Summary: A new assessment tool called the Hikikomori Diagnostic Evaluation (HiDE) has been developed by researchers to identify pathological social withdrawal or hikikomori. This condition is characterized by prolonged physical isolation lasting over six months and is increasingly observed worldwide, particularly due to the impact of the COVID-19 pandemic.
The HiDE provides a practical and structured method for clinicians to assess individuals showing symptoms of hikikomori. It consists of a comprehensive questionnaire and a screening form, aiming to enhance early detection and understanding of this growing global pathology.
Key Facts:
- Hikikomori is a condition of prolonged social withdrawal that is becoming a global issue, with the COVID-19 pandemic contributing to its rise.
- The HiDE tool, developed at Kyushu University, allows clinicians to effectively assess individuals for hikikomori, taking 5-20 minutes to complete.
- The assessment includes a detailed questionnaire and a screening form, aimed at identifying and understanding the extent of a patient’s social withdrawal.
Source: Kyushu University
Researchers at Kyushu University have developed a new tool to assist clinicians and researchers in evaluating individuals for pathological social withdrawal, known as Hikikomori. The tool, called Hikikomori Diagnostic Evaluation, or HiDE, serves as a practical guide for collecting information on this globally growing pathology.
Hikikomori is characterized by sustained physical isolation or social withdrawal for a period exceeding six months. While initially defined in Japan in 1998, recent evidence indicates a significant increase in cases worldwide. Medical professionals fear that the recent COVID-19 pandemic has exacerbated the rise of hikikomori patients across the globe.
However, there is currently no standardized tool to identify the hikikomori pathology. The new HiDE assessment tool, developed by Associate Professor Takahiro A. Kato of the Graduate School of Medical Sciences and published in World Psychiatry, aims to provide a transcultural tool for identifying and assessing hikikomori individuals.
In 2013, Kyushu University hospital established the world’s first outpatient clinic for hikikomori to advance research on the pathology and explore improved treatment methods. Over the years, Kato and his team have developed various methods for the early detection of hikikomori and have been investigating possible biomarkers of the condition.
“HiDE is a questionnaire we’ve developed at our clinic at the University Hospital. We’ve refined it over the years, and today it takes roughly 5-20 minutes to complete depending on the answers,” explains Kato.
“It’s primarily divided into two sections. The first section looks at the features of the patient’s behavior to see if they exhibit hikikomori. The second section is used to help us gain context to the patient’s extent of social withdrawal.”
The team has also added a screening form to the HiDE in case clinicians lack the time to administer the entire tool. They suggest that the full questionnaire be administered to patients who respond that they ‘spend one hour or less per day out of their home, at least three days a week’ and that ‘their family, others, or are personally bothered by this.’
“The HiDE has proven to be an indispensable tool for the structured assessment of pathological social withdrawal in our clinical practice and research. But more empirical studies must be done to assess its validity beyond our practice,” concludes Kato.
“We would like to see this used by our colleagues around the world, so we can work to refine the tool. Hikikomori is becoming a global phenomenon, and a collective effort in recognizing and treating hikikomori is going to be vital.”
About this Hikikomori and social isolation research news
Author: Raymond Terhune
Source: Kyushu University
Contact: Raymond Terhune – Kyushu University
Image: The image is credited to Neuroscience News
Original Research: Open access.
“The Hikikomori
Diagnostic Evaluation (HiDE): a proposal for a structured assessment of pathological social withdrawal” by Takahiro A. Kato et al. World Psychiatry
Abstract
The Hikikomori Diagnostic Evaluation (HiDE): a proposal for a structured assessment of pathological social withdrawal
Our social ties underpin the substance of our daily lives and exert a strong influence on our individual mental health and collective well-being. While these connections often imbue our lives with meaning and positive feelings, they can for some people go terribly awry. One of the more striking manifestations of this is called hikikomori.
