = −0.38). Although all negative subscales improved over time, no significant between‐condition differences were found. Analysis of TMD change scores showed that 13 participants (48%) responded similarly across both conditions, 10 (37%) improved more in the sea, and 4 (15%) improved more in the laboratory. Conclusion: CWI significantly improved mood across both conditions. Sea immersion produced slightly greater benefits, suggesting that natural environments may modestly enhance the psychological effects of cold exposure.

Publication Type: Articles
Additional Information: This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. ©2025 The Author(s).
Uncontrolled Keywords: cold water immersion, CWI, mental health, mood
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Q Science > QP Physiology
Divisions: Academic Areas > Institute of Sport > Research Theme > Diversity and Equality in Sport
Academic Areas > Institute of Sport > Research Theme > Health and Well-Being
Research Entities > Centre for Health and Allied Sport and Exercise Science Research (CHASER)
SWORD Depositor: Publications Router Jisc
Depositing User: Publications Router Jisc
Date Deposited: 04 Mar 2026 11:10
Last Modified: 04 Mar 2026 11:10
URI: https://eprints.chi.ac.uk/id/eprint/8365

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