Adolescents and young adults with social withdrawal in France: Sociodemographic characteristics and validation of the French version of the Hikikomori Questionnaire-25 (HQ-25).

IF 2.5 4区 医学 Q2 PSYCHIATRY International Journal of Social Psychiatry Pub Date : 2025-01-06 DOI:10.1177/00207640241310191
Xavier Benarous, Marie-Jeanne Guedj, Filomena Lomelo, Faizla Mohamed, Alan Robert Teo, Hugues Pellerin
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Abstract

Background: Clinical situations marked by severe social withdrawal in youths are increasingly recognized as an important public health issue in European countries, while the relation with the hikikomori syndrome initially described in Japan remains poorly investigated.

Aims: This study aims to describe the sociodemographic features of adolescents and young adults with social withdrawal in French and to validate a French version of the Hikikomori Questiuonnaire-25 (HQ-25).

Method: An online questionnaire was completed by 450 participants aged 13 to 25 years. In addition to socio-demographic features, participants were questioned about several aspects of social withdrawal behaviors and a version of the HQ-25 previously adapted in French by a group of patients and clinician experts.

Results: A minority of participants was found 'at-risk HKM' (3.6%). They were approximately younger, and lived more frequently with their parents, with balanced sex ratio and no differences regarding the educational level. The level of distress and concern about physical/mental health did not discriminate between the two groups. Regarding psychometric properties of the HQ-25, Cronbach's alpha of the total was .93, the ICC was .74, and the indices of fit found in the confirmatory factorial analysis of the original three-factor solution were robust.

Conclusions: Considering the social invisibility and the barriers to care access of adolescents and young adults with hikikomori, the development of a self-assessment instrument with good psychometric properties is regarded as an important first step.

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法国青少年和年轻成人的社会退缩:社会人口学特征和法语版隐蔽青年问卷-25 (HQ-25)的验证。
背景:在欧洲国家,以青少年严重社交退缩为特征的临床情况日益被认为是一个重要的公共卫生问题,而与最初在日本描述的“隐蔽青年综合征”的关系的调查仍然很少。目的:本研究旨在用法语描述社交退缩青少年的社会人口学特征,并验证法语版“隐蔽青年问卷-25”(HQ-25)的有效性。方法:对450名年龄在13 ~ 25岁之间的参与者进行在线问卷调查。除了社会人口特征外,参与者还被问及社交退缩行为的几个方面,以及之前由一组患者和临床专家改编的法语版红旗-25。结果:少数参与者被发现为“有风险的HKM”(3.6%)。他们大约更年轻,更频繁地与父母住在一起,性别比例平衡,教育水平没有差异。对身体/心理健康的痛苦和关注程度在两组之间没有差别。红旗-25的心理测量特性,总体的Cronbach’s alpha为0.93,ICC为0.74,原三因子解的验证性析因分析的拟合指标稳健性较好。结论:考虑到青少年和青年青年“隐蔽青年”的社会隐蔽性和护理获取障碍,开发具有良好心理测量特性的自我评估工具是重要的第一步。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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