Evidence map›Paper›PMID 42547944›Full record

SynthesisInternational journal of methods in psychiatric research2026

Association Between Loneliness and Hikikomori Symptoms. A Systematic Review and Meta-Analysis.

André Hajek, Hans-Helmut König

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of methods in psychiatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

André HajekDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.ORCID https://orcid.org/0000-0002-6886-2745
Hans-Helmut KönigDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, Hamburg, Germany.ORCID https://orcid.org/0000-0001-5711-6862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesA systematic review and meta-analysis were conducted to investigate the association between loneliness and hikikomori symptoms.

methodsWe searched three electronic databases (plus hand search). Our review followed the PRISMA guidelines, and a PROSPERO registration was made. We included observational studies determining the association between loneliness and hikikomori symptoms.

resultsEight cross-sectional studies were finally included. Our psychometric meta-analysis revealed a mean corrected correlation of 0.68 (95% CI: 0.62 to 0.74). The mean corrected correlations of loneliness with the subscales socialization, isolation, and emotional support were 0.54 (95% CI: 0.50 to 0.58), 0.62 (95% CI: 0.60 to 0.64), and 0.71 (95% CI: 0.67 to 0.75), respectively. The mean corrected correlation for the association between loneliness and hikikomori symptoms was 0.66 (95% CI: 0.62 to 0.70) among European countries, whereas it was 0.90 (95% CI: 0.81 to 0.99) among Asian countries. Five of the studies were of good quality, and three were of fair quality.

conclusionOur work identified a strong, positive association between loneliness and hikikomori symptoms. Upcoming longitudinal studies are required to clarify the directionality between such factors. There is also a clear need for research in regions that have been neglected so far.

Indexed as

LonelinessHumanshikikomorilonelinessprolonged social withdrawalpsychometric meta‐analysissocial exclusionsocial isolationsystematic review

Identifiers

PMID42547944
PMCPMC13433828

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