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Family features of social withdrawal syndrome (Hikikomori)

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dc.contributor.author Malagón, Angeles
dc.contributor.author Martín López, Luis Miguel
dc.contributor.author Córcoles, David
dc.contributor.author Gonzalez Fresnedo, Ana María
dc.contributor.author Bellsolà González, Magdalena
dc.contributor.author Teo, Alan R.
dc.contributor.author Bulbena Vilarrasa, Antonio
dc.contributor.author Pérez Solá, Victor
dc.contributor.author Bergé, Daniel
dc.date.accessioned 2020-06-03T06:28:23Z
dc.date.available 2020-06-03T06:28:23Z
dc.date.issued 2020
dc.identifier.citation Malagón-Amor Á, Martín-López LM, Córcoles D, González A, Bellsolà M, Teo AR, et al. Family features of social withdrawal syndrome (Hikikomori).Front Psychiatry. 2020 Mar 2; 11:138. DOI: 10.3389/fpsyt.2020.00138
dc.identifier.issn 1664-0640
dc.identifier.uri http://hdl.handle.net/10230/44887
dc.description.abstract Background: Family may play an important role in the origin, maintenance, and treatment of people with social withdrawal. The aim of this study is to analyze family factors related to social withdrawal syndrome. Methods: Socio-demographic, clinical, and family data, including family psychiatric history, dysfunctional family dynamics, and history of family abuse were analyzed in 190 cases of social withdrawal with a minimum duration of 6 months that started an at-home treatment program. Data were analyzed at baseline and at 12 months. Results: In 36 cases (18%) neither the patient nor the family allowed at home evaluation and treatment by the Crisis Resolution Home Treatment (CRHT) team. Patients had high rates of dysfunctional family dynamics (n = 115, 61.5%), and family psychiatric history (n = 113, 59.3%), especially maternal affective (n = 22, 42.9%), and anxiety disorders (n = 11 20.4%). There was a non-negligible percentage of family maltreatment in childhood (n = 35, 20.7%) and single-parent families (n = 66, 37.8%). Most of the cases lived with their families (n = 135, 86%), had higher family collaboration in the therapeutic plan (n = 97, 51.9%) and families were the ones to detect patient isolation and call for help (n = 140, 73.7%). Higher social withdrawal severity (as defined by at least one of: early age of onset, no family collaboration, lack of insight, higher CGSI score, and higher Zarit score), was associated with family psychiatric history, dysfunctional family dynamics, and family abuse history. All of these predictive variables were highly correlated one to each other. Conclusions: There is a high frequency of family psychiatric history, dysfunctional family dynamics, and traumatic events in childhood (family maltreatment), and these factors are closely interrelated, highlighting the potential role of family in the development and maintenance of social withdrawal.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Frontiers
dc.rights Copyright © 2020 Malagón-Amor, Martín-López, Córcoles, González, Bellsolà, Teo, Bulbena, Pérez and Bergé. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). https://creativecommons.org/licenses/by/4.0/. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.title Family features of social withdrawal syndrome (Hikikomori)
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3389/fpsyt.2020.00138
dc.subject.keyword Childhood maltreatment
dc.subject.keyword Dysfunctional family dynamics
dc.subject.keyword Family factors
dc.subject.keyword Family psychiatric history
dc.subject.keyword Hikikomori
dc.subject.keyword Home treatment
dc.subject.keyword Social isolation
dc.subject.keyword Social withdrawal
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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