The DOI matches its Crossref record; 56 of the 57 references it cites were found in a registry or an index.
Youth social withdrawal behavior (hikikomori): A systematic review of qualitative and quantitative studies
Abstract
Objective Acute and/or severe social withdrawal behavior among youth was seen as a culture-bound psychiatric syndrome in Japan, but more youth social withdrawal cases in different countries have been discovered recently. However, due to the lack of a formal definition and diagnostic tool for youth social withdrawal, cross-cultural observational and intervention studies are limited. We aimed to consolidate existing knowledge in order to understand youth social withdrawal from diverse perspectives and suggest different interventions for different trajectories of youth social withdrawal. Method This review examined the current available scientific information on youth social withdrawal in the academic databases: ProQuest, ScienceDirect, Web of Science and PubMed. We included quantitative and qualitative studies of socially withdrawn youths published in English and academic peer-reviewed journals. Results We synthesized the information into the following categories: (1) definitions of youth social withdrawal, (2) developmental theories, (3) factors associated with youth social withdrawal and (4) interventions for socially withdrawn youths. Accordingly, there are diverse and controversial definitions for youth social withdrawal. Studies of youth social withdrawal are based on models that lead to quite different conclusions. Researchers with an attachment perspective view youth social withdrawal as a negative phenomenon, whereas those who adopt Erikson's developmental theory view i…
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“Further, maladaptive parenting and familial dysfunction are important factors in adolescent hikikomori [49].”
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“Dysfunctional family relationships have been identified in other countries, including Hong Kong, Spain, Italy, and France”
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“Although family factors contribute to hikikomori severity worldwide”
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“According to previous studies, interest-based activities customized to the youth's level of engagement (22, 29) promote positive youth development and social skills (38) in hidden youth.”
In the citing paper
“CBT-based interventions also target youths' negative beliefs such as the belief that they do not fit into society, or the world is against them (29).”
Citations
Cites
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575
(1968) · Medical Entomology and Zoology · Cited by 15,136
Erikson, E. H. (2026) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.18614668 · Cited by 13,081
Anthony, E. J. (1969) · Journal of the American Academy of Child Psychiatry · doi:10.1016/s0002-7138(09)62239-1 · Cited by 2,539
Bynner, J. M., & Parsons, S. (2002) · Journal of Vocational Behavior · doi:10.1006/jvbe.2001.1868 · Cited by 599
Galderisi, S. (2018) · Giornale italiano di psicopatologia/Journal of psychopathology/Italian journal of psychopathology · Cited by 306
Kato, T. A., Tateno, M., Shinfuku, N., Fujisawa, D., Teo, A. R., Sartorius, N., Akiyama, T., Ishida, T., Choi, T. Y., Balhara, Y. P. S., et al. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0411-7 · Cited by 297
Koyama, A., Miyake, Y., Kawakami, N., Tsuchiya, M., Tachimori, H., & Takeshima, T. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2008.10.019 · Cited by 295
Research works printed but not linked: 10
- Bowlby J, 1982, Attachment and Loss: Attachment, 1
- Chan GHY, 2014, Revista de Cercetare şi Intervenţie Socială, 47, 117
- Heinze U, 2014, Journal of the German Institute for Japanese Studies Tokyo, 26, 151
- Horiguchi S, 2012, A Sociology of Japanese Youth: From Returnees to NEETs, 122
- Itoh K, 2012, KG Sociological Review, 1, 137
- Ministry of Health, Labour and Welfare, 2003, Community Mental Health Intervention Guidelines Aimed at Socially Withdrawn Teenagers and Young Adults
- Ministry of Health, Labour and Welfare, 2010, Guidelines for Assessment and Support of Hikikomori
- Suwa M, 2007, Journal of Medical Welfare, 3, 94
- Todd KHL, 2011, Southeast Review of Asian Studies, 33, 135
- Uchida C, 2010, Journal of Medical and Dental Sciences, 57, 95
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Self-citation
Metadata
- Authors
- Li, T. M., & Wong, P. W.
- Affiliations
- University of Hong Kong (HK)
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2015-04-10
- Volume
- 49
- Issue
- 7
- Pages
- 595-609
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2127550345
- Cited by
- 188
- References
- 57
- Citations by year
- 2026: 19 · 2025: 20 · 2024: 10 · 2023: 22 · 2022: 21 · 2021: 21 · 2020: 24 · 2019: 20 · 2018: 14 · 2017: 9 · 2016: 6 · 2015: 2
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Topics
- Social Sciences › Education › Youth Substance Use and School Attendance
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Youth Education and Societal Dynamics
- Keywords
- hikikomori, developmental theory, attachment theory, Erikson's psychosocial development, risk factors, intervention, cross-cultural comparison, theoretical framework
- MeSH terms
- Humans, Models, Psychological, Social Behavior Disorders, Social Isolation
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