Prolonged social withdrawal disorder: A hikikomori case in Spain

@article{Ovejero2014ProlongedSW,
  title={Prolonged social withdrawal disorder: A hikikomori case in Spain},
  author={Santiago Ovejero and Irene Caro-Ca{\~n}izares and Victoria de Le{\'o}n-Mart{\'i}nez and Enrique Baca-Garc{\'i}a},
  journal={International Journal of Social Psychiatry},
  year={2014},
  volume={60},
  pages={562 - 565}
}
Background: The Japanese term hikikomori means literally ‘to be confined’. Social withdrawal can be present in severe psychiatric disorders; however, in Japan, hikikomori is a defined nosologic entity. There have been only a few reported cases in occidental culture. Material: We present a case report of a Spanish man with prolonged social withdrawal lasting for 4 years. Discussion: This is a case of prolonged social withdrawal not bound to culture, as well as the second case of hikikomori… 

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References

SHOWING 1-10 OF 21 REFERENCES

Social isolation associated with depression: A case report of hikikomori

  • A. Teo
  • Psychology, Medicine
    The International journal of social psychiatry
  • 2013
This case illustrates the association between hikikomori and a mood disorder, and suggests the importance of international study of the prevalence and potential treatment strategies for severe social isolation.

A New Form of Social Withdrawal in Japan: a Review of Hikikomori

  • A. Teo
  • Psychology, Medicine
    The International journal of social psychiatry
  • 2010
A clinical review of a unique, emerging form of severe social withdrawal that has been described in Japan, which has become a silent epidemic with tens of thousands of cases now estimated in Japan.

Comorbid social withdrawal (hikikomori) in outpatients with social anxiety disorder: Clinical characteristics and treatment response in a case series

Hikkomori may serve as a proxy for a severe form of SAD, and patients with comorbid SAD and hikikomori have lower treatment response rates than those with SAD alone.

Hikikomori, a Japanese Culture-Bound Syndrome of Social Withdrawal?: A Proposal for DSM-5

  • A. TeoA. Gaw
  • Psychology, Medicine
    The Journal of nervous and mental disease
  • 2010
It is suggested hikikomori may be considered a culture-bound syndrome and merits further international research into whether it meets accepted criteria as a new psychiatric disorder.

General condition of hikikomori (prolonged social withdrawal) in Japan: Psychiatric diagnosis and outcome in mental health welfare centres

Most hikkomori cases can be diagnosed using current diagnostic criteria, and individuals with hikikomori are much worse if they do not seek help.

Does the ‘hikikomori’ syndrome of social withdrawal exist outside Japan? A preliminary international investigation

Patients with the hikikomori syndrome are perceived as occurring across a variety of cultures by psychiatrists in multiple countries, providing a rational basis for study of the existence and epidemiology of hikkomori in clinical or community populations in international settings.

Hikikomori as a possible clinical term in psychiatry: a questionnaire survey

It is proposed that the term hikikomori could be used to describe severe social withdrawal in the setting of a number of psychiatric disorders.

The Japanese Hikikomori Phenomenon: Acute Social Withdrawal among Young People

Although rare in the west, in Japan and in some other advanced countries on the Asian-Pacific rim, there is a popular perception that there has been a significant increase in the numbers of young

‘ Hikikomori’: a New Diagnosis or a Syndrome Associated With a Psychiatric Diagnosis?

A severe case of social isolation of a 46-year-old male, who remained at home alone for 25 years, with no psychiatric history, is reported which demonstrates the seriousness of the problem, the diffi culty of access and management of these patients and the diagnostic difficulties.