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Psychological Factors Associated with Social Withdrawal (Hikikomori)

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초록

Objective Cases of prolonged social withdrawal (hikikomori) have recently been reported in several countries. This study examined the impact of cognitive-behavioral and emotional factors on hikikomori behavior to identify intervention targets. Identifying such targets could facilitate the development of techniques to address hikikomori characteristics.Methods Two hundred Japanese individuals (mean age=38.73, SD=6.85) completed the Adaptive Behaviors Scale for Hikikomori and Stress Response Scale-18, along with the Japanese versions of the Self-Compassion Scale (Short Form), Acceptance and Action Questionnaire-II, and Brief Coping Orientation to Problems Experienced Inventory. Participants were divided into two groups: individuals with no experience of social withdrawal, and those with experience of social withdrawal.Results Hierarchical multiple regression analysis showed that the use of instrumental support, behavioral disengagement stress coping skills, self-compassion, and psychological stress were associated with hikikomori behaviors. Furthermore, higher instrumental support levels, associated with a decrease in hikikomori behaviors, were found in the hikikomori group.Conclusion The use of instrumental support, behavioral disengagement stress coping skills, self-compassion, and psychological stress should be targeted in hikikomori prevention interventions. Moreover, encouragement for the use of instrumental support is needed for improving hikikomori.

Abstract

Objective Cases of prolonged social withdrawal (hikikomori) have recently been reported in several countries. This study examined the impact of cognitive-behavioral and emotional factors on hikikomori behavior to identify intervention targets. Identifying such targets could facilitate the development of techniques to address hikikomori characteristics.Methods Two hundred Japanese individuals (mean age=38.73, SD=6.85) completed the Adaptive Behaviors Scale for Hikikomori and Stress Response Scale-18, along with the Japanese versions of the Self-Compassion Scale (Short Form), Acceptance and Action Questionnaire-II, and Brief Coping Orientation to Problems Experienced Inventory. Participants were divided into two groups: individuals with no experience of social withdrawal, and those with experience of social withdrawal.Results Hierarchical multiple regression analysis showed that the use of instrumental support, behavioral disengagement stress coping skills, self-compassion, and psychological stress were associated with hikikomori behaviors. Furthermore, higher instrumental support levels, associated with a decrease in hikikomori behaviors, were found in the hikikomori group.Conclusion The use of instrumental support, behavioral disengagement stress coping skills, self-compassion, and psychological stress should be targeted in hikikomori prevention interventions. Moreover, encouragement for the use of instrumental support is needed for improving hikikomori.

참고문헌 (51)

  1. "Guidelines for assessment and support of hikikomori" (2010)[URL]
  2. Chauliac N, "Characteristics of socially withdrawn youth in France : a retrospective study", Int J Soc Psychiatry, 63, pp.339~344 (2017)
  3. Kato T, "Does the"hikikomori"syndrome of social withdrawal exist outside Japan? A preliminary international investigation", Soc Psychiatry Psychiatr Epidemiol, 47, pp.1061~1075 (2012)
  4. 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)
  5. Koyama A, "Lifetime prevalence, psychiatric comorbidity and demographic correlates of"hikikomori"in a community population in Japan", Psychiatry Res, 176, pp.69~74 (2010)
  6. Wong PWC, "The prevalence and correlates of severe social withdrawal(hikikomori)in Hong Kong : a cross-sectional telephone-based survey study", Int J Soc Psychiatry, 61, pp.330~342 (2015)
  7. Nonaka S, "The effect of hikikomori on quality of life", Shinrigaku Kenkyu, 85, pp.313~318 (2014)
  8. Nakagaito M, "Long term hikikomori : a study of the changes in mental and physical functions", Jpn J Addict Family, 26, pp.207~216 (2010)
  9. Yuen JWM, "A physical health profile of youths living with a"hikikomori"lifestyle", Int J Environ Res Public Health, 15, pp.315~ (2018)
  10. 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)
  11. Krieg A, "Attachment and hikikomori : a psychosocial developmental model", Int J Soc Psychiatry, 59, pp.61~72 (2013)
  12. Nonaka S, "Assessing adaptive behaviors of individuals with hikikomori(prolonged social withdrawal) : development and psychometric evaluation of the parent-report scale", Int J Cult Ment Health, 11, pp.280~294 (2018)
  13. Yong R, "Hikikomori is most associated with interpersonal relationships, followed by suicide risks : a secondary analysis of a national cross-sectional study", Front Psychiatry, 10, pp.247~ (2019)
  14. Li TMH, "Youth social withdrawal behavior(hikikomori) : a systematic review of qualitative and quantitative studies", Aust N Z J Psychiatry, 25, pp.1~15 (2015)
  15. Malagón-Amora A, "A 12-month study of the hikikomori syndrome of social withdrawal : clinical characterization and different subtypes proposal", Psychiatry Res, 270, pp.139~1046 (2018)
  16. Umeda M, "Association of childhood family environments with the risk of social withdrawal(‘hikikomori’)in the community population in Japan", Psychiatry Clin Neurosci, 66, pp.121~129 (2012)
  17. "Guideline on mental health activities in communities for social withdrawal" (2003)[URL]
  18. Lazarus RS, "Stress, Appraisal and Coping" (1984), Springer
  19. "Research report on the actual condition of hikikomori" (2010)[URL]
  20. Hayes SC, "Acceptance and commitment therapy : model, processes and outcomes", Behav Res Ther, 44, pp.1~25 (2006)
  21. Chawla N, "Experiential avoidance as a functional dimensional approach to psychopathology : an empirical review", J Clin Psychol, 63, pp.871~890 (2007)
  22. Akin A, "Self-compassion and loneliness", Int Online J Educ Sci, 2, pp.702~718 (2010)
  23. Rubin KH, "Social withdrawal in childhood", Annu Rev Psychol, 60, pp.141~171 (2009)
  24. Neff KD, "Self-compassion : an alternative conceptualization of a healthy attitude toward oneself", Self Identity, 2, pp.85~101 (2003)
  25. MacBeth A, "Exploring compassion : a meta-analysis of the association between self-compassion and psychopathology", Clin Psychol Rev, 32, pp.545~552 (2012)
  26. Terry ML, "Self-compassion as a buffer against homesickness, depression, and dissatisfaction in the transition to college", Self Identity, 12, pp.278~290 (2013)
  27. Zessin U, "The relationship between self-compassion and well-being : a meta-analysis", Appl Psychol Health Well Being, 7, pp.340~364 (2015)
  28. Nonaka S, "The psychometric properties of a self-report scale on assessing social interaction of people with prolonged social withdrawal(HIKIKOMORI)", Curr Psychol (2020)
  29. Arimitsu K, "Development and validation of the Japanese version of the Self-Compassion Scale", Shinrigaku Kenkyu, 85, pp.50~59 (2014)
  30. Arimitsu K, "Construction and validation of a short form of the Japanese version of the Self-Compassion Scale", Komazawa Ann Rep Psych, 18, pp.1~9 (2016)
  31. Neff KD, "The development and validation of a scale to measure selfcompassion", Self Identity, 2, pp.223~250 (2003)
  32. Raes F, "Construction and factorial validation of a short form of the Self-Compassion Scale", Clin Psychol Psychother, 18, pp.250~255 (2011)
  33. Neff KD, "The Self-Compassion Scale is a valid and theoretically coherent measure of self-compassion", Mindfulness, 7, pp.264~274 (2016)
  34. Bond FW, "Preliminary psychometric properties of the Acceptance and Action Questionnaire-II : a revised measure of psychological inflexibility and experiential avoidance", Behav Ther, 42, pp.676~688 (2011)
  35. Shima T, "Validation of the Japanese version of the Acceptance and Action Questionnaire-II", Proceedings of the 77th Annual Convention Japanese Psychological Association, pp.271~ (2013)
  36. Carver CS, "You want to measure coping but your protocol’s too long : considering brief COPE", Int J Behav Med, 4, pp.92~100 (1997)
  37. Carver CS, "Assessing coping strategies : a theoretically based approach", J Pers Soc Psychol, 56, pp.267~283 (1989)
  38. Otsuka Y, "Working hours, coping skills, and psychological health in Japanese daytime workers", Ind Health, 47, pp.22~32 (2009)
  39. Suzuki S, "Development of a new psychological stress response scale(SRS-18)and investigation of the reliability and the validity", Jpn J Behav Med, 4, pp.22~29 (1997)
  40. "R: A language and environment for statistical computing" (2020)[URL]
  41. Zhang Y, "Protective effect of self-compassion to emotional response among students with chronic academic stress", Front Psychol, 7, pp.1802~ (2016)
  42. Kirby JN, "A meta-analysis of compassion-based interventions : current state of knowledge and future directions", Behav Ther, 48, pp.778~792 (2017)
  43. Kubo H, "Development of 5-day hikikomori intervention program for family members : a single-arm pilot trial", Heliyon, 6, pp.e03011~ (2020)
  44. Sakai M, "Effectiveness of Community Reinforcement and Family Training (CRAFT)for parents of individuals with “hikikomori.”", Jpn J Behav Ther, 41, pp.167~178 (2015)
  45. Kondo N, "Home visits for social withdrawal cases in community mental health and child welfare services", Seishin Shinkeigaku Zasshi, 110, pp.536~545 (2008)
  46. Lee YS, "Home visitation program for detecting, evaluating and treating socially withdrawn youth in Korea", Psychiatry Clin Neurosci, 67, pp.193~202 (2013)
  47. "Survey on youth consciousness" (2016)[URL]
  48. "Survey on living conditions" (2019)[URL]
  49. Tyndall I, "The Acceptance and Action Questionnaire-II(AAQ-II)as a measure of experiential avoidance : concerns over discriminant validity", J Contextual Behav Sci, 12, pp.278~284 (2019)
  50. Neff KD, "Self-compassion and self-construal in the United States, Thailand, and Taiwan", J Cross Cult Psychol, 39, pp.267~285 (2008)
  51. Tajan N, "Social withdrawal and psychiatry : a comprehensive review of hikikomori", Neuropsychiatr Enfance Adolesc, 63, pp.324~331 (2015)

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