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[SY-95-01]Network Structure of Social Withdrawal Symptoms in Asian Psychiatric Patients at High Risk of Hikikomori

*Seon-Cheol Park (Department of Psychiatry, Hanyang University College of Medicine(Korea))
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Keywords:

Hikikomori,1-month version of the 25-item Hikikomori Questionnaire (HQ-25M),network analysis,Asian

This study aimed to examine the precise network structure of social withdrawal symptoms in Asian psychiatric patients at high risk of hikikomori using data from the Research on Asian Psychotropic Prescription Patterns for Antidepressants, Phase 3. High risk of hikikomori was defined as a score above 42 on the 1-month version of the 25-item Hikikomori Questionnaire (HQ-25M), a scale that measures social withdrawal symptoms. HQ-25M network structures were estimated separately for patients at high and low risk of hikikomori. Differences in network structure invariance and global strength invariance between the two networks were evaluated. The data from a total of 2,993 participants were assessed, including 1,939 patients at high risk of hikikomori and 1,054 patients at low risk of hikikomori. Network analysis revealed that enjoyment of social activities was the most central symptom among patients at high risk of hikikomori, whereas having trust issues was most central among those at low risk of hikikomori. In addition, while no significant differences in the overall network structures were identified, the global strength invariance differed significantly between networks.