The Prevalence of and Inter-Relationship Between Subclinical Hikikomori and Internet Addiction in Health-Related University Students: A Network Analysis Perspective.
Background: Hikikomori, a form of pathological social withdrawal or isolation, is increasingly recognized particularly among young people. This study examined the prevalence of subclinical hikikomori and Internet addiction and assessed their interrelationships from the perspective of network analysi...
| Publicado en: | International Journal of Social Psychiatry Vol. 72; no. 4; pp. 796 - 809 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
Jun2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194543646&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194543646 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00207640 ISP jtl: International Journal of Social Psychiatry issn: 00207640 maglogo: Y pubinfo: dt: Jun2026 vid: 72 iid: 4 pid: 344 pub: Sage Publications Inc. artinfo: ui: 194543646 10.1177/00207640251382705 ppf: 796 ppct: 13 formats: tig: atl: The Prevalence of and Inter-Relationship Between Subclinical Hikikomori and Internet Addiction in Health-Related University Students: A Network Analysis Perspective. aug: au: A, Li-Ya Chen, Meng-Yi Jiang, Yuan-Yuan Huang, Hui-Ting Liu, Shou Ma, Yi Su, Zhaohui Cheung, Teris Ungvari, Gabor S. Ng, Chee H. Xiang, Yu-Tao affil: Unit of Psychiatry, Department of Public Health and Medicinal Administration, University of Macau, Macao SAR, China Faculty of Health, Zhuhai College of Science and Technology, Guangdong Province, China Centre for Cognitive and Brain Sciences, University of Macau, China Department of Public Health, Medical College, Qinghai University, Xining, China Faculty of Medicine, Macau University of Science and Technology, Taipa, China School of Public Health, Southeast University, Nanjing, China School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China Section of Psychiatry, University of Notre Dame Australia, Fremantle, Australia Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, VIC, Australia su: China Internet addiction Cross-sectional method Social network analysis Mental health Compulsive behavior Universities & colleges Psychology of college students Student attitudes Social isolation Psychosocial factors Social problems Research funding Health occupations students Statistical sampling Questionnaires Descriptive statistics Research Data analysis software Confidence intervals sug: subj: Internet addiction Cross-sectional method Social network analysis Mental health Compulsive behavior Universities & colleges Psychology of college students Student attitudes Social isolation Psychosocial factors Social problems China Offices of Mental Health Practitioners (except Physicians) Marketing Research and Public Opinion Polling Colleges, Universities, and Professional Schools Research funding Health occupations students Statistical sampling Questionnaires Descriptive statistics Research Data analysis software Confidence intervals keyword: college students hikikomori network analysis college students hikikomori network analysis ab: Background: Hikikomori, a form of pathological social withdrawal or isolation, is increasingly recognized particularly among young people. This study examined the prevalence of subclinical hikikomori and Internet addiction and assessed their interrelationships from the perspective of network analysis among health-related university students. Methods: A cross-sectional study was conducted from September to December 2023 in China. Subclinical hikikomori and Internet addiction were assessed using the 1-month version of the 25-item Hikikomori Questionnaire (HQ-25M) and the Internet Addiction Test (IAT), respectively. Expected Influence (EI) and bridge EI were used as centrality indices to characterize the structure of the symptoms of both conditions. Results: A total of 3,845 health-related university students were assessed. The prevalence of subclinical hikikomori and Internet addiction was 12.4% (95% confidence interval [CI] [11.4%, 13.4%]) and 26.4% (95% CI [25.0%, 27.8%]), respectively. The most central symptoms in this network model were "I avoid talking with other people" (HQ18), followed by "Request an extension for longer time" (IAT16) and "Academic efficiency declines" (IAT8). Additionally, "I spend most of my time alone" (HQ4), "Form new relationship" (IAT4) and "I do not like to be seen by others" (HQ11) were identified as bridge symptoms linking the communities of subclinical hikikomori and Internet addiction symptoms. Conclusion: Both subclinical hikikomori and Internet addiction were common among Chinese health-related university students. Interventions should target central and bridge symptoms of these conditions to reduce the comorbidity among at-risk university students. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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