Skip to main content
Top
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Research

Analysis of the hikikomori phenomenon – an international infodemiology study of Twitter data in Portuguese

Authors: Francisca Correia Lopes, Mariana Pinto da Costa, Cesar I Fernandez-Lazaro, Francisco J Lara-Abelenda, Victor Pereira-Sanchez, Alan R Teo, Miguel Angel Alvarez-Mon

Published in: BMC Public Health | Issue 1/2024

Login to get access

Abstract

Background

Hikikomori refers to the extreme isolation of individuals in their own homes, lasting at least six months. In recent years social isolation has become an important clinical, social, and public health problem, with increased awareness of hikikomori around the globe. Portuguese is one of the six most spoken languages in the world, but no studies have analysed the content regarding this phenomenon expressed in Portuguese.

Objective

To explore the hikikomori phenomenon on Twitter in Portuguese, utilising a mixed-methods approach encompassing content analysis, emotional analysis, and correlation analysis.

Methods

A mixed methods analysis of all publicly available tweets in the Portuguese language using a specific keyword (hikikomori) between 1st January 2008 and 19th October 2022. The content analysis involved categorising tweets based on tone, content, and user types, while correlation analysis was used to investigate user engagement and geographical distribution. Statistical analysis and artificial intelligence were employed to classify and interpret the tweet data.

Results

Among the total of 13,915 tweets generated, in terms of tone 10,731 were classified as “negative”, and 3184 as “positive”. Regarding content, “curiosities” was the most posted, as well as the most retweeted and liked topic. Worldwide, most of the hikikomori related tweets in Portuguese were posted in Europe, while “individuals with hikikomori” were the users most active posting. Regarding emotion analysis, the majority of tweets were “neutral”.

Conclusions

These findings show the global prevalence of the discourse on hikikomori phenomenon among Portuguese speakers. It also indicates an increase in the number of tweets on this topic in certain continents over the years. These findings can contribute to developing specific interventions, support networks, and awareness-raising campaigns for affected individuals.
Glossary
Hikikomori
Term used to describe the social phenomenon of individuals, often young adults, who withdraw from social life and isolate themselves at home for a prolonged period, avoiding social interaction.
Infodemiology
Refers to the study of how information spreads and impacts public health, especially on the internet. Analyses patterns of information disclosure to understand how it affects people's knowledge and behaviour.
Machine Learning
Subset of artificial intelligence that involves the development of algorithms and statistical models that enable computers to perform tasks without explicit programming. It relies on patterns and inference from data to improve performance over time.
Deep Learning
A specialised area of machine learning that involves using neural networks with multiple layers (deep neural networks) to model and solve complex problems. It is particularly effective in tasks such as image and speech recognition.
BERTweet
Natural language processing model based on BERT (Bidirectional Encoder Representations from Transformers) architecture, specifically tailored for processing and understanding Twitter data. It enhances language understanding in a social media context.
Emotion-English-Distilroberta-Base
Pre-trained language model based on the Distilroberta architecture, specialised in recognizing and understanding emotions in English text. It is trained to analyse and categorise emotions expressed in written content.
Literature
1.
go back to reference Tateno M, et al. Internet Addiction, Smartphone Addiction, and Hikikomori Trait in Japanese Young Adult: Social Isolation and Social Network. Front Psychiatry. 2019;10:455.CrossRefPubMedPubMedCentral Tateno M, et al. Internet Addiction, Smartphone Addiction, and Hikikomori Trait in Japanese Young Adult: Social Isolation and Social Network. Front Psychiatry. 2019;10:455.CrossRefPubMedPubMedCentral
2.
go back to reference Amendola S, et al. Psychometric Properties of the Italian Version of the 25-Item Hikikomori Questionnaire. Int J Environ Res Public Health. 2022;19(20):13552. Amendola S, et al. Psychometric Properties of the Italian Version of the 25-Item Hikikomori Questionnaire. Int J Environ Res Public Health. 2022;19(20):13552.
3.
go back to reference Mota AM, Lázaro M, Gaspar E, Rosa D, Farias AC. Case report of Hikikomori syndrome in Portugal: a primary syndrome or expression of another mental disorder? Braz J Psychiat. 2019;68(3):177–80. Mota AM, Lázaro M, Gaspar E, Rosa D, Farias AC. Case report of Hikikomori syndrome in Portugal: a primary syndrome or expression of another mental disorder? Braz J Psychiat. 2019;68(3):177–80.
4.
6.
go back to reference Teo AR. A new form of social withdrawal in Japan: a review of hikikomori. Int J Soc Psychiatry. 2010;56(2):178–85.CrossRefPubMed Teo AR. A new form of social withdrawal in Japan: a review of hikikomori. Int J Soc Psychiatry. 2010;56(2):178–85.CrossRefPubMed
7.
go back to reference Pereira-Sanchez V, et al. Exploring the Extent of the Hikikomori Phenomenon on Twitter: Mixed Methods Study of Western Language Tweets. J Med Internet Res. 2019;21(5):e14167.CrossRefPubMedPubMedCentral Pereira-Sanchez V, et al. Exploring the Extent of the Hikikomori Phenomenon on Twitter: Mixed Methods Study of Western Language Tweets. J Med Internet Res. 2019;21(5):e14167.CrossRefPubMedPubMedCentral
8.
go back to reference Pereira-Sanchez V, et al. Examining Tweet Content and Engagement of Users With Tweets About Hikikomori in Japanese: Mixed Methods Study of Social Withdrawal. J Med Internet Res. 2022;24(1):e31175.CrossRefPubMedPubMedCentral Pereira-Sanchez V, et al. Examining Tweet Content and Engagement of Users With Tweets About Hikikomori in Japanese: Mixed Methods Study of Social Withdrawal. J Med Internet Res. 2022;24(1):e31175.CrossRefPubMedPubMedCentral
9.
10.
go back to reference Abbasi-Perez A, et al. Analysis of Tweets Containing Information Related to Rheumatological Diseases on Twitter. Int J Environ Res Public Health. 2021;18(17):9094. Abbasi-Perez A, et al. Analysis of Tweets Containing Information Related to Rheumatological Diseases on Twitter. Int J Environ Res Public Health. 2021;18(17):9094.
11.
go back to reference Duarte MDQ, Santos MAD, Lima C, Giordani JP, Trentini CM. Covid-19 and the impacts on mental health: a sample from Rio Grande do Sul. Brazil Ciência & Saúde Coletiva. 2020;25:3401–11.CrossRef Duarte MDQ, Santos MAD, Lima C, Giordani JP, Trentini CM. Covid-19 and the impacts on mental health: a sample from Rio Grande do Sul. Brazil Ciência & Saúde Coletiva. 2020;25:3401–11.CrossRef
12.
go back to reference P., A., The Impact of the COVID-19 Pandemic on Mental Health. Acta Médica Periódica. 2020;33:356–7. P., A., The Impact of the COVID-19 Pandemic on Mental Health. Acta Médica Periódica. 2020;33:356–7.
13.
go back to reference Wang C, et al. The impact of COVID-19 pandemic on physical and mental health of Asians: A study of seven middle-income countries in Asia. PLoS ONE. 2021;16(2):e0246824.CrossRefPubMedPubMedCentral Wang C, et al. The impact of COVID-19 pandemic on physical and mental health of Asians: A study of seven middle-income countries in Asia. PLoS ONE. 2021;16(2):e0246824.CrossRefPubMedPubMedCentral
14.
go back to reference Fancourt D, Steptoe A, Bu F. Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study. The lancet Psychiatry. 2021;8(2):141–9.CrossRefPubMed Fancourt D, Steptoe A, Bu F. Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study. The lancet Psychiatry. 2021;8(2):141–9.CrossRefPubMed
15.
go back to reference Herold M, et al. Hikikomori: a possible mental health consequence of the COVID-19 epidemic. Orv Hetil. 2021;162(41):1637–42.CrossRefPubMed Herold M, et al. Hikikomori: a possible mental health consequence of the COVID-19 epidemic. Orv Hetil. 2021;162(41):1637–42.CrossRefPubMed
16.
go back to reference Kubo H, et al. Risk factors of hikikomori among office workers during the COVID-19 pandemic: A prospective online survey. Curr Psychol, 2022;42(27):1–19. Kubo H, et al. Risk factors of hikikomori among office workers during the COVID-19 pandemic: A prospective online survey. Curr Psychol, 2022;42(27):1–19.
17.
go back to reference Eysenbach G. Infodemiology and infoveillance: framework for an emerging set of public health informatics methods to analyze search, communication and publication behavior on the Internet. J Med Internet Res. 2009;11(1):e11.CrossRefPubMedPubMedCentral Eysenbach G. Infodemiology and infoveillance: framework for an emerging set of public health informatics methods to analyze search, communication and publication behavior on the Internet. J Med Internet Res. 2009;11(1):e11.CrossRefPubMedPubMedCentral
19.
go back to reference Alvarez-Mon MA, et al. Increasing Interest of Mass Communication Media and the General Public in the Distribution of Tweets About Mental Disorders: Observational Study. J Med Internet Res. 2018;20(5):e205.CrossRefPubMedPubMedCentral Alvarez-Mon MA, et al. Increasing Interest of Mass Communication Media and the General Public in the Distribution of Tweets About Mental Disorders: Observational Study. J Med Internet Res. 2018;20(5):e205.CrossRefPubMedPubMedCentral
21.
23.
25.
go back to reference Liu LL, et al. Harnessing Social Media to Explore Youth Social Withdrawal in Three Major Cities in China: Cross-Sectional Web Survey. JMIR Ment Health. 2018;5(2):e34.CrossRefPubMedPubMedCentral Liu LL, et al. Harnessing Social Media to Explore Youth Social Withdrawal in Three Major Cities in China: Cross-Sectional Web Survey. JMIR Ment Health. 2018;5(2):e34.CrossRefPubMedPubMedCentral
26.
go back to reference Kato TA, Kanba S. Boundless syndromes in modern society: An interconnected world producing novel psychopathology in the 21st century. Psychiatry Clin Neurosci. 2016;70(1):1–2.CrossRefPubMed Kato TA, Kanba S. Boundless syndromes in modern society: An interconnected world producing novel psychopathology in the 21st century. Psychiatry Clin Neurosci. 2016;70(1):1–2.CrossRefPubMed
27.
go back to reference Kato TA, et al. Are Japan’s hikikomori and depression in young people spreading abroad? Lancet. 2011;378(9796):1070.CrossRefPubMed Kato TA, et al. Are Japan’s hikikomori and depression in young people spreading abroad? Lancet. 2011;378(9796):1070.CrossRefPubMed
28.
go back to reference Orsolini L, et al. Hikikomori and modern-type depression in Italy: A new phenotypical trans-cultural characterization? Int J Soc Psychiatry. 2022;68(5):1010–7.CrossRefPubMed Orsolini L, et al. Hikikomori and modern-type depression in Italy: A new phenotypical trans-cultural characterization? Int J Soc Psychiatry. 2022;68(5):1010–7.CrossRefPubMed
29.
go back to reference Roza TH, Paim Kessler FH, Cavalcante Passos I. Hikikomori in Brazil: Context, clinical characteristics, and challenges. Int J Soc Psychiatry. 2023;69(4):1059–61.CrossRefPubMed Roza TH, Paim Kessler FH, Cavalcante Passos I. Hikikomori in Brazil: Context, clinical characteristics, and challenges. Int J Soc Psychiatry. 2023;69(4):1059–61.CrossRefPubMed
31.
go back to reference Alvarez-Mon MA, et al. Areas of Interest and Stigmatic Attitudes of the General Public in Five Relevant Medical Conditions: Thematic and Quantitative Analysis Using Twitter. J Med Internet Res. 2019;21(5):e14110.CrossRefPubMedPubMedCentral Alvarez-Mon MA, et al. Areas of Interest and Stigmatic Attitudes of the General Public in Five Relevant Medical Conditions: Thematic and Quantitative Analysis Using Twitter. J Med Internet Res. 2019;21(5):e14110.CrossRefPubMedPubMedCentral
32.
go back to reference Helm JM, et al. Machine Learning and Artificial Intelligence: Definitions, Applications, and Future Directions. Curr Rev Musculoskelet Med. 2020;13(1):69–76.CrossRefPubMedPubMedCentral Helm JM, et al. Machine Learning and Artificial Intelligence: Definitions, Applications, and Future Directions. Curr Rev Musculoskelet Med. 2020;13(1):69–76.CrossRefPubMedPubMedCentral
34.
go back to reference Deng L, Liu Y. Deep Learning in Natural Language Processing. Singapore: Springer; 2018.CrossRef Deng L, Liu Y. Deep Learning in Natural Language Processing. Singapore: Springer; 2018.CrossRef
35.
go back to reference Hongkang W, Li L, Yong W, Fanjia M, Haihua W, Sigrimis NA. Recurrent Neural Network Model for Prediction of Microclimate in Solar Greenhouse. IFAC-PapersOnLine. 2018;51(17):790–5.CrossRef Hongkang W, Li L, Yong W, Fanjia M, Haihua W, Sigrimis NA. Recurrent Neural Network Model for Prediction of Microclimate in Solar Greenhouse. IFAC-PapersOnLine. 2018;51(17):790–5.CrossRef
36.
go back to reference Islam MZ, Islam MM, Asraf A. A combined deep CNN-LSTM network for the detection of novel coronavirus (COVID-19) using X-ray images. Inform Med Unlocked. 2020;20:100412.CrossRefPubMedPubMedCentral Islam MZ, Islam MM, Asraf A. A combined deep CNN-LSTM network for the detection of novel coronavirus (COVID-19) using X-ray images. Inform Med Unlocked. 2020;20:100412.CrossRefPubMedPubMedCentral
37.
go back to reference Kousik N, Natarajan Y, Raja RA, Kallam S, Patan R, Gandomi AH. Improved salient object detection using hybrid Convolution Recurrent Neural Network. Expert Systems with Applications, 2021;166:1–9. Kousik N, Natarajan Y, Raja RA, Kallam S, Patan R, Gandomi AH. Improved salient object detection using hybrid Convolution Recurrent Neural Network. Expert Systems with Applications, 2021;166:1–9.
38.
go back to reference Nguyen DQ, Vu T, Nguyen AT. BERTweet: A pre-trained language model for English Tweets. 2020. Nguyen DQ, Vu T, Nguyen AT. BERTweet: A pre-trained language model for English Tweets. 2020.
39.
40.
go back to reference Mahajan D, Chaudhary DK. Sentiment Analysis Using Rnn and Google Translator. In: 2018 8th International Conference on Cloud Computing, Data Science & Engineering (Confluence). Noida, India: IEEE; 2018. p. 798–802.CrossRef Mahajan D, Chaudhary DK. Sentiment Analysis Using Rnn and Google Translator. In: 2018 8th International Conference on Cloud Computing, Data Science & Engineering (Confluence). Noida, India: IEEE; 2018. p. 798–802.CrossRef
41.
go back to reference Sagnika S, et al. A review on multi-lingual sentiment analysis by machine learning methods. Journal of Engineering Science and Technology Review. 2020;13(2):154.CrossRef Sagnika S, et al. A review on multi-lingual sentiment analysis by machine learning methods. Journal of Engineering Science and Technology Review. 2020;13(2):154.CrossRef
42.
go back to reference de Anta L, Alvarez-Mon MA, Donat-Vargas C, Lara-Abelanda FJ, Pereira-Sanchez V, Gonzalez Rodriguez C, Mora F, Ortega MA, Quintero J, Alvarez-Mon M. Assessment of beliefs and attitudes about electroconvulsive therapy posted on Twitter: An observational study. European psychiatry : the journal of the Association of European Psychiatrists. 2023;66(1): e11.CrossRefPubMed de Anta L, Alvarez-Mon MA, Donat-Vargas C, Lara-Abelanda FJ, Pereira-Sanchez V, Gonzalez Rodriguez C, Mora F, Ortega MA, Quintero J, Alvarez-Mon M. Assessment of beliefs and attitudes about electroconvulsive therapy posted on Twitter: An observational study. European psychiatry : the journal of the Association of European Psychiatrists. 2023;66(1): e11.CrossRefPubMed
44.
go back to reference Ekman P. Basic emotions. In: Handbook of cognition and emotion. Hoboken, NJ, US: John Wiley & Sons Ltd; 1999. p. 45–60.CrossRef Ekman P. Basic emotions. In: Handbook of cognition and emotion. Hoboken, NJ, US: John Wiley & Sons Ltd; 1999. p. 45–60.CrossRef
45.
go back to reference Butt S, Sharma S, Sharma R, Sidorov G, Gelbukh A. What goes on inside rumour and non-rumour tweets and their reactions: A psycholinguistic analyses. Computers in Human Behavior, 2022;135:107345. Butt S, Sharma S, Sharma R, Sidorov G, Gelbukh A. What goes on inside rumour and non-rumour tweets and their reactions: A psycholinguistic analyses. Computers in Human Behavior, 2022;135:107345.
46.
go back to reference Rozado D, Hughes R, Halberstadt J. Longitudinal analysis of sentiment and emotion in news media headlines using automated labelling with Transformer language models. PLoS ONE. 2022;17(10):e0276367.CrossRefPubMedPubMedCentral Rozado D, Hughes R, Halberstadt J. Longitudinal analysis of sentiment and emotion in news media headlines using automated labelling with Transformer language models. PLoS ONE. 2022;17(10):e0276367.CrossRefPubMedPubMedCentral
47.
go back to reference Kato TA, et al. Does the “hikikomori” syndrome of social withdrawal exist outside Japan? A preliminary international investigation. Soc Psychiatry Psychiatr Epidemiol. 2012;47(7):1061–75.CrossRefPubMed Kato TA, et al. Does the “hikikomori” syndrome of social withdrawal exist outside Japan? A preliminary international investigation. Soc Psychiatry Psychiatr Epidemiol. 2012;47(7):1061–75.CrossRefPubMed
48.
go back to reference Edney S, et al. Creating Engaging Health Promotion Campaigns on Social Media: Observations and Lessons From Fitbit and Garmin. J Med Internet Res. 2018;20(12):e10911.CrossRefPubMedPubMedCentral Edney S, et al. Creating Engaging Health Promotion Campaigns on Social Media: Observations and Lessons From Fitbit and Garmin. J Med Internet Res. 2018;20(12):e10911.CrossRefPubMedPubMedCentral
Metadata
Title
Analysis of the hikikomori phenomenon – an international infodemiology study of Twitter data in Portuguese
Authors
Francisca Correia Lopes
Mariana Pinto da Costa
Cesar I Fernandez-Lazaro
Francisco J Lara-Abelenda
Victor Pereira-Sanchez
Alan R Teo
Miguel Angel Alvarez-Mon
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-17617-0

Other articles of this Issue 1/2024

BMC Public Health 1/2024 Go to the issue