Development of 5-day hikikomori intervention program for family members: A single-arm pilot trial

被引：24

作者：

Kubo, Hiroaki ^{[1
]}

Urata, Hiromi ^{[1
]}

Sakai, Motohiro ^{[2
]}

Nonaka, Shunsuke ^{[3
]}

Saito, Kazuhiko ^{[4
]}

Tateno, Masaru ^{[5
]}

Kobara, Keiji ^{[6
]}

Hashimoto, Naoki ^{[7
]}

Fujisawa, Daisuke ^{[8
]}

Suzuki, Yuriko ^{[9
]}

Otsuka, Kotaro ^{[10
]}

Kamimae, Hiroho ^{[11
]}

Muto, Yuya ^{[11
]}

Usami, Takashi ^{[11
]}

Honda, Yoko ^{[11
]}

Kishimoto, Junji ^{[12
]}

Kuroki, Toshihide ^{[13
]}

Kanba, Shigenobu ^{[1
]}

Kato, Takahiro A. ^{[1
]}

机构：

[1] Kyushu Univ, Grad Sch Med Sci, Dept Neuropsychiat, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan

[2] Univ Miyazaki, Fac Educ, 1-1 Gakuen Kibanadai Nishi, Miyazaki, Miyazaki 8892192, Japan

[3] Tokyo Future Univ, Sch Child Psychol, Adachi Ku, 34-12 Senju Akebono Cho, Tokyo 1200023, Japan

[4] Imperial Gift Fdn Boshi Aiiku Kai, Aiiku Res Inst, Aiiku Counseling Off, Minato Ku, 5-6-8 Minami Azabu, Tokyo 1068580, Japan

[5] Sapporo Med Univ, Dept Neuropsychiat, Chuo Ku, S1 W17, Sapporo, Hokkaido 0608556, Japan

[6] Shimane Prefectural Counseling Ctr Phys & Mental, 1741-3 Higashi Tsuda Cho, Matsue, Shimane 6900011, Japan

[7] Hokkaido Univ, Grad Sch Med, Dept Psychiat, Kita Ku, Kita 15,Nishi 7, Sapporo, Hokkaido 0608638, Japan

[8] Keio Univ, Sch Med, Dept Neuropsychiat, Shinjuku Ku, 35 Shinanomachi, Tokyo 1608582, Japan

[9] Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Dept Mental Hlth Policy, 4-1-1 Ogawa Higashi, Kodaira, Tokyo 1878553, Japan

[10] Iwate Med Univ, Sch Med, Dept Neuropsychiat, 19-1 Uchimaru, Morioka, Iwate 0208505, Japan

[11] Fukuoka City Mental Hlth & Welf Ctr, Chuo Ku, Maizuru 2-5-1, Fukuoka 8100073, Japan

[12] Kyushu Univ, Ctr Clin & Translat Res, Higashi Ku, Maidashi 3-1-1, Fukuoka 8128582, Japan

[13] Kyushu Univ, Grad Sch Human Environm Studies, Dept Clin Psychol Practice, Nishi Ku, 744 Motooka, Fukuoka 8190395, Japan

来源：

HELIYON | 2020年 / 6卷 / 01期

关键词：

Clinical psychology; Depression; Mental health; Psychiatry; Suicide; Pathological social withdrawal (hikikomori); Social anxiety; Mental health first aid (MHFA); Community reinforcement and family training (CRAFT); Family support; SOCIAL WITHDRAWAL; MEDICAL RESIDENTS; JAPAN; DEPRESSION; VALIDITY; BEHAVIOR; AID;

D O I：

10.1016/j.heliyon.2019.e03011

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Backgrounds: Hikikomori, a severe form of social withdrawal, is increasingly a serious mental health issue worldwide. Hikikomori is comorbid with various psychiatric conditions including depression, social anxiety and suicidal behaviors. Family support is encouraged as a vital first step, however evidence-based programs have yet to be established. Mental Health First Aid (MHFA) is one of the most well-validated educational programs encouraging lay people such as family members, to support close persons suffering from various psychiatric conditions such as depression, anxiety and suicidal behaviors. Methods: We newly developed an educational program for family members of hikikomori sufferers mainly based on MHFA and 'Community Reinforcement and Family Training (CRAFT)' with role-play and homework. As a single-arm trial, 21 parents (7 fathers and 14 mothers) living with hikikomori sufferers participated in our program with five once-a-week sessions (2 h per session) and six monthly follow-ups, and its effectiveness was evaluated using various self-rated questionnaires. Results: Perceived skills toward a depressed hikikomori case vignette, stigma held by participants, and subscales of two problematic and one adaptive behaviors of hikikomori sufferers were improved throughout the sessions and follow-ups. In addition, positive behavioral changes of hikikomori sufferers such as improved social participation were reported by participants. Limitations: Single-arm design and evaluation using self-rated questionnaires are the main limitations of the present study. Conclusions: Our newly developed program has positive effects on family members in their contact and support of hikikomori sufferers. Future trials with control groups are required to validate the effectiveness of this program.

引用

页数：9

共 46 条

[1]

[Anonymous], 2010, JAPANESE J BEHAV THE

[2]

[Anonymous], 2018, R LANG ENV STAT COMP

[3]

Cabinet Office, 2019, SEIK JOUK NI KANS CH

[4]

Cabinet-Office, 2016, WAK NO SEIK NI KANS

[5] Mental Health First Aid is an effective public health intervention for improving knowledge, attitudes, and behaviour: A meta-analysis [J].

Hadlaczky, Gergo ;

Hokby, Sebastian ;

Mkrtchian, Anahit ;

Carli, Vladimir ;

Wasserman, Danuta .

INTERNATIONAL REVIEW OF PSYCHIATRY, 2014, 26 (04) :467-475

[6] Functional analysis of problem behavior a review [J].

Hanley, GP ;

Iwata, BA ;

McCord, BE .

JOURNAL OF APPLIED BEHAVIOR ANALYSIS, 2003, 36 (02) :147-185

[7] Blood biomarkers of Hikikomori, a severe social withdrawal syndrome [J].

Hayakawa, Kohei ;

Kato, Takahiro A. ;

Watabe, Motoki ;

Teo, Alan R. ;

Horikawa, Hideki ;

Kuwano, Nobuki ;

Shimokawa, Norihiro ;

Sato-Kasai, Mina ;

Kubo, Hiroaki ;

Ohgidani, Masahiro ;

Sagata, Noriaki ;

Toda, Hiroyuki ;

Tateno, Masaru ;

Shinfuku, Naotaka ;

Kishimoto, Junji ;

Kanba, Shigenobu .

SCIENTIFIC REPORTS, 2018, 8

[8]

Ito J., 2003, Hikikomori No Taiou Gaido-Rain Guideline for Response to Hikikomori

[9]

Kato TA, 2017, Mental Health and Illness in the City, P205, DOI DOI 10.1007/978-981-10-2327-9_9

[10] Hikikomori : Multidimensional understanding, assessment, and future international perspectives [J].

Kato, Takahiro A. ;

Kanba, Shigenobu ;

Teo, Alan R. .

PSYCHIATRY AND CLINICAL NEUROSCIENCES, 2019, 73 (08) :427-440

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