Psychopathology associated with social withdrawal: Idiopathic and comorbid presentations

  title={Psychopathology associated with social withdrawal: Idiopathic and comorbid presentations},
  author={Alan R. Teo and Kyle Stufflebam and Somnath Saha and Michael Derwin Fetters and Masaru Tateno and Shigenobu Kanba and Takahiro A. Kato},
  journal={Psychiatry Research},
Hikikomori: psychopathology and differential diagnosis of a condition with epidemic diffusion
Hikikomori is now considered a contemporary society-bound syndrome linked to modern society changes and could represent the clinical answer to a social evolution, similarly to other phenomena such as binge behaviours and use of psychoactive substances. Expand
A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
The analysis demonstrated the fragility and tendency to relapse and have disengagement, particularly relevant in the anxiety-affective subgroup, suggesting that intensive treatments are more effective. Expand
Hikikomori : Multidimensional understanding, assessment, and future international perspectives
This review introduces the history, definition, diagnostic evaluation, and interventions for hikikomori, and proposes therapeutic strategies, including family approaches and individualized therapies for an internationalized hikkomori. Expand
Facing and treating hikikomori (pathological social withdrawal)
  • Takahiro A. Kato
  • Medicine
  • 2021
Advances in the conceptualization and treatment plan are discussed and a form of pathological social withdrawal or social isolation whose essential feature is physical isolation in one's home is discussed. Expand
Future perspectives of robot psychiatry: can communication robots assist psychiatric evaluation in the COVID-19 pandemic era?
Recent advancements in robot psychiatry are summarized, robots can reduce the burden of human resources and the infection risk in the COVID-19 era, and robot interview is expected to be implemented for future evaluation system in psychiatry. Expand
Psychodynamic group psychotherapy for hikikomori: The case of a socially withdrawn male with schizoaffective disorder.
The case of an adult male with schizoaffective disorder is illustrated, initiated an unreasonably difficult job-hunting process, became unwell, and was hospitalized, and began to participate in group psychotherapy as a place of belonging and gradually increased his social interactions. Expand
Autism spectrum conditions in hikikomori: A pilot case–control study
This study aimed to clarify how characteristics of hikikomori are associated with ASD, including undiagnosed autism spectrum conditions (ASC), in clinical settings. Expand
Defining pathological social withdrawal: proposed diagnostic criteria for hikikomori


Identification of the hikikomori syndrome of social withdrawal: Psychosocial features and treatment preferences in four countries
Hikikomori exists cross-nationally and can be assessed with a standardized assessment tool, and some may desire treatment, and has substantial psychosocial impairment and disability. Expand
The prevalence and correlates of severe social withdrawal (hikikomori) in Hong Kong: A cross-sectional telephone-based survey study
The study finds that the prevalence of severe social withdrawal in Hong Kong is comparable to that in Japan and both groups with withdrawal behaviors for more or less than 6 months share similar characteristics and are related to other contemporary youth issues. Expand
The handbook of solitude: Psychological perspectives on social isolation, social withdrawal, and being alone.
Julie C. Bowker is an Associate Professor of Psychology at the University at Bu alo, State University of New York. Her research program focuses on the roles that close interpersonal relationshipsExpand
Hikikomori, a Japanese Culture-Bound Syndrome of Social Withdrawal?: A Proposal for DSM-5
  • A. Teo, A. 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. Expand
Lifetime prevalence, psychiatric comorbidity and demographic correlates of “hikikomori” in a community population in Japan
The study suggests that "hikikomori" is common in the community population in Japan, and half of the cases seem to be "primary hikikmori" without a comorbid psychiatric disorder. Expand