Ikiko mori

Ikiko mori

1 Your first battle - A tutorial. Hikikomori presents as an overall homogeneous construct, while diversity in clinical presentation exists across East Asian countries. Experts have debated as to whether hikikomori is a culture-bound syndrome specific to Japan or a syndrome that can be classified using the criteria of the ICD-10 or DSM-IV [8-10]. The prevalence of hikikomori is high, up to 1. In Japan, hikikomori, a term that's also used to describe the young people who withdraw, is a word that everyone knows. Jan 15, 2006 · Maggie Jones article on Japan's 'hikikomori,' young people, 80 percent of them male, who retreat into their rooms for up to years at a time; phenomenon is variously attributed to smothering Oct 15, 2012 · The word hikikomori was recently added to the Oxford Dictionary of English [ 1] where it joins other words of Japanese origin such as otaku (person with obsessive interests) and karoshi (death from overwork). Future studies that investigate developmental issues, including experiences in childhood, can Jul 16, 2019 · Hikikomori is a Japanese term that describes people who stay holed up in their homes, or even just their bedrooms, isolated from everyone except their family, for many months or years. Individuals with hikikomori become recluses in their own homes or even in their own rooms for several years. Aug 21, 2020 · Hikikomori was initially reported in Japan in the 1990s and is described as a condition of prolonged and severe social withdrawal lasting for at least six months, apparently not better explained by co-occurring severe psychiatric disorders. This study systematically analyses the evolution of literature on hikikomori in the past 20 years to gain a better understanding of the development of the knowledge base on Abstract. It is interactive, and family members are allowed. Tamaki Saito was a newly Apr 27, 2023 · The Japanese term hikikomori was first used to describe prolonged social withdrawal in the 1990s. This study systematically analyses the evolution of literature on hikikomori in the past 20 years to gain a better May 17, 2021 · Hikikomori is a Japanese term that refers to extreme social isolation. There are 30+ professionals named "Akiko Mori", who use LinkedIn to exchange information, ideas, and opportunities. The Japanese Health, Labor and Welfare Ministry defines hikikomori as people who have remained isolated at home for at least six consecutive months, without going to school or work, and Jul 4, 2013 · Hide had become "withdrawn" or hikikomori. Some hikikomori may even go May 31, 2019 · Hikikomori-like clinical cases have come to be reported in countries such as Oman and Spain since 2000. Electronic and manual literature searches were used to gather information on social withdrawal and hikikomori, including studies examining case definitions, epidemiology, and diagnosis. May 18, 2020 · Hikikomori (literally translating as being confined) is a Japanese term for modern-day hermits, reclusive adults, who choose to withdraw themselves from society by seeking extreme levels of isolation and confinement. 001, Cramer’s V = . Jan 29, 2019 · They are known as hikikomori – recluses who withdraw from all social contact and often don’t leave their houses for years at a time. Rate. , 2010 Jun 5, 2023 · 5. This study systematically analyses the evolution of literature on hikikomori in the past 20 years to gain a better Jun 18, 2014 · Japan's Ministry of Health, Labor and Welfare has defined a hikikomori as a person who does not participate in society (particularly school or work) and has no desire to do so. Work carried out Mar 3, 2016 · Hikikomori is a Japanese word describing a condition that mainly affects adolescents or young adults who live isolated from the world, cloistered within their parents' homes, locked in their bedrooms for days, months, or even years on end, and refusing to communicate even with their family. The term is part of the everyday lexicon in the Japanese language, where it is a compound verb made up of the two characters for ‘to pull back’ (hiku) and ‘to seclude oneself’ (komoru), and is used to describe a person's deliberate seclusion of Aims: Hikikomori is a common phenomenon reported in Japan and many other countries. Tamaki Saitō was the first person to use the word. Jul 6, 2022 · Hikikomori, however, is a response to difficult and unresolved emotions, a means of escape. Many young people across Asia are cutting themselves off from society, locking themselves at home for months or years. 7%) of hikikomori cases that were identified as “prehypertension”, where the prevalence for the newly onset and older cases were found as 25. Source: Oregon Health and Science University. Aug 8, 2019 · Typically, hikikomori is defined as a state of social withdrawal combined with avoidance of major social interactions or responsibilities (e. Existing interventions for hikikomori are inconclusive and the majority are absent in using a theoretical framework to guide its components. The situation is becoming even more serious as the recluses Jan 30, 2024 · Hikikomori, a term associated with extreme social withdrawal, is often intertwined with loneliness and isolation. 4. I’ve been through this process, always asking myself whether I was in solitude in a healthy way, or if I was avoiding In 2022, 2. I argue that the tendency to think of hikikomori as a homogeneous group characterised by psychological malaise is misleading and that withdrawal and disengagement can also be linked to changing opportunity May 1, 2019 · Hikikomori, a severe form of social withdrawal, has long. Based on extensive original research including interview research with a range of practitioners involved in dealing with the phenomenon, the book outlines how Hikikomori is a Japanese term for social withdrawal, ranging from complete inability to venture outdoors to preferring to stay inside. 195). Methods: Socio-demographic, clinical, and family data, including family psychiatric history, dysfunctional family dynamics, and Sep 17, 2019 · SocietyHealthSep 17, 2019. A number of recent empirical studies have emerged from Japan. 0% and 38. In Japan, prevalence studies estimating it to occur in 1. Researchers say modern tools to help improve interpersonal communication may have the opposite effect. 57% of the © 2003-2022 Akiko Mori Oct 13, 2020 · Hikikomori is a form of pathological social withdrawal or social isolation that continues for more than 6 months with significant functional impairment or distress associated with the social isolation. Since then, research across the world have reported similar prolonged social withdrawal in many countries outside Japan. Oct 26, 2018 · The nine-item Internet Gaming Disorder Scale-Short Form (IGDS-SF9), and the Hikikomori Social Withdrawal Scale were administered to dimensionally assess IGD and Hikikomori, respectively. cents since around the 1970s, and has been especially. Actress: The Killing Machine. Jul 22, 2019 · Recent updates on hikikomori presentation within the region were exchanged at a Hikikomori Round Table and Regional Symposium (HRTRS) discussion late 2017, leading to this perspective paper. 001, phi = . The subjects of Apr 27, 2023 · The Japanese term hikikomori was first used to describe prolonged social withdrawal in the 1990s. First introduced to the medical community by psychiatrist Tamaki Saito in a bestselling book in 1998, the condition has since seen much interest. The Japanese phenomenon of hikikomori — withdrawing from society — seems to be affecting young men in the US and may be linked to a decrease in testosterone. 3%, p < . These ceramic sculptures blend the malleability of clay with the form of a structure, inspired by her interest in architecture. Hikikomori. 2 , 3 , 4 Cases with hikikomori have since been reported in many other countries, such as South Korea Jan 12, 2020 · They called this form of extreme social withdrawal hikikomori. Aims: Hikikomori is a form of social withdrawal among those who retreat from social interaction for protracted periods of time. May 25, 2021 · INTRODUCTION. 2 Energy Bar and Follow-up Dec 12, 2016 · Continuous avoidance of social situations in school may result in severe social withdrawal, named hikikomori, in adulthood. Shutterstock. However, many of the included studies had a Apr 23, 2024 · The Global Spread of Hikikomori Syndrome. 引きこもり. Individuals with hikikomori commonly have a history of psychiatric comorbidity, but idiopathic (primary) hikikomori also exists . · Experience: Paul Stuart, Inc. This is the first English translation of a controversial Japanese best seller that made the public aware of the social problem of hikikomori, or “withdrawal”—a phenomenon estimated by the Mar 30, 2010 · Among respondents, 0. Here’s why. Prolonged social withdrawal (hikikomori) is a phenomenon characterized by the avoidance of social interactions for more than half a year []. Source: Oregon Health & Science University. This kind of social withdrawal has attracted the attention of psychologists and other medical professionals in Japan, and similar cases have recently been reported in countries such as Australia, France, Italy, South Korea, Spain, and the USA Refusal to attend school (called futoukou) is the most common diagnosis in child and adolescent psychiatry in Japan. The word comes from Japanese; although it's not an exclusively Japanese phenomenon, it seems to be more prevalent in Japan than anywhere else. It is defined as ‘the abnormal avoidance of social contact, typically by adolescent males’. Called hikikomori, it is well known to both the psychiatric community and general public in Japan but it has never been reviewed in the English medical literature. \n\nLast Apr 29, 2016 · Severe social withdrawal, called hikikomori, has drawn increased public attention. 36, 37 In 2010, we conducted the first international hikikomori survey targeting psychiatrists in Australia, Bangladesh, Iran, India, Japan, South Korea, Taiwan, Thailand, and the USA using two case vignettes in a self-reporting format and Jul 19, 2017 · The phenomenon of hikikomori—long-term social withdrawal—came to the fore as an issue involving young Japanese in the late 1990s. The patient was a Jan 16, 2021 · Broadcast on January 16, 2021 / Available until January 17, 2025. So, one cycle lasts for 12 weeks. The aim of this study was to review the evidence for hikikomori as a new psychiatric disorder. That makes up about 244,000 people across the country. portrait, music, artist, anniversary and nature photographer. A further analysis was performed to determine the exact Jan 12, 2020 · Summary: Hikikomori, the condition of extreme social isolation, is more ubiquitous than previously believed. The phenomenon has captured the popular imagination, with many articles appearing in the mainstream media in Japan and beyond in recent years, but surprisingly Oct 17, 2023 · Hikikomori is the phenomenon of staying at home almost every day and avoiding social participation for more than 6 months (). I have over 10 years of experience developing all facets of Men’s and Women’s collection. The COVID-19 pandemic has raised concerns about exacerbating hikikomori-like behaviors due to increased loneliness. However, an optimal clinical approach and strategy of treatment has not been well established. 2. Duration of continuous social isolation of at least six months. Level of Difficulty. Hikikomori is influenced by psychiatric conditions, personality traits, family dynamics, and other factors. A government survey found roughly 541,000 (1. The majority of such cases of hikikomori are classifiable as a variety of existing Diagnostic Jan 20, 2020 · Hikikomori is an extreme form of social withdrawal where the person isolates themselves in their own home and completely avoids going out. If someone in Japan becomes a shut-in and avoids the outside world for more than six consecutive months, the Japanese Health, Labor Jul 10, 2021 · Background Hikikomori is a phenomenon describing people who exhibit behaviors of self-secluding themselves at home for long durations of time and usually only having face-to-face social interactions with none other than family. Blitzkrieg Squad (1977). , beliefs or views about the self and society, access to social support) in creating a perception 1 Introduction to the Hikikomori Route. 05), and significantly more hikikomori had dropped out of the education system (19% vs 3. The term hikikomori can also refer to a person who is experiencing this prolonged socially avoidant condition. [1,2]). Therefore, we sought to identify environmental and psycho-behavioral characteristics related to hikikomori during AKIKO MORI loves creating color photograph. g. 引きこもり （ひきこもり、 英: hikikomori, social withdrawal 、引き籠もり）は、 仕事 や 学校 に行けず 家 に籠り、 家族 以外と交流がない（ 社会関係資本 を持たない）状況またはそうした生活をしている人を指す。. , 2011). Compare. [ 3] Estimativas sugerem que meio milhão de jovens japoneses se tornaram reclusos sociais, [ 4] assim Aug 18, 2015 · Some of the NPOs that try to rehabilitate NEETs and Hikikomori in Japan have intervened at the level of guiding parents of NEET/Hikikomori by suggesting effective ways to show appreciation and admiration of their children (e. The study suggests that "hikikomori" is common in the community population in Japan. Based in Berlin. In 1998 his book Shakaiteki hikikomori--Owaranai Shishunki was published. 64. 2%, p < . Epidemiological research studies have shown that this condition is comorbid with a psychopathological disorder only in 50% of all cases. Basic principles are CBT based, and we have cycles of themes consisting of 12 topics. It's estimated over a million Japanese live as "hikikomori," recluses totally withdrawn from society. But Saitō Tamaki, a leading expert on this matter, suggests Jul 31, 2023 · The term hikikomori, used for the condition and its sufferers, is credited to a 1998 book by Japanese psychologist Tamaki Saito about social withdrawal. Apr 18, 2008 · This paper describes the hikikomori phenomenon in Japan, considers evidence relating to its prevalence and examines views about the causes. Therefore, applicability of Apr 6, 2023 · The nationwide survey found that among 12,249 respondents, roughly 2% of people aged 15 to 64 identified as hikikomori, with a slight increase among those aged 15 to 39. Apr 27, 2023 · Abstract. While psychiatric disorders were often comorbid with "hikikomori", half of the cases seem to be "primary hikikomori" without a comorbid psychiatric disorder. Hikikomori is rooted in Japan, and now spreading globally, causing a huge burden in health, welfare, education, and economy (2, 3). 2% of 20-49yr olds seemed to confirm anecdotal concerns from many parents worried about whether their children might What is hikikomori? In Japan, there exists the term ‘hikikomori’, used to refer to a particularly severe form of social withdrawal. ( Honjo, Kasahara, & Ohtaka, 1992) Indeed, school truancy is often the first manifestation of withdrawal behavior and is often a harbinger of full-blown hikikomori, attributed to 69% of cases observed by one clinician. However, the broad trends of the research publications on hikikomori are unclear. by Saito Tamaki (Author) 4. The term hikikomori is used to define both the condition and the person who has it. highlighted since the late May 1, 2008 · Although rare in the west, in Japan and in some other advanced countries on the Asian-Pacific rim, there is a popular perception that there has been a significant increase in the numbers of young people who withdraw socially for protracted periods of time (referred to by the Japanese term ‘hikikomori’). Though, it may occur in older adults too. Clearly, causality needs to be established, but increasing the frequency of leaving the house could be a focus for A hikikomori is a specific, extreme form of The Shut-In who hasn't left his bedroom for a ridiculously long time (at least six months). 15 million hikikomori, people who have withdrawn from society. Discerning the role of emotions, such as anxiety, in social withdrawal is crucial to ensuring time spent alone is deliberate. 1 2 In the last two decades, the ‘Hikikomori’ syndrome (HS) has been conceptualised as a psycho-sociological condition characterised by prolonged and severe social May 11, 2020 · What is hikikomori? In Japan, there exists the term ‘hikikomori’, used to refer to a particularly severe form of social withdrawal. Oct 29, 2020 · Hikikomori people avoid re-traumatisation by choosing to opt out of the “normal” pathway set out for them by society. Feb 11, 2018 · Despite the prevalence of hypertension in hikikomori was found to be roughly equivalent to that of their age-matched groups, more concerns were caused by another one-third (31. These patients use the Internet profusely, and only Aug 9, 2019 · Typically, hikikomori is defined as a state of social withdrawal combined with avoidance of major social interactions or responsibilities (e. In South Korea, which is battling the View the profiles of professionals named "Akiko Mori" on LinkedIn. Apr 23, 2024 · Hikikomori syndrome is an extreme form of social withdrawal. This study examines family-related childhood factors for hikikomori using the retrospective data derived from a population-based survey. Hikikomori can refer both to this phenomenon as well as the recluses themselves. This book examines the phenomenon of social withdrawal in Japan, which ranges from school non-attendance to extreme forms of isolation and confinement, known as hikikomori. Experts in the Japanese phenomena of hikikomori say the condition of extreme social Akiko. This paper describes the hikikomori Os hikikomori, que foram descritos como solitários ou " eremitas modernos", [ 1] são pessoas geralmente jovens, entre treze a trinta e nove anos, [ 2] que se retiram completamente da sociedade, de modo a evitar o contato com outras pessoas. Methods: Relevant publications were searched in Web of Science. Aug 8, 2019 · In the case of Hikikomori, the emphasis was on insight and resocialization. A nationwide survey estimated that the total number of hikikomori in Japan is about 230,000 (Koyama et al. 2 Meeting up with friends. Here, we report a case of hikikomori for which an exercise intervention using jogging therapy was effective, showing cerebral hemodynamic improvement. , Sakai et al. 32), the percentage of males was lower (d = 0. Summary: Experts in the Japanese phenomena of hikikomori say the condition of extreme social isolation is more widespread than Hikikomori. 248 ratings29 reviews. K. 3,4 In most cases, the affected individual, usually a young male, remains isolated in his own house, or in Based on fieldwork at New Start, a non-profit organization located just outside the city limits of Tokyo that helps hikikomori recover, this article examines the ways residents at New Start navigate this uncertainty and gain moral agency. This is the first report to identify the blood biomarkers of drug Karoshi - deaths and suicides from overwork, hikikomori – people who lock themselves in at home to shut out social contacts, and long-term absentees at schools are the most frequently cited Nov 29, 2022 · Hikikomori is a complex condition where a person withdraws from society and remains isolated at home for more than six months. A hikikomori is also someone who doesn't have any close, non-familial relationships. . Over the past 40 years, Japan has spread a definite condition: hikikomori. See all formats and editions. 2% of the Japanese population, but only few studies have examined its emergence in adolescents. Akiko Mori. evidence for hikikomori as a new psychiatric disorder. The government estimates that Japan has 1. 5% vs 47. Initially perceived as a uniquely Japanese phenomenon, hikikomori was defined as staying at home and refraining from social activities for over six months, without a preliminary psychosis background . Psychoeducation is performed once weekly in a fixed time slot. 3. Holt-Lunstad, Smith and Layton's (2010) impeccably conducted meta-analysis of over 300,000 patients concluded that social isolation is as deadly as excessive alcohol consumption and smoking. The withdrawal usually happens slowly. Significant functional impairment or distress associated Grid Series. Q. A form of severe social withdrawal, called hikikomori, has been frequently described in Japan and is characterized by adolescents and young adults who become recluses in their parents' homes, unable to work or go to school for months or years. Additionally, moderation analyses indicated that the Feb 21, 2023 · Using the three criteria for hikikomori proposed by Kato et al. Mori. Professor in the Japanese department at Community College of Philadelphia. This is because Japanese culture can easily facilitate someone Mar 1, 2013 · Hikikomori: Adolescence without End. Akiko Mori is known for Shinkansen Henkei Robo Shinkalion: Mirai kara Kita Shinsoku no ALFA-X (2019), Saber Marionette J (1996) and Detective Conan: The Bride of Halloween (2022). Last November, a government study estimated Jan 10, 2020 · January 10, 2020. Since the 1990s, social withdrawal (hereinafter referred to as hikikomori) emerged as a serious psychosocial problem in Japan [1–5]. Jul 10, 2018 · The term hikikomori describes a specific form of social withdrawal that can be observed in children, adolescents, and young adults. Mar 3, 2016 · Thus, although hikikomori can perhaps be presently described as the resulting interaction among psychological, biological, and sociological factors, further research is still needed to distinguish between primary and secondary hikikomori and establish whether this is a new diagnostic entity, or particular cultural or societal manifestations of Dec 19, 2022 · Considering these circumstances, we conceptually separate Hikikomori into two distinct aspects: (1) Hikikomori risk factors and (2) social withdrawal tendences. Using clay grids create a geometric yet organic appearance. 4% of Koreans aged 19 to 34 were reclusive, according to a survey by the Korea Institute for Health and Social Affairs. 3 The road to Basil's house. Sep 20, 2019 · The term ‘Hikikomori’ derives from Japanese, and it is composed of the verb ‘hiki (hiku)’, which means to move back, and ‘komori (komoru)’, which means to come into. The individuals, mostly young people, are incapable, or Jan 10, 2020 · Hikikomori is a form of pathological social withdrawal or social isolation whose essential feature is physical isolation in one’s home. According to a 2023 study published in Clinical Child and Family Psychological Review, hikikomori is an extreme form of social withdrawal influenced by a Oct 10, 2020 · Abstract. Hikikomori is a Japanese word that describes people who withdraw from society and spend extreme amounts of time on their own house. Animation Department: Shinkansen Henkei Robo Shinkalion: Mirai kara Kita Shinsoku no ALFA-X. The “80–50 problem” highlights the potential financial burden as hikikomori children enter their 50s while relying on aging parents. [1,16], the present study found specifically that lower levels of leaving the house was associated with increased hikikomori risk (consistent with Kato et al. Results: Linear regression analyses confirmed that Hikikomori symptoms are associated with IGD. Jun 13, 2024 · hikikomori, condition in which a person is socially avoidant to the point of staying isolated at home for at least six months without social interaction. It mainly affects young adults or those in the 20-27 age group. The term derives from hiku, “pull back”, and komoru, “island”, and describes a form of voluntary social withdrawal that involves adolescents. 5%, respectively. Hikikomori ( tiếng Nhật: ひきこもり hoặc 引きこもり, được giải nghĩa trong tiếng Việt là "Thu mình vào bên trong, trở nên hạn chế hoạt động) là hiện tượng những người tự giam mình trong căn phòng đơn lẻ, từ chối tham gia vào đời sống xã hội và hoạt Hikikomori. 91) and the hikikomori duration was shorter (d = 2. Paperback – Illustrated, March 1, 2013. The aim of this study is to analyze family factors related to social withdrawal syndrome. With that percentage Jan 4, 2021 · ABSTRACT. been observed in Japan mainly among youth and adoles-. 48%. Oct 31, 1998 · Saito Tamaki, Jeffrey Angles (Translation) 3. 1 Emotions - An introduction. · Education: Fashion Institute of Jan 25, 2024 · The hikikomori phenomenon poses challenges for Japanese families and the economy. The person must meet the following criteria: Marked social isolation in one’s home. The grid divides and encompasses the spaces and appears to sculpt air. This is the first English translation of a controversial Japanese best seller that made the public aware of the social problem of hikikomori , or “withdrawal”—a phenomenon estimated by the author to involve as many as one million Japanese adolescents and young adults Liked by Akiko Mori. A. The word has become more and more popular since Mar 25, 2022 · Comparisons weighted by sample size between Japan and other countries showed the possibility that the age of hikikomori individuals was higher (d = 0. 06) in studies conducted in countries other than Japan. Social isolation is of great relevance to psychiatry both because of the severity of its sequelae and its association with mental disorder. Some scholars assume that there is also primary or idiopathic hikikomori, which arises without a clear history of psychiatric comorbidity (Teo et al Introduction. This paper begins with a case vignette, then reviews the case definition, epidemiology, psychopathology, differential diagnosis, and treatment and management of the condition. 5% currently had at least one child who had experienced "hikikomori". Would take again. 5 50 ratings. Many young people in a state of withdrawal do not show symptoms ascribable to In the hikikomori literature this is often referred to as ‘secondary hikikomori’: in these cases, the persistent social withdrawal symptoms clearly occur within the context of another disorder. Methods: We derived data from World Mental Health Survey Japan. These withdrawal symptoms must last for at least six months and the social Jun 1, 2022 · In this study, we performed blood biochemical tests and plasma metabolome analyses of serum/plasma from drug-free patients with hikikomori and age- and sex-matched healthy controls to identify biomarkers of hikikomori that characterise pathological social withdrawal tendencies. Sep 21, 2020 · Hikikomori is a Japanese term for social withdrawal, ranging from complete inability to venture outdoors to preferring to stay inside. Family support, mental Akiko Mori. Drawing from over a dozen interviews with parents, clients, and staff conducted while working as a Though hikikomori was first described in Japan, it is unclear whether the phenomenon may exist elsewhere. While Hikikomori risk factors might reflect economic factors and societal values (etc. なお、本項目では 日本 の事例 Mar 1, 2020 · Background: Family may play an important role in the origin, maintenance, and treatment of people with social withdrawal. 1 , 2 Hikikomori has been gathering attention, originally in Japan, since the late 1990s. The title of each piece represents the volume the object occupies. , education, employment, and friendships) lasting at least 6 months . Apr 15, 2019 · The chi-square test showed that there were significantly more men in the hikikomori group than in the non-hikikomori group (65. The Japanese term hikikomori was first used to describe prolonged social withdrawal in the 1990s. Hikikomori is a culture-bound phenomenon in Japan wherein people remain isolated and withdrawn and stay in their parents' homes. Beginning in 2000, the number of studies on hikikomori grew, mainly in the field of sociology [6–8]; however, in psychiatric journals, the concept was first mentioned in 2010 [1, 2, 9, 10]. The condition is becoming more prevalent in Western societies. …. These subjects avoid social commitment, school education and friendships with an associated digital dependence. Researchers have developed a new method designed to help detect hikikomori at an earlier stage and provide treatment. Akiko Mori is known for The Killing Machine (1975), The Transgressor (1974) and J. Hikikomori was first introduced to the May 26, 2023 · These recluses are known as hikikomori, a term first coined in Japan in the 1990s to describe severe social withdrawal amongst adolescents and young adults. The term is part of the everyday lexicon in the Japanese language, where it is a compound verb made up of the two characters for ‘to pull back’ (hiku) and ‘to seclude oneself’ (komoru), and is used to describe a person's deliberate seclusion of Sep 21, 2020 · Introduction. Mar 7, 2024 · Hikikomori: A term originating in Japan, referring to individuals who withdraw from social life, often not leaving their homes for months or years at a time. Therefore, this study examined the patterns of research on hikikomori using bibliometric analysis. dj hq xg je qr rm pk fy tq fk