Affective Outcomes of Group versus Lone Green Exercise Participation

An examination of the potential benefits of expert guided physical activity for supporting recovery from extreme social withdrawal: Two case reports focused on the treatment of Hikikomori

Extreme and long-term social withdrawal, first described in Japan as Hikikomori, has now become a globally recognized mental health problem. Intervention studies severely lag behind epidemiological and phenomenological research. We present two descriptive case reports of Japanese university students with Hikikomori who participated in an early phase test of a structured intervention involving physical activities that was developed and facilitated by clinicians and physical education specialists-Human Movement Consultation (HMC). The two recipients (19- and 29-years old at the start of treatment) completed approximately 40 consultation sessions delivered over 3 years consisting of a combination of outdoor workouts (i.e., walking, running, and cycling) and interpersonal sports (e.g., table tennis, badminton, and tennis). Changes in social withdrawal behavior were independently rated from clinical health records using a structured scale (the Glasgow Hikikomori Scale; GHS). Behavioral observations and scale data for both cases indicated improvements from pre-treatment levels of social withdrawal. At the end of the intervention, both had returned to normative levels of functioning. Case A returned to university and Case B secured a new job upon the completion of HMC. To help advance our understanding of treatment options, these case descriptions analyze potential change mechanisms in order to understand how HMC can support recovery from extreme social withdrawal. One key observation is that both outdoor workouts and interpersonal sports offer a non-threatening method of enabling Hikikomori to engage in interpersonal interactions. Such connections via structured activities may allow the reinstatement of social skills in a graded manner. In addition, an initial focus on physical experiences may help promote psychological and social connectedness without triggering the social fears and challenges that underlie the Hikikomori state. The findings from these two cases offer a framework to guide further research and the development of exercise-based interventions for this hidden and often neglected group.

‘That is a place where I would want to go’: investigating digital nature to enhance social wellbeing among older adults

Feelings of disconnectedness and social isolation among older adults are increasingly recognised as important challenges of our times. Interestingly, nature interaction can stimulate social connectedness and enhance perceived social support, indicating that nature can contribute to social wellbeing. However, nature may not always be around or accessible for older adults. In such cases, digital nature could provide an alternative means for enjoying nature's benefits. To identify limitations and restrictions that older adults experience with respect to nature interaction, and to explore preferences with respect to digital nature and their potential for influencing social wellbeing, two studies are reported: a qualitative study comprising focus groups with Dutch care centre residents (N = 26) and a subsequent quantitative study (N = 200) testing effects of digital landscapes on social wellbeing measures. Findings from the focus groups indicate that opportunities for nature interaction and preferences for digital nature vary with mobility restrictions, whereas findings from the quantitative study testify to the potential of digital nature for enhancing social wellbeing and related emotions. These findings extend research on how (digital) nature interventions can contribute to the social wellbeing of older adults and pinpoint essential nature characteristics important for doing so.

The effect of time outdoors on veterans receiving treatment for PTSD

OBJECTIVES

Duration, frequency, and intensity of nature exposure link to different physical and psychological benefits. The present study aimed to determine how time outdoors affected military veterans' posttraumatic stress disorder (PTSD) symptomology during PTSD treatment.

METHOD

Hypotheses regarding time outdoors and the effect of program duration on PTSD symptoms were examined using multilevel models. The authors hypothesized that hours outdoors, both within- and between-persons, would predict reduced PTSD symptomology, program duration would predict reduced PTSD symptomology, and that hours outdoors and program duration would be significant when accounting for the other.

RESULTS

The present study found that time outdoors correlated with participants' decreased PTSD symptomology: the more time participants spent outdoors, the greater the reduction in their PTSD symptoms.

CONCLUSION

The effect of time outdoors was significant within-person, not between persons, suggesting that nature exposure may be used as an adjunct to traditional mental health treatment where exposure or dosage should be person-specific.

Dealing with Green Gentrification and Vertical Green-Related Urban Well-Being: A Contextual-Based Design Framework

Urbanization and climate change have generated ever-increased pressure to the ecosystem, bringing critical resilience challenges to densely congested cities. The resulted displaced and encroached habitat in need of recuperation demands a comprehensive overhaul to the customary urban planning practices; further, the deteriorating public health state of urban residents calls for strategies in dealing with green deprivation and gentrification issues. Frequently, urban greening strategies are envisaged at a macro-scale on a dedicated horizontal track of land, rendering local implementation in a densely built neighborhood a challenged undertaking. Communities lacking green and land resources could promote vertical greening to enable and enhance social and psychological well-being. This study ascertains that vertical greenery closest to the inhabitants could be allocated on a building facade. It can contribute to a more sustainable ecology. The article presents the systemic design approach to urban vertical greening thinking and its role in well-being provision. We propose an interdisciplinary multicriteria contextual-based scalable framework to assess vertical green infrastructure; the prototype requires an innovative approach to balance architecture, human needs, and the local environment. The vertical greening application provides an alternative paradigm in the design implementation for urban green. We proposed the locality and place to be incorporated into the vertical greening design framework. The research concludes the three-tiered consideration framework resulted: (1) in line with the human-habitat ecosystem, the local environment-social dimension is explored; (2) the well-being criteria encourage the design practice’s support for localized driven community vitality; (3) the design paradigm requires integration with the increasing demand for green space as well as taking into account the impact of severe climate; and (4) the framework should achieve the strengthening of health and well-being of the community.

Does Digital Nature Enhance Social Aspirations? An Experimental Study

Loneliness and social isolation are increasingly recognized as important challenges of our times. Inspired by research hinting at beneficial effects of interacting with nature on social connectedness and opportunities provided by ambient technology to simulate nature in a rich and engaging manner, this study explored to what extent digital nature projections can stimulate social aspirations and related emotions. To this end, participants (N = 96) were asked to watch, individually or in pairs, digital nature projections consisting of animated scenes which were either dense or spacious and depicting either wild or tended nature. Subsequently, they filled out a questionnaire comprising measures for social aspirations, awe and fascination. Results show that spacious scenes elicited significantly higher social aspiration and awe scores, especially when watching alone. Design implications are discussed for making digital nature accessible for people with limited access to real nature.