은둔형 외톨이 자가보고 척도의 신뢰도 및 타당도 연구
Developing Korean Version of the 25-item Hikikomori Questionnaire
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참고문헌
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초록
Objectives Hikikomori is a social condition characterized by social withdrawal. It is essential to develop an objective indicator to screen for this condition and provide early intervention. Therefore, this study verified the validity and reliability of a Korean version of the 25-item Hikikomori Questionnaire (HQ-25). Methods Semi-structured interviews were conducted with participants at high risk of feeling loneliness and who were recruited through online and offline methods. Data based on clinical scales were collected, and after four weeks, a self-report questionnaire was administered to a few participants to confirm the degree of agreement. Results One hundred forty-three people were enrolled, out of which 45 were identified as hikikomori. There was a significant difference in scores between the hikikomori group and the unaffected group (64.44 and 39.30, respectively; p<0.01). Convergent diversity and test-retest reliability were satisfactory. The area under the receiver operating characteristic curve was 0.817. Based on confirmatory factor analysis, the existing model was found suitable. In this study, sensitivity and specificity were 88.9% and 52.0% at 40.5 points, and 84.4% and 49.0% at 41.5 points, respectively. Conclusion The Korean version of the HQ-25 has secure validity and reliability. This scale can be beneficial in the screening and early intervention of hikikomori.
Abstract
Objectives Hikikomori is a social condition characterized by social withdrawal. It is essential to develop an objective indicator to screen for this condition and provide early intervention. Therefore, this study verified the validity and reliability of a Korean version of the 25-item Hikikomori Questionnaire (HQ-25). Methods Semi-structured interviews were conducted with participants at high risk of feeling loneliness and who were recruited through online and offline methods. Data based on clinical scales were collected, and after four weeks, a self-report questionnaire was administered to a few participants to confirm the degree of agreement. Results One hundred forty-three people were enrolled, out of which 45 were identified as hikikomori. There was a significant difference in scores between the hikikomori group and the unaffected group (64.44 and 39.30, respectively; p<0.01). Convergent diversity and test-retest reliability were satisfactory. The area under the receiver operating characteristic curve was 0.817. Based on confirmatory factor analysis, the existing model was found suitable. In this study, sensitivity and specificity were 88.9% and 52.0% at 40.5 points, and 84.4% and 49.0% at 41.5 points, respectively. Conclusion The Korean version of the HQ-25 has secure validity and reliability. This scale can be beneficial in the screening and early intervention of hikikomori.
참고문헌 (32)
- Kato TA, "Hikikomori: multidimensional understanding, assessment, and future international perspectives", Psychiatry Clin Neurosci, 73, pp.427~440 (2019)
- "Investigation on life of youth"[URL]
- "Investigation on living conditions"[URL]
- Lee KM, "The psychosocial characteristics of oiettolie adolescents", Korean J Couns Psychother, 13, pp.147~162 (2001)
- "Measures to support socially maladjusted youth such as hikikomori"[URL]
- 이윤지, "한국 청소년에서 사회적 은둔의 정신병리적 특성", 신경정신의학, 54(4), pp.549~555 (2015), 대한신경정신의학회[DOI]
- "The plight of Japan’s modern hermit"[URL]
- "Des cas d’“hikikomori” en France"[URL]
- Macedo P, "Hikikomori goes global : a Portuguese case", Eur Psychiatry, 41(S1), pp.S514~ (2017)
- Wu AFW, "Evidence of pathological social withdrawal in non-Asian countries : a global health problem?", Lancet Psychiatry, 6, pp.195~196 (2019)
- "Why so many Japanese children refuse to go to school"[URL]
- "Recent changes in employment conditions and measures to resolve youth unemployment"[URL]
- 백형태, "부모 작성용 은둔형 외톨이 선별 도구 개발", Journal of the Korean Academy of Child and Adolescent Psychiatry, 22(4), pp.262~270 (2011), 대한소아청소년 정신의학회
- Teo AR, "Development and validation of the 25-item hikikomori questionnaire (HQ-25)", Psychiatry Clin Neurosci, 72, pp.780~788 (2018)
- Teo AR, "Social withdrawal in major depressive disorder : a case-control study of hikikomori in Japan", J Affect Disord, 274, pp.1142~1146 (2020)
- Kato TA, "Internet society, internet addiction, and pathological social withdrawal: the chicken and egg dilemma for internet addiction and hikikomori", Curr Opin Psychiatry, 33, pp.264~270 (2020)
- Kubo H, "Psychodynamic group psychotherapy for hikikomori : the case of a socially withdrawn male with schizoaffective disorder", J Clin Psychol, 77, pp.1851~1864 (2021)
- Tateno M, "Internet addiction, smartphone addiction, and hikikomori trait in Japanese young adult: social isolation and social network", Front Psychiatry, 10, pp.455~ (2019)
- "Two modalities, one anser?: combining internet and CATI survey effectively in market research"[URL]
- 윤은성, "인터넷을 활용한 표본조사 방법에 관한 사례연구", 조사연구, 3(1) (2002), 한국조사연구학회
- 이지영, "온라인 패널 조사와 오프라인 대인면접 조사 간 데이터 품질 비교: 신뢰도와 타당도를 중심으로", 마케팅연구, 21(4), pp.209~231 (2006), 한국마케팅학회
- Scherpenzeel AC, "Social and behavioral research and the internet", pp.105~132 (2018), Routledge
- Teo AR, "Identification of the hikikomori syndrome of social withdrawal : psychosocial features and treatment preferences in four countries", Int J Soc Psychiatry, 61, pp.64~72 (2015)
- Teo AR, "Psychopathology associated with social withdrawal : idiopathic and comorbid presentations", Psychiatry Res, 228, pp.182~183 (2015)
- Russell D, "The revised UCLA loneliness scale : concurrent and discriminant validity evidence", J Pers Soc Psychol, 39, pp.472~480 (1980)
- Kim OS, "Korean version of the revised UCLA loneliness scale : reliability and validity test", J Korean Acad Nurs, 27, pp.871~879 (1997)
- Burger JM, "Individual differences in preference for solitude", J Res Pers, 29, pp.85~108 (1995)
- 임아영, "자기결정적 고독과 성격 및 심리적 건강의 관계", Korean Journal of Clinical Psychology, 31(4), pp.993~1021 (2012), 한국임상심리학회[DOI]
- Zimet GD, "The multidimensional scale of perceived social support", J Pers Assess, 52, pp.30~41 (1988)
- Hosmer Jr DW, "Applied logistic regression" (2013), John Wiley & Sons
- Kondo N, "General condition of hikikomori (prolonged social withdrawal) in Japan: psychiatric diagnosis and outcome in mental health welfare centres", Int J Soc Psychiatry, 59, pp.79~86 (2013)
- Brown TA, "Handbook of structural equation modeling", pp.361~379 (2012), Guilford Press