Your browser doesn't support javascript.
loading
Development of 5-day hikikomori intervention program for family members: A single-arm pilot trial.
Kubo, Hiroaki; Urata, Hiromi; Sakai, Motohiro; Nonaka, Shunsuke; Saito, Kazuhiko; Tateno, Masaru; Kobara, Keiji; Hashimoto, Naoki; Fujisawa, Daisuke; Suzuki, Yuriko; Otsuka, Kotaro; Kamimae, Hiroho; Muto, Yuya; Usami, Takashi; Honda, Yoko; Kishimoto, Junji; Kuroki, Toshihide; Kanba, Shigenobu; Kato, Takahiro A.
Afiliação
  • Kubo H; Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
  • Urata H; Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
  • Sakai M; Faculty of Education, University of Miyazaki, 1-1 Gakuen Kibanadai-nishi, Miyazaki, Miyazaki, 889-2192, Japan.
  • Nonaka S; School of Child Psychology, Tokyo Future University, 34-12 Senju Akebono-cho, Adachi-ku, Tokyo, 120-0023, Japan.
  • Saito K; Aiiku Counseling Office, Aiiku Research Institute, Imperial Gift Foundation Boshi-Aiiku-Kai, 5-6-8 Minami-azabu, Minato-ku, Tokyo, 106-8580, Japan.
  • Tateno M; Department of Neuropsychiatry, Sapporo Medical University, S1 W17, Chuo-ku, Sapporo, 060-8556, Japan.
  • Kobara K; Shimane Prefectural Counseling Center for Physical and Mental Health, 1741-3 Higashi-Tsuda-Cho, Matsue, Shimane, 690-0011, Japan.
  • Hashimoto N; Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan.
  • Fujisawa D; Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
  • Suzuki Y; Department of Mental Health Policy, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo, 187-8553, Japan.
  • Otsuka K; Department of Neuropsychiatry, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate, 020-8505, Japan.
  • Kamimae H; Fukuoka City Mental Health and Welfare Center, Maizuru 2-5-1, Chuo-ku, Fukuoka, 810-0073, Japan.
  • Muto Y; Fukuoka City Mental Health and Welfare Center, Maizuru 2-5-1, Chuo-ku, Fukuoka, 810-0073, Japan.
  • Usami T; Fukuoka City Mental Health and Welfare Center, Maizuru 2-5-1, Chuo-ku, Fukuoka, 810-0073, Japan.
  • Honda Y; Fukuoka City Mental Health and Welfare Center, Maizuru 2-5-1, Chuo-ku, Fukuoka, 810-0073, Japan.
  • Kishimoto J; Center for Clinical and Translational Research, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
  • Kuroki T; Department of Clinical Psychology Practice, Graduate School of Human-Environment Studies, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka, 819-0395, Japan.
  • Kanba S; Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
  • Kato TA; Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Heliyon ; 6(1): e03011, 2020 Jan.
Article em En | MEDLINE | ID: mdl-31938741
ABSTRACT
BACKGROUNDS Hikikomori, a severe form of social withdrawal, is increasingly a serious mental health issue worldwide. Hikikomori is comorbid with various psychiatric conditions including depression, social anxiety and suicidal behaviors. Family support is encouraged as a vital first step, however evidence-based programs have yet to be established. Mental Health First Aid (MHFA) is one of the most well-validated educational programs encouraging lay people such as family members, to support close persons suffering from various psychiatric conditions such as depression, anxiety and suicidal behaviors.

METHODS:

We newly developed an educational program for family members of hikikomori sufferers mainly based on MHFA and 'Community Reinforcement and Family Training (CRAFT)' with role-play and homework. As a single-arm trial, 21 parents (7 fathers and 14 mothers) living with hikikomori sufferers participated in our program with five once-a-week sessions (2 h per session) and six monthly follow-ups, and its effectiveness was evaluated using various self-rated questionnaires.

RESULTS:

Perceived skills toward a depressed hikikomori case vignette, stigma held by participants, and subscales of two problematic and one adaptive behaviors of hikikomori sufferers were improved throughout the sessions and follow-ups. In addition, positive behavioral changes of hikikomori sufferers such as improved social participation were reported by participants.

LIMITATIONS:

Single-arm design and evaluation using self-rated questionnaires are the main limitations of the present study.

CONCLUSIONS:

Our newly developed program has positive effects on family members in their contact and support of hikikomori sufferers. Future trials with control groups are required to validate the effectiveness of this program.
Palavras-chave
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Heliyon Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Japão
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Heliyon Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Japão