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2016 ; 12
(ä): 38-42
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Jogging Therapy for Hikikomori Social Withdrawal and Increased Cerebral
Hemodynamics: A Case Report
#MMPMID27346999
Nishida M
; Kikuchi S
; Fukuda K
; Kato S
Clin Pract Epidemiol Ment Health
2016[]; 12
(ä): 38-42
PMID27346999
show ga
Severe social withdrawal, called hikikomori, has drawn increased public
attention. However, an optimal clinical approach and strategy of treatment has
not been well established. Here, we report a case of hikikomori for which an
exercise intervention using jogging therapy was effective, showing cerebral
hemodynamic improvement. The patient was a 20 year old Japanese male who was
hospitalized in order to evaluate and treat severe social withdrawal. Although
depressive and anxiety symptoms partially subsided with sertraline alone, social
withdrawal persisted due to a lack of self confidence. With his consent, we
implemented exercise therapy with 30 minutes of jogging three times a week for
three months. We did not change the pharmacotherapy, and his social withdrawal
remarkably improved with continuous jogging exercise. Using near infrared
spectroscopy to evaluate hemodynamic alteration, bilateral temporal hemodynamics
considerably increased after the three-month jogging therapy. Regarding exercise
therapy for mental illness, numerous studies have reported the effectiveness of
exercise therapy for major depression. This case implied, however, that the
applicability of exercise therapy is not limited to major depressive disorder.
Jogging therapy may contribute to reinforcing self confidence associated with
"resilience" in conjunction with neurophysiological modulation of neural
networks.