Socially withdrawn children frequently refrain from social activities in the presence of peers. The lack of social interaction in childhood may result from a variety of causes, including social fear and anxiety or a preference for solitude. From early childhood through to adolescence, socially withdrawn children are concurrently and predictively at risk for a wide range of negative adjustment outcomes, including socio-emotional difficulties (e.g., anxiety, low self-esteem, depressive symptoms, and internalizing problems), peer difficulties (e.g., rejection, victimization, poor friendship quality), and school difficulties (e.g., poor-quality teacher-child relationships, academic difficulties, school avoidance). The goals of the current review are to (a) provide some definitional, theoretical, and methodological clarity to the complex array of terms and constructs previously employed in the study of social withdrawal; (b) examine the predictors, correlates, and consequences of child and early-adolescent social withdrawal; and (c) present a developmental framework describing pathways to and from social withdrawal in childhood.

Hikikomori (social withdrawal that lasts six months or longer) is a growing problem among Japanese adolescents and young adults, with recent estimates that approximately 1% of Japanese youths will suffer from an episode of hikikomori in their lifetimes. What remains unclear is whether hikikomori is a culture-bound syndrome or a condition impacting youths around the globe. Hence, the self-reported prevalence and psychosocial correlates of past experiences with hikikomori were examined in cross-sectional samples of university students from Singapore (n = 147), Nigeria (n = 151), and the United States (n = 301). Following tests of measurement invariance, comparisons showed that past experiences with hikikomori were related to elevated levels of current loneliness and depressive symptoms in each sample. However, analyses also revealed evidence of cultural variation in both the prevalence and the psychosocial correlates associated with past experiences of hikikomori, which taken together, provide preliminary evidence that the culture-bound characterization of hikikomori may not be appropriate.

The present study evaluated whether 3 indices of friendship adjustment (mutual friendship involvement, friendship stability, friendship quality) are important, but overlooked, moderators of the impact of anxious-withdrawal on trajectories of psychological maladjustment during early adolescence. Participants included 271 young adolescents (51% boys; Mage = 11.83 years; 42% ethnic minority) who completed peer nomination and self-report measures at 3 waves in a longitudinal study. In line with hypotheses, growth curve analyses revealed that anxious-withdrawal predicted less negative psychological adjustment trajectories for friended young adolescents, albeit somewhat differently for boys and girls. Understanding the unique significance of friendships in the lives of anxious-withdrawn young adolescents could improve interventions as their friendships may be more successfully targeted than their group-level peer difficulties. (PsycINFO Database Record