Risk factors for severity of social withdrawal in adolescence: Understanding hikikomori as a spectrum
Risk factors for severity of social withdrawal in adolescence: Understanding hikikomori as a spectrum
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DOI：
10.1192/j.eurpsy.2021.1682
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发表时间：
2021-08-13
影响因子：
7.8
通讯作者：
Hikida, T.
中科院分区：
文献类型：
--
作者：
Hamasaki, Y.;Nakayama, T.;Michikoshi, S.;Hikida, T.
社会退缩，或称“隐世”，是日本最严重的社会心理问题之一。这一概念在2010年左右获得了国际关注，此后进行了广泛的精神病学流行病学研究。随着对广泛的隐蔽青年情况的理解，我们的目的是定量测量隐蔽青年在青少年受试者中的严重程度，这是一个被认为特别容易受到这种情况影响的年龄组，并确定与其严重程度相关的因素。我们选择人口统计学、社会经济学数据和心理行为特征作为与隐蔽青年有关的因素，并使用横断面分析探讨它们与隐蔽青年严重程度的关系。受试者是一组患者的中学生在青春期的精神科门诊检查的主要投诉的hikikomori和对照组的中学生匹配的性别和年龄。受试者的父母完成了一份关于他们孩子的隐蔽青年症状和生活环境的问卷，沿着儿童行为检查表（CBCL）。然后对收集的数据进行统计分析。T检验结果表明，患者组的所有CBCL综合征量表评分均显著较高，但没有评分落在临床范围内。多元回归分析显示，被焦虑/抑郁，躯体的投诉，父母之间缺乏沟通，过度使用互联网的统计预测的hikikomori的严重程度。如果使用上述预测因子来识别需要积极干预的高危个体，而处于早期阶段，则可能防止青年隐癖变得严重。没有明显的关系。
Social withdrawal, or hikikomori, is one of Japan’s most serious psychosocial issues. The concept gained international attention around 2010 and widespread psychiatric epidemiological studies have since been conducted. With an understanding of the extensive range of hikikomori circumstances as a spectrum, we aimed to quantitatively measure the severity of hikikomori in adolescent subjects, an age group considered particularly susceptible to the condition, and to identify factors associated with its severity. We selected population demographics, socioeconomic data, and psycho-behavioral characteristics as factors related to hikikomori and explored their associations with hikikomori severity using cross-sectional analysis. Subjects were a patient group of middle school students examined as outpatients at a psychiatric clinic during adolescence for a chief complaint of hikikomori and a control group of middle school students matched for sex and age. Subjects’ parents completed a questionnaire pertaining to their child’s hikikomori symptoms and living environment along with the Child Behavior Checklist (CBCL). The data collected was then statistically analyzed. T-test results demonstrated that scores for all CBCL syndrome scales were significantly higher in the patient group, but no scores fell within the clinical range. Multiple regression analysis revealed that being anxious/depressed, somatic complaints, lack of communication between parents, and overuse of the Internet were statistical predictors of hikikomori severity. It may be possible to prevent hikikomori from becoming severe if the above predictors are used to identify high-risk individuals requiring active intervention while hikikomori is at an early stage. No significant relationships.