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Development and validation of the 25-item Hikikomori Questionnaire (HQ-25).


ABSTRACT: AIM:Hikikomori, a form of severe social withdrawal, is an emerging issue in mental health, for which validated measurement tools are lacking. The object was to develop a self-report scale of hikikomori, and assess its psychometric properties and diagnostic accuracy. METHODS:A sample of 399 participants from clinical and community settings completed measures. Psychometric properties were assessed with factor analysis; diagnostic accuracy was compared against a semi-structured diagnostic interview. RESULTS:The Hikikomori Questionnaire contained 25 items across three subscales representing socialization, isolation, and emotional support. Internal consistency, test-retest reliability, and convergent validity were all satisfactory. The area under the curve was 0.86 (95% confidence interval, 0.80-0.92). A cut-off score of 42 (out of 100) was associated with a sensitivity of 94%, specificity of 61%, and positive predictive value of 17%. CONCLUSION:The 25-item Hikikomori Questionnaire (HQ-25) possesses robust psychometric properties and diagnostic accuracy in an initial sample of Japanese adults. Additional research on its psychometric properties and ability to support clinical assessment of hikikomori is warranted.

SUBMITTER: Teo AR 

PROVIDER: S-EPMC6221010 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Development and validation of the 25-item Hikikomori Questionnaire (HQ-25).

Teo Alan R AR   Chen Jason I JI   Kubo Hiroaki H   Katsuki Ryoko R   Sato-Kasai Mina M   Shimokawa Norihiro N   Hayakawa Kohei K   Umene-Nakano Wakako W   Aikens James E JE   Kanba Shigenobu S   Kato Takahiro A TA  

Psychiatry and clinical neurosciences 20180727 10


<h4>Aim</h4>Hikikomori, a form of severe social withdrawal, is an emerging issue in mental health, for which validated measurement tools are lacking. The object was to develop a self-report scale of hikikomori, and assess its psychometric properties and diagnostic accuracy.<h4>Methods</h4>A sample of 399 participants from clinical and community settings completed measures. Psychometric properties were assessed with factor analysis; diagnostic accuracy was compared against a semi-structured diagn  ...[more]

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