Exploring the relationship among hikikomori tendencies, autistic traits, computer game use and eating disorder symptoms.

IF 3.4 3区医学 Q2 CLINICAL NEUROLOGY CNS Spectrums Pub Date : 2024-12-27 DOI:10.1017/S1092852924002335

Barbara Carpita, Benedetta Nardi, Federico Giovannoni, Francesca Parri, Gianluca Cerofolini, Chiara Bonelli, Giulia Amatori, Gabriele Massimetti, Ivan Mirko Cremone, Stefano Pini, Enza Pellecchia, Liliana Dell'Osso

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Abstract

Objective: The hikikomori phenomenon has recently gained growing global interest, and evidences of its association with other psychopathological dimensions are slowly but steadily emerging. We aimed to evaluate the presence and correlates of hikikomori tendencies in an Italian University population, focusing on its relationships with autism spectrum, pathological computer gaming, and eating disorders. In particular, to our knowledge, no study has yet systematically evaluated the latter association, using psychometric instruments tailored to assess eating disorder symptoms.

Methods: 2574 students were recruited via an online survey. All participants were assessed with the Hikikomori Questionnaire-25 (HQ-25), the Adult Autism Subthreshold Spectrum Questionnaire (AdAS Spectrum), the Eating Attitude test-26 (EAT-26), and the Assessment of Internet and Computer Game Addiction (AICA-S).

Results: The results outlined how hikikomori risk was significantly correlated to autistic dimensions, altered eating behaviors, and videogame addiction. The closest relationship was detected with the autism spectrum. Interestingly, pathological computer gaming, most autistic dimensions, and EAT-26 oral control emerged as significant predictors of a greater risk for hikikomori, while the proneness to inflexibility and adherence to routine emerged as negative predictors.

Conclusions: Our findings support the association among hikikomori, autism spectrum, pathological computer game use, and eating disorder symptoms.

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探索“隐蔽青年”倾向、自闭症特征、电脑游戏使用和饮食失调症状之间的关系。

目的：近年来，“隐蔽青年”现象在全球范围内引起了越来越多的关注，其与其他精神病理维度相关的证据正在缓慢而稳步地出现。我们旨在评估意大利大学人群中隐蔽青年倾向的存在及其相关性，重点关注其与自闭症谱系、病理性电脑游戏和饮食失调的关系。特别是，据我们所知，还没有研究系统地评估后一种关联，使用量身定制的心理测量工具来评估饮食失调症状。方法：采用在线调查的方式，对2574名学生进行调查。采用Hikikomori问卷-25 （HQ-25）、成人自闭症亚阈谱问卷（AdAS Spectrum）、饮食态度测试-26 （EAT-26）和网络和电脑游戏成瘾评估（AICA-S）对所有参与者进行评估。结果：结果概述了“隐蔽青年”风险与自闭症维度、改变的饮食行为和电子游戏成瘾之间的显著相关性。在自闭症谱系中发现了最密切的关系。有趣的是，病理性电脑游戏、大多数自闭症维度和EAT-26口服控制成为“隐蔽青年”风险的显著预测因素，而缺乏灵活性和坚持常规的倾向则成为负面预测因素。结论：我们的研究结果支持蛰居族、自闭症谱系、病理性电脑游戏使用和饮食失调症状之间的联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

CNS Spectrums 医学-精神病学

CiteScore

6.20

自引率

6.10%

发文量

239

审稿时长

>12 weeks

期刊介绍： CNS Spectrums covers all aspects of the clinical neurosciences, neurotherapeutics, and neuropsychopharmacology, particularly those pertinent to the clinician and clinical investigator. The journal features focused, in-depth reviews, perspectives, and original research articles. New therapeutics of all types in psychiatry, mental health, and neurology are emphasized, especially first in man studies, proof of concept studies, and translational basic neuroscience studies. Subject coverage spans the full spectrum of neuropsychiatry, focusing on those crossing traditional boundaries between neurology and psychiatry.