A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal

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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 Pérez Solá, Victor
• dc.contributor.author Bulbena Vilarrasa, Antonio
• dc.contributor.author Berge Baquero, Daniel
• dc.date.accessioned 2019-01-17T08:38:35Z
• dc.date.issued 2018
• dc.description.abstract Social withdrawal is a new mental health problem increasingly common, present in different cultures, whose psychopathology and treatment is not yet established. This study aims to determine the socio-demographic and clinical features and possible clinical subtypes that predict the 12-month outcomes of cases with hikikomori syndrome, a severe form of social withdrawal. Socio-demographic and clinical data at baseline were analysed as well as data obtained for 12 months after at-home treatment in 190 cases. The inclusion criteria were: spending all time at home, avoiding social situations and relationships, significant deterioration due to social isolation, with a minimum duration of 6 months. Six major diagnostic groups were identified: affective, anxiety, psychotic, drug use, personality and other Axis I disorders. The anxiety-affective subgroup demonstrated lower clinical severity, but worse evolution. Less than half of the cases were available for medical follow-up at 12-months. Subjects undergoing intensive treatment had a higher medical follow-up rate and better social networks at 12-months. Therefore, our findings provide data to reach consensus on the specific characteristics of social isolation hikikomori syndrome. 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Malagón-Amor Á, Martín-López LM, Córcoles D, González A, Bellsolà M, Teo AR. Et al. A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal. Psychiatry Res. 2018 Dec;270:1039-1046. DOI: 10.1016/j.psychres.2018.03.060
• dc.identifier.doi http://dx.doi.org/10.1016/j.psychres.2018.03.060
• dc.identifier.issn 0165-1781
• dc.identifier.uri http://hdl.handle.net/10230/36299
• dc.language.iso eng
• dc.publisher Elsevier
• dc.relation.ispartof Psychiatry Research. 2018 Dec;270:1039-46
• dc.rights © Elsevier http://dx.doi.org/10.1016/j.psychres.2018.03.060
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Comorbidity
• dc.subject.keyword Differential diagnosis
• dc.subject.keyword Home treatment
• dc.subject.keyword Long-term treatment
• dc.subject.keyword Social isolation
• dc.subject.other sindrome de Hikikomori
• dc.subject.other Marginació social
• dc.title A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion