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Social isolation associated with depression

A case report of hikikomori

Bibliographic Data

ID19272425
AuthorsAlan R Teo (0000-0002-2393-088X, Department of Psychiatry, University of Michigan, USA, corresponding author)
Year2013
Volume59
Issue4
Pages339-341
Publication date2013-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Social Psychiatry (JOURNAL)
Journal identifiersISSN: 0020-7640 • E-ISSN: 1741-2854
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0020764012437128
PMID22408115
OpenAlexW2067282757
LanguageEN
Citations received25
References cited7

BACKGROUND: Social isolation is associated with significant morbidity and mortality. A severe form of social isolation or social withdrawal, called hikikomori in Japan, has been described, but controversy over the etiology and universality of the phenomenon remains. METHOD: Case report. RESULTS: Diagnostic assessment by structured clinical interview and psychometric tools revealed hikikomori and underlying bipolar disorder, in which the patient's social withdrawal occurred exclusively during major depressive episodes. The patient declined pharmacotherapy, but his hikikomori and depression went into remission after 25 sessions of cognitive behavioural therapy targeting his social isolation. CONCLUSIONS: This is the first reported case of hikikomori in the Americas. It illustrates the association between hikikomori and a mood disorder, and suggests the importance of international study of the prevalence and potential treatment strategies for severe social isolation

Anxiety · Depression (economics) · Etiology · Isolation (microbiology) · Mood · Mood disorders · Pharmacotherapy · Psychiatry · Social isolation · Social withdrawal · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Medicine · Psychology · Takotsubo Cardiomyopathy and Associated Phenomena · Youth Substance Use and School Attendance

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Unique citing works25
Citations per year2,08
Citation span2014 - 2025 (12)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 24

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