Hikikomori : Multidimensional understanding, assessment, and future international perspectives

Hikikomori, a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been especially highlighted since the late 1990s. Moreover, hikikomori‐like cases have recently been reported in many other countries. Hikikomori negativ...

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Published inPsychiatry and clinical neurosciences Vol. 73; no. 8; pp. 427 - 440
Main Authors Kato, Takahiro A., Kanba, Shigenobu, Teo, Alan R.
Format Journal Article
LanguageEnglish
Published Melbourne John Wiley & Sons Australia, Ltd 01.08.2019
Wiley Subscription Services, Inc
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Abstract Hikikomori, a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been especially highlighted since the late 1990s. Moreover, hikikomori‐like cases have recently been reported in many other countries. Hikikomori negatively influences not only the individual's mental health and social participation, but also wider education and workforce stability, and as such is a novel urgent global issue. In this review, we introduce the history, definition, diagnostic evaluation, and interventions for hikikomori and also the international prevalence of hikikomori outside Japan. We propose a hypothesis regarding the globalization of hikikomori based on domestic and international perspectives. In addition, we introduce our latest assessment system for hikikomori (including the latest version of the ‘proposed diagnostic criteria of hikikomori for the future DSM/ICD diagnostic systems’) and propose therapeutic strategies, including family approaches and individualized therapies. Finally, we present future challenges that may lead to solutions for an internationalized hikikomori.
AbstractList Hikikomori , a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been especially highlighted since the late 1990s. Moreover, hikikomori ‐like cases have recently been reported in many other countries. Hikikomori negatively influences not only the individual's mental health and social participation, but also wider education and workforce stability, and as such is a novel urgent global issue. In this review, we introduce the history, definition, diagnostic evaluation, and interventions for hikikomori and also the international prevalence of hikikomori outside Japan. We propose a hypothesis regarding the globalization of hikikomori based on domestic and international perspectives. In addition, we introduce our latest assessment system for hikikomori (including the latest version of the ‘proposed diagnostic criteria of hikikomori for the future DSM/ICD diagnostic systems’) and propose therapeutic strategies, including family approaches and individualized therapies. Finally, we present future challenges that may lead to solutions for an internationalized hikikomori .
Hikikomori, a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been especially highlighted since the late 1990s. Moreover, hikikomori‐like cases have recently been reported in many other countries. Hikikomori negatively influences not only the individual's mental health and social participation, but also wider education and workforce stability, and as such is a novel urgent global issue. In this review, we introduce the history, definition, diagnostic evaluation, and interventions for hikikomori and also the international prevalence of hikikomori outside Japan. We propose a hypothesis regarding the globalization of hikikomori based on domestic and international perspectives. In addition, we introduce our latest assessment system for hikikomori (including the latest version of the ‘proposed diagnostic criteria of hikikomori for the future DSM/ICD diagnostic systems’) and propose therapeutic strategies, including family approaches and individualized therapies. Finally, we present future challenges that may lead to solutions for an internationalized hikikomori.
Hikikomori, a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been especially highlighted since the late 1990s. Moreover, hikikomori-like cases have recently been reported in many other countries. Hikikomori negatively influences not only the individual's mental health and social participation, but also wider education and workforce stability, and as such is a novel urgent global issue. In this review, we introduce the history, definition, diagnostic evaluation, and interventions for hikikomori and also the international prevalence of hikikomori outside Japan. We propose a hypothesis regarding the globalization of hikikomori based on domestic and international perspectives. In addition, we introduce our latest assessment system for hikikomori (including the latest version of the 'proposed diagnostic criteria of hikikomori for the future DSM/ICD diagnostic systems') and propose therapeutic strategies, including family approaches and individualized therapies. Finally, we present future challenges that may lead to solutions for an internationalized hikikomori.Hikikomori, a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been especially highlighted since the late 1990s. Moreover, hikikomori-like cases have recently been reported in many other countries. Hikikomori negatively influences not only the individual's mental health and social participation, but also wider education and workforce stability, and as such is a novel urgent global issue. In this review, we introduce the history, definition, diagnostic evaluation, and interventions for hikikomori and also the international prevalence of hikikomori outside Japan. We propose a hypothesis regarding the globalization of hikikomori based on domestic and international perspectives. In addition, we introduce our latest assessment system for hikikomori (including the latest version of the 'proposed diagnostic criteria of hikikomori for the future DSM/ICD diagnostic systems') and propose therapeutic strategies, including family approaches and individualized therapies. Finally, we present future challenges that may lead to solutions for an internationalized hikikomori.
Author Kanba, Shigenobu
Kato, Takahiro A.
Teo, Alan R.
Author_xml – sequence: 1
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  surname: Kato
  fullname: Kato, Takahiro A.
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  organization: Kyushu University
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  givenname: Shigenobu
  surname: Kanba
  fullname: Kanba, Shigenobu
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  givenname: Alan R.
  surname: Teo
  fullname: Teo, Alan R.
  organization: School of Public Health, Oregon Health & Science University and Portland State University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31148350$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1016/j.psychres.2016.10.038
10.1177/0020764017704474
10.1111/pcn.12358
10.3389/fpsyt.2019.00247
10.1177/0020764011423611
10.3389/fpsyt.2018.00036
10.1016/j.psychres.2018.03.060
10.1016/j.adolescence.2018.07.018
10.1002/wps.20497
10.1037/0022-006X.70.5.1182
10.1300/J202v01n03_02
10.1016/S2215-0366(18)30051-8
10.1186/1471-244X-2-10
10.1016/j.lfs.2011.03.003
10.3389/fncel.2019.00031
10.1046/j.1471-4159.2003.02152.x
10.1371/journal.pone.0040461
10.1176/appi.ajp.2015.15081034
10.1371/journal.pone.0208114
10.1016/j.psychres.2015.04.033
10.1016/j.ajp.2017.10.009
10.1017/S0033291710001984
10.1177/0020764008100629
10.1111/pcn.12481
10.1016/j.beproc.2006.04.001
10.1177/0020764014543711
10.1007/978-981-10-2327-9_9
10.1176/appi.books.9780890423349
10.1016/j.psychres.2008.10.019
10.1192/bjp.161.3.369
10.1111/j.1440-1819.2010.02114.x
10.1073/pnas.78.11.6858
10.1016/S0899-3289(99)00003-6
10.1007/s00213-011-2509-8
10.3389/fpsyt.2019.00412
10.1186/1471-244X-12-169
10.1163/15685306-12341462
10.1016/j.bbi.2009.12.009
10.1001/jamapsychiatry.2013.272
10.1002/wps.20370
10.1016/j.jad.2018.01.014
10.1371/journal.pone.0120183
10.1016/S2215-0366(18)30048-8
10.1159/000321783
10.1007/BF00052156
10.1016/j.jad.2017.08.074
10.2190/7WEQ-216D-TVNH-PQJ1
10.1111/pcn.12842
10.1111/pcn.12428
10.1111/pcn.12676
10.1176/appi.ajp.2017.17010059
10.1097/00005053-199101000-00005
10.1111/pcn.12686
10.1097/NMD.0b013e3181e086b1
10.1176/appi.ajp.2018.17121404r
10.2174/138955711795906941
10.1038/tp.2017.50
10.1111/pcn.12043
10.1111/pcn.12838
10.1016/S0140-6736(11)61475-X
10.1177/0020764014535758
10.1111/pcn.12482
10.1093/gerona/59.1.M83
10.1001/archpsyc.58.7.669
10.1684/ejd.2014.2458
10.1111/pcn.12691
10.1207/s15327752jpa6601_2
10.1521/pedi.1988.2.3.212
10.1111/j.1440-1819.2009.01945.x
10.1007/7854_2016_5
10.1038/s41598-018-21260-w
10.1038/srep01685
10.1186/s12905-018-0625-x
10.1002/1097-4679(195204)8:2<168::AID-JCLP2270080215>3.0.CO;2-P
10.1111/pcn.12659
10.2307/j.ctt7rrv0
10.3389/fnhum.2013.00013
10.1186/1742-2094-8-94
10.1186/s13229-018-0230-8
10.1371/journal.pone.0165267
10.1177/0020764014553003
10.1097/NMD.0b013e318165c116
10.1111/pcn.12476
10.1016/j.biopsych.2017.08.005
10.1001/archpsyc.1977.01770210101009
10.1016/j.jpsychires.2007.10.001
10.1097/PSY.0000000000000009
10.1017/S2045796013000334
10.1007/s00127-011-0411-7
10.1016/j.pnpbp.2011.12.002
10.1111/j.1440-1614.2006.01735.x
10.1111/pcn.12633
10.1016/j.ajp.2017.10.026
10.1111/pcn.12360
10.1111/pcn.12368
10.1176/appi.ajp.2015.14101358
10.3389/fimmu.2016.00676
10.1016/S2215-0366(17)30491-1
10.1111/pcn.12454
10.1016/S2215-0366(18)30428-0
10.1016/0010-440X(93)90069-G
10.1176/appi.ajp.2010.09091379
10.1016/j.schres.2011.03.019
10.1176/ajp.137.2.165
10.1016/j.molmed.2011.05.013
10.2196/mental.8509
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Copyright 2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology
2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology.
2019 The Author. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology
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Issue 8
Keywords social isolation
hikikomori
amae
social anxiety
modern-type depression
Language English
License 2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology.
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References 1980; 137
2013; 3
2013; 4
2019; 10
2013; 67
2019; 13
1973
2013; 70
1888; 2
2013; 7
2012; 12
2014; 23
2014; 21
2018; 175
2018; 9
1993; 34
2018; 8
2013; 59
2018; 5
2017; 71
2011; 129
2010; 24
2010; 198
2011; 64
2005; 76
1977; 34
1998; 10
2001; 58
2008; 196
1981; 78
1996; 66
2011; 378
2017; 63
2009; 63
2012; 220
1991; 179
2014; 439
2019; 6
1958; 39
1997; 26
2018; 225
2010; 167
2002; 1
2002; 2
2016; 15
2011; 8
2016; 11
2018; 18
2018; 17
2018; 231
2006; 40
2015; 61
2004; 59
2010; 176
2005; 5
2011; 88
2002; 70
2008; 42
2012; 47
2012; 114
2016; 173
2005; 13
1998; 79
2018; 13
2010; 56
2017; 7
1992; 161
2006; 73
2013; 20
2011; 11
2016; 70
2015; 228
2018; 83
1992; 16
2011; 17
2017; 31
2017; 30
2010; 64
2019; 61
2000
2018; 72
2011; 29
2005; 34
2005; 35
1998; 27
2007; 129
2013; 48
2019; 73
2011
2010
2013; 42
2015; 10
2008
1952
2006
2017; 174
2003
2016; 246
2018; 68
2015; 25
2018; 270
2019
2011; 41
2018
2017
2015
1952; 8
2013
2012; 7
2014; 76
e_1_2_11_70_1
e_1_2_11_55_1
e_1_2_11_78_1
e_1_2_11_97_1
e_1_2_11_13_1
e_1_2_11_29_1
e_1_2_11_125_1
e_1_2_11_4_1
e_1_2_11_106_1
e_1_2_11_48_1
Kato TA (e_1_2_11_92_1) 2013; 20
e_1_2_11_121_1
e_1_2_11_102_1
e_1_2_11_144_1
Kashihara J (e_1_2_11_66_1) 2019; 73
e_1_2_11_140_1
e_1_2_11_81_1
Hayashi N (e_1_2_11_65_1) 2013; 3
e_1_2_11_20_1
e_1_2_11_47_1
e_1_2_11_89_1
Watanabe K (e_1_2_11_138_1) 2011; 64
e_1_2_11_62_1
e_1_2_11_129_1
Tarumi S (e_1_2_11_67_1) 2005; 13
e_1_2_11_8_1
e_1_2_11_43_1
e_1_2_11_85_1
e_1_2_11_17_1
e_1_2_11_117_1
e_1_2_11_59_1
e_1_2_11_113_1
e_1_2_11_132_1
Aida N (e_1_2_11_139_1) 2006
Kitayama O (e_1_2_11_51_1) 1998; 79
Fairbairn WD (e_1_2_11_136_1) 1952
e_1_2_11_77_1
Nomura O (e_1_2_11_32_1) 2014; 21
e_1_2_11_58_1
De Michele F (e_1_2_11_40_1) 2013; 48
e_1_2_11_35_1
e_1_2_11_73_1
e_1_2_11_12_1
e_1_2_11_54_1
e_1_2_11_96_1
e_1_2_11_103_1
e_1_2_11_126_1
e_1_2_11_28_1
Garcia‐Campayo J (e_1_2_11_37_1) 2007; 129
Kitchener BA (e_1_2_11_110_1) 2013
Watanabe T (e_1_2_11_119_1) 2005; 5
e_1_2_11_5_1
e_1_2_11_122_1
e_1_2_11_141_1
e_1_2_11_61_1
e_1_2_11_80_1
Kinugasa T (e_1_2_11_27_1) 1998; 27
e_1_2_11_46_1
e_1_2_11_69_1
e_1_2_11_88_1
Tarumi S (e_1_2_11_68_1) 2005; 34
e_1_2_11_107_1
e_1_2_11_9_1
e_1_2_11_23_1
e_1_2_11_42_1
e_1_2_11_84_1
Doi T (e_1_2_11_52_1) 1973
e_1_2_11_114_1
Winnicott DW (e_1_2_11_137_1) 1958; 39
e_1_2_11_16_1
e_1_2_11_39_1
e_1_2_11_133_1
Kitayama O (e_1_2_11_50_1) 2010
e_1_2_11_72_1
e_1_2_11_91_1
Ichihashi H (e_1_2_11_64_1) 2019; 61
e_1_2_11_30_1
e_1_2_11_57_1
e_1_2_11_99_1
Moriuchi R (e_1_2_11_31_1) 2015; 25
e_1_2_11_53_1
e_1_2_11_76_1
e_1_2_11_95_1
e_1_2_11_11_1
e_1_2_11_6_1
e_1_2_11_104_1
e_1_2_11_127_1
e_1_2_11_2_1
e_1_2_11_100_1
e_1_2_11_123_1
e_1_2_11_142_1
Kato TA (e_1_2_11_34_1) 2019
e_1_2_11_83_1
e_1_2_11_60_1
e_1_2_11_45_1
e_1_2_11_87_1
e_1_2_11_108_1
e_1_2_11_22_1
e_1_2_11_115_1
e_1_2_11_15_1
e_1_2_11_111_1
e_1_2_11_134_1
e_1_2_11_38_1
e_1_2_11_19_1
e_1_2_11_130_1
Nakamura K (e_1_2_11_24_1) 1997; 26
Kato TA (e_1_2_11_93_1) 2013; 4
e_1_2_11_94_1
e_1_2_11_71_1
e_1_2_11_90_1
e_1_2_11_10_1
e_1_2_11_56_1
e_1_2_11_79_1
e_1_2_11_14_1
e_1_2_11_98_1
e_1_2_11_33_1
Twenge JM (e_1_2_11_74_1) 2017
e_1_2_11_75_1
e_1_2_11_7_1
e_1_2_11_105_1
e_1_2_11_128_1
e_1_2_11_26_1
e_1_2_11_3_1
e_1_2_11_49_1
e_1_2_11_101_1
e_1_2_11_124_1
e_1_2_11_143_1
Sakai M (e_1_2_11_118_1) 2013
e_1_2_11_120_1
e_1_2_11_82_1
Momose Y (e_1_2_11_36_1) 2014; 439
e_1_2_11_21_1
e_1_2_11_44_1
e_1_2_11_25_1
e_1_2_11_63_1
e_1_2_11_86_1
e_1_2_11_109_1
e_1_2_11_18_1
e_1_2_11_116_1
Furuhashi T (e_1_2_11_41_1) 2012; 114
e_1_2_11_135_1
e_1_2_11_112_1
e_1_2_11_131_1
References_xml – year: 2011
– volume: 73
  start-page: 448
  year: 2019
  end-page: 457
  article-title: Development and validation of the 22‐item Tarumi's Modern‐Type Depression Trait Scale: Avoidance of Social Roles, Complaint, and Low Self‐Esteem (TACS‐22)
  publication-title: Psychiatry Clin. Neurosci.
– volume: 68
  start-page: 207
  year: 2018
  end-page: 216
  article-title: Disciplinary slapping is associated with bullying involvement regardless of warm parenting in early adolescence
  publication-title: J. Adolesc.
– volume: 30
  start-page: 175
  year: 2017
  end-page: 176
  article-title: Does hikikomori (severe social withdrawal) exist among young people in urban areas of China?
  publication-title: Asian J. Psychiatr.
– volume: 71
  start-page: 77
  year: 2017
  end-page: 103
  article-title: Biological hypotheses and biomarkers of bipolar disorder
  publication-title: Psychiatry Clin. Neurosci.
– volume: 196
  start-page: 244
  year: 2008
  end-page: 246
  article-title: Influence of negative cognition on the Parental Bonding Instrument (PBI) in patients with major depression
  publication-title: J. Nerv. Ment. Dis.
– volume: 41
  start-page: 1517
  year: 2011
  end-page: 1528
  article-title: Relationship between adiposity, emotional status and eating behaviour in obese women: Role of inflammation
  publication-title: Psychol. Med.
– volume: 20
  start-page: 331
  year: 2013
  end-page: 344
  article-title: Neurotransmitters, psychotropic drugs and microglia: Clinical implications for psychiatry
  publication-title: Curr. Med. Chem.
– volume: 7
  start-page: 676
  year: 2017
  article-title: Microglial CD206 gene has potential as a state marker of bipolar disorder
  publication-title: Front. Immunol.
– year: 2019
  article-title: Defining pathological social withdrawal: A proposal for diagnostic criteria of hikikomori
  publication-title: World Psychiatry
– volume: 13
  start-page: 129
  year: 2005
  end-page: 136
  article-title: Sociocultural approach toward depression–dysthymic type depression
  publication-title: JPN Bull. Soc. Psychiat.
– volume: 26
  start-page: 1169
  year: 1997
  end-page: 1176
  article-title: Taijin kyoufushou to hikikomori
  publication-title: Rinshou Seishin Igaku [Clin. Psychiatry]
– volume: 137
  start-page: 165
  year: 1980
  end-page: 173
  article-title: Clinical features of the borderline personality disorder
  publication-title: Am. J. Psychiatry
– volume: 23
  start-page: 167
  year: 2014
  end-page: 176
  article-title: Effectiveness of brief suicide management training programme for medical residents in Japan: A cluster randomized controlled trial
  publication-title: Epidemiol. Psychiatr. Sci.
– volume: 72
  start-page: 780
  year: 2018
  end-page: 788
  article-title: Development and validation of the 25‐item Hikikomori Questionnaire (HQ‐25)
  publication-title: Psychiatry Clin. Neurosci.
– year: 1952
– volume: 161
  start-page: 369
  year: 1992
  end-page: 377
  article-title: Hysterical conversion. I: A history
  publication-title: Br. J. Psychiatry
– volume: 198
  start-page: 444
  year: 2010
  end-page: 449
  article-title: Hikikomori, a Japanese culture‐bound syndrome of social withdrawal? A proposal for DSM‐5
  publication-title: J. Nerv. Ment. Dis.
– volume: 56
  start-page: 178
  year: 2010
  end-page: 185
  article-title: A new form of social withdrawal in Japan: A review of hikikomori
  publication-title: Int. J. Soc. Psychiatry
– volume: 17
  start-page: 105
  year: 2018
  end-page: 106
  article-title: Hikikomori: Experience in Japan and international relevance
  publication-title: World Psychiatry
– volume: 70
  start-page: 1182
  year: 2002
  end-page: 1185
  article-title: A randomized trial of two methods for engaging treatment‐refusing drug users through concerned significant others
  publication-title: J. Consult. Clin. Psychol.
– volume: 225
  start-page: 569
  year: 2018
  end-page: 576
  article-title: Development of a 2‐h suicide prevention program for medical staff including nurses and medical residents: A two‐center pilot trial
  publication-title: J. Affect. Disord.
– volume: 71
  start-page: 75
  year: 2017
  end-page: 76
  article-title: Can Pokemon GO rescue shut‐ins (hikikomori) from their isolated world?
  publication-title: Psychiatry Clin. Neurosci.
– volume: 3
  start-page: 82
  year: 2013
  end-page: 87
  article-title: Is the severity of borderline personality disorder becoming milder?
  publication-title: Kokoro no Kagaku
– volume: 176
  start-page: 69
  year: 2010
  end-page: 74
  article-title: Lifetime prevalence, psychiatric comorbidity and demographic correlates of "hikikomori" in a community population in Japan
  publication-title: Psychiatry Res.
– volume: 72
  start-page: 572
  year: 2018
  end-page: 579
  article-title: Polypharmacy and psychotropic drug loading in patients with schizophrenia in Asian countries: Fourth survey of Research on Asian Prescription Patterns on antipsychotics
  publication-title: Psychiatry Clin. Neurosci.
– volume: 61
  start-page: 64
  year: 2015
  end-page: 72
  article-title: Identification of the hikikomori syndrome of social withdrawal: Psychosocial features and treatment preferences in four countries
  publication-title: Int. J. Soc. Psychiatry
– volume: 42
  start-page: 868
  year: 2008
  end-page: 876
  article-title: S100B‐immunopositive glia is elevated in paranoid as compared to residual schizophrenia: A morphometric study
  publication-title: J. Psychiatr. Res.
– volume: 58
  start-page: 669
  year: 2001
  end-page: 673
  article-title: Relationship between positive and negative symptoms of schizophrenia and schizotypal symptoms in nonpsychotic relatives
  publication-title: Arch. Gen. Psychiatry
– volume: 4
  start-page: 139
  year: 2013
  article-title: Neuron‐glia interaction as a possible glue to translate the mind‐brain gap: A novel multi‐dimensional approach toward psychology and psychiatry
  publication-title: Front. Psych.
– volume: 59
  start-page: 83
  year: 2004
  end-page: 85
  article-title: Is an entertainment robot useful in the care of elderly people with severe dementia?
  publication-title: J. Gerontol. A Biol. Sci. Med. Sci.
– year: 2019
– volume: 70
  start-page: 62
  year: 2016
  end-page: 70
  article-title: Effectiveness of suicide prevention gatekeeper‐training for university administrative staff in Japan
  publication-title: Psychiatry Clin. Neurosci.
– volume: 67
  start-page: 193
  year: 2013
  end-page: 202
  article-title: Home visitation program for detecting, evaluating and treating socially withdrawn youth in Korea
  publication-title: Psychiatry Clin. Neurosci.
– volume: 378
  start-page: 1070
  year: 2011
  article-title: Are Japan's hikikomori and depression in young people spreading abroad?
  publication-title: Lancet
– volume: 42
  start-page: 115
  year: 2013
  end-page: 121
  article-title: Neuroinflammation in schizophrenia especially focused on the role of microglia
  publication-title: Prog. Neuropsychopharmacol. Biol. Psychiatry
– volume: 8
  start-page: 2884
  year: 2018
  article-title: Blood biomarkers of Hikikomori, a severe social withdrawal syndrome
  publication-title: Sci. Rep.
– volume: 76
  start-page: 77
  year: 2005
  end-page: 98
  article-title: Microglia and inflammation‐mediated neurodegeneration: Multiple triggers with a common mechanism
  publication-title: Prog. Neurobiol.
– volume: 12
  start-page: 169
  year: 2012
  article-title: Hikikomori as a possible clinical term in psychiatry: A questionnaire survey
  publication-title: BMC Psychiatry
– volume: 174
  start-page: 1051
  year: 2017
  end-page: 1053
  article-title: Modern‐type depression as an "adjustment" disorder in Japan: The intersection of collectivistic society encountering an individualistic performance‐based system
  publication-title: Am. J. Psychiatry
– volume: 24
  start-page: 558
  year: 2010
  end-page: 563
  article-title: Inflammation and social experience: An inflammatory challenge induces feelings of social disconnection in addition to depressed mood
  publication-title: Brain Behav. Immun.
– volume: 1
  start-page: 5
  year: 2002
  end-page: 29
  article-title: Pupil insights into bullying, and coping with bullying: A bi‐national study in Japan and England
  publication-title: J. School Violence
– volume: 10
  start-page: 247
  year: 2019
  article-title: Hikikomori is most associated with interpersonal relationships, followed by suicide risks: A secondary analysis of a national cross‐sectional study
  publication-title: Front. Psych.
– volume: 79
  start-page: 937
  year: 1998
  end-page: 953
  article-title: Transience: Its beauty and danger
  publication-title: Int. J. Psychoanal.
– volume: 5
  start-page: 28
  year: 2018
  end-page: 29
  article-title: Hikikomori
  publication-title: Lancet Psychiatry
– volume: 61
  start-page: 475
  year: 2015
  end-page: 483
  article-title: Hikikomori in Spain: A descriptive study
  publication-title: Int. J. Soc. Psychiatry
– year: 1973
– volume: 10
  start-page: 291
  year: 1998
  end-page: 308
  article-title: Community Reinforcement and Family Training (CRAFT): Engaging unmotivated drug users in treatment
  publication-title: J. Subst. Abuse
– volume: 71
  start-page: 146
  year: 2017
  article-title: Taijin kyofusho: A culture‐bound diagnosis discussed by Japanese and international early career psychiatrists
  publication-title: Psychiatry Clin. Neurosci.
– volume: 18
  start-page: 131
  year: 2018
  article-title: Loneliness among mothers raising children under the age of 3 years and predictors with special reference to the use of SNS: A community‐based cross‐sectional study
  publication-title: BMC Womens Health
– volume: 439
  start-page: 461
  year: 2014
  end-page: 476
  article-title: Why is the number of disability pension beneficiaries increasing?
  publication-title: Waseda Syogaku
– volume: 30
  start-page: 163
  year: 2017
  end-page: 164
  article-title: Hikikomori in Brazil: 29 years of voluntary social withdrawal
  publication-title: Asian J. Psychiatr.
– volume: 34
  start-page: 418
  year: 1993
  end-page: 423
  article-title: Diagnosis and clinical features of borderline personality disorder in the east and west: A preliminary report
  publication-title: Compr. Psychiatry
– start-page: 95
  year: 2008
  end-page: 101 (in Japanese)
– year: 2010
– volume: 6
  start-page: 195
  year: 2019
  end-page: 196
  article-title: Evidence of pathological social withdrawal in non‐Asian countries: A global health problem?
  publication-title: Lancet Psychiatry
– volume: 7
  year: 2017
  article-title: Animal models to improve our understanding and treatment of suicidal behavior
  publication-title: Transl. Psychiatry
– volume: 40
  start-page: 6
  year: 2006
  end-page: 8
  article-title: Mental health first aid training: Review of evaluation studies
  publication-title: Australian N. Z. J. Psychiatry
– volume: 17
  start-page: 594
  year: 2011
  end-page: 603
  article-title: Biological activities of HDL subpopulations and their relevance to cardiovascular disease
  publication-title: Trends Mol. Med.
– volume: 39
  start-page: 416
  year: 1958
  end-page: 420
  article-title: The capacity to be alone
  publication-title: Int. J. Psychoanal.
– volume: 246
  start-page: 848
  year: 2016
  end-page: 849
  article-title: New game software (Pokemon Go) may help youth with severe social withdrawal, hikikomori
  publication-title: Psychiatry Res.
– volume: 64
  start-page: 871
  year: 2011
  end-page: 879
  article-title: Anxiety disorders especially related to Futoko (school refusal) and hikikomori. Syonika Rinsyo
  publication-title: Jpn J. Pediatr.
– volume: 2
  start-page: 212
  year: 1888
  end-page: 220
  article-title: Borderline personality disorder in Japan: A comparative study of three diagnostic criteria
  publication-title: J. Pers. Disord.
– volume: 231
  start-page: 74
  year: 2018
  end-page: 82
  article-title: Tryptophan‐kynurenine and lipid related metabolites as blood biomarkers for first‐episode drug‐naive patients with major depressive disorder: An exploratory pilot case‐control study
  publication-title: J. Affect. Disord.
– volume: 8
  start-page: 168
  year: 1952
  end-page: 173
  article-title: Anorexia nervosa: Case history and psychological examination data with implications for test validity
  publication-title: J. Clin. Psychol.
– volume: 114
  start-page: 1173
  year: 2012
  end-page: 1179
  article-title: Pathology seen in French "Hikikomori"
  publication-title: Seishin Shinkeigaku Zasshi
– volume: 59
  start-page: 79
  year: 2013
  end-page: 86
  article-title: General condition of hikikomori (prolonged social withdrawal) in Japan: Psychiatric diagnosis and outcome in mental health welfare centres
  publication-title: Int. J. Soc. Psychiatry
– volume: 3
  start-page: 1685
  year: 2013
  article-title: Minocycline, a microglial inhibitor, reduces 'honey trap' risk in human economic exchange
  publication-title: Sci. Rep.
– volume: 129
  start-page: 172
  year: 2011
  end-page: 182
  article-title: Aripiprazole inhibits superoxide generation from phorbol‐myristate‐acetate (PMA)‐stimulated microglia in vitro: Implication for antioxidative psychotropic actions via microglia
  publication-title: Schizophr. Res.
– start-page: 205
  year: 2017
  end-page: 219
– volume: 70
  start-page: 567
  year: 2016
  end-page: 572
  article-title: Internet addiction and self‐evaluated attention‐deficit hyperactivity disorder traits among Japanese college students
  publication-title: Psychiatry Clin. Neurosci.
– volume: 13
  start-page: 31
  year: 2019
  article-title: Suicide and microglia: Recent findings and future perspectives based on human studies
  publication-title: Front. Cell. Neurosci.
– year: 2013
– volume: 173
  start-page: 112
  year: 2016
  end-page: 114
  article-title: A 39‐year‐old "Adultolescent": Understanding social withdrawal in Japan
  publication-title: Am. J. Psychiatry
– volume: 13
  year: 2018
  article-title: Development of MHFA‐based 2‐h educational program for early intervention in depression among office workers: A single‐arm pilot trial
  publication-title: PLoS One
– volume: 73
  start-page: 92
  year: 2006
  end-page: 99
  article-title: Behavioural comparison of human‐animal (dog) and human‐robot (AIBO) interactions
  publication-title: Behav. Processes
– volume: 83
  start-page: 61
  year: 2018
  end-page: 69
  article-title: Elevated translocator protein in anterior cingulate in major depression and a role for inflammation in suicidal thinking: A positron emission tomography study
  publication-title: Biol. Psychiatry
– volume: 35
  start-page: 191
  year: 2005
  end-page: 198
  article-title: Hikikomori, is it a culture‐reactive or culture‐bound syndrome? Nidotherapy and a clinical vignette from Oman
  publication-title: Int. J. Psychiatry Med.
– volume: 220
  start-page: 551
  year: 2012
  end-page: 557
  article-title: Does minocycline, an antibiotic with inhibitory effects on microglial activation, sharpen a sense of trust in social interaction?
  publication-title: Psychopharmacology (Berl.)
– year: 2019
  article-title: Clarifying deeper psychological characteristics of hikikomori using the Rorschach Comprehensive System: A pilot case‐control study
  publication-title: Front. Psych.
– volume: 71
  start-page: 2
  year: 2017
  end-page: 5
  article-title: Cultural influences on suicide in Japan
  publication-title: Psychiatry Clin. Neurosci.
– volume: 167
  start-page: 748
  year: 2010
  end-page: 751
  article-title: Research Domain Criteria (RDoC): Toward a new classification framework for research on mental disorders
  publication-title: Am. J. Psychiatry
– year: 2018
– volume: 73
  start-page: 441
  year: 2019
  end-page: 447
  article-title: Perceptions of traditional and modern types of depression: A cross‐cultural vignette survey comparing Japanese and American undergraduate students
  publication-title: Psychiatry Clin. Neurosci.
– volume: 34
  start-page: 1087
  year: 1977
  end-page: 1093
  article-title: Anorexia nervosa. An affective disorder?
  publication-title: Arch. Gen. Psychiatry
– volume: 7
  year: 2012
  article-title: Minocycline modulates human social decision‐making: Possible impact of microglia on personality‐oriented social behaviors
  publication-title: PLoS One
– volume: 5
  start-page: 289
  year: 2005
  end-page: 291
  article-title: Hikikomori heno houmon kaunseringu [Home counseling for hikikomori]
  publication-title: Rinshou Seishin Igaku [Clinical Psychiatry]
– volume: 76
  start-page: 12
  year: 2014
  end-page: 19
  article-title: Depression and oxidative stress: Results from a meta‐analysis of observational studies
  publication-title: Psychosom. Med.
– volume: 48
  start-page: 354
  year: 2013
  end-page: 358
  article-title: Hikikomori (ひきこもり): A culture‐bound syndrome in the web 2.0 era
  publication-title: Riv. Psichiatr.
– volume: 129
  start-page: 318
  year: 2007
  end-page: 319
  article-title: A case report of hikikomori in Spain
  publication-title: Medicina Clinica
– volume: 25
  start-page: 76
  year: 2015
  end-page: 77
  article-title: Elephantiasis nostras verrucosa occurring in voluntary shut‐in ("hikikomori")
  publication-title: Eur. J. Dermatol.
– volume: 15
  start-page: 193
  year: 2016
  end-page: 194
  article-title: Narrowing the gap between ICD/DSM and RDoC constructs: Possible steps and caveats
  publication-title: World Psychiatry
– volume: 70
  start-page: 49
  year: 2013
  end-page: 58
  article-title: Microglial activation in young adults with autism spectrum disorder
  publication-title: JAMA Psychiatry
– volume: 31
  start-page: 269
  year: 2017
  end-page: 284
  article-title: Suicidality and activation of the Kynurenine pathway of tryptophan metabolism
  publication-title: Curr. Top. Behav. Neurosci.
– volume: 21
  start-page: 23
  year: 2014
  end-page: 25
  article-title: ‘Hikikomori’ social withdrawal’ triggered by gastrointestinal symptoms, which was improved by medical treatment for Crohn's disease – A case report
  publication-title: J. Psychosom. Med. Digest. Dis.
– year: 2015
– volume: 27
  start-page: 147
  year: 1998
  end-page: 152
  article-title: Yanguadaruto no hikikomori [Social withdrawal in young adults]
  publication-title: Rinshou Seishin Igaku [Clin. Psychiatry]
– volume: 61
  start-page: 330
  year: 2015
  end-page: 342
  article-title: The prevalence and correlates of severe social withdrawal (hikikomori) in Hong Kong: A cross‐sectional telephone‐based survey study
  publication-title: Int. J. Soc. Psychiatry
– volume: 72
  start-page: 522
  year: 2018
  end-page: 530
  article-title: Evaluation of the neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, and mean platelet volume as inflammatory markers in children with attention‐deficit hyperactivity disorder
  publication-title: Psychiatry Clin. Neurosci.
– year: 2017
  article-title: Efficacy of a multicomponent intervention with animal‐assisted therapy for socially withdrawn youth in Hong Kong
  publication-title: Society Animals
– volume: 5
  start-page: 339
  year: 2018
  end-page: 347
  article-title: Association of translocator protein total distribution volume with duration of untreated major depressive disorder: A cross‐sectional study
  publication-title: Lancet Psychiatry
– volume: 179
  start-page: 19
  year: 1991
  end-page: 28
  article-title: The place of culture in psychiatric nosology: Taijin kyofusho and DSM‐III‐R
  publication-title: J. Nerv. Ment. Dis.
– volume: 173
  start-page: 44
  year: 2016
  end-page: 52
  article-title: Microglial activity in people at ultra high risk of psychosis and in schizophrenia: An [(11)C]PBR28 PET brain imaging study
  publication-title: Am. J. Psychiatry
– year: 2003
– year: 2000
– volume: 64
  start-page: 531
  year: 2010
  end-page: 540
  article-title: Development of 2‐hour suicide intervention program among medical residents: First pilot trial
  publication-title: Psychiatry Clin. Neurosci.
– volume: 72
  start-page: 322
  year: 2018
  end-page: 328
  article-title: Relationship between anxious temperament and harm avoidance in medical students and staff
  publication-title: Psychiatry Clin. Neurosci.
– volume: 11
  year: 2016
  article-title: Plasma metabolites predict severity of depression and suicidal ideation in psychiatric patients: A multicenter pilot analysis
  publication-title: PLoS One
– volume: 70
  start-page: 1
  year: 2016
  end-page: 2
  article-title: Boundless syndromes in modern society: An interconnected world producing novel psychopathology in the 21st century
  publication-title: Psychiatry Clin. Neurosci.
– volume: 270
  start-page: 1039
  year: 2018
  end-page: 1046
  article-title: A 12‐month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
  publication-title: Psychiatry Res.
– volume: 9
  start-page: 46
  year: 2018
  article-title: The impact of robotic intervention on joint attention in children with autism spectrum disorders
  publication-title: Mol. Autism
– volume: 47
  start-page: 1061
  year: 2012
  end-page: 1075
  article-title: Does the 'hikikomori' syndrome of social withdrawal exist outside Japan? A preliminary international investigation
  publication-title: Soc. Psychiatry Psychiatr. Epidemiol.
– volume: 5
  year: 2018
  article-title: Harnessing social media to explore youth social withdrawal in three major cities in China: Cross‐sectional web survey
  publication-title: JMIR Ment. Health
– volume: 9
  start-page: 36
  year: 2018
  article-title: Can robotic systems promote self‐disclosure in adolescents with autism spectrum disorder? A pilot study
  publication-title: Front. Psych.
– volume: 63
  start-page: 339
  year: 2017
  end-page: 344
  article-title: Characteristics of socially withdrawn youth in France: A retrospective study
  publication-title: Int. J. Soc. Psychiatry
– volume: 16
  start-page: 377
  year: 1992
  end-page: 394
  article-title: Transcultural aspects of eating disorders: A critical literature review
  publication-title: Cult. Med. Psychiatry
– volume: 78
  start-page: 6858
  year: 1981
  end-page: 6862
  article-title: Uric acid provides an antioxidant defense in humans against oxidant‐ and radical‐caused aging and cancer: A hypothesis
  publication-title: Proc. Natl. Acad. Sci. U. S. A.
– volume: 63
  start-page: 257
  year: 2009
  end-page: 265
  article-title: Cytokines and schizophrenia: Microglia hypothesis of schizophrenia
  publication-title: Psychiatry Clin. Neurosci.
– volume: 72
  start-page: 723
  year: 2018
  end-page: 730
  article-title: Prevalence rate of Internet addiction among Japanese college students: Two cross‐sectional studies and reconsideration of cut‐off points of Young's Internet Addiction Test in Japan
  publication-title: Psychiatry Clin. Neurosci.
– volume: 2
  start-page: 10
  year: 2002
  article-title: Mental health first aid training for the public: Evaluation of effects on knowledge, attitudes and helping behavior
  publication-title: BMC Psychiatry
– volume: 7
  start-page: 13
  year: 2013
  article-title: Are microglia minding us? Digging up the unconscious mind‐brain relationship from a neuropsychoanalytic approach
  publication-title: Front. Hum. Neurosci.
– volume: 34
  start-page: 687
  year: 2005
  end-page: 694
  article-title: The “new” variant of depression: The dysthymic type
  publication-title: JPN J. Clin. Psychiat.
– volume: 88
  start-page: 839
  year: 2011
  end-page: 845
  article-title: Pro‐inflammatory effect of fibrinogen and FDP on vascular smooth muscle cells by IL‐6, TNF‐alpha and iNOS
  publication-title: Life Sci.
– volume: 10
  year: 2015
  article-title: Relationship between trusting behaviors and psychometrics associated with social network and depression among young generation: A pilot study
  publication-title: PLoS One
– volume: 29
  start-page: 137
  year: 2011
  end-page: 161
  article-title: Hysteria after Charcot: Back to the future
  publication-title: Front. Neurol. Neurosci.
– year: 2006
– volume: 61
  start-page: 150
  year: 2019
  end-page: 153 (in Japanese)
  article-title: Is the severity of personality disorder really becoming milder?
  publication-title: Seishin Igaku
– volume: 66
  start-page: 20
  year: 1996
  end-page: 40
  article-title: UCLA Loneliness Scale (version 3): Reliability, validity, and factor structure
  publication-title: J. Pers. Assess.
– volume: 70
  start-page: 7
  year: 2016
  end-page: 23
  article-title: Multidimensional anatomy of 'modern type depression' in Japan: A proposal for a different diagnostic approach to depression beyond the DSM‐5
  publication-title: Psychiatry Clin. Neurosci.
– volume: 8
  start-page: 94
  year: 2011
  article-title: Severe depression is associated with increased microglial quinolinic acid in subregions of the anterior cingulate gyrus: Evidence for an immune‐modulated glutamatergic neurotransmission?
  publication-title: J. Neuroinflammation
– volume: 5
  start-page: 307
  year: 2018
  end-page: 320
  article-title: Stressful life events and maltreatment in conversion (functional neurological) disorder: Systematic review and meta‐analysis of case‐control studies
  publication-title: Lancet Psychiatry
– year: 2017
– volume: 175
  start-page: 483
  year: 2018
  end-page: 484
  article-title: Is a socio‐cultural analysis of depressive disorders a matter of concern? Response to Kaiya
  publication-title: Am. J. Psychiatry
– volume: 228
  start-page: 182
  year: 2015
  end-page: 183
  article-title: Psychopathology associated with social withdrawal: Idiopathic and comorbid presentations
  publication-title: Psychiatry Res.
– volume: 11
  start-page: 565
  year: 2011
  end-page: 574
  article-title: Anti‐inflammatory properties of antipsychotics via microglia modulations: Are antipsychotics a 'fire extinguisher' in the brain of schizophrenia?
  publication-title: Mini Rev. Med. Chem.
– ident: e_1_2_11_5_1
– ident: e_1_2_11_134_1
  doi: 10.1016/j.psychres.2016.10.038
– ident: e_1_2_11_44_1
  doi: 10.1177/0020764017704474
– ident: e_1_2_11_112_1
  doi: 10.1111/pcn.12358
– ident: e_1_2_11_30_1
  doi: 10.3389/fpsyt.2019.00247
– ident: e_1_2_11_17_1
  doi: 10.1177/0020764011423611
– ident: e_1_2_11_131_1
  doi: 10.3389/fpsyt.2018.00036
– ident: e_1_2_11_45_1
  doi: 10.1016/j.psychres.2018.03.060
– ident: e_1_2_11_75_1
  doi: 10.1016/j.adolescence.2018.07.018
– volume-title: Practical Psychoanalytic Individual and Group Psychotherapy
  year: 2006
  ident: e_1_2_11_139_1
– ident: e_1_2_11_8_1
  doi: 10.1002/wps.20497
– ident: e_1_2_11_117_1
  doi: 10.1037/0022-006X.70.5.1182
– ident: e_1_2_11_76_1
  doi: 10.1300/J202v01n03_02
– ident: e_1_2_11_133_1
– volume: 13
  start-page: 129
  year: 2005
  ident: e_1_2_11_67_1
  article-title: Sociocultural approach toward depression–dysthymic type depression
  publication-title: JPN Bull. Soc. Psychiat.
– volume: 439
  start-page: 461
  year: 2014
  ident: e_1_2_11_36_1
  article-title: Why is the number of disability pension beneficiaries increasing?
  publication-title: Waseda Syogaku
– volume: 20
  start-page: 331
  year: 2013
  ident: e_1_2_11_92_1
  article-title: Neurotransmitters, psychotropic drugs and microglia: Clinical implications for psychiatry
  publication-title: Curr. Med. Chem.
– ident: e_1_2_11_78_1
  doi: 10.1016/S2215-0366(18)30051-8
– ident: e_1_2_11_108_1
  doi: 10.1186/1471-244X-2-10
– volume: 5
  start-page: 289
  year: 2005
  ident: e_1_2_11_119_1
  article-title: Hikikomori heno houmon kaunseringu [Home counseling for hikikomori]
  publication-title: Rinshou Seishin Igaku [Clinical Psychiatry]
– ident: e_1_2_11_80_1
  doi: 10.1016/j.lfs.2011.03.003
– ident: e_1_2_11_99_1
  doi: 10.3389/fncel.2019.00031
– volume: 79
  start-page: 937
  year: 1998
  ident: e_1_2_11_51_1
  article-title: Transience: Its beauty and danger
  publication-title: Int. J. Psychoanal.
– ident: e_1_2_11_89_1
  doi: 10.1046/j.1471-4159.2003.02152.x
– ident: e_1_2_11_142_1
  doi: 10.1371/journal.pone.0040461
– volume-title: Mental Health First Aid Manual
  year: 2013
  ident: e_1_2_11_110_1
– volume-title: Prohibition of Don't Look: Living Through Psychoanalysis and Culture in Japan
  year: 2010
  ident: e_1_2_11_50_1
– ident: e_1_2_11_9_1
  doi: 10.1176/appi.ajp.2015.15081034
– volume: 27
  start-page: 147
  year: 1998
  ident: e_1_2_11_27_1
  article-title: Yanguadaruto no hikikomori [Social withdrawal in young adults]
  publication-title: Rinshou Seishin Igaku [Clin. Psychiatry]
– ident: e_1_2_11_3_1
– ident: e_1_2_11_111_1
  doi: 10.1371/journal.pone.0208114
– ident: e_1_2_11_13_1
– ident: e_1_2_11_20_1
  doi: 10.1016/j.psychres.2015.04.033
– volume: 34
  start-page: 687
  year: 2005
  ident: e_1_2_11_68_1
  article-title: The “new” variant of depression: The dysthymic type
  publication-title: JPN J. Clin. Psychiat.
– ident: e_1_2_11_42_1
  doi: 10.1016/j.ajp.2017.10.009
– ident: e_1_2_11_84_1
  doi: 10.1017/S0033291710001984
– ident: e_1_2_11_49_1
  doi: 10.1177/0020764008100629
– ident: e_1_2_11_135_1
  doi: 10.1111/pcn.12481
– ident: e_1_2_11_129_1
  doi: 10.1016/j.beproc.2006.04.001
– ident: e_1_2_11_46_1
  doi: 10.1177/0020764014543711
– ident: e_1_2_11_29_1
  doi: 10.1007/978-981-10-2327-9_9
– ident: e_1_2_11_21_1
  doi: 10.1176/appi.books.9780890423349
– ident: e_1_2_11_11_1
  doi: 10.1016/j.psychres.2008.10.019
– ident: e_1_2_11_57_1
  doi: 10.1192/bjp.161.3.369
– ident: e_1_2_11_113_1
  doi: 10.1111/j.1440-1819.2010.02114.x
– ident: e_1_2_11_81_1
  doi: 10.1073/pnas.78.11.6858
– ident: e_1_2_11_116_1
  doi: 10.1016/S0899-3289(99)00003-6
– ident: e_1_2_11_140_1
  doi: 10.1007/s00213-011-2509-8
– ident: e_1_2_11_53_1
  doi: 10.3389/fpsyt.2019.00412
– ident: e_1_2_11_26_1
  doi: 10.1186/1471-244X-12-169
– ident: e_1_2_11_128_1
  doi: 10.1163/15685306-12341462
– ident: e_1_2_11_83_1
  doi: 10.1016/j.bbi.2009.12.009
– ident: e_1_2_11_98_1
  doi: 10.1001/jamapsychiatry.2013.272
– ident: e_1_2_11_144_1
  doi: 10.1002/wps.20370
– ident: e_1_2_11_100_1
  doi: 10.1016/j.jad.2018.01.014
– volume: 129
  start-page: 318
  year: 2007
  ident: e_1_2_11_37_1
  article-title: A case report of hikikomori in Spain
  publication-title: Medicina Clinica
– ident: e_1_2_11_107_1
– volume-title: CRAFT Hikikomori no Kazoku‐Shien Workbook [CRAFT Workbook for Supporting Family Members of Hikikomori]
  year: 2013
  ident: e_1_2_11_118_1
– ident: e_1_2_11_127_1
  doi: 10.1371/journal.pone.0120183
– ident: e_1_2_11_97_1
  doi: 10.1016/S2215-0366(18)30048-8
– ident: e_1_2_11_56_1
  doi: 10.1159/000321783
– ident: e_1_2_11_59_1
  doi: 10.1007/BF00052156
– ident: e_1_2_11_114_1
  doi: 10.1016/j.jad.2017.08.074
– ident: e_1_2_11_4_1
– ident: e_1_2_11_38_1
  doi: 10.2190/7WEQ-216D-TVNH-PQJ1
– volume-title: The Anatomy of Dependence
  year: 1973
  ident: e_1_2_11_52_1
– ident: e_1_2_11_72_1
  doi: 10.1111/pcn.12842
– ident: e_1_2_11_54_1
  doi: 10.1111/pcn.12428
– ident: e_1_2_11_55_1
  doi: 10.1111/pcn.12676
– ident: e_1_2_11_70_1
  doi: 10.1176/appi.ajp.2017.17010059
– ident: e_1_2_11_25_1
  doi: 10.1097/00005053-199101000-00005
– ident: e_1_2_11_123_1
  doi: 10.1111/pcn.12686
– ident: e_1_2_11_28_1
  doi: 10.1097/NMD.0b013e3181e086b1
– ident: e_1_2_11_69_1
  doi: 10.1176/appi.ajp.2018.17121404r
– volume-title: Psychoanalytic Studies of the Personality
  year: 1952
  ident: e_1_2_11_136_1
– ident: e_1_2_11_94_1
  doi: 10.2174/138955711795906941
– ident: e_1_2_11_106_1
  doi: 10.1038/tp.2017.50
– volume: 4
  start-page: 139
  year: 2013
  ident: e_1_2_11_93_1
  article-title: Neuron‐glia interaction as a possible glue to translate the mind‐brain gap: A novel multi‐dimensional approach toward psychology and psychiatry
  publication-title: Front. Psych.
– ident: e_1_2_11_120_1
  doi: 10.1111/pcn.12043
– ident: e_1_2_11_16_1
– volume: 73
  start-page: 441
  year: 2019
  ident: e_1_2_11_66_1
  article-title: Perceptions of traditional and modern types of depression: A cross‐cultural vignette survey comparing Japanese and American undergraduate students
  publication-title: Psychiatry Clin. Neurosci.
  doi: 10.1111/pcn.12838
– ident: e_1_2_11_10_1
  doi: 10.1016/S0140-6736(11)61475-X
– ident: e_1_2_11_33_1
  doi: 10.1177/0020764014535758
– ident: e_1_2_11_22_1
  doi: 10.1111/pcn.12482
– ident: e_1_2_11_132_1
  doi: 10.1093/gerona/59.1.M83
– ident: e_1_2_11_18_1
  doi: 10.1001/archpsyc.58.7.669
– volume: 25
  start-page: 76
  year: 2015
  ident: e_1_2_11_31_1
  article-title: Elephantiasis nostras verrucosa occurring in voluntary shut‐in ("hikikomori")
  publication-title: Eur. J. Dermatol.
  doi: 10.1684/ejd.2014.2458
– ident: e_1_2_11_121_1
  doi: 10.1111/pcn.12691
– ident: e_1_2_11_23_1
  doi: 10.1207/s15327752jpa6601_2
– ident: e_1_2_11_62_1
  doi: 10.1521/pedi.1988.2.3.212
– ident: e_1_2_11_87_1
  doi: 10.1111/j.1440-1819.2009.01945.x
– ident: e_1_2_11_105_1
  doi: 10.1007/7854_2016_5
– volume-title: iGen : Why Today's Super‐Connected Kids Are Growing Up Less Rebellious, More Tolerant, Less Happy — And Completely Unprepared for Adulthood (And What This Means for the Rest of Us)
  year: 2017
  ident: e_1_2_11_74_1
– ident: e_1_2_11_79_1
  doi: 10.1038/s41598-018-21260-w
– ident: e_1_2_11_141_1
  doi: 10.1038/srep01685
– ident: e_1_2_11_125_1
  doi: 10.1186/s12905-018-0625-x
– ident: e_1_2_11_60_1
  doi: 10.1002/1097-4679(195204)8:2<168::AID-JCLP2270080215>3.0.CO;2-P
– volume: 64
  start-page: 871
  year: 2011
  ident: e_1_2_11_138_1
  article-title: Anxiety disorders especially related to Futoko (school refusal) and hikikomori. Syonika Rinsyo
  publication-title: Jpn J. Pediatr.
– ident: e_1_2_11_86_1
  doi: 10.1111/pcn.12659
– ident: e_1_2_11_73_1
  doi: 10.2307/j.ctt7rrv0
– ident: e_1_2_11_77_1
  doi: 10.3389/fnhum.2013.00013
– volume: 21
  start-page: 23
  year: 2014
  ident: e_1_2_11_32_1
  article-title: ‘Hikikomori’ social withdrawal’ triggered by gastrointestinal symptoms, which was improved by medical treatment for Crohn's disease – A case report
  publication-title: J. Psychosom. Med. Digest. Dis.
– year: 2019
  ident: e_1_2_11_34_1
  article-title: Defining pathological social withdrawal: A proposal for diagnostic criteria of hikikomori
  publication-title: World Psychiatry
– ident: e_1_2_11_102_1
  doi: 10.1186/1742-2094-8-94
– volume: 114
  start-page: 1173
  year: 2012
  ident: e_1_2_11_41_1
  article-title: Pathology seen in French "Hikikomori"
  publication-title: Seishin Shinkeigaku Zasshi
– ident: e_1_2_11_130_1
  doi: 10.1186/s13229-018-0230-8
– ident: e_1_2_11_14_1
– ident: e_1_2_11_101_1
  doi: 10.1371/journal.pone.0165267
– volume: 39
  start-page: 416
  year: 1958
  ident: e_1_2_11_137_1
  article-title: The capacity to be alone
  publication-title: Int. J. Psychoanal.
– ident: e_1_2_11_43_1
  doi: 10.1177/0020764014553003
– ident: e_1_2_11_126_1
  doi: 10.1097/NMD.0b013e318165c116
– ident: e_1_2_11_88_1
  doi: 10.1111/pcn.12476
– ident: e_1_2_11_104_1
  doi: 10.1016/j.biopsych.2017.08.005
– ident: e_1_2_11_58_1
  doi: 10.1001/archpsyc.1977.01770210101009
– ident: e_1_2_11_103_1
  doi: 10.1016/j.jpsychires.2007.10.001
– ident: e_1_2_11_85_1
  doi: 10.1097/PSY.0000000000000009
– ident: e_1_2_11_115_1
  doi: 10.1017/S2045796013000334
– ident: e_1_2_11_2_1
– ident: e_1_2_11_19_1
  doi: 10.1007/s00127-011-0411-7
– ident: e_1_2_11_95_1
  doi: 10.1016/j.pnpbp.2011.12.002
– ident: e_1_2_11_109_1
  doi: 10.1111/j.1440-1614.2006.01735.x
– ident: e_1_2_11_124_1
  doi: 10.1111/pcn.12633
– ident: e_1_2_11_48_1
  doi: 10.1016/j.ajp.2017.10.026
– ident: e_1_2_11_71_1
  doi: 10.1111/pcn.12360
– ident: e_1_2_11_6_1
  doi: 10.1111/pcn.12368
– ident: e_1_2_11_91_1
  doi: 10.1176/appi.ajp.2015.14101358
– ident: e_1_2_11_96_1
  doi: 10.3389/fimmu.2016.00676
– ident: e_1_2_11_12_1
– ident: e_1_2_11_7_1
  doi: 10.1016/S2215-0366(17)30491-1
– ident: e_1_2_11_122_1
  doi: 10.1111/pcn.12454
– ident: e_1_2_11_39_1
  doi: 10.1016/S2215-0366(18)30428-0
– ident: e_1_2_11_61_1
  doi: 10.1016/0010-440X(93)90069-G
– ident: e_1_2_11_15_1
– volume: 48
  start-page: 354
  year: 2013
  ident: e_1_2_11_40_1
  article-title: Hikikomori (ひきこもり): A culture‐bound syndrome in the web 2.0 era
  publication-title: Riv. Psichiatr.
– ident: e_1_2_11_143_1
  doi: 10.1176/appi.ajp.2010.09091379
– ident: e_1_2_11_90_1
  doi: 10.1016/j.schres.2011.03.019
– volume: 61
  start-page: 150
  year: 2019
  ident: e_1_2_11_64_1
  article-title: Is the severity of personality disorder really becoming milder?
  publication-title: Seishin Igaku
– volume: 3
  start-page: 82
  year: 2013
  ident: e_1_2_11_65_1
  article-title: Is the severity of borderline personality disorder becoming milder?
  publication-title: Kokoro no Kagaku
– ident: e_1_2_11_63_1
  doi: 10.1176/ajp.137.2.165
– ident: e_1_2_11_82_1
  doi: 10.1016/j.molmed.2011.05.013
– ident: e_1_2_11_47_1
  doi: 10.2196/mental.8509
– ident: e_1_2_11_35_1
  doi: 10.1007/978-981-10-2327-9_9
– volume: 26
  start-page: 1169
  year: 1997
  ident: e_1_2_11_24_1
  article-title: Taijin kyoufushou to hikikomori
  publication-title: Rinshou Seishin Igaku [Clin. Psychiatry]
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Snippet Hikikomori, a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been...
Hikikomori , a severe form of social withdrawal, has long been observed in Japan mainly among youth and adolescents since around the 1970s, and has been...
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StartPage 427
SubjectTerms Adolescents
amae
hikikomori
Humans
Internationality
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Models, Psychological
modern‐type depression
social anxiety
social isolation
Social Isolation - psychology
Title Hikikomori : Multidimensional understanding, assessment, and future international perspectives
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fpcn.12895
https://www.ncbi.nlm.nih.gov/pubmed/31148350
https://www.proquest.com/docview/2268450827
https://www.proquest.com/docview/2233851699
Volume 73
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