Nutaila Al Kharusi, Sultan Qaboos University, Oman

Nutaila Al Kharusi

Sultan Qaboos University, Oman

Presentation Title:

Estimating Hikikomori prevalence at varying diagnostic thresholds: A tiered case definition approach using HQ-25 and HiDE-I in Oman

Abstract

Hikikomori, a condition marked by prolonged social withdrawal, is increasingly reported worldwide but remains understudied in the Middle East. This study aimed to classify hikikomori and estimate its prevalence across clinical and community-based samples in Oman using the HQ- 25 screening tool and HiDE-I diagnostic interview. A cross-sectional study with a nested case- control component was conducted at a behavioral medicine clinic between October 2023 and October 2024. A total of 1,200 Omani adults completed the HQ-25, and 454 underwent structured diagnostic interviews using the HiDE-I. Participants were classified as resembling, at-risk, or pathological hikikomori. Of the full sample, 46.2% screened positive on HQ-25. Among those interviewed, 18.8% were HiDE-I positive, including 2.7% diagnosed with pathological hikikomori. Prevalence varied sharply by definition: 46.2% (broad), 18.8% (strict), and 2.7% (confirmed). Patients had higher confirmed prevalence (5.1%) than community attendees (0.7%). Female gender, unemployment, and age 18–29 were significantly associated with stricter case definitions. These findings underscore the importance of combining self-report with structured interviews to enhance diagnostic accuracy. They also highlight the need for targeted interventions addressing youth disengagement, gender-specific stigma, and job-related vulnerabilities.

Biography

Nutaila Al-Kharusi is a PhD candidate in Public Health at Sultan Qaboos University, researching Hikikomori-like traits and adverse social withdrawal in young adults. She is the Managing Director of Al Harub Medical Center (AHMC), where she founded Oman’s first private psychology department in 2007. With over 17 years of experience, she supervises therapists and staff while promoting a holistic approach that integrates mental and physical well-being. Mrs. Al-Kharusi recently launched the BP Global–funded Tamaken program to train young Omani professionals in evidence-based psychological care. She previously served as a Behavior Change Analyst at Petroleum Development Oman and lectured in psychology at Mazoon College.