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

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...

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Autores: Malagón, Angeles, Martín López, Luis Miguel, Córcoles, David, Gonzalez Fresnedo, Ana María, Bellsolà González, Magdalena, Teo, Alan R., Pérez Solà, Víctor, Bulbena Vilarrasa, Antonio, Berge Baquero, Daniel
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/36299
Acceso en línea:http://hdl.handle.net/10230/36299
http://dx.doi.org/10.1016/j.psychres.2018.03.060
Access Level:acceso abierto
Palabra clave:sindrome de Hikikomori
Marginació social
Comorbidity
Differential diagnosis
Home treatment
Long-term treatment
Social isolation
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spelling A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposalMalagón, AngelesMartín López, Luis MiguelCórcoles, DavidGonzalez Fresnedo, Ana MaríaBellsolà González, MagdalenaTeo, Alan R.Pérez Solà, VíctorBulbena Vilarrasa, AntonioBerge Baquero, Danielsindrome de HikikomoriMarginació socialComorbidityDifferential diagnosisHome treatmentLong-term treatmentSocial isolationSocial 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.Elsevier20192018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/36299http://dx.doi.org/10.1016/j.psychres.2018.03.060reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésPsychiatry Research. 2018 Dec;270:1039-46© Elsevier http://dx.doi.org/10.1016/j.psychres.2018.03.060info:eu-repo/semantics/openAccessoai:recercat.cat:10230/362992026-05-29T05:05:01Z
dc.title.none.fl_str_mv A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
title A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
spellingShingle A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
Malagón, Angeles
sindrome de Hikikomori
Marginació social
Comorbidity
Differential diagnosis
Home treatment
Long-term treatment
Social isolation
title_short A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
title_full A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
title_fullStr A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
title_full_unstemmed A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
title_sort A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal
dc.creator.none.fl_str_mv Malagón, Angeles
Martín López, Luis Miguel
Córcoles, David
Gonzalez Fresnedo, Ana María
Bellsolà González, Magdalena
Teo, Alan R.
Pérez Solà, Víctor
Bulbena Vilarrasa, Antonio
Berge Baquero, Daniel
author Malagón, Angeles
author_facet Malagón, Angeles
Martín López, Luis Miguel
Córcoles, David
Gonzalez Fresnedo, Ana María
Bellsolà González, Magdalena
Teo, Alan R.
Pérez Solà, Víctor
Bulbena Vilarrasa, Antonio
Berge Baquero, Daniel
author_role author
author2 Martín López, Luis Miguel
Córcoles, David
Gonzalez Fresnedo, Ana María
Bellsolà González, Magdalena
Teo, Alan R.
Pérez Solà, Víctor
Bulbena Vilarrasa, Antonio
Berge Baquero, Daniel
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv sindrome de Hikikomori
Marginació social
Comorbidity
Differential diagnosis
Home treatment
Long-term treatment
Social isolation
topic sindrome de Hikikomori
Marginació social
Comorbidity
Differential diagnosis
Home treatment
Long-term treatment
Social isolation
description 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.
publishDate 2018
dc.date.none.fl_str_mv 2018
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/36299
http://dx.doi.org/10.1016/j.psychres.2018.03.060
url http://hdl.handle.net/10230/36299
http://dx.doi.org/10.1016/j.psychres.2018.03.060
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Psychiatry Research. 2018 Dec;270:1039-46
dc.rights.none.fl_str_mv © Elsevier http://dx.doi.org/10.1016/j.psychres.2018.03.060
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © Elsevier http://dx.doi.org/10.1016/j.psychres.2018.03.060
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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