Development and Validation of the 25-item Hikikomori Questionnaire (HQ-25).
Psychiatry Clin Neurosci. 2018 Jun 21;:
Authors: Teo AR, Chen JI, Kubo H, Katsuki R, Sato-Kasai M, Shimokawa N, Hayakawa K, Umene-Nakano W, Aikens JE, Kanba S, Kato TA
AIM: Hikikomori, a form of severe social withdrawal, is an emerging issue in mental health, for which validated measurement tools are lacking. The object was to develop a self-report scale of hikikomori, and assess its psychometric properties and diagnostic accuracy.
METHODS: A sample of 399 participants from clinical and community settings completed measures. Psychometric properties were assessed with factor analysis; diagnostic accuracy was compared against a semi-structured diagnostic interview.
RESULTS: The Hikikomori Questionnaire (HQ-25) contained 25 items across three subscales representing socialization, isolation, and emotional support. Internal consistency, test-retest reliability, and convergent validity were all satisfactory. Area under of the curve was 0.86 (95% CI, 0.80 - 0.92). A cut-off score of 42 (out of 100) was associated with a sensitivity of 94%, specificity of 61%, and PPV of 17%.
CONCLUSIONS: The HQ-25 possesses robust psychometric properties and diagnostic accuracy in an initial sample of Japanese adults. Additional research on its psychometric properties and ability to support clinical assessment of hikikomori is warranted. This article is protected by copyright. All rights reserved.
PMID: 29926525 [PubMed - as supplied by publisher]
Schema therapy for emotional dysregulation in personality disorders: a review.
Curr Opin Psychiatry. 2018 Jan;31(1):43-49
Authors: Dadomo H, Panzeri M, Caponcello D, Carmelita A, Grecucci A
PURPOSE OF REVIEW: To give an update on the most recent studies regarding the role of schema therapy in the treatment of emotion dysregulation related to personality disorders.
RECENT FINDINGS: In personality disorders, a lack of emotion regulation can be found. Schema therapy treats emotion dysregulation with a series of techniques, such as imagery rescripting, limited reparenting, chairwork, and cognitive restructuring to remove dysregulatory mechanism.
SUMMARY: Schema therapy is one of the most efficient therapies for personality disorders. However, there is a lack of recent studies on how it treats emotion dysregulation. Although the treatment of emotional dysregulation is not the core of schema therapy, it is certainly important inside this theoretical framework. The mode model helps clinicians address their work toward the reduction of dysfunctional modes, whereas fostering functional modes.
PMID: 29120915 [PubMed - indexed for MEDLINE]