Evidence map›Paper›PMID 38863612›Full record

ArticleFrontiers in psychiatry2024

Case report: hikikomori syndrome in Italy and its link with autistic traits and internet gaming disorder.

Barbara Carpita, Chiara Bonelli, Federico Giovannoni, Francesca Parri, Matteo Gambini, Benedetta Nardi, Giulia Amatori, Ivan Mirko Cremone, Stefano Pini, Liliana Dell'Osso

Abstract readCase Reports
In one paragraph

Article in Frontiers in psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Failure to Launch (FTL): A Narrative Review and Call for Research.Clinical child and family psychology review · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Investigating the Overlap ofMedicina (Kaunas, Lithuania) · 2025
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Barbara CarpitaDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Chiara BonelliDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Federico GiovannoniDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Francesca ParriDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Matteo GambiniDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Benedetta NardiDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Giulia AmatoriDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Ivan Mirko CremoneDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Stefano PiniDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.
Liliana Dell'OssoDepartment of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the last few decades, a growing field of literature is focusing on hikikomori, a phenomenon described as a form of pathological social withdrawal or social isolation that lasts for more than 6 months leading to significant functional impairment and/or distress. Despite initially considered a culture-bound syndrome, hikikomori syndrome later gained a wider recognition in different countries, ranging from an attempt to take refuge in an idealistic world, when society success' standards are not reached, to a maladaptive coping strategy complicating several psychiatric illnesses such as anxiety disorders, major depression, internet addiction, internet gaming disorder (IGD) and autism spectrum disorder (ASD). In this framework, difficulties in social interaction, in problem solving strategies and socio-emotional reciprocity, may lead to social withdrawal and hikikomori-like behaviors. In this work, we described two cases of patients where the presence of underlying autism spectrum may have represented a sign of vulnerability towards the development of a possible full-blown case of hikikomori with IGD.

Indexed as

autistic spectrum disorderautistic traitshikikomoriinternet gaming disordersocial withdrawal

Identifiers

PMID38863612
PMCPMC11165146

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.