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首页> 外文期刊>The International journal of social psychiatry >General condition of hikikomori (prolonged social withdrawal) in Japan: Psychiatric diagnosis and outcome in mental health welfare centres
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General condition of hikikomori (prolonged social withdrawal) in Japan: Psychiatric diagnosis and outcome in mental health welfare centres

机译：日本的hikikomori（长期退出社会）的一般状况：精神保健福利中心的精神科诊断和结果

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Background: The issue of hikikomori (prolonged social withdrawal) among Japanese youth has attracted attention from international experts. In previous research, the unique cultural and social factors of Japanese society have been the focus; however, in order to resolve the problem of hikikomori, individual mental health problems must be included. Aim: We examined the psychiatric background of individuals with hikikomori. Methods: We recruited 337 individuals with hikikomori; 183 subjects who utilized the centres were designated as the help-seeking group. We examined the multi-axial psychiatric diagnosis based on the DSM-IV-TR, treatment policies and treatment outcomes. We also examined 154 subjects who did not utilize the centers (non-help-seeking group). Results: Most of the subjects in the utilization group were classified into one of the diagnostic categories. Forty-nine (33.3%) subjects were diagnosed with schizophrenia, mood disorders or anxiety disorders, and this group needed pharmacotherapy. Other subjects were diagnosed with personality disorders or pervasive developmental disorders, and they mainly needed psycho-social support. The Global Assessment of Functioning (GAF) scores of the non-help-seeking group were significantly lower than the GAF scores of those who used treatments. Conclusion: Most hikikomori cases can be diagnosed using current diagnostic criteria. Individuals with hikikomori are much worse if they do not seek help.
机译：背景：日本年轻人中的hikikomori（长时间的社会退缩）问题引起了国际专家的关注。在以前的研究中，日本社会独特的文化和社会因素一直是关注的焦点。但是，为了解决hikikomori的问题，必须包括个人的心理健康问题。目的：我们检查了hikikomori患者的精神病学背景。方法：我们招募了337个人患有hikikomori。使用该中心的183名受试者被指定为寻求帮助的小组。我们研究了基于DSM-IV-TR，治疗策略和治疗结果的多轴精神病学诊断。我们还检查了154个没有利用这些中心的对象（非寻求帮助的小组）。结果：利用组中的大多数受试者被分类为诊断类别之一。四十九（33.3％）名受试者被诊断出患有精神分裂症，情绪障碍或焦虑症，该组需要药物治疗。其他受试者被诊断出患有人格障碍或普遍性发育障碍，他们主要需要心理社会支持。寻求帮助的小组的整体功能评估（GAF）得分显着低于使用治疗者的GAF得分。结论：使用当前的诊断标准可以诊断出大多数的hikikomori病例。患有hikikomori的人如果不寻求帮助，情况会更糟。

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