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Children from multicultural families (i.e., families with at least one parent from a foreign country other than Korea) in South Korea face increased risks of adverse life conditions at home and school. However, few studies have investigated the cumulative effects of family and school adversities, especially internalizing behaviors in this population. This study examined the association between neglect and internalizing behaviors (i.e., depression and social withdrawal) and whether victimization from school violence amplifies the impact of neglect. Data were drawn from the second wave of the Multicultural Adolescents Panel Study (MAPS), which was constructed by the National Youth Policy Institute (NYPI) and included 1500 fifth-graders surveyed in 2012. We first examined the moderating effect of school violence victimization on the association between neglect and depression and subsequently tested the same model to predict social withdrawal. This study showed that neglect significantly increased depression and social withdrawal. Additionally, the impact of neglect on depression and social withdrawal intensified when school violence coexisted. The findings of this study suggest that children from multicultural families exposed to co-occurring adversities require more attention. Assessment of polyvictimization and psychological counseling are necessary for supporting these children who have suffered violence at home and school. [ABSTRACT FROM AUTHOR]

This study aimed to examine distinct loneliness trajectories and to explore the roles of group-level peer preference and individual-level social withdrawal (i.e., unsociability and shyness) as predictors of these trajectories. Participants were 1134 Chinese elementary school students (Mage = 10.44 years; 565 boys). Data were collected from self-reports and peer nominations. Latent class growth analysis (LCGA) was employed to identify distinct trajectories of loneliness, and multinomial logistic regression was subsequently used to examine the relationships between these trajectories and their predictors. Results showed that three loneliness trajectories were identified: high increasing, moderate decreasing, and low decreasing. Participants at baseline with higher peer preference were more likely to belong to the low decreasing trajectory subgroup rather than the other two subgroups. Furthermore, those at Time 1 with higher unsociability had lower odds of being classified into the moderate or low decreasing trajectory subgroup compared to the high increasing trajectory subgroup. Additionally, participants at baseline with higher shyness had reduced likelihoods of following the low decreasing trajectory subgroup as opposed to the other two subgroups. These results have implications for how we understand both the different subgroups of loneliness trajectories and the predictions of peer preference and social withdrawal on these trajectories in Chinese early adolescents. [ABSTRACT FROM AUTHOR]

Abstract Smartphone distraction (SD) is closely related to depression, and the prevalence of SD among nursing students is gradually increasing. However, the potential mechanism of the effect of SD on nursing students’ depression is unclear. A total of 574 nursing students were assessed using Smartphone Distraction Scale, Ruminative Response Scale, Hikikomori Questionnaire, and Patient Health Questionnaire-9. The results indicated that SD among nursing students had an impact on depression through four pathways: (1) SD was positively associated with depression (β = 0.353, P

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Extant studies have empirically tested the main two behavior responses following ostracism: prosocial or antisocial. Few studies have investigated the relationship between ostracism and social withdrawal. According to the temporal needthreat model and the self-verification theory, the present study aimed to examine the influence mechanism of ostracism on social withdrawal, especially the mediating role of self-esteem and the moderating role of rejection sensitivity. A total of 1,315 Chinese high school students (52.6% female) completed a written questionnaire. Results showed that ostracism was positively correlated with social withdrawal. Ostracism not only directly predicted social withdrawal, but also indirectly affected social withdrawal by threatening adolescents' selfesteem. High rejection sensitivity may help aggravate adolescents' self-esteem threaten perceive from ostracism. Adolescents with high rejection sensitivity felt a greater threat to self-esteem when ostracized. Findings suggest a new direction for understanding individuals' responses to ostracism. [ABSTRACT FROM AUTHOR]

Smartphone distraction (SD) is closely related to depression, and the prevalence of SD among nursing students is gradually increasing. However, the potential mechanism of the effect of SD on nursing students' depression is unclear. A total of 574 nursing students were assessed using Smartphone Distraction Scale, Ruminative Response Scale, Hikikomori Questionnaire, and Patient Health Questionnaire-9. The results indicated that SD among nursing students had an impact on depression through four pathways: (1) SD was positively associated with depression (β = 0.353, P < 0.001); (2) Rumination (β = 0.199, 95% CI: 0.081 to 0.162) and social withdrawal (β = 0.061, 95% CI: 0.034 to 0.091) mediated the effects of SD on depression, respectively; and (3) Rumination and social withdrawal played a chain mediating role in the effect of SD on nursing students' depression (β = 0.027, 95% CI: 0.015 to 0.042). The negative impact of SD on nursing students' mental health should not be taken lightly. Schools and hospitals should guide nursing students to use smartphones correctly, including providing mental health education and professional psychological counselling; families could play a supervisory role and communicate regularly to understand the psychological state and learning of nursing students. These measures can help nursing students cope with stress and reduce the risk of depression. [ABSTRACT FROM AUTHOR]

There is limited research in the literature that examines the relationships between the spiral of silence, nomophobia, and social withdrawal among university students. The objective of this research is to explore the mediating role of the spiral of silen ce/no mopho bia/s ocial withdrawal in the influence of nomophobia/social withdrawal/spiral of silence on social withdrawal/spiral of silence/nomophobia among university students. A survey consisting of three distinct scales was administered to assess levels of spiral of silence, nomophobia, and social withdrawal. Participants were requested to respond to three demographic questions, seven questions related to the spiral of silence construct, twenty questions pertaining to nomophobia, and twenty-two questions regarding social withdrawal. The data collected from a sample of 512 university students through convenience sampling and face-to-face survey techniques were analyzed using statistical software packages such as SPSS Process and Amos. Exploratory factor analysis was conducted to determine the factor structure of the scales. Confirmatory factor analysis was also conducted to confirm whether the research model was consistent and the result was determined to be appropriate. The findings of the study were evaluated at the 95% confidence interval and .05 significance level. The findings of this investigation reveal a statistically significant relationship between the spiral of silence, nomophobia, and social withdrawal variables. This study has been deduced that among university students, the spiral of silence exerts a partial mediating effect on the relationship between nomophobia and social withdrawal ( p = .00 < .05). [ABSTRACT FROM AUTHOR]

Introduction: The present study endeavors to elucidate the impact of emotional regulation and parental rearing patterns on the social development of children in the upper grades of primary school. A burgeoning body of literature suggests that these factors significantly influence children's social adaptation and emotional well-being, yet a comprehensive examination of these relationships is warranted. Methods: Employing a cross-sectional design, this investigation utilized the Egna Minnen Beträffande Uppfostran (EMBU), Emotional Regulation Questionnaire for Children (ERQC), and Child Behavioural Issues Scale (CBCL) to assess a sample of 276 pupils across grades 4-6. The selection of these instruments allowed for a multifaceted evaluation of the constructs of interest. Results: A pronounced disparity in parental rearing practices, emotional regulation capabilities, and levels of social withdrawal was observed among the different grades, with grade 5 exhibiting the most pronounced effects. Parental emotional warmth demonstrated a significant positive correlation with children's emotional regulation abilities, while punitive, rejecting, and preferential behaviors were inversely correlated. The study established that parental rearing practices indirectly influence social withdrawal through the mediating role of children's emotional regulation, underscoring the complexity of this relationship. Conclusion: The results underscore the salient role of parental rearing and emotional regulation in the social development of children. The study contributes to the existing literature by providing a nuanced understanding of the mechanisms through which parenting styles and emotional competencies interplay to affect social withdrawal. Implications for educational practices and future research directions are discussed. [ABSTRACT FROM AUTHOR]

Abstract This study explores the relationship between social withdrawal and problematic social media use among college students, with a focus on the mediating roles of alexithymia and negative body image. Using the University Student Social Withdrawal Questionnaire, Social Media Addiction Scale, Toronto Alexithymia Scale, and Negative Body Image Scale, 2582 college students (33.46% male, average age = 19.46 years, SD = 2.23) were surveyed. Social withdrawal, alexithymia, negative body image, and problematic social media use were significantly correlated with each other. Social withdrawal positively predicted problematic social media use, and both alexithymia and negative body image played a chain mediating role between social withdrawal and problematic social media use. The findings indicate that individual social withdrawal is associated with college students’ problematic use of social media. The results suggest that alexithymia and negative body image may mediate this association, highlighting a potential pathway through which social withdrawal influences social media use patterns.

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. [ABSTRACT FROM AUTHOR]

Objectives: The 25‐item Hikikomori Questionnaire (HQ‐25) is an instrument developed to measure a condition characterized by extreme social withdrawal that was first described in Japan. This study aimed to translate the HQ‐25 into German and validate the German version (HQ‐25‐G). Methods: Translation was conducted according to established guidelines. Validation was based on data from a quota sample of individuals living in Germany, ranging from 18 to 74 years old (representing the distribution of age, sex and federal state, n = 5000). Data collection occurred during August and September 2023. We tested reliability, construct validity and concurrent validity. Moreover, HQ‐25 scores for key sociodemographic group were reported. Results: Internal reliability for the HQ‐25‐G was excellent (Cronbach's alpha = 0.93). We confirmed the original three‐factor model. Moreover, higher hikikomori levels were significantly associated with more depressive symptoms (r = 0.50), more anxiety symptoms (r = 0.45), higher loneliness levels (r = 0.56), higher levels of objective social isolation (r = −0.47), higher levels of perceived social isolation (r = 0.59) and a higher preference for solitude (r = 0.45). Conclusions: In a large population‐based sample (including younger adults, middle‐aged adults and older adults), the HQ‐25‐G version proves to be a psychometrically robust instrument, which is useful for further exploring the phenomenon of hikikomori within the German‐speaking population. [ABSTRACT FROM AUTHOR]

This document is a corrigendum for an article titled "Reevaluating hikikomori and challenging loneliness assumptions in Japan: A cross-sectional analysis of a nationwide internet sample." The corrigendum addresses errors in the title, affiliations, abstract, keywords, and tables of the published article. The corrections have been made to ensure the accuracy of the information presented. The author apologizes for the errors and states that they do not affect the scientific conclusions of the article. [Extracted from the article]

Introduction: Loneliness in Japan, accentuated by demographic challenges and the hikikomori phenomenon (extreme social withdrawal), has raised concerns. This study critically examines loneliness dynamics, questioning assumptions embedded in hikikomori classifications. The term "hikikomori," originally signifying prolonged home stay, requires nuanced exploration, especially regarding outgoing behaviors' relationship with loneliness. Objectives: Investigating the intricate connection between outgoing behaviors and loneliness, this study questions the effectiveness of existing hikikomori classifications. Aiming to understand if these classifications accurately represent the loneliness spectrum across age groups, the research emphasizes the significance of comprehending loneliness dynamics amid societal challenges. The study explores an array of factors influencing loneliness, including demographics, mental health, and outgoing behaviors, advocating for a reassessment of assumptions linked to hikikomori classifications. Methods: This secondary analysis employed data from a nationwide Internet addiction survey conducted in July 2012. A sample of 623 participants, representative of Japanese internet users aged 16 and above, was included for analysis. Loneliness was assessed using the UCLA Loneliness Scale, and exposure variables included demographic, mental health, outgoing behaviors, and lifestyle factors. Statistical analyses encompassed descriptive statistics, one-way ANOVA, chi-square tests, and logistic regression. Results: Significant differences were observed in loneliness scores based on sex, age, marital status, employment, and outgoing behaviors. Mental health factors, including dissatisfaction with life and romance, life stress, and psychological distress, emerged as strong contributors to loneliness. The study challenges existing hikikomori classifications, suggesting they may not fully encapsulate the loneliness experiences of individuals engaged in routine school or work activities. Conclusion: Findings underscore the need for a reevaluation of hikikomori, emphasizing loneliness as a complex and multifaceted issue in Japan. The study advocates for nuanced strategies to address loneliness, considering diverse demographic vulnerabilities. Limitations include the pre-pandemic sample and potential unmeasured confounding factors. [ABSTRACT FROM AUTHOR]

We explored teachers' understanding of children with aggressive or socially withdrawn behaviour in their classes and we associated our findings with a status of rejected, neglected, or popular, as provided by peer nominations. Five kindergarten and elementary school teachers scored their 143 pupils with the Child Behaviour Checklist for Withdrawal and Aggression. Subsequently, only those children whose scores were 1 standard deviation above the mean for withdrawal or for aggression were included in the final sample (n = 46; Mage = 6.5 years, SD = 1.7; age range = 4–9 years). The final sample included 31 children (21.67%; females = 16) who were assessed as displaying withdrawn behaviour, and 15 (10.48%; females = 5) displaying aggressive behaviour. An open-ended semi-structured interview was administered to teachers, who described children with socially withdrawn behaviour as introverted and untalkative, children with aggressive behaviour as hostile, rule-breaking and highly active, and children with socially withdrawn or aggressive behaviour as isolated, even though different reasons were provided. The results of the sociometric status in children with socially withdrawn or aggressive behaviour are discussed. [ABSTRACT FROM AUTHOR]

This study explores the relationship between social withdrawal and problematic social media use among college students, with a focus on the mediating roles of alexithymia and negative body image. Using the University Student Social Withdrawal Questionnaire, Social Media Addiction Scale, Toronto Alexithymia Scale, and Negative Body Image Scale, 2582 college students (33.46% male, average age = 19.46 years, SD = 2.23) were surveyed. Social withdrawal, alexithymia, negative body image, and problematic social media use were significantly correlated with each other. Social withdrawal positively predicted problematic social media use, and both alexithymia and negative body image played a chain mediating role between social withdrawal and problematic social media use. The findings indicate that individual social withdrawal is associated with college students' problematic use of social media. The results suggest that alexithymia and negative body image may mediate this association, highlighting a potential pathway through which social withdrawal influences social media use patterns. [ABSTRACT FROM AUTHOR]

Background: Smartphone distraction considerably affects the depression level of college students. These two variables are highly associated with social withdrawal and digital distress. However, the underlying mechanisms of how social withdrawal and digital stress were involved in the relationship between smartphone distraction and depression remain unclear. Methods: A cross-sectional survey was conducted in seven colleges of Wuhan, Hubei Province, from September to November 2021. Participants were selected using convenience sampling. Smartphone distraction, social withdrawal, digital stress, and depression level were assessed using the Smartphone Distraction Scale (SDS), 25-item Hikikomori Questionnaire (HQ-25), Multidimensional Digital Stress Scale (DSS), and the Patient Health Questionnaire-9 (PHQ-9), respectively. All scales demonstrated good reliability in this study, the reliability of each scale was 0.920, 0.884, 0.959, and 0.942. Results: The final analysis included 1184 students (692 males and 492 females), aged between 17 and 37 years. Participants were from various academic disciplines, including medical and non-medical. The findings revealed that smartphone distraction had a significant direct effect on depression (c = 0.073, 95 % CI: 0.037 to 0.108, p

Abstract Background Hikikomori (HK) is characterized by self-isolation and social refusal, being more likely also associated with affective disorders, including depression. This case–control study primarily aimed at identifying (if any) predominant affective temperaments are associated with HK in depressed versus not-depressed individuals. Secondary objectives comprise assessing which other psychopathological dimensions (e.g., boredom, anxiety) are associated with the HK specifier in depressed individuals. Methods From the larger SWATCH study, 687 Italian young people were screened for depression, as measured by 9 items-Patient Health Questionnaire (PHQ-9) and HK-like social withdrawal, through the Hikikomori Questionnaire-25 (HQ-25). All subjects were administered a brief-Temperament Evaluation of Memphis, Pisa, Paris and San Diego (TEMPS-M), the 7 items-Generalized Anxiety Disorder (GAD-7) and the Multidimensional State Boredom Scale (MSBS). Results Males reported significantly higher scores at HQ-25 total score than females (p = 0.026). In the total sample, HK social withdrawal is positively predicted by MSBS low arousal, disengagement, depressive levels, depressive and irritable affective temperaments, while negatively by anxiety (F(6, 680) = 82.336, p

This study aimed to examine distinct loneliness trajectories and to explore the roles of group-level peer preference and individual-level social withdrawal (i.e., unsociability and shyness) as predictors of these trajectories. Participants were 1134 Chinese elementary school students (Mage = 10.44 years; 565 boys). Data were collected from self-reports and peer nominations. Latent class growth analysis (LCGA) was employed to identify distinct trajectories of loneliness, and multinomial logistic regression was subsequently used to examine the relationships between these trajectories and their predictors. Results showed that three loneliness trajectories were identified: high increasing, moderate decreasing, and low decreasing. Participants at baseline with higher peer preference were more likely to belong to the low decreasing trajectory subgroup rather than the other two subgroups. Furthermore, those at Time 1 with higher unsociability had lower odds of being classified into the moderate or low decreasing trajectory subgroup compared to the high increasing trajectory subgroup. Additionally, participants at baseline with higher shyness had reduced likelihoods of following the low decreasing trajectory subgroup as opposed to the other two subgroups. These results have implications for how we understand both the different subgroups of loneliness trajectories and the predictions of peer preference and social withdrawal on these trajectories in Chinese early adolescents.

Children from multicultural families (i.e., families with at least one parent from a foreign country other than Korea) in South Korea face increased risks of adverse life conditions at home and school. However, few studies have investigated the cumulative effects of family and school adversities, especially internalizing behaviors in this population. This study examined the association between neglect and internalizing behaviors (i.e., depression and social withdrawal) and whether victimization from school violence amplifies the impact of neglect. Data were drawn from the second wave of the Multicultural Adolescents Panel Study (MAPS), which was constructed by the National Youth Policy Institute (NYPI) and included 1500 fifth-graders surveyed in 2012. We first examined the moderating effect of school violence victimization on the association between neglect and depression and subsequently tested the same model to predict social withdrawal. This study showed that neglect significantly increased depression and social withdrawal. Additionally, the impact of neglect on depression and social withdrawal intensified when school violence coexisted. The findings of this study suggest that children from multicultural families exposed to co-occurring adversities require more attention. Assessment of polyvictimization and psychological counseling are necessary for supporting these children who have suffered violence at home and school.

Introduction: Loneliness in Japan, accentuated by demographic challenges and the hikikomori phenomenon (extreme social withdrawal), has raised concerns. This study critically examines loneliness dynamics, questioning assumptions embedded in hikikomori classifications. The term "hikikomori," originally signifying prolonged home stay, requires nuanced exploration, especially regarding outgoing behaviors' relationship with loneliness. Objectives: Investigating the intricate connection between outgoing behaviors and loneliness, this study questions the effectiveness of existing hikikomori classifications. Aiming to understand if these classifications accurately represent the loneliness spectrum across age groups, the research emphasizes the significance of comprehending loneliness dynamics amid societal challenges. The study explores an array of factors influencing loneliness, including demographics, mental health, and outgoing behaviors, advocating for a reassessment of assumptions linked to hikikomori classifications. Methods: This secondary analysis employed data from a nationwide Internet addiction survey conducted in July 2012. A sample of 623 participants, representative of Japanese internet users aged 16 and above, underwent factor analysis. Loneliness was assessed using the UCLA Loneliness Scale, and exposure variables included demographic, mental health, outgoing behaviors, and lifestyle factors. Statistical analyses encompassed descriptive statistics, one-way ANOVA, chi-square tests, and logistic regression. Results: Significant differences were observed in loneliness scores based on sex, age, marital status, employment, and outgoing behaviors. Mental health factors, including dissatisfaction with life and romance, life stress, and psychological distress, emerged as strong contributors to loneliness. The study challenges existing hikikomori classifications, suggesting they may not fully encapsulate the loneliness experiences of individuals engaged in routine school or work activities. Conclusion: Findings underscore the need for a reevaluation of hikikomori, emphasizing loneliness as a complex and multifaceted issue in Japan. The study advocates for nuanced strategies to address loneliness, considering diverse demographic vulnerabilities. Limitations include the pre-pandemic sample and potential unmeasured confounding factors. [ABSTRACT FROM AUTHOR]

Objectives: This study was intended to explore longitudinal reciprocal effects between social withdrawal, perceived career barriers, and depression, and to discuss the implications for the social welfare of multicultural adolescents. Methods: We used data from the 6th, 7th, and 8th waves of the Multicultural Adolescents Panel Study 1 (MAPS 1). The Auto Regressive Cross-Lagged (ARCL) model was used to test reciprocal effects, and 1,251 adolescents (614 males and 637 females) responded to the three above-mentioned waves of MAPS. ARCL is an analysis method that verifies the continuity of time and the mutual causal relationship between two variables. Results: First, social withdrawal, perceived career barriers, and depression in the 6th wave had significant effects on social withdrawal, perceived career barriers, and depression, respectively, in the 7th and 8th waves. Second, there was a significant longitudinal reciprocal relationship between social withdrawal and depression. In addition, perceived career barriers had a significant longitudinal reciprocal relationship with depression. However, perceived career barriers had a statistically significant longitudinal effect on social withdrawal, but not vice versa. Conclusion: These results underscore the need to provide education and programs to reduce career barriers for multicultural youth and suggest that society should encourage multicultural youth to show their abilities. With the continued impact of depression on the population, the implications of screening multicultural adolescents for depression at an early age, early intervention, and follow-up for later adolescents are needed as depression continues to affect them. Finally, the limitations of this study and suggestions for future research were discussed. [ABSTRACT FROM AUTHOR]

Although the emotion of shame can strongly influence human behavior and trigger destructive behaviors, it still receives too little attention in educational practice and research. This article therefore focuses on the experience of shame at school, with special attention to situations of shame at school from the perspective of university students. In addition to an insight into theory and the state of research on shame in school, a pilot study is presented in which students (n = 108) reconstruct school shame situations by writing them down. It is shown that the visibility of performance-related flaws (e. g., making mistakes) and nonperformance-related flaws (e. g., one's own appearance) is associated with shame experiences among students. These flaws are also used by classmates and teachers to discredit students. Furthermore, being the unwanted focus of attention or perceiving toomuch closeness or distance (in the form of being excluded by classmates) to others can be associated with shame. [ABSTRACT FROM AUTHOR]

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.

Nowadays, with the widespread use of social media, the use of Photoshop is also increasing. This creates a space for people to present their best selves. Individuals applying too much Photoshop to their photos on social media are seen as an indicator of their desire to be approved by others. People monitor and regulate themselves in line with the social selves they want to show. The purpose of this study is to investigate how self-monitoring and photo editing behaviors reflect people's evaluations of their appearance and how this relationship will be reflected in social withdrawal. The participants of the study consisted of 420 female participants. The hypotheses of the study were tested using the moderated mediation model and the mediation model for indirect effect. According to the results of the study, it was observed that the predicted indirect effect of social appearance anxiety on the relationship between photo editing behavior and social withdrawal did not have a significant effect under the moderating role of self-monitoring (moderated mediation) (b = .02, SE = .01, z = 1.22, p = .222; 95% CI [−.01,.04]). However, in the mediating role of social appearance anxiety, the indirect effect of photo editing behavior on social withdrawal was found to be significant (b =.03, SE = .01, z = 5.11, p < .001; 95% CI [.02,.03]). Therefore, it has been observed that people who resort to high rates of photo editing behavior experience social appearance anxiety and, as a result, exhibit high rates of social withdrawal behavior. Considering that negative body image causes negative health-related consequences, the study is expected to contribute to the consequences of excessive Photoshop use. Considering the prevalence of social media today, we expect the results of the study to provide new information to understand the effects of social media.

Background: The coronavirus disease (COVID) 2019 pandemic has been reported to have resulted in psychological disturbances. The Japanese term “hikikomori” refers to a state of preferring to stay at home. The COVID pandemic provided an opportunity to extend our current understanding of hikikomori by examining the psychological states of individuals who were in this state under lockdown, during which, paradoxically, their condition may have been adaptive. Methods: We administered a questionnaire to examine psychological changes among 600 people with hikikomori traits in Japan. The Hospital Anxiety and Depression Scale (HADS), Subjective Stress Scale, and Stigma Questions for hikikomori were administered retrospectively at three time points. We also collected descriptive data regarding the participants’ coping strategies. Results: The participants’ sense of stigma regarding hikikomori was improved during the pandemic, whereas depression and anxiety worsened. The participants with ‘definite’ hikikomori (they met the diagnostic criteria) reported more severe depression and anxiety than those with ‘possible’ hikikomori. Their coping strategies were adaptive to the pandemic situation. Conclusion: Although the sense of stigma against hikikomori was improved and adaptive strategies were employed, the participants with hikikomori experienced a worsening of depression and anxiety during the COVID lockdowns. The improvement of stigma and the participants’ indoor adaptive coping strategies could not ameliorate the mental state of hikikomori. Therapeutic interventions should be considered in the future for definite hikikomori meeting the criteria.

The research should consider the complex dynamics of social interaction to better understand smartphone dependence among adolescents. In social situations, adolescents can choose to interact with their peers or use their smartphones, and smartphone dependence can drive adolescents far away from interaction with their peers. Adolescents, conversely, may use smartphones to avoid peer interaction because they have experienced social withdrawal or negative peer relationships. Previous research has not discussed enough what precedes or follows in longitudinal relationships. This study aims to examine the reciprocal longitudinal effects between adolescents’ negative peer relationships, social withdrawal, and smartphone dependence. The analysis used longitudinal panel data collected yearly between 2018 and 2020 from the Korean Children and Youth Panel Survey (KCYPS) sampled from adolescents in the Republic of Korea and employed autoregressive cross-lagged modeling on 2230 participants. The reciprocal longitudinal relationships differed depending on the sub-factors of smartphone dependence. For instance, the sub-factor of smartphone dependence, including virtual life orientation and withdrawal, had reciprocal longitudinal relationships with negative peer relationships. The other sub-factor of smartphone dependence, including daily life disturbance and tolerance, influenced negative peer relationships consistently, but the converse path did not. In addition, social withdrawal longitudinally affected negative peer relationships the following year. However, the reciprocal longitudinal relationships between social withdrawal and smartphone dependence were not significant in any path in this research. This research provides practical implications for intervention to reduce smartphone dependence among young adolescents.

Background: Theoretical and empirical studies on stress generation suggest four event generation processes: (1) vulnerability factors predict more negative interpersonal events; (2) vulnerability factors predict fewer positive interpersonal events; (3) resiliency factors predict fewer negative interpersonal events; and (4) resiliency factors predict more positive interpersonal events. However, few studies have examined these four processes simultaneously within a single analytic model. Therefore, it is unclear whether vulnerability and resiliency factors make unique and differential contributions to the occurrences of negative and positive interpersonal events. General objectives: This study aimed to fill this important gap by examining whether social withdrawal and excessive reassurance-seeking (vulnerable interpersonal behaviors) and prosocial behaviors (a resilient interpersonal behavior) uniquely and differentially predict the occurrences of negative and positive peer events among young adolescents. This study also examined the sex differences in these relationships. Methods: One hundred and ninety-eight students (109 girls) were recruited from a public middle school in Japan. A multiple-group path analysis was conducted to examine possible sex differences. Results: Social withdrawal uniquely predicted more negative peer events for boys and fewer positive peer events for boys and girls. Excessive reassurance-seeking uniquely predicted both more negative peer events and more positive peer events for boys and girls. Prosocial behavior uniquely predicted more positive peer events for boys and girls. Conclusion: This study underscores the unique and differential roles of vulnerable and resilient interpersonal behaviors in predicting negative and positive peer events among young adolescents. These findings not only advance our understanding of stress generation processes but also have broader implications for adolescent development and well-being. [ABSTRACT FROM AUTHOR]

(1) Background: Adolescents admitted as acute inpatients belong to a particularly psychosocially vulnerable population. This study aimed to examine the clinical characteristics of an affected population in Germany using a theory-based approach. (2) Methods: We assessed the mental health problems, levels of personality functioning, and the severity of social withdrawal and loneliness in n = 62 adolescents admitted to an acute psychiatric inpatient unit. Cases were investigated cross-sectionally utilizing standardized psychometric questionnaires from the perspective of the patients and clinical experts. (3) Results: Mental health, level of impaired personality functioning, social withdrawal, and loneliness were all positively associated with the need for acute admission. Further analyses revealed that the level of personality functioning fully mediated the positive association between social withdrawal and mental health problems. In contrast, level of personality functioning only partially mediated the positive association between loneliness and mental health problems. (4) Conclusions: Our results suggest that more impairment in personality functioning might lead to poorer mental health when adolescents socially withdraw in the aftermath of the COVID-19 pandemic. Loneliness, social withdrawal, and the level of personality functioning may help identifying essential characteristics of adolescents admitted to acute psychiatric inpatient units and guide the development of specific interventions. [ABSTRACT FROM AUTHOR]

Nowadays, with the widespread use of social media, the use of Photoshop is also increasing. This creates a space for people to present their best selves. Individuals applying too much Photoshop to their photos on social media are seen as an indicator of their desire to be approved by others. People monitor and regulate themselves in line with the social selves they want to show. The purpose of this study is to investigate how self-monitoring and photo editing behaviors reflect people's evaluations of their appearance and how this relationship will be reflected in social withdrawal. The participants of the study consisted of 420 female participants. The hypotheses of the study were tested using the moderated mediation model and the mediation model for indirect effect. According to the results of the study, it was observed that the predicted indirect effect of social appearance anxiety on the relationship between photo editing behavior and social withdrawal did not have a significant effect under the moderating role of self-monitoring (moderated mediation) (b = .02, SE = .01, z = 1.22, p = .222; 95% CI [−.01,.04]). However, in the mediating role of social appearance anxiety, the indirect effect of photo editing behavior on social withdrawal was found to be significant (b =.03, SE = .01, z = 5.11, p < .001; 95% CI [.02,.03]). Therefore, it has been observed that people who resort to high rates of photo editing behavior experience social appearance anxiety and, as a result, exhibit high rates of social withdrawal behavior. Considering that negative body image causes negative health-related consequences, the study is expected to contribute to the consequences of excessive Photoshop use. Considering the prevalence of social media today, we expect the results of the study to provide new information to understand the effects of social media. [ABSTRACT FROM AUTHOR]

Severe social withdrawal, including staying alone in one's bedroom, non-attendance at school or work, and minimal or absent social contacts, sometimes only through electronic devices, can be found in several psychiatric disorders, or in a 'primary' form, firstly defined in Japan as 'Hikikomori'. The distinction between primary and secondary forms is questionable, as it prevalently depends on the quality of psychiatric assessment. To date, few studies specifically explored Hikikomori in an adolescent population outside Japan. The aim of the present study is to describe clinical features of a consecutive group of 80 referred youth (13 to 18 years, 57 males) with social isolation, of which 40 were followed up on for 4–6 months, to characterize clinical features and outcome. All the participants presented psychiatric comorbid disorders, prevalently anxiety disorders, mood disorders, and autism spectrum disorder. Suicidality (ideation and behavior) was reported in 32.5% of the participants, and 20% of the participants attempted suicide. More than half of the participants exceeded the cut-off of the Internet Addiction Test, and 42.4% met the criteria for the Internet Gaming Disorder. At the follow-up appointment, an improvement of social withdrawal was reported in 75% of the sample; 67.5% of the participants significantly improved according to the CGI-improvement scale; and 55% of the participants had an improvement of functioning according to the C-GAS. Our findings suggest that Hikikomori is a transnosographic entity, with high rates of suicidality and Internet addiction, and that can it improve when it is timely diagnosed and treated. [ABSTRACT FROM AUTHOR]

We explored teachers’ understanding of children with aggressive or socially withdrawn behaviour in their classes and we associated our findings with a status of rejected, neglected, or popular, as provided by peer nominations. Five kindergarten and elementary school teachers scored their 143 pupils with the Child Behaviour Checklist for Withdrawal and Aggression. Subsequently, only those children whose scores were 1 standard deviation above the mean for withdrawal or for aggression were included in the final sample (n = 46; Mage = 6.5 years, SD = 1.7; age range = 4–9 years). The final sample included 31 children (21.67%; females = 16) who were assessed as displaying withdrawn behaviour, and 15 (10.48%; females = 5) displaying aggressive behaviour. An open-ended semi-structured interview was administered to teachers, who described children with socially withdrawn behaviour as introverted and untalkative, children with aggressive behaviour as hostile, rule-breaking and highly active, and children with socially withdrawn or aggressive behaviour as isolated, even though different reasons were provided. The results of the sociometric status in children with socially withdrawn or aggressive behaviour are discussed.

BackgroundAdverse childhood experiences (ACEs) have been found to negatively impact adult mental health outcomes. Numerous studies have highlighted on ACEs in family and community settings. However, few have examined the impact of ACEs in school settings, despite the potential influence on social participation. Hikikomori, characterized by severe social withdrawal, was first studied in Japan and has gained recognition in recent years. The present study aims to present the concept of ACEs specific to schools and investigate the impact of both school ACEs and traditional ACEs on adult mental health and Hikikomori.MethodsA total of 4,000 Japanese adults, aged 20–34, were recruited through an Internet survey form. All data were obtained in October 2021. Participants answered questions regarding their ACEs in the family (10 items), school ACEs (five teacher-related items and two bullying-related items), depressive/anxiety symptoms, and Hikikomori (remaining at home for more than 6 months).ResultsA significant association with depressive/anxiety symptoms was shown in both ACEs and school ACEs. An increase of one point in the ACE scores was associated with a 24% increase in the risk of depressive/anxiety symptoms. School ACE scores also demonstrated a significant association with depressive/anxiety symptoms, with an increase of one point associated with a 44% increase in the risk of these symptoms. As for Hikikomori, a significant association was shown in the school ACEs only: a 29% increased risk of Hikikomori for every one-point increase in school ACE scores. Both school ACE scores for teacher-related and bullying-related factors revealed a significant association with Hikikomori; the rates of increased risk were 23 and 37%, respectively.ConclusionThese results suggest that school ACEs, rather than ACEs in the family, are associated with the risk of Hikikomori. School ACEs are important for social adaptation, and reducing traumatic experiences in school settings may have the potential to prevent problems in later life, specifically in terms of social participation.

Extension activities make it possible to bring the university closer to the external community, linking theory and practice, teaching, and research. During pandemics that force social distancing, some extension projects are compromised because they depend on contact between people. The aim of this paper is to report on the activities developed in an extension project in Hospital Pedagogy at a Faculty of Education of a public university in Minas Gerais during the years 2020 and 2021, in a pandemic situation resulting from COVID-19 and consequent social distancing. As a theoretical reference, we used authors who debate the theme of Hospital Pedagogy, such as Rejane Fontes, Ercília de Paula and Giuseppinna Sandroni. Methodologically, we present the processes and procedures adopted in the organization and operation of the extension group during the period. The results show that the proposal collaborated with the learning of the students involved, contributed indirectly to the hospitalized children, and promoted interventions in the external community, as planned, following goals and objectives. [ABSTRACT FROM AUTHOR]

In today's digital world, children are exposed extensively to electronic media, making it an integral part of their daily lives. However, excessive use of electronic media during childhood has been associated with various internalizing problems. Moreover, parent–child conflict and children's age may be closely associated with children's problem behaviors. The current study employed a cross-sectional design and conducted a questionnaire survey of 711 parents to examine the association between children's electronic media use and their internalizing problems. Furthermore, this study probed the mediating role of parent–child conflict within this association and the moderating effect of children's age. The results of structural equation modeling showed a positive correlation between children's use of electronic media and their internalizing difficulties. Parent–child conflict served as a mediating factor in this association. Results also showed that the association between parent–child conflict and internalizing problems becomes more pronounced as children grow older. These findings imply that parents should encourage their children to develop healthy habits in using electronic media while fostering positive relationships. Parents should also be mindful of the psychological changes as children age and provide guidance to help them become proficient digital citizens. [ABSTRACT FROM AUTHOR]

Background: The coronavirus disease (COVID) 2019 pandemic has been reported to have resulted in psychological disturbances. The Japanese term "hikikomori" refers to a state of preferring to stay at home. The COVID pandemic provided an opportunity to extend our current understanding of hikikomori by examining the psychological states of individuals who were in this state under lockdown, during which, paradoxically, their condition may have been adaptive. Methods: We administered a questionnaire to examine psychological changes among 600 people with hikikomori traits in Japan. The Hospital Anxiety and Depression Scale (HADS), Subjective Stress Scale, and Stigma Questions for hikikomori were administered retrospectively at three time points. We also collected descriptive data regarding the participants' coping strategies. Results: The participants' sense of stigma regarding hikikomori was improved during the pandemic, whereas depression and anxiety worsened. The participants with 'definite' hikikomori (they met the diagnostic criteria) reported more severe depression and anxiety than those with 'possible' hikikomori. Their coping strategies were adaptive to the pandemic situation. Conclusion: Although the sense of stigma against hikikomori was improved and adaptive strategies were employed, the participants with hikikomori experienced a worsening of depression and anxiety during the COVID lockdowns. The improvement of stigma and the participants' indoor adaptive coping strategies could not ameliorate the mental state of hikikomori. Therapeutic interventions should be considered in the future for definite hikikomori meeting the criteria. [ABSTRACT FROM AUTHOR]

Symptoms of fatigue, social withdrawal and mood disturbances are commonly encountered in patients with chronic liver disease and have a detrimental effect on patient quality of life. Treatment options for these symptoms are limited and a current area of unmet medical need. In this review, we will evaluate the potential mechanistic avenues within the gut-liver-brain axis that may be altered in the setting of chronic liver disease that drive the development of these symptoms. Both clinical and pre-clinical studies will be highlighted as we discuss how perturbations in host immune response, microbiome, neural responses, and metabolites composition can affect the central nervous system. [ABSTRACT FROM AUTHOR]

Executive function (EF) and receptive language ability play an important role in the relationship between household chaos and social withdrawal. Young children are neglected in household chaos research and suffer from the negative outcomes of households in China. However, few studies have focused on the relationship between household chaos and social withdrawal in young Chinese children and the chain mediating effect of EF and receptive language ability. This study included 922 preschool-age children (62.58 ± 8.03 months) and their primary caregivers and their teachers were recruited from 21 rural preschools in Guangdong Province in China. Our results show a positive direct effect of household chaos and social withdrawal. Furthermore, an indirect sequential effect of household chaos and social withdrawal on EF and receptive language ability was found. Our findings (a) highlight the significance of paying more attention to household chaos and revealing a better understanding of the effect of EF and receptive language ability on households at an early age and (b) indicate that interventions should be provided to improve the home environment when children are young. [ABSTRACT FROM AUTHOR]

The aim of this study is to review the available literature investigating the relationship between hikikomori, a pathological condition characterized by severe social withdrawal or isolation, autism spectrum disorder (ASD) and Internet gaming disorder (IGD). Studies on the relationship between ASD and IGD have found significant positive correlations between these two conditions. Individuals with ASD would appear to be at risk of developing a problematic use of the Internet, which, to the right extent, would represent a useful tool for social interaction and cognitive development. Even subjects with hikikomori, in whom rarefied interpersonal relationships and social isolation could be balanced by the use of online connections, appear to be at high risk of developing IGD. On the other hand, the finding of significant autistic traits in populations with hikikomori could lead to considering this psychopathological condition as a particular presentation of autism spectrum, a hypothesis that requires further investigation. [ABSTRACT FROM AUTHOR]

هدف البحث إلى بناء برنامج تدريبي لخفض الانسحاب الاجتماعي لدى أطفال التوحد ، والتعرف على فاعلية البرنامج واستمرار أثره خلال فترة المتابعة بعد مرور شهر من تطبيقه ، وقد تكونت عينة الدراسة من (8) أطفال مقسمين إلى (4) ذكور و (4) إناث، وفي سبيل تحقيق ذلك استعملت الباحثة مقياس الانسحاب الاجتماعي (إعداد الباحثة )، برنامج لخفض الانسحاب الاجتماعي (إعداد الباحثة ) ، وقد أسفرت نتائج الدراسة عن وجود فروق ذات دلالة إحصائية عند مستوي (0.01) بين متوسطي رتب درجات أطفال المجموعة التجريبية في القياس القبلي والبعدي علي مقياس الانسحاب الاجتماعي لصالح القياس البعدي ، كما أثبتت الدراسة أنه لا توجد فروق ذات دلالة إحصائية بين متوسطي رتب درجات أطفال المجموعة التجريبية في القياس البعدي والتتبعي على مقياس الانسحاب الاجتماعي ، مما يدل علي استمرار فاعلية البرنامج بعد مرور شهر من تطبيقه. Abstract The research aims to build a training program to reduce social withdrawal among autistic children, and to identify the effectiveness of the program and the continuation of its impact during the one-month follow-up period after its application. The study sample consisted of (8) children, (4) males and (4) females, and to achieve this, the researcher used the social withdrawal scale (set up by the researcher), and a program to reduce social withdrawal (set up by the researcher). The study results show the presence of statistically significant differences at level (0.01) among the average ranks of the children in the experimental group in the measurements of approach and withdrawal, in favor of the measurement of withdrawal. The study also proved that there are no statistically significant differences between the mean scores of the children in the experimental group in the measurements of withdrawal and tracking on the social withdrawal scale, which indicates the effectiveness of the program being continuous after a month of its application.

In this work, we suggest that children's social withdrawal might be a precursor of Hikikomori, a phenomenon observed among adolescents and young adults. Hence, psychotherapy interventions with preschool children showing signs of social withdrawal might play a critical role in Hikikomori prevention. This paper presents the case of a five-year-old child treated with intensive psychoanalytic psychotherapy who began therapy due to his refusing to go to school and exhibiting isolating behavior from other children. Among other symptoms were regression, emotional tension, nightmares, and nocturnal and diurnal enuresis. Moreover, the relationship in the family was difficult, both between the parents and between the parent and the child. The intensive psychoanalytic treatment involved three weekly sessions for about a year, followed by six months with one weekly session. Besides illustrating the therapeutic process through clinical vignettes taken from the sessions, this paper also provides clues on how early social withdrawal can contribute to the construction of internal personality organizations that lead to social withdrawal up to self-reclusion (or Hikikomori). [ABSTRACT FROM AUTHOR]

Extreme and long-term social withdrawal, first described in Japan as Hikikomori, has now become a globally recognized mental health problem. Intervention studies severely lag behind epidemiological and phenomenological research. We present two descriptive case reports of Japanese university students with Hikikomori who participated in an early phase test of a structured intervention involving physical activities that was developed and facilitated by clinicians and physical education specialists--Human Movement Consultation (HMC). The two recipients (19- and 29-years old at the start of treatment) completed approximately 40 consultation sessions delivered over 3 years consisting of a combination of outdoor workouts (i.e., walking, running, and cycling) and interpersonal sports (e.g., table tennis, badminton, and tennis). Changes in social withdrawal behavior were independently rated from clinical health records using a structured scale (the Glasgow Hikikomori Scale; GHS). Behavioral observations and scale data for both cases indicated improvements from pre-treatment levels of social withdrawal. At the end of the intervention, both had returned to normative levels of functioning. Case A returned to university and Case B secured a new job upon the completion of HMC. To help advance our understanding of treatment options, these case descriptions analyze potential change mechanisms in order to understand how HMC can support recovery from extreme social withdrawal. One key observation is that both outdoor workouts and interpersonal sports offer a non-threatening method of enabling Hikikomori to engage in interpersonal interactions. Such connections via structured activities may allow the reinstatement of social skills in a gradedmanner. In addition, an initial focus on physical experiences may help promote psychological and social connectedness without triggering the social fears and challenges that underlie the Hikikomori state. The findings from these two cases offer a framework to guide further research and the development of exercise-based interventions for this hidden and often neglected group. [ABSTRACT FROM AUTHOR]