Comorbid social withdrawal (hikikomori) in outpatients with social anxiety disorder: Clinical characteristics and treatment response in a case series

T Nagata, H Yamada, AR Teo… - … Journal of Social …, 2013 - journals.sagepub.com
Background: Severe social withdrawal (called hikikomori, and defined as isolation lasting
more than six months and not due to an apparent mental disorder) has drawn increasing
public attention in Japan. It is unclear whether hikikomori is merely a symptom or syndrome
of social withdrawal. Aim: To evaluate this phenomenon in relationship to social anxiety
disorder (SAD), as few previous studies have. Methods: One hundred and forty-one
consecutive patients with SAD diagnosed according to DSM-IV criteria by a semi-structured …