The prevalence and correlates of severe social withdrawal (hikikomori) in Hong Kong: A cross-sectional telephone-based survey study
The prevalence and correlates of severe social withdrawal (hikikomori) in Hong Kong: A cross-sectional telephone-based survey study
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DOI：
10.1177/0020764014543711
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发表时间：
2015-06-01
影响因子：
7.5
通讯作者：
Yip, Paul S. F.
中科院分区：
文献类型：
--
作者：
Wong, Paul W. C.;Li, Tim M. H.;Yip, Paul S. F.
背景：青少年严重的社交退缩行为一直受到公众和临床关注。目的：本研究旨在探讨香港12-29岁青少年社交退缩行为的流行情况。方法：对1,010名青少年进行横断面电话调查。社交退缩行为采用拟议的蛰居族研究诊断标准进行测量，并根据（a）国际提出的持续时间标准（超过6个月），（b）当地提出的标准（少于6个月）和（c）有退缩行为但自我认为没有问题的进行分类。采用多项式和序数logistic回归分析法检验三组之间社交退缩的相关性。结果：6个月以上、6个月以内和自我感觉无问题社交退缩的患病率分别为1.9%、2.5%和2.6%。就相关性而言，国际及本地定义的社交孤僻青少年相似，而自我认为没有问题的青少年则与对照组相当。结论：研究发现，香港严重社交孤僻的患病率与日本相若。这两个群体的退缩行为时间超过或少于6个月都有相似的特征，并且与其他当代青少年问题有关，例如补偿性约会和自残行为。自我认为没有问题的群体似乎是一个独特的群体，其成员的退出行为可能是随意的。
Background: Severe social withdrawal behaviors among young people have been a subject of public and clinical concerns.Aims: This study aimed to explore the prevalence of social withdrawal behaviors among young people aged 12-29years in Hong Kong.Methods: A cross-sectional telephone-based survey was conducted with 1,010 young individuals. Social withdrawal behaviors were measured with the proposed research diagnostic criteria for hikikomori and were categorized according to the (a) international proposed duration criterion (more than 6months), (b) local proposed criterion (less than 6months) and (c) with withdrawal behaviors but self-perceived as non-problematic. The correlates of social withdrawal among the three groups were examined using multinomial and ordinal logistic regression analyses.Results: The prevalence rates of more than 6months, less than 6months and self-perceived non-problematic social withdrawal were 1.9%, 2.5% and 2.6%, respectively. In terms of the correlates, the internationally and locally defined socially withdrawn youths are similar, while the self-perceived non-problematic group is comparable to the comparison group.Conclusions: The study finds that the prevalence of severe social withdrawal in Hong Kong is comparable to that in Japan. Both groups with withdrawal behaviors for more or less than 6months share similar characteristics and are related to other contemporary youth issues, for example, compensated dating and self-injury behavior. The self-perceived non-problematic group appears to be a distinct group and the withdrawal behaviors of its members may be discretionary.