Media Kesehatan Masyarakat Indonesia
Vol. 21 No. 1: MARCH 2025

Gender, Anxiety, and Depression in Connection to Hikikomori

Danang Nur Adiwibawa (Faculty of Medicine, Universitas Islam Al-Azhar, Indonesia & Patut Patuh Patju General Hospital, West Lombok, Indonesia)
Ayu Anulus (Faculty of Medicine, Universitas Islam Al-Azhar, Indonesia)
Fahriana Azmi (Patut Patuh Patju General Hospital, West Lombok, Indonesia)
Chee Kok Yoon (Ministry of Health Malaysia, Malaysia & Department of Psychiatry & Mental Health, Kuala Lumpur Hospital, Malaysia)
Trisakti Halimah Delimasari (Politeknik Negeri Jember, East Java, Indonesia)



Article Info

Publish Date
31 Mar 2025

Abstract

Hikikomori is a mental health condition characterized by social withdrawal, causing distress for both the affected individuals and those around them. While factors such as gender, anxiety, and depression have been linked to hikikomori, research on this condition in Indonesia remains limited. This study investigated the association between gender, depression, and anxiety with the risk of hikikomori in West Lombok, Indonesia.  A cross-sectional study was conducted at Hospital X in West Lombok, Indonesia, involving 60 patients with depression attending the Mental Health Polyclinic. The respondent ages ranged from 20 to 79 years. Data on gender, depression, anxiety, and hikikomori were collected using self-rated questionnaires and analysed with the Chi-square test.  The results showed that patients with moderate-severe anxiety had a fivefold increased risk of hikikomori (OR=5.00; 95% CI=1.42-17.57; p=0.009). Female patients were 2.5 times more likely to be at risk compared with male patients, while those with moderate-severe depression had a 2.83 times higher risk. However, this association was not statistically significant.  The study concluded that anxiety is a significant risk factor for hikikomori, whereas the association between gender and depression requires further investigation. Understanding these relationships is crucial for developing targeted mental health interventions and improving support for individuals at risk of hikikomori in Indonesia.

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Journal Info

Abbrev

mkmi

Publisher

Subject

Public Health

Description

Media Kesehatan Masyarakat Indonesia accepts scientific papers in the form of research reports (original research papers) with a focus on the development of public health issues problems in Indonesia, including the developments and main problems in the field of epidemiology; Health Promotion; ...