hikikomori as a possible clinical term in psychiatry a questionnaire surveyu201c青年隐蔽u201d作为一个可能的临床精神病学术语问卷调查.pdfVIP
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hikikomori as a possible clinical term in psychiatry a questionnaire surveyu201c青年隐蔽u201d作为一个可能的临床精神病学术语问卷调查
Tateno et al. BMC Psychiatry 2012, 12:169
/1471-244X/12/169
RESEARCH ARTICLE Open Access
Hikikomori as a possible clinical term in
psychiatry: a questionnaire survey
1* 2 3 4 1
Masaru Tateno , Tae Woo Park , Takahiro A Kato , Wakako Umene-Nakano and Toshikazu Saito
Abstract
Background: The word hikikomori, the abnormal avoidance of social contact, has become increasingly well-known.
However, a definition of this phenomenon has not been discussed thoroughly. The aim of this study is to gain a
better understanding of the perception of hikikomori amongst health-related students and professionals and to
explore possible psychiatric conditions underlying hikikomori.
Methods: A total of 1,038 subjects were requested to complete a questionnaire regarding hikikomori
phenomenon.
Results: While some differences in the perception of hikikomori do exist, all subjects tended to disagree with the
statement, “hikikomori is NOT a disorder”. Regarding the underlying psychiatric disorders of hikikomori,
approximately 30% of psychiatrists chose schizophrenia as the most applicable ICD-10 diagnosis for hikikomori,
whereas 50% of pediatricians chose neurotic or stress-related disorders.
Conclusions: An argument still exists regarding the relationship between hikikomori and psychiatric disorders. We
propose that the term hikikomori could be used to describe severe social withdrawal in the setting of a number of
psychiatric disorders.
Keywords: Hikikomori, Social withdrawal, School refusal, Psychiatric diagnosis, Developmental disorders
Background foreign media and discussed in medical journals by psy-
The word hikikomori was re
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