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The phenomenon of hikikomori: review of studies

https://doi.org/10.25205/2658-4506-2018-11-1-99-153

Abstract

Objective. Japan’s hikikomori phenomenon (acute and/or severe social withdrawal behavior among youth) is considered as growing internationalsocio-psychological problem, more youth social withdrawal cases in different countries have been discovered recently. The purpose of this paper is to consolidate the results of studies conducted in Japan and other countries to provide a better understanding of the phenomenon of hikikomori.

Method. This review examined the current available scientific information on youth social withdrawal in the academic databases: Scopus, ScienceDirect, Web of Science and PubMed. Results.

As a result of our analysis of the studies we synthesized the information into the following categories: (1) definitions of hikikomori, (2) hikikomori and mental disorder, (3) developmental theories, (4) factors associated with youth social withdrawal and (5) interventions for socially withdrawn youths. Accordingly, there are diverse and controversial definitions for youth social withdrawal. Studies of youth social withdrawal are based on models that lead to quite different conclusions. Researchers with an attachment perspective view youth social withdrawal as a negative phenomenon, whereas those who adopt Erikson’s developmental theory view it more positively as a process of seeking self-knowledge. Different interventions for socially withdrawn youths have been developed, mainly in Japan, but evidence-based practice is almost non-existent.

Conclusion. The analysis demonstrated the heterogeneity of the phenomenon of hikikomori, different subgroups were identified. Researchers proposed a theoretical framework that views youth social withdrawal as resulting of interaction between psychological, family, sociocultural, behavioral and biological factors. Future validation of the framework will help drive forward advances in theory and interventions for youth social withdrawal as an emerging issue in developed countries.

About the Author

Ya. S. Lyakina
Novosibirsk State University
Russian Federation


References

1. Biddle S. J., Asare M. Physical activity and mental health in children and adolescents: a review of reviews // British Journal of Sports Medicine. 2011. Vol. 45. P. 886-895.

2. Borovoy A. Japan’s Hidden Youths: Mainstreaming the Emotionally Distressed in Japan // Culture, Medicine, and Psychiatry. 2008. Vol. 32. P. 552-576. doi: 10.1007/s11013-008-9106-2

3. Bowlby J. Attachment and Loss: Attachment, vol. 1. Second Edition. New York: Basic Books, 1982 [1969].

4. Bynner J., Parsons S. Social exclusion and the transition from school to work: The case of young people not in education, employment, or training (NEET) // Journal of Vocational Behavior. 2002. Vol. 60. P. 289-309.

5. Carli V., Durkee T., Wasserman D., Hadlaczky G., Despalins R., Kramarz E., Wasserman C., Sarchiapone M., Hoven C. W., Brunner R., Kaess M. The association between pathological internet use and comorbid psychopathology: a systematic review // Psychopathology. 2013. Vol. 46. P. 1-13. https: // doi.org / 10.1159 / 000337971

6. Carli V., Hoven C. W., Wasserman C., Chiesa F., Guffanti G., Sarchiapone M., Apter A., Balazs J., Brunner R., Corcoran P., Cosman D., Haring C., Iosue M., Kaess M., Kahn J. P., Keeley H., Postuvan V., Saiz P., Varnik A., Wasserman D. A newly identified group of adolescents at «invisible» risk for psychopathology and suicidal behavior: findings from the SEYLE study // World Psychiatry. 2014. Vol. 13. P. 78-86.

7. Chan G. H. Y., Lo T. W. Do friendship and intimacy in virtual communications exist? An investigation of online friendship and intimacy in the context of hidden youth in Hong // Revista de Cercetare şi Intervenţie Socială. 2014a. Vol. 47. P. 117-136.

8. Chan G. H. Y., Lo T. W. Family relationships and the self-esteem of hidden youth: A power dynamics perspective // Journal of Family Issues. 2014b. DOI: 10.1177 / 0192513X14537479.

9. Chan G. H. Y., Lo T. W. Quality of life of the hidden youth in Hong Kong // Applied Research in Quality of Life. 2013. Vol. 9. P. 951-969.

10. Chan G. H., Lo T. W. The effect of negative experiences on delinquent behavior of youth in a social withdrawal situation // Journal of Adolescence. 2016. Vol. 50. P. 69-80. URL: http://dx.doi.org/10.1016/j.adolescence.2016.05.002

11. Chan G. H.-y., Lo T. W. Hidden youth services: What Hong Kong can learn from Japan // Children and Youth Services Review. 2014. Vol. 42. P. 118-126.

12. Chauliac N., Couillet A., Faivre S., Brochard N., Terra J.-L. Characteristics of socially withdrawn youth in France: A retrospective study // International Journal of Social Psychiatry. 2017. Vol. 63 (4). P. 339-344. doi: 10.1177/0020764017704474

13. Chong S. S.-c., Chan K.-M. A case study of a Chinese ‘hikikomorian’ in Canada: Theorizing the process of hikikomorization // Journal of Special Education and Rehabilitation. 2012. Vol. 13 (3-4). P. 99-114.

14. Clarke G., Harvey A. G. The complex role of sleep in adolescent depression // Child and Adolescent Psychiatric Clinics of North America. 2012. Vol. 21. P. 385-400.

15. De Luca M. Hikikomori: Cultural idiom or present-day expression of the distress engendered by the transition from adolescence to adulthood // L’évolution psychiatrique. 2017. T. 82. P. 1-15. http: // dx.doi.org/10.1016/j.evopsy.2016.11.005

16. Erikson E. H. Childhood and Society. New York: W. W. Norton & Company, 1950.

17. Erikson E. H. Identity, Youth, and Crisis, 1st Edition. New York: W.W. Norton & Company, 1968.

18. Furlong A. The Japanese hikikomori phenomenon: Acute social withdrawal among young people // The Sociological Review. 2008. Vol. 56. P. 309-325.

19. Furuhashi T., Tsuda H., Ogawa T., Suzuki K., Shimizu M., Teruyama J., Horiguchi S., Shimizu K., Sedooka A., Figueiredo C., Pionnié-Dax N., Tajan N., Fansten M., Vellut N., Castel P.-H. État des lieux, points communs et différences entre des jeunes adultes retirants sociaux en France et au Japon (Hikikomori) // L’évolution psychiatrique. 2013. T. 78. P. 249-266.

20. Gondim F. A. A., Aragão A. P., Holanda Filha J. G., Messias E. L. M. Hikikomori in Brazil: 29 years of Voluntary social Withdrawal // Asian Journal of Psychiatry. 2017. Vol. 30. P. 163-164. http: // dx.doi.org/10.1016/j.ajp.2017.10.009

21. Hattori Y. Social withdrawal in Japanese youth: A case study of thirty-five hikikomori clients // Journal of Trauma Practice. 2006. Vol. 4. P. 181-201.

22. Hayakawa K., Kato T. A., Watabe M., Teo A. R., Horikawa H., Kuwano N., Shimokawa N., Sato-Kasai M., Kubo H., Ohgidani M., Sagata N., Toda H., Tateno M., Shinfuku N., Kishimoto J., Kanba S. Blood biomarkers of Hikikomori, a severe social withdrawal syndrome // SCIENTIFIC RepOrTS. 2018. Vol. 8. doi:10.1038/s41598-018-21260-w

23. Heinze U., Thomas P. Self and salvation: Visions of hikikomori in Japanese manga // Journal of the German Institute for Japanese Studies Tokyo. 2014. Vol. 26 (1). P. 151-169. doi: 10.1515/cj-2014-0007

24. Hirota T. Interview with Dr. Takahiro Kato // World Child & Adolescent Psychiatry. 2014. Issue 7. P. 12-16.

25. Itoh K. Difficulties faced by hikikomori: From the life history in autobiographies and private papers // KG Sociological Review. 2012. Vol. 1. P. 137-141.

26. Kaneko S. Japan’s ‘socially withdrawn youths’ and time constraints in Japanese society: Management and conceptualization of time in a support group for hikikomori // Time and Society. 2006. Vol. 15. P. 233-249.

27. Kasahara Y. Proposition of a new category called retreat neurosis // Nakai H., Yamanaka Y. Psychopathology and treatment ofadolescence. Tokyo: Iwasaki Gakujutsu Shuppan, 1978. P. 287-319.

28. Kasahara Y. Student apathy syndrome. Tokyo: Iwanami Shoten, 1984.

29. Kato T. A., Kanba S., Teo A. R. Hikikomori: experience in Japan and international relevance // World Psychiatry. 2018. Vol. 17. Issue 1. P. 105-106. doi:10.1002/wps.20497

30. Kato T. A., Teo A. R., Tateno M., Watabe M., Kubo H., Kanba S. Can Pokémon GO rescue shut-ins (hikikomori) from their isolated world? Psychiatry and Clinical Neurosciences. 2017. Vol. 71. Issue 70. P. 75-76. doi:10.1111/pcn.12481

31. Kato T., Tateno M., Shinfuku T., Fujisawa D., Teo A.R., Sartorius N., Akiyama T., Ishida T., Choi T. Y., Balhara Y. P. S., Matsumoto R., Umene-Nakano W., Fujimura Y., Wand A., Chang J. P.-C., Chang R. Y.-F., Shadloo B., Ahmed H. U., Lerthattasilp T., Kanba S. Does the hikikomori syndrome of social withdrawal exist outside Japan? A preliminary international investigation // Soc Psychiatry Psychiatr Epidemiol. 2012. Vol. 47 (7). P. 1061-75. URL: http://dx.doi.org/10.1007/s00127-011-0411-7

32. Kim J., Ronald M. R., Kyung J. O., Hye-Shin M. Retrospective report of social withdrawal during adolescence and current maladjustment in young adult-hood: cross-cultural comparisons between Australian and South Korean students // Journal of Adolescence. 2008. Vol. 31. Issue 5. P. 543-563. URL: https://doi.org/10.1016/j.adolescence.2007.10.011

33. Kinugasa T. Young adults and withdrawing // Japanese Journal of Clinical Psychiatry. 1998. Special issue. P. 147-152.

34. Kondo N., Sakai M., Kuroda Y., Kiyota Y., Kitabata Y., Kurosawa M. General condition of hikikomori (prolonged social withdrawal) in Japan: Psychiatric diagnosis and outcome in mental health welfare centres // International Journal of Social Psychiatry. 2013. Vol. 59. P. 79-86.

35. Koyama A., Miyake Y., Kawakami N., Tsuchiya M., Tachimori H., Takeshima T. Lifetime prevalence, psychiatric comorbidity and demographic correlates of ‘hikikomori’ in a community population in Japan // Psychiatry Research. 2010. Vol. 176. P. 69-74. doi:10.1016/j.psychres.2008.10.019

36. Krieg A., Dickie J. R. Attachment and hikikomori: A psychosocial developmental model // International Journal of Social Psychiatry. 2013. Vol. 59. P. 61-72.

37. Lee Y. S., Lee J. Y., Choi T. Y., Choi J. T. Home visitation program for detecting, evaluating and treating socially withdrawn youth in Korea // Psychiatry and Clinical Neurosciences. 2013. Vol. 67. P. 193-202. doi:10.1111/pcn.12043

38. Li T. M. H., Wong P. W. C. Editorial Perspective: Pathological social withdrawal during adolescence: a culture-specific or a global phenomenon? // Journal of Child Psychology and Psychiatry. 2015. Vol. 56. Issue 10. P. 1039-1041. doi:10.1111/jcpp.12440

39. Li T. M. H., Wong P. W. C. Withdrawal experience and possible way-outs from withdrawal behavior in young people // Qualitative Social Work. 2017. P. 1-19. doi: 10.1177/1473325016688369

40. Li T. M. H., Wong P. W. C. Youth social withdrawal behavior (hikikomori): A systematic review of qualitative and quantitative studies // Australian & New Zealand Journal of Psychiatry. 2015. Vol. 49 (7). P. 595-609. doi: 10.1177/0004867415581179

41. Lock M. Plea for acceptance: school refusal syndrome in Japan // Social Science and Medicine. 1986. Vol. 23. No. 2. P. 99-112. URL: https://doi.org/10.1016/0277-9536(86)90359-X

42. Malagón-Amor Á., Córcoles-Martínez D., Martín-López L. M., Pérez-Solà V. Hikikomori in Spain: a descriptive study // International Journal of Social Psychiatry. 2015. Vol. 61 (5). P. 475-483. doi: 10.1177/0020764014553003

43. Malagón-Amor Á., Martín-Lópeza L. M., Córcolesa D., Gonzáleza A., Bellsolà M., Teo A. R., Péreza V., Bulbena A., Bergéa D. A 12-month study of the hikikomori syndrome of social withdrawal: Clinical characterization and different subtypes proposal // Psychiatry Research. 2018. pii: S0165-1781(17)31734-1. doi: 10.1016/j.psychres.2018.03.060.

44. Masataka N. Low anger-aggression and anxiety-withdrawal characteristic to preschoolers in Japanese society with ‘hikikomori’ is becoming a major social problem // Early Education and Development. 2002. Vol. 13. P. 187-199.

45. Mikulincer M., Shaver P. R. An attachment perspective on loneliness // The Handbook of Solitude: Psychological Perspectives on Social Isolation, Social Withdrawal, and Being Alone / Eds. R. J. Coplan, J. C. Bowker. Hoboken, NJ: John Wiley & Sons, 2013. P. 34-50.

46. Ministry of Health, Labour and Welfare Guidelines for Assessment and Support of Hikikomori. Tokyo, Japan: Ministry of Health, Labour and Welfare, 2010.

47. Ministry of Health, Labour and Welfare Community Mental Health Intervention Guidelines aimed at Socially Withdrawn Teenagers and Young Adults. Tokyo: Ministry of Health, Labour and Welfare, 2003.

48. Nagata T., Yamada H., Teo A. R., Yoshimura C., Nakajima T., van Vliet I. Comorbid social withdrawal (hikikomori) in outpatients with social anxiety disorder: Clinical characteristics and treatment response in a case series // International Journal of Social Psychiatry. 2013. Vol. 59. P. 73-78. doi: 10.1177/0020764011423184

49. Norasakkunkit V., Uchida Y. To Conform or to Maintain Self-Consistency? Hikikomori Risk in Japan and the Deviation From Seeking Harmony // Journal of Social and Clinical Psychology. 2014. Vol. 33. Special Issue: Cultural-Clinical Psychology. P. 918-935. https://doi.org/10.1521/jscp.2014.33.10.918

50. Ogino T. Managing categorization and social withdrawal in Japan: Rehabilitation process in a private support group for hikikomorians // International Journal of Japanese Sociology. 2004. Vol. 13. P. 120-133.

51. Ovejero S., Caro-Cañizares I., de León-Martínez V., Baca-Garcia E. Prolonged social withdrawal disorder: a hikikomori case in Spain // International Journal of Social Psychiatry. 2014, Vol. 60 (6). P. 562-565. doi: 10.1177/0020764013504560

52. Rydera A. G., Sunohara M., Kirmayer L. J. Culture and personality disorder: from a fragmented literature to a contextually grounded alternative // Current Opinion in Psychiatry. 2015. Vol. 28 (1). P. 40-45.

53. Sagliocco G., Bartolomeo C., Improta E., De Rogatis M., Pinto G., Sarno S., Ciuferri M. G., Mancini F., Grieco F., Vivard E., Gemelli M., Pastore C., Ricci C., Sagliocco G., Trojano G. Hikikomori and adolescence. Phenomenology of self-reclusion. Mimesis, 2011.

54. Saito T. Hikikomori: Adolscence without End. Minneapolis: Univ. of Minnesota Press, 2013.

55. Sakamoto N., Martin R. R., Kumano H., Tomifusa K., Al-Adawi S. Hikikomori, is it a culture-reactive or culture-bound syndrome? Nidotherapy and a clinical vignette from Oman // The International Journal of Psychiatry in Medicine. 2005. Vol. 35 (2) P. 191-198. doi: 10.2190/7WEQ-216D-TVNH-PQJ1

56. Stip E., Thibault A., Beauchamp-Chatel A., Kisely S. Internet Addiction, Hikikomori Syndrome, and the Prodromal Phase of Psychosis // Front Psychiatry. 2016. Vol. 7. Issue 6. doi: 10.3389/fpsyt.2016.00006

57. Suwa M., Suzuki K. The phenomenon of ‘hikikomori’ (social withdrawal) and the socio-cultural situation in Japan today // Journal of Psychopathology. 2013. Vol. 19. P. 191-198.

58. Suwa M., Suzuki K., Hara K., Watanabe H., Takahashi T. Family features in primary social withdrawal among young adults // Psychiatry and Clinical Neurosciences. 2003. Vol. 57. P. 586-594.

59. Tajan N. Social withdrawal and psychiatry: A comprehensive review of Hikikomori // Neuropsychiatrie de l’enfance et de l’adolescence. 2015. Vol. 63. P. 324-331

60. Tajan N., Yukiko H., Pionnié-Dax N. Hikikomori: The Japanese Cabinet Office’s 2016 Survey of Acute Social Withdrawal // The Asia-Pacific Journal Japan Focus. 2017. Vol. 15. Issue 5. No. 1. URL: https://apjjf.org/2017/05/Tajan.html

61. Tateno M., Park T. W., Kato T. A., Umene-Nakano W., Saito T. Hikikomori as a possible clinical term in psychiatry: A questionnaire survey // BMC Psychiatry. 2012. Vol. 12. Issue 1. URL: http://www.biomedcentral.com/1471-244X/12/169

62. Teo A. R, Fetters M. D., Stufflebam K., Tateno M., Balhara Y., Choi T. Y., Kanba S., Mathews C. A., Kato T. A. Identification of the hikikomori syndrome of social withdrawal: Psychosocial features and treatment preferences in four countries // International Journal of Social Psychiatry, 2015. P. 1-9. doi: 10.1177/0020764014535758

63. Teo A. R. A new form of social withdrawal in Japan: a review of hikikomori // International Journal of Social Psychiatry. 2010. Vol. 56 (2). P. 178-185. doi: 10.1177/0020764008100629

64. Teo A. R., Gaw A. C. Hikikomori, A Japanese Culture-Bound Syndrome of Social Withdrawal? A Proposal for DSM-V // Journal of Nervous and Mental Disease. 2010. Vol. 198. P. 444-449. doi: 10.1097/ NMD.0b013e3181e086b1

65. Teo A. R., Kato T. A. The prevalence and correlates of severe social withdrawal in Hong Kong // International Journal of Social Psychiatry. 2015. Vol. 60. Issue 1. P. 101-102. doi:10.1177/ 0020764014554923

66. Teo A. R., Saha S., Stufflebam K., Fetters M. D., Tateno M., Kanba S., Kato T. A. Psychopathology associated with social withdrawal: idiopathic and comorbid presentations // Psychiatry Research. 2015. Vol. 228 (1). P. 182-183. doi: 10.1016/j.psychres.2015.04.033.

67. Тeo A. R., Stufflebam K. W., Kato T. A. The intersection of culture and solitude: The hikikomori phenomeon in Japan // The Handbook of Solitude: Psychological Perspectives on Social Isolation, Social Withdrawal, and Being Alone / Eds. R. J. Coplan, J. C. Bowker. Hoboken, NJ: John Wiley & Sons, 2013. P. 445-460.

68. Todd K. H. L. Hikikomania: Existential horror or national malaise? // Southeast Review of Asian Studies. 2011. Vol. 33. P. 135-147.

69. Toivonen T., Norasakkunkit V., Uchida Y. Unable to Conform, Unwilling to Rebel? Youth, Culture, and Motivation in Globalizing Japan // Frontiers in Psychology. 2011. Vol. 2. Art. 207. doi:10.3389/fpsyg.2011.00207.

70. Tomita F. Leaving from Hikikomori. Tokyo: Heart Shuppan, 1992.

71. Uchida C. Apathetic and withdrawing students in Japanese universities - with regard to Hikikomori and student apathy // Journal of Medical and Dental. 2010. Vol. 57. P. 95-108. URL: https://doi.org/10.11480/jmds.570111

72. Umeda M., Kawakami N. Association of childhood family environments with the risk of social withdrawal (‘hikikomori’) in the community population in Japan // Psychiatry and Clinical Neurosciences. 2012. Vol. 66. P. 121-129.

73. Wilson S. Braindance of the hikikomori: towards a return to speculative psychoanalysis // Paragraph. 2010. Vol. 33 (3). P. 392-409. doi:10.3366/para.2010.0206

74. Wong P. W., Li T. M., Chan M., Law Y., Chau M., Cheng C., Fu K.W., Bacon-Shone J., Yip Paul S. F. The prevalenceand correlates of severe social withdrawal (hikikomori) in Hong Kong: across-sectional telephone-based survey study // International Journal of Social Psychiatry. 2014. P. 1-13. doi: 10.1177/0020764014543711

75. Wong P. W. C., Liu L. L., Li T. M. H., Kato T. A., Teo A. R. Does hikikomori (severe social withdrawal) exist among young people in urban areas of China? // Asian Journal of Psychiatry. 2017. Vol. 30. P. 175-176. URL: http://dx.doi.org/10.1016/j.ajp.2017.10.026

76. Wong V. Social withdrawal as invisible youth disengagement // The International Journal of Sociology and Social Policy. 2012. Vol. 32. P. 415-430.

77. Wong V. Youth locked in time and space? Defining features of social withdrawal and practice implications // Journal of Social Work Practice. 2009. Vol. 23. P. 337-352.

78. Yuen J. W. M., Yan Y. K. Y., Wong V. C. W., Tam W. W. S., So K.-W., Chien W. T. A. Physical Health Profile of Youths Living with a «Hikikomori» Lifestyle // International Journal of Environmental Research and Public Health. 2018. Vol. 15. Art. 315. doi:10.3390/ijerph15020315


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Lyakina Ya.S. The phenomenon of hikikomori: review of studies. Reflexio. 2018;11(1):99-153. (In Russ.) https://doi.org/10.25205/2658-4506-2018-11-1-99-153

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