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Case report

Hikikomori syndrome in Italy and its link with autistic traits and internet gaming disorder

Bibliographic Data

ID15516783
AuthorsBarbara Carpita (0000-0002-2806-6736, University of Pisa), Chiara Bonelli (0000-0002-9781-0071, University of Pisa, corresponding author), Federico Giovannoni (0000-0003-1443-5040, University of Pisa), Francesca Parri (University of Pisa), Matteo Gambini (0000-0002-4689-5132, University of Pisa), Benedetta Nardi (0000-0001-5437-7178, University of Pisa), Giulia Amatori (0000-0002-2818-4134, University of Pisa), Ivan Mirko Cremone (University of Pisa), Stefano Pini (0000-0001-9092-9144, University of Pisa), Liliana Dell’Osso (0000-0002-9841-5030, University of Pisa)
Year2024
Volume15
Pages1378572-1378572
Publication date2024-05-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2024.1378572
PMID38863612
OpenAlexW4399097687
LanguageEN
Citations received4
References cited59

During the last few decades, a growing field of literature is focusing on hikikomori, a phenomenon described as a form of pathological social withdrawal or social isolation that lasts for more than 6 months leading to significant functional impairment and/or distress. Despite initially considered a culture-bound syndrome, hikikomori syndrome later gained a wider recognition in different countries, ranging from an attempt to take refuge in an idealistic world, when society success' standards are not reached, to a maladaptive coping strategy complicating several psychiatric illnesses such as anxiety disorders, major depression, internet addiction, internet gaming disorder (IGD) and autism spectrum disorder (ASD). In this framework, difficulties in social interaction, in problem solving strategies and socio-emotional reciprocity, may lead to social withdrawal and hikikomori-like behaviors. In this work, we described two cases of patients where the presence of underlying autism spectrum may have represented a sign of vulnerability towards the development of a possible full-blown case of hikikomori with IGD

Addiction · Anxiety · Autism · Autism spectrum disorder · Developmental psychology · Distress · Impulsivity · Psychiatry · Reciprocity (cultural anthropology · Social isolation · Social withdrawal · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Parental Involvement in Education · Psychology · Social Psychology · Youth Substance Use and School Attendance

  • The Joy and the Pain of Being Alone

    Open Access•Peter Muris, Anne Deckers et al.•Clinical Child and Family…•2026

  • The Prevalence of and Inter-Relationship Between Subclinical Hikikomori and Internet Addiction in Health-Related University Students

    Open Access•A Li-Ya, Meng-Yi Chen et al.•International Journal of Social…•2026

  • Hikikomori-Like Social Withdrawal Mediates the Relationship Between Autistic Traits and Pathological Video Game Use Among University Students

    Open Access•Barbara Carpita, Benedetta Nardi et al.•International Journal of Social…•2026

  • Hikikomori 2.0

    Open Access•Vincenzo Esposito, Felice Addeo•Societies•2025

  • Hikikomori, a Japanese Culture-Bound Syndrome of Social Withdrawal?

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  • Hikikomori

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  • Longitudinal association between autistic traits and affinity for hikikomori in Japanese university students

    Open Access•Yuuki Shimono, Akira Hasegawa et al.•Current Psychology•2022

  • The prevalence and correlates of severe social withdrawal (hikikomori) in Hong Kong

    Open Access•Paul WC Wong, Tim M H Li et al.•International Journal of Social…•2015

  • Hikikomori and modern-type depression in Italy

    Open Access•Laura Orsolini, Silvia Bellagamba et al.•International Journal of Social…•2022

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    Open Access•Alan R Teo, Michael D Fetters et al.•International Journal of Social…•2015

  • Pathological social withdrawal in autism spectrum disorder

    Open Access•M Yamada, Takahiro A Kato et al.•Frontiers in Psychiatry•2023

  • Clinical Usefulness of a Short Version of the Internet Addiction Test to Screen for Probable Internet Addiction in Adolescents with Autism Spectrum Disorder

    Open Access•Masaru Tateno, Kazumasa Horie et al.•International Journal of…•2023

  • Psychometric Properties of the Italian Version of the 25-Item Hikikomori Questionnaire for Adolescents

    Open Access•Simone Amendola, Fabio Presaghi et al.•International Journal of…•2022

  • Identifying Social Withdrawal (Hikikomori) Factors in Adolescents

    Open Access•Y Hamasaki, Nancy Pionnié-Dax et al.•Child Psychiatry & Human…•2020

Unique citing works4
Citations per year4
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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