Relato de caso de síndrome de Hikikomori em Portugal: uma síndrome primária ou expressão de outra perturbação mental?

Mota, Ana Margarida; Lázaro, Mariana; Gaspar, Elsa; Rosa, David Manuel Folgado-de la; Farias, Ana Cristina

doi:10.1590/0047-2085000000243

Cited by 3 publications

(7 citation statements)

References 18 publications

(42 reference statements)

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“…Although not attributed as causes of isolation by the patients, several authors reported traumatic conditions that occurred before the onset of symptoms. Among the factors that preceded social withdrawal were bullying, 31,41,45 dissatisfaction with appearance, 31,40 academic failure, 42,45 robbery, 44 depressive symptoms, 46 and loss of a loved one 43,46 …”

Section: Resultsmentioning

confidence: 99%

“…Among the pharmacological interventions used in the case reports included in this systematic review, treatment attempts were made with paliperidone up to 12 mg/day, 45 bupropion (unknown dose), 45 sertraline up to 200 mg/day, 45,46 olanzapine up to 5 mg/day, 46 and lorazepam up to 2 mg/day 41 . Independent of medications, interventions also included individual and group cognitive-behavioral psychotherapy, 43,45 family psychoeducation, 41,45 psychodynamic psychotherapy, 44 and psychoanalysis 31 . Almost all cases required hospitalization 31,40,41,43,45 …”

Section: Resultsmentioning

confidence: 99%

“…Independent of medications, interventions also included individual and group cognitive-behavioral psychotherapy, 43,45 family psychoeducation, 41,45 psychodynamic psychotherapy, 44 and psychoanalysis 31 . Almost all cases required hospitalization 31,40,41,43,45 …”

Section: Resultsmentioning

confidence: 99%

“…Of the 17 articles included, eight were cross-sectional, 6,23,[34][35][36][37][38][39] eight were case reports, 31,[40][41][42][43][44][45][46] and one was quasi-experimental 47 (Figure 1). Seven (41%) studies were conducted in European countries; five studies (29%) in Asia; three (18%) in the Americas; one (6%) in Australia; and one (6%) in Africa.…”

Section: Resultsmentioning

confidence: 99%

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Hikikomori Syndrome and Digital Technologies: A Systematic Review

Sales-Filho¹,

Bandeira²,

Argollo³

et al. 2023

Harv Rev Psychiatry

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Hikikomori syndrome (HS) is a voluntary prolonged social isolation associated with personal and community impact. Previous evidence pointed out a possible relationship between this syndrome with addiction to digital technologies. Here we aim to understand the relationship between HS and digital technology use, overuse, and addictive behaviors, as well as potential therapeutic approaches. We conducted a systematic review of observational and intervention studies available in PubMed/MEDLINE, LILACS, IBECS, Embase, PsycINFO, and SciELO databases, following the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols (PRISMA 2020) criteria. The risk of bias was assessed with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) and Consensus-based Clinical Case Reporting Guideline Development (CARE). Eligibility criteria were pre-, at-risk populations, or those with HS diagnosis, and any kind of technological overuse. Seventeen studies were included in the review, of which eight were cross-sectional, eight were case reports, and one was quasi-experimental. HS was associated with addition to digital technologies; no cultural differences were found. Environmental factors, such as a history of bullying, low self-esteem, and grief were identified as precursors of addictive behaviors. The included articles addressed addiction to digital technologies, electronic games, and social networks, among others, in HS. HS is cross-culturally associated with such addiction. The management of these patients remains challenging, and no target evidence-based treatments have been developed. The studies included in this review had several limitations, and more studies with a higher level of evidence are needed to support the results.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Hikikomori Syndrome and Digital Technologies: A Systematic Review

Sales-Filho¹,

Bandeira²,

Argollo³

et al. 2023

Harv Rev Psychiatry

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“…Quanto à nomenclatura dada ao fenômeno, encontramos uma variedade expressiva: hikikomori no Japão (Heinze & Thomas, 2014); os NEETs no Reino Unido (Bynner & Parsons, 2002); os NEYs em Hong-Kong (Wong, 2012); slackers, 'twixter' ou 'adultolescent' nos Estados Unidos (Staff, 2013); NiNis em países de língua latina (Behrman, de Hoyos & Székely, 2014); jovens em concha (cloystered) na Finlândia (Husu & Valimaki, 2017); e os nem-nem no Brasil (Tillmann & Comim, 2016). É possível também encontrar pesquisas importantes sobre o tema na Espanha (Malagón et al, 2010), em Hong Kong (Wong & Ying, 2006;Chan & Lo, 2014), Estados Unidos (Teo, 2013), Austrália (ARAFMI, 2008), Irã, Bangladesh, Índia, Tailândia (Li, 2015), Itália (Ranieri, 2016;Braidott, 2013;e Crepaldi, 2011), Portugal (Mota et al, 2019), França (De Luca, 2017, Suécia (Dahlberg & Moell, 2015), Finlândia (Husu & Valimaki, 2017;e Valaskivi & Hoikkala, 2006), dentre outros.…”

Section: Capítulo 2 -O Silêncio Dos Hikikomoriunclassified

Silenciamento e abandono: uma abordagem pela voz

Akimoto¹

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pelo trabalho de leitura, revisão e formatação do texto da tese, pelas sugestões e apontamentos que puderam refinar os últimos retoques na escrita.Agradeço a Mauro Mendes Dias, pela escuta e pela amizade, decisivas para que pudesse encontrar os caminhos e os lugares pelos quais minha voz pudesse ressoar.Também aos colegas do Instituto Vox de Pesquisa em Psicanálise, agradeço pelo espaço de trabalho e elaboração conjunta, essenciais para essa pesquisa sobre o tema da voz. Agradeço particularmente aqueles que me oferecem a parceria nos seminários, grupos de pesquisas e espaços de leitura, sendo importantes interlocutores dessa tese:

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Analysis of the hikikomori phenomenon – an international infodemiology study of Twitter data in Portuguese

Correia Lopes,

Pinto da Costa,

Fernandez-Lazaro

et al. 2024

BMC Public Health

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Background Hikikomori refers to the extreme isolation of individuals in their own homes, lasting at least six months. In recent years social isolation has become an important clinical, social, and public health problem, with increased awareness of hikikomori around the globe. Portuguese is one of the six most spoken languages in the world, but no studies have analysed the content regarding this phenomenon expressed in Portuguese. Objective To explore the hikikomori phenomenon on Twitter in Portuguese, utilising a mixed-methods approach encompassing content analysis, emotional analysis, and correlation analysis. Methods A mixed methods analysis of all publicly available tweets in the Portuguese language using a specific keyword (hikikomori) between 1st January 2008 and 19th October 2022. The content analysis involved categorising tweets based on tone, content, and user types, while correlation analysis was used to investigate user engagement and geographical distribution. Statistical analysis and artificial intelligence were employed to classify and interpret the tweet data. Results Among the total of 13,915 tweets generated, in terms of tone 10,731 were classified as “negative”, and 3184 as “positive”. Regarding content, “curiosities” was the most posted, as well as the most retweeted and liked topic. Worldwide, most of the hikikomori related tweets in Portuguese were posted in Europe, while “individuals with hikikomori” were the users most active posting. Regarding emotion analysis, the majority of tweets were “neutral”. Conclusions These findings show the global prevalence of the discourse on hikikomori phenomenon among Portuguese speakers. It also indicates an increase in the number of tweets on this topic in certain continents over the years. These findings can contribute to developing specific interventions, support networks, and awareness-raising campaigns for affected individuals.

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Relato de caso de síndrome de Hikikomori em Portugal: uma síndrome primária ou expressão de outra perturbação mental?

Cited by 3 publications

References 18 publications

Hikikomori Syndrome and Digital Technologies: A Systematic Review

Hikikomori Syndrome and Digital Technologies: A Systematic Review

Silenciamento e abandono: uma abordagem pela voz

Analysis of the hikikomori phenomenon – an international infodemiology study of Twitter data in Portuguese

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