城市数字时代的Hikikomori:一个精神动态,跨诊断模型和多式干预措施
1Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo.
Current opinion in psychiatry
|March 9, 2026
概括
希基科莫里 (Hikikomori) 或长期的社会退缩是一个全球性问题,现代生活方式加剧了这一问题. 一个新的框架整合了心理动态,生物和数字方法,用于评估和干预城市环境.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 希基科莫里 (Hikikomori),最初被认为与文化有关,现在是全球心理健康问题,特别是在城市地区.
- 在COVID-19后,以家庭为中心的生活方式需要更广泛地了解hikikomori,而不仅仅是减少社交互动.
- 它经常与其他精神疾病并发,突出显示了综合护理的必要性.
研究的目的:
- 提出一个精神动力学,跨诊断和多维框架来理解hikikomori.
- 为当代城市数字社会量身定制的评估和干预策略概述.
- 根据不断变化的社会规范和数字化整合,重新构想 hikikomori.
主要方法:
- 借鉴了超过二十年的临床和研究经验.
- 整合精神动力学 (发育和依恋信息) 的观点.
- 开发一种多维和跨诊断的方法.
主要成果:
- 病态的希基科莫里是由心理困扰和功能障碍所区分出来的.
- 附着的不安全感,早期的逆境和生物途径 (炎症,神经发育) 都有关.
- 早期的希基科莫里与抑郁症和游戏障碍有关;数字工具提供了干预潜力.
结论:
- 城市环境中的身体隔离并非本质上是病态的.
- 一个整合精神病理学和依恋的生物心理社会文化模型至关重要.
- 结构化评估,以家庭为基础的方法和数字干预措施是预防长期海基科莫里的关键.
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