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The aim of this study was to review the evidence for hikikomori as a new psychiatric disorder. Electronic and manual literatures searches were used to gather information on social withdrawal and hikikomori, including studies examining case definitions, epidemiology, and diagnosis. A number of recent empiric studies have emerged from Japan. However, a notable subset of cases with substantial psychopathology do not meet criteria for any existing psychiatric disorder.
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Hikikomori, A Japanese Culture-Bound Syndrome of Social Withdrawal? A Proposal for DSM-V

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