{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:19:14Z","timestamp":1790738354838,"version":"4.1.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T00:00:00Z","timestamp":1617840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["KAKENHI\/17K12474"],"award-info":[{"award-number":["KAKENHI\/17K12474"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Hikikomori \u2013 an almost complete withdrawal from social interaction first seen in Japan \u2013 is becoming an emerging psychological syndrome worldwide. The mental health community in Japan has focused on hikikomori since the 1990s. Hikikomori was initially considered a culture-bound trait, unique to Japan; however, it has become an international concern, and cases have been reported even outside of Japan. While home visiting support for people with hikikomori has gained popularity, an effective solution remains elusive. This paper describes the process involved in effective home visiting support provided by experienced workers to help people with hikikomori.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Semi-structured interviews were conducted with 21 home-visiting support workers in Japan. Collected data were analysed using a constant comparative method based on Grounded Theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\u2018Supporting them in finding their own way to participate in society\u2019 was identified as the core category. This core category was substantiated by following three interrelated stages: preparing the involved surroundings for reaching out to a person, maintaining constant communication and expanding the range of activities and relationships. The process encouraged people with hikikomori to enhance their social connections and improved their motivation for social participation. People with hikikomori experiencing despair and isolation began to find pleasure in social participation through the three stages of support provided by home-visiting workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study suggests that Home visiting support for people with hikikomori can be enhanced by these three interrelated methods which can help individuals integrate into society and connect with others.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640211009266","type":"journal-article","created":{"date-parts":[[2021,4,9]],"date-time":"2021-04-09T01:49:38Z","timestamp":1617932978000},"page":"836-843","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Home visiting support for people with hikikomori (social withdrawal) provided by experienced and effective workers"],"prefix":"10.1177","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0813-4527","authenticated-orcid":false,"given":"Akiko","family":"Funakoshi","sequence":"first","affiliation":[{"name":"Department of Nursing, Kobe City College of Nursing, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masako","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Nursing, Nagaoka Sutoku University, Niigata, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roseline","family":"Yong","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Akita University, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Midori","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Non-Profit Organization Orange Association, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,8]]},"reference":[{"key":"bibr1-00207640211009266","doi-asserted-by":"publisher","DOI":"10.15171\/ijhpm.2019.68"},{"key":"bibr2-00207640211009266","doi-asserted-by":"publisher","DOI":"10.1080\/00221325.2019.1633618"},{"key":"bibr3-00207640211009266","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-019-0725-8"},{"key":"bibr4-00207640211009266","doi-asserted-by":"publisher","DOI":"10.1177\/0020764017704474"},{"key":"bibr5-00207640211009266","volume-title":"The research act: A theoretical introduction to sociological methods","author":"Denzin N. 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