id	sid	tid	token	lemma	pos
ecj-13637	1	1	hrev_master	hrev_master	NOUN
ecj-13637	2	1	[	[	X
ecj-13637	2	2	page	page	NOUN
ecj-13637	2	3	84	84	NUM
ecj-13637	2	4	]	]	PUNCT
ecj-13637	3	1	[	[	X
ecj-13637	3	2	emergency	emergency	NOUN
ecj-13637	3	3	care	care	NOUN
ecj-13637	3	4	journal	journal	NOUN
ecj-13637	3	5	2025	2025	NUM
ecj-13637	3	6	;	;	PUNCT
ecj-13637	3	7	21:13637	21:13637	NUM
ecj-13637	3	8	]	]	X
ecj-13637	3	9	emergency	emergency	NOUN
ecj-13637	3	10	care	care	NOUN
ecj-13637	3	11	journal	journal	PROPN
ecj-13637	3	12	2025	2025	NUM
ecj-13637	3	13	volume	volume	NOUN
ecj-13637	3	14	21:13637	21:13637	NUM
ecj-13637	3	15	dear	dear	ADJ
ecj-13637	3	16	editor	editor	NOUN
ecj-13637	3	17	,	,	PUNCT
ecj-13637	3	18	hikikomori	hikikomori	PROPN
ecj-13637	3	19	is	be	AUX
ecj-13637	3	20	a	a	DET
ecj-13637	3	21	condition	condition	NOUN
ecj-13637	3	22	characterized	characterize	VERB
ecj-13637	3	23	by	by	ADP
ecj-13637	3	24	prolonged	prolonged	ADJ
ecj-13637	3	25	and	and	CCONJ
ecj-13637	3	26	extreme	extreme	ADJ
ecj-13637	3	27	social	social	ADJ
ecj-13637	3	28	withdrawal	withdrawal	NOUN
ecj-13637	3	29	lasting	last	VERB
ecj-13637	3	30	at	at	ADP
ecj-13637	3	31	least	least	ADV
ecj-13637	3	32	six	six	NUM
ecj-13637	3	33	months	month	NOUN
ecj-13637	3	34	,	,	PUNCT
ecj-13637	3	35	resulting	result	VERB
ecj-13637	3	36	in	in	ADP
ecj-13637	3	37	substantial	substantial	ADJ
ecj-13637	3	38	functional	functional	ADJ
ecj-13637	3	39	impairment	impairment	NOUN
ecj-13637	3	40	or	or	CCONJ
ecj-13637	3	41	distress	distress	NOUN
ecj-13637	3	42	associated	associate	VERB
ecj-13637	3	43	with	with	ADP
ecj-13637	3	44	this	this	DET
ecj-13637	3	45	isolation.1	isolation.1	PROPN
ecj-13637	3	46	while	while	SCONJ
ecj-13637	3	47	the	the	DET
ecj-13637	3	48	cultural	cultural	ADJ
ecj-13637	3	49	roots	root	NOUN
ecj-13637	3	50	of	of	ADP
ecj-13637	3	51	social	social	ADJ
ecj-13637	3	52	withdrawal	withdrawal	NOUN
ecj-13637	3	53	can	can	AUX
ecj-13637	3	54	be	be	AUX
ecj-13637	3	55	observed	observe	VERB
ecj-13637	3	56	in	in	ADP
ecj-13637	3	57	japanese	japanese	ADJ
ecj-13637	3	58	mythology	mythology	NOUN
ecj-13637	3	59	(	(	PUNCT
ecj-13637	3	60	e.g.	e.g.	ADV
ecj-13637	3	61	,	,	PUNCT
ecj-13637	3	62	the	the	DET
ecj-13637	3	63	sun	sun	NOUN
ecj-13637	3	64	goddess	goddess	NOUN
ecj-13637	3	65	amaterasu	amaterasu	PROPN
ecj-13637	3	66	,	,	PUNCT
ecj-13637	3	67	a	a	DET
ecj-13637	3	68	paramount	paramount	ADJ
ecj-13637	3	69	deity	deity	NOUN
ecj-13637	3	70	in	in	ADP
ecj-13637	3	71	shinto	shinto	PROPN
ecj-13637	3	72	,	,	PUNCT
ecj-13637	3	73	exemplifies	exemplify	VERB
ecj-13637	3	74	voluntary	voluntary	ADJ
ecj-13637	3	75	seclusion	seclusion	NOUN
ecj-13637	3	76	)	)	PUNCT
ecj-13637	3	77	,	,	PUNCT
ecj-13637	3	78	the	the	DET
ecj-13637	3	79	contemporary	contemporary	ADJ
ecj-13637	3	80	phenomenon	phenomenon	NOUN
ecj-13637	3	81	of	of	ADP
ecj-13637	3	82	hikikomori	hikikomori	PROPN
ecj-13637	3	83	emerged	emerge	VERB
ecj-13637	3	84	from	from	ADP
ecj-13637	3	85	what	what	PRON
ecj-13637	3	86	was	be	AUX
ecj-13637	3	87	often	often	ADV
ecj-13637	3	88	termed	term	VERB
ecj-13637	3	89	“	"	PUNCT
ecj-13637	3	90	truancy	truancy	NOUN
ecj-13637	3	91	”	"	PUNCT
ecj-13637	3	92	or	or	CCONJ
ecj-13637	3	93	“	"	PUNCT
ecj-13637	3	94	school	school	NOUN
ecj-13637	3	95	refusal	refusal	NOUN
ecj-13637	3	96	”	"	PUNCT
ecj-13637	3	97	(	(	PUNCT
ecj-13637	3	98	futoko	futoko	NOUN
ecj-13637	3	99	)	)	PUNCT
ecj-13637	3	100	during	during	ADP
ecj-13637	3	101	the	the	DET
ecj-13637	3	102	1970s	1970	NOUN
ecj-13637	3	103	and	and	CCONJ
ecj-13637	3	104	1980s	1980	NOUN
ecj-13637	3	105	.	.	PUNCT
ecj-13637	4	1	the	the	DET
ecj-13637	4	2	term	term	NOUN
ecj-13637	4	3	“	"	PUNCT
ecj-13637	4	4	hikikomori	hikikomori	PROPN
ecj-13637	4	5	”	"	PUNCT
ecj-13637	4	6	itself	itself	PRON
ecj-13637	4	7	was	be	AUX
ecj-13637	4	8	first	first	ADV
ecj-13637	4	9	introduced	introduce	VERB
ecj-13637	4	10	by	by	ADP
ecj-13637	4	11	the	the	DET
ecj-13637	4	12	psychologist	psychologist	PROPN
ecj-13637	4	13	fujiya	fujiya	PROPN
ecj-13637	4	14	tomita	tomita	PROPN
ecj-13637	4	15	in	in	ADP
ecj-13637	4	16	1985.2	1985.2	NUM
ecj-13637	4	17	this	this	DET
ecj-13637	4	18	term	term	NOUN
ecj-13637	4	19	comes	come	VERB
ecj-13637	4	20	from	from	ADP
ecj-13637	4	21	the	the	DET
ecj-13637	4	22	verb	verb	NOUN
ecj-13637	4	23	hiki	hiki	PROPN
ecj-13637	4	24	,	,	PUNCT
ecj-13637	4	25	which	which	PRON
ecj-13637	4	26	means	mean	VERB
ecj-13637	4	27	“	"	PUNCT
ecj-13637	4	28	to	to	PART
ecj-13637	4	29	pull	pull	VERB
ecj-13637	4	30	back	back	ADV
ecj-13637	4	31	”	"	PUNCT
ecj-13637	4	32	,	,	PUNCT
ecj-13637	4	33	and	and	CCONJ
ecj-13637	4	34	komoru	komoru	PROPN
ecj-13637	4	35	,	,	PUNCT
ecj-13637	4	36	which	which	PRON
ecj-13637	4	37	means	mean	VERB
ecj-13637	4	38	“	"	PUNCT
ecj-13637	4	39	to	to	PART
ecj-13637	4	40	seclude	seclude	VERB
ecj-13637	4	41	oneself”.3	oneself”.3	NOUN
ecj-13637	4	42	however	however	ADV
ecj-13637	4	43	,	,	PUNCT
ecj-13637	4	44	hikikomori	hikikomori	PROPN
ecj-13637	4	45	did	do	AUX
ecj-13637	4	46	not	not	PART
ecj-13637	4	47	gain	gain	VERB
ecj-13637	4	48	widespread	widespread	ADJ
ecj-13637	4	49	recognition	recognition	NOUN
ecj-13637	4	50	within	within	ADP
ecj-13637	4	51	japanese	japanese	ADJ
ecj-13637	4	52	society	society	NOUN
ecj-13637	4	53	until	until	SCONJ
ecj-13637	4	54	the	the	DET
ecj-13637	4	55	publication	publication	NOUN
ecj-13637	4	56	of	of	ADP
ecj-13637	4	57	“	"	PUNCT
ecj-13637	4	58	shakaiteki	shakaiteki	PROPN
ecj-13637	4	59	hikikomori	hikikomori	PROPN
ecj-13637	4	60	-	-	PUNCT
ecj-13637	4	61	owaranai	owaranai	ADJ
ecj-13637	4	62	shishunki	shishunki	PROPN
ecj-13637	4	63	”	"	PUNCT
ecj-13637	4	64	(	(	PUNCT
ecj-13637	4	65	social	social	ADJ
ecj-13637	4	66	withdrawal	withdrawal	NOUN
ecj-13637	4	67	:	:	PUNCT
ecj-13637	4	68	a	a	DET
ecj-13637	4	69	neverending	neverending	ADJ
ecj-13637	4	70	adolescence	adolescence	NOUN
ecj-13637	4	71	)	)	PUNCT
ecj-13637	4	72	by	by	ADP
ecj-13637	4	73	the	the	DET
ecj-13637	4	74	psychiatrist	psychiatrist	PROPN
ecj-13637	4	75	tamaki	tamaki	NOUN
ecj-13637	4	76	saito	saito	PROPN
ecj-13637	4	77	in	in	ADP
ecj-13637	4	78	1998.2	1998.2	NUM
ecj-13637	4	79	currently	currently	ADV
ecj-13637	4	80	,	,	PUNCT
ecj-13637	4	81	in	in	ADP
ecj-13637	4	82	asia	asia	PROPN
ecj-13637	4	83	,	,	PUNCT
ecj-13637	4	84	an	an	DET
ecj-13637	4	85	estimated	estimate	VERB
ecj-13637	4	86	1	1	NUM
ecj-13637	4	87	%	%	NOUN
ecj-13637	4	88	to	to	PART
ecj-13637	4	89	2	2	NUM
ecj-13637	4	90	%	%	NOUN
ecj-13637	4	91	of	of	ADP
ecj-13637	4	92	adolescents	adolescent	NOUN
ecj-13637	4	93	and	and	CCONJ
ecj-13637	4	94	young	young	ADJ
ecj-13637	4	95	adults	adult	NOUN
ecj-13637	4	96	are	be	AUX
ecj-13637	4	97	affected	affect	VERB
ecj-13637	4	98	by	by	ADP
ecj-13637	4	99	hikikomori	hikikomori	PROPN
ecj-13637	4	100	.	.	PUNCT
ecj-13637	5	1	this	this	DET
ecj-13637	5	2	condition	condition	NOUN
ecj-13637	5	3	is	be	AUX
ecj-13637	5	4	demonstrating	demonstrate	VERB
ecj-13637	5	5	a	a	DET
ecj-13637	5	6	global	global	ADJ
ecj-13637	5	7	spread	spread	NOUN
ecj-13637	5	8	,	,	PUNCT
ecj-13637	5	9	with	with	ADP
ecj-13637	5	10	japan	japan	PROPN
ecj-13637	5	11	reporting	report	VERB
ecj-13637	5	12	millions	million	NOUN
ecj-13637	5	13	of	of	ADP
ecj-13637	5	14	cases	case	NOUN
ecj-13637	5	15	,	,	PUNCT
ecj-13637	5	16	establishing	establish	VERB
ecj-13637	5	17	hikikomori	hikikomori	PROPN
ecj-13637	5	18	as	as	ADP
ecj-13637	5	19	a	a	DET
ecj-13637	5	20	well	well	ADV
ecj-13637	5	21	-	-	PUNCT
ecj-13637	5	22	recognized	recognize	VERB
ecj-13637	5	23	pathological	pathological	ADJ
ecj-13637	5	24	condition	condition	NOUN
ecj-13637	5	25	within	within	ADP
ecj-13637	5	26	the	the	DET
ecj-13637	5	27	scientific	scientific	ADJ
ecj-13637	5	28	community	community	NOUN
ecj-13637	5	29	and	and	CCONJ
ecj-13637	5	30	a	a	DET
ecj-13637	5	31	subject	subject	NOUN
ecj-13637	5	32	of	of	ADP
ecj-13637	5	33	significant	significant	ADJ
ecj-13637	5	34	global	global	ADJ
ecj-13637	5	35	concern	concern	NOUN
ecj-13637	5	36	;	;	PUNCT
ecj-13637	5	37	in	in	ADP
ecj-13637	5	38	italy	italy	PROPN
ecj-13637	5	39	,	,	PUNCT
ecj-13637	5	40	there	there	PRON
ecj-13637	5	41	are	be	VERB
ecj-13637	5	42	estimated	estimate	VERB
ecj-13637	5	43	between	between	ADP
ecj-13637	5	44	100,000	100,000	NUM
ecj-13637	5	45	and	and	CCONJ
ecj-13637	5	46	120,000	120,000	NUM
ecj-13637	5	47	individuals	individual	NOUN
ecj-13637	5	48	affected.4	affected.4	VERB
ecj-13637	5	49	this	this	DET
ecj-13637	5	50	condition	condition	NOUN
ecj-13637	5	51	predominantly	predominantly	ADV
ecj-13637	5	52	impacts	impact	VERB
ecj-13637	5	53	males	male	NOUN
ecj-13637	5	54	(	(	PUNCT
ecj-13637	5	55	male	male	NOUN
ecj-13637	5	56	-	-	PUNCT
ecj-13637	5	57	to	to	ADP
ecj-13637	5	58	-	-	PUNCT
ecj-13637	5	59	female	female	ADJ
ecj-13637	5	60	ratio	ratio	NOUN
ecj-13637	5	61	approximately	approximately	ADV
ecj-13637	5	62	3:1	3:1	NUM
ecj-13637	5	63	)	)	PUNCT
ecj-13637	5	64	,	,	PUNCT
ecj-13637	5	65	with	with	ADP
ecj-13637	5	66	the	the	DET
ecj-13637	5	67	average	average	ADJ
ecj-13637	5	68	duration	duration	NOUN
ecj-13637	5	69	of	of	ADP
ecj-13637	5	70	social	social	ADJ
ecj-13637	5	71	withdrawal	withdrawal	NOUN
ecj-13637	5	72	typically	typically	ADV
ecj-13637	5	73	ranging	range	VERB
ecj-13637	5	74	from	from	ADP
ecj-13637	5	75	one	one	NUM
ecj-13637	5	76	to	to	PART
ecj-13637	5	77	four	four	NUM
ecj-13637	5	78	years	year	NOUN
ecj-13637	5	79	.	.	PUNCT
ecj-13637	6	1	however	however	ADV
ecj-13637	6	2	,	,	PUNCT
ecj-13637	6	3	cases	case	NOUN
ecj-13637	6	4	exceeding	exceed	VERB
ecj-13637	6	5	a	a	DET
ecj-13637	6	6	decade	decade	NOUN
ecj-13637	6	7	in	in	ADP
ecj-13637	6	8	duration	duration	NOUN
ecj-13637	6	9	have	have	AUX
ecj-13637	6	10	been	be	AUX
ecj-13637	6	11	documented.1	documented.1	PROPN
ecj-13637	6	12	the	the	DET
ecj-13637	6	13	hikikomori	hikikomori	PROPN
ecj-13637	6	14	population	population	NOUN
ecj-13637	6	15	encompasses	encompass	VERB
ecj-13637	6	16	individuals	individual	NOUN
ecj-13637	6	17	across	across	ADP
ecj-13637	6	18	various	various	ADJ
ecj-13637	6	19	age	age	NOUN
ecj-13637	6	20	groups	group	NOUN
ecj-13637	6	21	,	,	PUNCT
ecj-13637	6	22	including	include	VERB
ecj-13637	6	23	adolescents	adolescent	NOUN
ecj-13637	6	24	,	,	PUNCT
ecj-13637	6	25	young	young	ADJ
ecj-13637	6	26	adults	adult	NOUN
ecj-13637	6	27	,	,	PUNCT
ecj-13637	6	28	emerging	emerge	VERB
ecj-13637	6	29	adults	adult	NOUN
ecj-13637	6	30	,	,	PUNCT
ecj-13637	6	31	and	and	CCONJ
ecj-13637	6	32	even	even	ADV
ecj-13637	6	33	older	old	ADJ
ecj-13637	6	34	adults	adult	NOUN
ecj-13637	6	35	,	,	PUNCT
ecj-13637	6	36	suggesting	suggest	VERB
ecj-13637	6	37	that	that	SCONJ
ecj-13637	6	38	untreated	untreated	ADJ
ecj-13637	6	39	or	or	CCONJ
ecj-13637	6	40	inadequately	inadequately	ADV
ecj-13637	6	41	addressed	address	VERB
ecj-13637	6	42	hikikomori	hikikomori	PROPN
ecj-13637	6	43	can	can	AUX
ecj-13637	6	44	have	have	VERB
ecj-13637	6	45	long	long	ADJ
ecj-13637	6	46	-	-	PUNCT
ecj-13637	6	47	term	term	NOUN
ecj-13637	6	48	consequences	consequence	NOUN
ecj-13637	6	49	and	and	CCONJ
ecj-13637	6	50	potentially	potentially	ADV
ecj-13637	6	51	persist	persist	VERB
ecj-13637	6	52	throughout	throughout	ADP
ecj-13637	6	53	an	an	DET
ecj-13637	6	54	individual	individual	NOUN
ecj-13637	6	55	’s	’s	PART
ecj-13637	6	56	lifespan.5	lifespan.5	PROPN
ecj-13637	6	57	adolescence	adolescence	NOUN
ecj-13637	6	58	and	and	CCONJ
ecj-13637	6	59	young	young	ADJ
ecj-13637	6	60	adulthood	adulthood	NOUN
ecj-13637	6	61	,	,	PUNCT
ecj-13637	6	62	the	the	DET
ecj-13637	6	63	most	most	ADV
ecj-13637	6	64	involved	involved	ADJ
ecj-13637	6	65	ages	age	NOUN
ecj-13637	6	66	,	,	PUNCT
ecj-13637	6	67	should	should	AUX
ecj-13637	6	68	represent	represent	VERB
ecj-13637	6	69	the	the	DET
ecj-13637	6	70	years	year	NOUN
ecj-13637	6	71	of	of	ADP
ecj-13637	6	72	an	an	DET
ecj-13637	6	73	individual	individual	NOUN
ecj-13637	6	74	’s	’s	PART
ecj-13637	6	75	social	social	ADJ
ecj-13637	6	76	birth	birth	NOUN
ecj-13637	6	77	,	,	PUNCT
ecj-13637	6	78	with	with	ADP
ecj-13637	6	79	increasing	increase	VERB
ecj-13637	6	80	social	social	ADJ
ecj-13637	6	81	integration	integration	NOUN
ecj-13637	6	82	and	and	CCONJ
ecj-13637	6	83	placement	placement	NOUN
ecj-13637	6	84	;	;	PUNCT
ecj-13637	6	85	however	however	ADV
ecj-13637	6	86	,	,	PUNCT
ecj-13637	6	87	in	in	ADP
ecj-13637	6	88	the	the	DET
ecj-13637	6	89	hikikomori	hikikomori	PROPN
ecj-13637	6	90	phenomenon	phenomenon	NOUN
ecj-13637	6	91	,	,	PUNCT
ecj-13637	6	92	the	the	DET
ecj-13637	6	93	exact	exact	ADJ
ecj-13637	6	94	opposite	opposite	ADJ
ecj-13637	6	95	occurs	occur	NOUN
ecj-13637	6	96	,	,	PUNCT
ecj-13637	6	97	namely	namely	ADV
ecj-13637	6	98	a	a	DET
ecj-13637	6	99	kind	kind	NOUN
ecj-13637	6	100	of	of	ADP
ecj-13637	6	101	social	social	ADJ
ecj-13637	6	102	suicide	suicide	NOUN
ecj-13637	6	103	.	.	PUNCT
ecj-13637	7	1	this	this	DET
ecj-13637	7	2	picture	picture	NOUN
ecj-13637	7	3	can	can	AUX
ecj-13637	7	4	,	,	PUNCT
ecj-13637	7	5	therefore	therefore	ADV
ecj-13637	7	6	,	,	PUNCT
ecj-13637	7	7	also	also	ADV
ecj-13637	7	8	be	be	AUX
ecj-13637	7	9	defined	define	VERB
ecj-13637	7	10	as	as	ADP
ecj-13637	7	11	a	a	DET
ecj-13637	7	12	social	social	ADJ
ecj-13637	7	13	phenomenon	phenomenon	NOUN
ecj-13637	7	14	.	.	PUNCT
ecj-13637	8	1	although	although	SCONJ
ecj-13637	8	2	hikikomori	hikikomori	PROPN
ecj-13637	8	3	has	have	AUX
ecj-13637	8	4	not	not	PART
ecj-13637	8	5	been	be	AUX
ecj-13637	8	6	formally	formally	ADV
ecj-13637	8	7	recognized	recognize	VERB
ecj-13637	8	8	as	as	ADP
ecj-13637	8	9	a	a	DET
ecj-13637	8	10	psychiatric	psychiatric	ADJ
ecj-13637	8	11	diagnosis	diagnosis	NOUN
ecj-13637	8	12	,	,	PUNCT
ecj-13637	8	13	the	the	DET
ecj-13637	8	14	ministry	ministry	PROPN
ecj-13637	8	15	of	of	ADP
ecj-13637	8	16	health	health	PROPN
ecj-13637	8	17	,	,	PUNCT
ecj-13637	8	18	labour	labour	NOUN
ecj-13637	8	19	and	and	CCONJ
ecj-13637	8	20	welfare	welfare	NOUN
ecj-13637	8	21	in	in	ADP
ecj-13637	8	22	japan	japan	PROPN
ecj-13637	8	23	,	,	PUNCT
ecj-13637	8	24	in	in	ADP
ecj-13637	8	25	collaboration	collaboration	NOUN
ecj-13637	8	26	with	with	ADP
ecj-13637	8	27	a	a	DET
ecj-13637	8	28	research	research	NOUN
ecj-13637	8	29	group	group	NOUN
ecj-13637	8	30	,	,	PUNCT
ecj-13637	8	31	issued	issue	VERB
ecj-13637	8	32	guidelines	guideline	NOUN
ecj-13637	8	33	for	for	ADP
ecj-13637	8	34	the	the	DET
ecj-13637	8	35	assessment	assessment	NOUN
ecj-13637	8	36	and	and	CCONJ
ecj-13637	8	37	treatment	treatment	NOUN
ecj-13637	8	38	of	of	ADP
ecj-13637	8	39	hikikomori	hikikomori	PROPN
ecj-13637	8	40	in	in	ADP
ecj-13637	8	41	2010.6	2010.6	NUM
ecj-13637	8	42	there	there	PRON
ecj-13637	8	43	has	have	AUX
ecj-13637	8	44	been	be	AUX
ecj-13637	8	45	an	an	DET
ecj-13637	8	46	ongoing	ongoing	ADJ
ecj-13637	8	47	debate	debate	NOUN
ecj-13637	8	48	regarding	regard	VERB
ecj-13637	8	49	the	the	DET
ecj-13637	8	50	appropriate	appropriate	ADJ
ecj-13637	8	51	classification	classification	NOUN
ecj-13637	8	52	of	of	ADP
ecj-13637	8	53	hikikomori	hikikomori	PROPN
ecj-13637	8	54	:	:	PUNCT
ecj-13637	8	55	whether	whether	SCONJ
ecj-13637	8	56	it	it	PRON
ecj-13637	8	57	constitutes	constitute	VERB
ecj-13637	8	58	a	a	DET
ecj-13637	8	59	distinct	distinct	ADJ
ecj-13637	8	60	psychiatric	psychiatric	ADJ
ecj-13637	8	61	disorder	disorder	NOUN
ecj-13637	8	62	or	or	CCONJ
ecj-13637	8	63	primarily	primarily	ADV
ecj-13637	8	64	reflects	reflect	VERB
ecj-13637	8	65	a	a	DET
ecj-13637	8	66	culturally	culturally	ADV
ecj-13637	8	67	-	-	PUNCT
ecj-13637	8	68	bound	bind	VERB
ecj-13637	8	69	syndrome	syndrome	NOUN
ecj-13637	8	70	.	.	PUNCT
ecj-13637	9	1	furthermore	furthermore	ADV
ecj-13637	9	2	,	,	PUNCT
ecj-13637	9	3	if	if	SCONJ
ecj-13637	9	4	considered	consider	VERB
ecj-13637	9	5	a	a	DET
ecj-13637	9	6	psychiatric	psychiatric	ADJ
ecj-13637	9	7	disorder	disorder	NOUN
ecj-13637	9	8	,	,	PUNCT
ecj-13637	9	9	debate	debate	VERB
ecj-13637	9	10	persists	persist	NOUN
ecj-13637	9	11	regarding	regard	VERB
ecj-13637	9	12	its	its	PRON
ecj-13637	9	13	diagnosis	diagnosis	NOUN
ecj-13637	9	14	in	in	ADP
ecj-13637	9	15	cases	case	NOUN
ecj-13637	9	16	where	where	SCONJ
ecj-13637	9	17	the	the	DET
ecj-13637	9	18	observed	observed	ADJ
ecj-13637	9	19	symptoms	symptom	NOUN
ecj-13637	9	20	can	can	AUX
ecj-13637	9	21	be	be	AUX
ecj-13637	9	22	fully	fully	ADV
ecj-13637	9	23	attributed	attribute	VERB
ecj-13637	9	24	to	to	ADP
ecj-13637	9	25	another	another	DET
ecj-13637	9	26	underlying	underlie	VERB
ecj-13637	9	27	psychiatric	psychiatric	ADJ
ecj-13637	9	28	condition.1	condition.1	NOUN
ecj-13637	9	29	in	in	ADP
ecj-13637	9	30	the	the	DET
ecj-13637	9	31	2022	2022	NUM
ecj-13637	9	32	edition	edition	NOUN
ecj-13637	9	33	of	of	ADP
ecj-13637	9	34	the	the	DET
ecj-13637	9	35	dsm-5	dsm-5	NOUN
ecj-13637	9	36	-	-	PUNCT
ecj-13637	9	37	tr	tr	VERB
ecj-13637	9	38	,	,	PUNCT
ecj-13637	9	39	hikikomori	hikikomori	PROPN
ecj-13637	9	40	was	be	AUX
ecj-13637	9	41	included	include	VERB
ecj-13637	9	42	in	in	ADP
ecj-13637	9	43	the	the	DET
ecj-13637	9	44	“	"	PUNCT
ecj-13637	9	45	culture	culture	NOUN
ecj-13637	9	46	and	and	CCONJ
ecj-13637	9	47	psychiatric	psychiatric	ADJ
ecj-13637	9	48	diagnosis	diagnosis	NOUN
ecj-13637	9	49	”	"	PUNCT
ecj-13637	9	50	section	section	NOUN
ecj-13637	9	51	,	,	PUNCT
ecj-13637	9	52	acknowledging	acknowledge	VERB
ecj-13637	9	53	its	its	PRON
ecj-13637	9	54	significance	significance	NOUN
ecj-13637	9	55	as	as	ADP
ecj-13637	9	56	a	a	DET
ecj-13637	9	57	global	global	ADJ
ecj-13637	9	58	mental	mental	ADJ
ecj-13637	9	59	health	health	NOUN
ecj-13637	9	60	concern	concern	NOUN
ecj-13637	9	61	.	.	PUNCT
ecj-13637	10	1	however	however	ADV
ecj-13637	10	2	,	,	PUNCT
ecj-13637	10	3	it	it	PRON
ecj-13637	10	4	is	be	AUX
ecj-13637	10	5	currently	currently	ADV
ecj-13637	10	6	classified	classify	VERB
ecj-13637	10	7	solely	solely	ADV
ecj-13637	10	8	as	as	ADP
ecj-13637	10	9	a	a	DET
ecj-13637	10	10	culture	culture	NOUN
ecj-13637	10	11	-	-	PUNCT
ecj-13637	10	12	bound	bind	VERB
ecj-13637	10	13	syndrome	syndrome	NOUN
ecj-13637	10	14	,	,	PUNCT
ecj-13637	10	15	and	and	CCONJ
ecj-13637	10	16	a	a	DET
ecj-13637	10	17	consensus	consensus	NOUN
ecj-13637	10	18	regarding	regard	VERB
ecj-13637	10	19	diagnostic	diagnostic	ADJ
ecj-13637	10	20	criteria	criterion	NOUN
ecj-13637	10	21	remains	remain	VERB
ecj-13637	10	22	elusive.7	elusive.7	VERB
ecj-13637	10	23	the	the	DET
ecj-13637	10	24	currently	currently	ADV
ecj-13637	10	25	most	most	ADV
ecj-13637	10	26	widely	widely	ADV
ecj-13637	10	27	accepted	accept	VERB
ecj-13637	10	28	definition	definition	NOUN
ecj-13637	10	29	of	of	ADP
ecj-13637	10	30	hikikomori	hikikomori	PROPN
ecj-13637	10	31	encompasses	encompass	VERB
ecj-13637	10	32	three	three	NUM
ecj-13637	10	33	core	core	ADJ
ecj-13637	10	34	elements	element	NOUN
ecj-13637	10	35	:	:	PUNCT
ecj-13637	10	36	i	i	PRON
ecj-13637	10	37	)	)	PUNCT
ecj-13637	10	38	pronounced	pronounce	VERB
ecj-13637	10	39	social	social	ADJ
ecj-13637	10	40	isolation	isolation	NOUN
ecj-13637	10	41	within	within	ADP
ecj-13637	10	42	one	one	NUM
ecj-13637	10	43	’s	’s	PART
ecj-13637	10	44	residence	residence	NOUN
ecj-13637	10	45	,	,	PUNCT
ecj-13637	10	46	characterized	characterize	VERB
ecj-13637	10	47	by	by	ADP
ecj-13637	10	48	physical	physical	ADJ
ecj-13637	10	49	withdrawal	withdrawal	NOUN
ecj-13637	10	50	,	,	PUNCT
ecj-13637	10	51	absence	absence	NOUN
ecj-13637	10	52	of	of	ADP
ecj-13637	10	53	active	active	ADJ
ecj-13637	10	54	participation	participation	NOUN
ecj-13637	10	55	in	in	ADP
ecj-13637	10	56	professional	professional	ADJ
ecj-13637	10	57	settings	setting	NOUN
ecj-13637	10	58	,	,	PUNCT
ecj-13637	10	59	and	and	CCONJ
ecj-13637	10	60	limited	limited	ADJ
ecj-13637	10	61	involvement	involvement	NOUN
ecj-13637	10	62	in	in	ADP
ecj-13637	10	63	social	social	ADJ
ecj-13637	10	64	relationships	relationship	NOUN
ecj-13637	10	65	;	;	PUNCT
ecj-13637	10	66	ii	ii	X
ecj-13637	10	67	)	)	PUNCT
ecj-13637	10	68	duration	duration	NOUN
ecj-13637	10	69	of	of	ADP
ecj-13637	10	70	social	social	ADJ
ecj-13637	10	71	isolation	isolation	NOUN
ecj-13637	10	72	lasting	last	VERB
ecj-13637	10	73	at	at	ADP
ecj-13637	10	74	least	least	ADV
ecj-13637	10	75	six	six	NUM
ecj-13637	10	76	months	month	NOUN
ecj-13637	10	77	;	;	PUNCT
ecj-13637	10	78	and	and	CCONJ
ecj-13637	10	79	iii	iii	X
ecj-13637	10	80	)	)	PUNCT
ecj-13637	10	81	significant	significant	ADJ
ecj-13637	10	82	functional	functional	ADJ
ecj-13637	10	83	impairment	impairment	NOUN
ecj-13637	10	84	or	or	CCONJ
ecj-13637	10	85	distress	distress	NOUN
ecj-13637	10	86	associated	associate	VERB
ecj-13637	10	87	with	with	ADP
ecj-13637	10	88	this	this	DET
ecj-13637	10	89	social	social	ADJ
ecj-13637	10	90	isolation.3	isolation.3	PROPN
ecj-13637	10	91	two	two	NUM
ecj-13637	10	92	typologies	typology	NOUN
ecj-13637	10	93	of	of	ADP
ecj-13637	10	94	hikikomori	hikikomori	PROPN
ecj-13637	10	95	have	have	AUX
ecj-13637	10	96	been	be	AUX
ecj-13637	10	97	proposed	propose	VERB
ecj-13637	10	98	:	:	PUNCT
ecj-13637	10	99	i	i	PRON
ecj-13637	10	100	)	)	PUNCT
ecj-13637	10	101	primary	primary	ADJ
ecj-13637	10	102	hikikomori	hikikomori	PROPN
ecj-13637	10	103	,	,	PUNCT
ecj-13637	10	104	characterized	characterize	VERB
ecj-13637	10	105	by	by	ADP
ecj-13637	10	106	social	social	ADJ
ecj-13637	10	107	withdrawal	withdrawal	NOUN
ecj-13637	10	108	in	in	ADP
ecj-13637	10	109	the	the	DET
ecj-13637	10	110	absence	absence	NOUN
ecj-13637	10	111	of	of	ADP
ecj-13637	10	112	any	any	DET
ecj-13637	10	113	co	co	ADJ
ecj-13637	10	114	-	-	ADJ
ecj-13637	10	115	occurring	occurring	ADJ
ecj-13637	10	116	psychiatric	psychiatric	ADJ
ecj-13637	10	117	disorder	disorder	NOUN
ecj-13637	10	118	,	,	PUNCT
ecj-13637	10	119	and	and	CCONJ
ecj-13637	10	120	ii	ii	X
ecj-13637	10	121	)	)	PUNCT
ecj-13637	10	122	secondary	secondary	ADJ
ecj-13637	10	123	hikikomori	hikikomori	PROPN
ecj-13637	10	124	,	,	PUNCT
ecj-13637	10	125	where	where	SCONJ
ecj-13637	10	126	social	social	ADJ
ecj-13637	10	127	withdrawal	withdrawal	NOUN
ecj-13637	10	128	is	be	AUX
ecj-13637	10	129	primarily	primarily	ADV
ecj-13637	10	130	attributable	attributable	ADJ
ecj-13637	10	131	to	to	ADP
ecj-13637	10	132	an	an	DET
ecj-13637	10	133	underlying	underlie	VERB
ecj-13637	10	134	psychiatric	psychiatric	NOUN
ecj-13637	10	135	condition.7	condition.7	ADP
ecj-13637	10	136	its	its	PRON
ecj-13637	10	137	aetiology	aetiology	NOUN
ecj-13637	10	138	is	be	AUX
ecj-13637	10	139	not	not	PART
ecj-13637	10	140	clear	clear	ADJ
ecj-13637	10	141	,	,	PUNCT
ecj-13637	10	142	and	and	CCONJ
ecj-13637	10	143	several	several	ADJ
ecj-13637	10	144	explanations	explanation	NOUN
ecj-13637	10	145	have	have	AUX
ecj-13637	10	146	been	be	AUX
ecj-13637	10	147	proposed	propose	VERB
ecj-13637	10	148	.	.	PUNCT
ecj-13637	11	1	initially	initially	ADV
ecj-13637	11	2	,	,	PUNCT
ecj-13637	11	3	hikikomori	hikikomori	PROPN
ecj-13637	11	4	was	be	AUX
ecj-13637	11	5	primarily	primarily	ADV
ecj-13637	11	6	attributed	attribute	VERB
ecj-13637	11	7	to	to	ADP
ecj-13637	11	8	sociocultural	sociocultural	ADJ
ecj-13637	11	9	factors	factor	NOUN
ecj-13637	11	10	specific	specific	ADJ
ecj-13637	11	11	to	to	ADP
ecj-13637	11	12	japan	japan	PROPN
ecj-13637	11	13	,	,	PUNCT
ecj-13637	11	14	such	such	ADJ
ecj-13637	11	15	as	as	ADP
ecj-13637	11	16	the	the	DET
ecj-13637	11	17	nation	nation	NOUN
ecj-13637	11	18	’s	’s	PART
ecj-13637	11	19	education	education	NOUN
ecj-13637	11	20	system	system	NOUN
ecj-13637	11	21	and	and	CCONJ
ecj-13637	11	22	economic	economic	ADJ
ecj-13637	11	23	realities	reality	NOUN
ecj-13637	11	24	.	.	PUNCT
ecj-13637	12	1	specifically	specifically	ADV
ecj-13637	12	2	,	,	PUNCT
ecj-13637	12	3	the	the	DET
ecj-13637	12	4	concept	concept	NOUN
ecj-13637	12	5	of	of	ADP
ecj-13637	12	6	“	"	PUNCT
ecj-13637	12	7	emae	emae	PROPN
ecj-13637	12	8	”	"	PUNCT
ecj-13637	12	9	,	,	PUNCT
ecj-13637	12	10	a	a	DET
ecj-13637	12	11	term	term	NOUN
ecj-13637	12	12	describing	describe	VERB
ecj-13637	12	13	the	the	DET
ecj-13637	12	14	interdependent	interdependent	ADJ
ecj-13637	12	15	nature	nature	NOUN
ecj-13637	12	16	of	of	ADP
ecj-13637	12	17	japanese	japanese	ADJ
ecj-13637	12	18	parentchild	parentchild	NOUN
ecj-13637	12	19	relationships	relationship	NOUN
ecj-13637	12	20	,	,	PUNCT
ecj-13637	12	21	was	be	AUX
ecj-13637	12	22	hypothesized	hypothesize	VERB
ecj-13637	12	23	to	to	PART
ecj-13637	12	24	facilitate	facilitate	VERB
ecj-13637	12	25	the	the	DET
ecj-13637	12	26	development	development	NOUN
ecj-13637	12	27	of	of	ADP
ecj-13637	12	28	hikikomori	hikikomori	PROPN
ecj-13637	12	29	.	.	PUNCT
ecj-13637	13	1	however	however	ADV
ecj-13637	13	2	,	,	PUNCT
ecj-13637	13	3	hikikomori	hikikomori	PROPN
ecj-13637	13	4	was	be	AUX
ecj-13637	13	5	also	also	ADV
ecj-13637	13	6	linked	link	VERB
ecj-13637	13	7	to	to	ADP
ecj-13637	13	8	specific	specific	ADJ
ecj-13637	13	9	sociocultural	sociocultural	ADJ
ecj-13637	13	10	stressors	stressor	NOUN
ecj-13637	13	11	,	,	PUNCT
ecj-13637	13	12	such	such	ADJ
ecj-13637	13	13	as	as	ADP
ecj-13637	13	14	the	the	DET
ecj-13637	13	15	pressure	pressure	NOUN
ecj-13637	13	16	to	to	PART
ecj-13637	13	17	fulfill	fulfill	VERB
ecj-13637	13	18	demanding	demand	VERB
ecj-13637	13	19	social	social	ADJ
ecj-13637	13	20	expectations	expectation	NOUN
ecj-13637	13	21	that	that	SCONJ
ecj-13637	13	22	some	some	DET
ecj-13637	13	23	individuals	individual	NOUN
ecj-13637	13	24	of	of	ADP
ecj-13637	13	25	the	the	DET
ecj-13637	13	26	younger	young	ADJ
ecj-13637	13	27	generation	generation	NOUN
ecj-13637	13	28	perceived	perceive	VERB
ecj-13637	13	29	as	as	ADP
ecj-13637	13	30	insurmountable.4,6	insurmountable.4,6	PRON
ecj-13637	13	31	this	this	DET
ecj-13637	13	32	condition	condition	NOUN
ecj-13637	13	33	is	be	AUX
ecj-13637	13	34	characterized	characterize	VERB
ecj-13637	13	35	by	by	ADP
ecj-13637	13	36	the	the	DET
ecj-13637	13	37	youth	youth	NOUN
ecj-13637	13	38	’s	’s	PART
ecj-13637	13	39	attempt	attempt	NOUN
ecj-13637	13	40	to	to	PART
ecj-13637	13	41	retreat	retreat	VERB
ecj-13637	13	42	into	into	ADP
ecj-13637	13	43	an	an	DET
ecj-13637	13	44	idealized	idealized	ADJ
ecj-13637	13	45	world	world	NOUN
ecj-13637	13	46	when	when	SCONJ
ecj-13637	13	47	perceived	perceive	VERB
ecj-13637	13	48	societal	societal	ADJ
ecj-13637	13	49	standards	standard	NOUN
ecj-13637	13	50	of	of	ADP
ecj-13637	13	51	success	success	NOUN
ecj-13637	13	52	are	be	AUX
ecj-13637	13	53	not	not	PART
ecj-13637	13	54	met.4	met.4	PROPN
ecj-13637	13	55	icilio	icilio	NOUN
ecj-13637	13	56	dodi	dodi	NOUN
ecj-13637	13	57	,	,	PUNCT
ecj-13637	13	58	pediatric	pediatric	ADJ
ecj-13637	13	59	emergency	emergency	NOUN
ecj-13637	13	60	care	care	NOUN
ecj-13637	13	61	unit	unit	NOUN
ecj-13637	13	62	,	,	PUNCT
ecj-13637	13	63	barilla	barilla	NOUN
ecj-13637	13	64	’s	’s	PART
ecj-13637	13	65	children	child	NOUN
ecj-13637	13	66	hospital	hospital	NOUN
ecj-13637	13	67	,	,	PUNCT
ecj-13637	13	68	parma	parma	PROPN
ecj-13637	13	69	,	,	PUNCT
ecj-13637	13	70	italy	italy	PROPN
ecj-13637	13	71	.	.	PUNCT
ecj-13637	14	1	e	e	X
ecj-13637	14	2	-	-	NOUN
ecj-13637	14	3	mail	mail	NOUN
ecj-13637	14	4	:	:	PUNCT
ecj-13637	14	5	idodi@ao.pr.it	idodi@ao.pr.it	ADJ
ecj-13637	14	6	key	key	ADJ
ecj-13637	14	7	words	word	NOUN
ecj-13637	14	8	:	:	PUNCT
ecj-13637	14	9	hikikomori	hikikomori	NOUN
ecj-13637	14	10	;	;	PUNCT
ecj-13637	14	11	emergency	emergency	NOUN
ecj-13637	14	12	psychiatry	psychiatry	NOUN
ecj-13637	14	13	;	;	PUNCT
ecj-13637	14	14	adolescents	adolescent	NOUN
ecj-13637	14	15	;	;	PUNCT
ecj-13637	14	16	social	social	ADJ
ecj-13637	14	17	distancing	distancing	NOUN
ecj-13637	14	18	.	.	PUNCT
ecj-13637	15	1	conflict	conflict	NOUN
ecj-13637	15	2	of	of	ADP
ecj-13637	15	3	interest	interest	NOUN
ecj-13637	15	4	:	:	PUNCT
ecj-13637	15	5	the	the	DET
ecj-13637	15	6	authors	author	NOUN
ecj-13637	15	7	declare	declare	VERB
ecj-13637	15	8	no	no	DET
ecj-13637	15	9	potential	potential	ADJ
ecj-13637	15	10	conflict	conflict	NOUN
ecj-13637	15	11	of	of	ADP
ecj-13637	15	12	interest	interest	NOUN
ecj-13637	15	13	.	.	PUNCT
ecj-13637	16	1	ethics	ethic	NOUN
ecj-13637	16	2	approval	approval	NOUN
ecj-13637	16	3	and	and	CCONJ
ecj-13637	16	4	consent	consent	NOUN
ecj-13637	16	5	to	to	PART
ecj-13637	16	6	participate	participate	VERB
ecj-13637	16	7	:	:	PUNCT
ecj-13637	16	8	not	not	PART
ecj-13637	16	9	required	require	VERB
ecj-13637	16	10	.	.	PUNCT
ecj-13637	17	1	received	receive	VERB
ecj-13637	17	2	:	:	PUNCT
ecj-13637	17	3	16	16	NUM
ecj-13637	17	4	january	january	PROPN
ecj-13637	17	5	2025	2025	NUM
ecj-13637	17	6	.	.	PUNCT
ecj-13637	18	1	accepted	accept	VERB
ecj-13637	18	2	:	:	PUNCT
ecj-13637	18	3	4	4	NUM
ecj-13637	18	4	february	february	NOUN
ecj-13637	18	5	2025	2025	NUM
ecj-13637	18	6	.	.	PUNCT
ecj-13637	19	1	early	early	ADJ
ecj-13637	19	2	view	view	NOUN
ecj-13637	19	3	:	:	PUNCT
ecj-13637	19	4	7	7	NUM
ecj-13637	19	5	march	march	NOUN
ecj-13637	19	6	2025	2025	NUM
ecj-13637	19	7	.	.	PUNCT
ecj-13637	20	1	this	this	DET
ecj-13637	20	2	work	work	NOUN
ecj-13637	20	3	is	be	AUX
ecj-13637	20	4	licensed	license	VERB
ecj-13637	20	5	under	under	ADP
ecj-13637	20	6	a	a	DET
ecj-13637	20	7	creative	creative	ADJ
ecj-13637	20	8	commons	common	NOUN
ecj-13637	20	9	attribution	attribution	NOUN
ecj-13637	20	10	4.0	4.0	NUM
ecj-13637	20	11	license	license	NOUN
ecj-13637	20	12	(	(	PUNCT
ecj-13637	20	13	by	by	ADP
ecj-13637	20	14	-	-	PUNCT
ecj-13637	20	15	nc	nc	PROPN
ecj-13637	20	16	4.0	4.0	NUM
ecj-13637	20	17	)	)	PUNCT
ecj-13637	20	18	.	.	PUNCT
ecj-13637	21	1	©	©	PROPN
ecj-13637	21	2	copyright	copyright	NOUN
ecj-13637	21	3	:	:	PUNCT
ecj-13637	21	4	the	the	DET
ecj-13637	21	5	author(s	author(s	PROPN
ecj-13637	21	6	)	)	PUNCT
ecj-13637	21	7	,	,	PUNCT
ecj-13637	21	8	2025	2025	NUM
ecj-13637	21	9	licensee	licensee	NOUN
ecj-13637	21	10	pagepress	pagepress	NOUN
ecj-13637	21	11	,	,	PUNCT
ecj-13637	21	12	italy	italy	PROPN
ecj-13637	21	13	emergency	emergency	PROPN
ecj-13637	21	14	care	care	PROPN
ecj-13637	21	15	journal	journal	PROPN
ecj-13637	21	16	2025	2025	NUM
ecj-13637	21	17	;	;	PUNCT
ecj-13637	21	18	21:13637	21:13637	NUM
ecj-13637	21	19	doi:10.4081	doi:10.4081	NOUN
ecj-13637	21	20	/	/	SYM
ecj-13637	21	21	ecj.2025.13637	ecj.2025.13637	PROPN
ecj-13637	21	22	publisher	publisher	NOUN
ecj-13637	21	23	's	's	PART
ecj-13637	21	24	note	note	NOUN
ecj-13637	21	25	:	:	PUNCT
ecj-13637	21	26	all	all	DET
ecj-13637	21	27	claims	claim	NOUN
ecj-13637	21	28	expressed	express	VERB
ecj-13637	21	29	in	in	ADP
ecj-13637	21	30	this	this	DET
ecj-13637	21	31	article	article	NOUN
ecj-13637	21	32	are	be	AUX
ecj-13637	21	33	solely	solely	ADV
ecj-13637	21	34	those	those	PRON
ecj-13637	21	35	of	of	ADP
ecj-13637	21	36	the	the	DET
ecj-13637	21	37	authors	author	NOUN
ecj-13637	21	38	and	and	CCONJ
ecj-13637	21	39	do	do	AUX
ecj-13637	21	40	not	not	PART
ecj-13637	21	41	necessarily	necessarily	ADV
ecj-13637	21	42	represent	represent	VERB
ecj-13637	21	43	those	those	PRON
ecj-13637	21	44	of	of	ADP
ecj-13637	21	45	their	their	PRON
ecj-13637	21	46	affiliated	affiliated	ADJ
ecj-13637	21	47	organizations	organization	NOUN
ecj-13637	21	48	,	,	PUNCT
ecj-13637	21	49	or	or	CCONJ
ecj-13637	21	50	those	those	PRON
ecj-13637	21	51	of	of	ADP
ecj-13637	21	52	the	the	DET
ecj-13637	21	53	publisher	publisher	NOUN
ecj-13637	21	54	,	,	PUNCT
ecj-13637	21	55	the	the	DET
ecj-13637	21	56	editors	editor	NOUN
ecj-13637	21	57	and	and	CCONJ
ecj-13637	21	58	the	the	DET
ecj-13637	21	59	reviewers	reviewer	NOUN
ecj-13637	21	60	.	.	PUNCT
ecj-13637	22	1	any	any	DET
ecj-13637	22	2	product	product	NOUN
ecj-13637	22	3	that	that	PRON
ecj-13637	22	4	may	may	AUX
ecj-13637	22	5	be	be	AUX
ecj-13637	22	6	evaluated	evaluate	VERB
ecj-13637	22	7	in	in	ADP
ecj-13637	22	8	this	this	DET
ecj-13637	22	9	article	article	NOUN
ecj-13637	22	10	or	or	CCONJ
ecj-13637	22	11	claim	claim	NOUN
ecj-13637	22	12	that	that	PRON
ecj-13637	22	13	may	may	AUX
ecj-13637	22	14	be	be	AUX
ecj-13637	22	15	made	make	VERB
ecj-13637	22	16	by	by	ADP
ecj-13637	22	17	its	its	PRON
ecj-13637	22	18	manufacturer	manufacturer	NOUN
ecj-13637	22	19	is	be	AUX
ecj-13637	22	20	not	not	PART
ecj-13637	22	21	guaranteed	guarantee	VERB
ecj-13637	22	22	or	or	CCONJ
ecj-13637	22	23	endorsed	endorse	VERB
ecj-13637	22	24	by	by	ADP
ecj-13637	22	25	the	the	DET
ecj-13637	22	26	publisher	publisher	NOUN
ecj-13637	22	27	.	.	PUNCT
ecj-13637	23	1	hikikomori	hikikomori	PROPN
ecj-13637	23	2	:	:	PUNCT
ecj-13637	23	3	a	a	DET
ecj-13637	23	4	world	world	NOUN
ecj-13637	23	5	within	within	ADP
ecj-13637	23	6	a	a	DET
ecj-13637	23	7	room	room	NOUN
ecj-13637	23	8	icilio	icilio	NOUN
ecj-13637	23	9	dodi	dodi	PROPN
ecj-13637	23	10	,	,	PUNCT
ecj-13637	23	11	marco	marco	PROPN
ecj-13637	23	12	pappalardo	pappalardo	PROPN
ecj-13637	23	13	,	,	PUNCT
ecj-13637	23	14	piero	piero	PROPN
ecj-13637	23	15	veronese	veronese	ADJ
ecj-13637	23	16	pediatric	pediatric	ADJ
ecj-13637	23	17	emergency	emergency	NOUN
ecj-13637	23	18	care	care	NOUN
ecj-13637	23	19	unit	unit	NOUN
ecj-13637	23	20	,	,	PUNCT
ecj-13637	23	21	barilla	barilla	NOUN
ecj-13637	23	22	’s	’s	PART
ecj-13637	23	23	children	child	NOUN
ecj-13637	23	24	hospital	hospital	NOUN
ecj-13637	23	25	,	,	PUNCT
ecj-13637	23	26	parma	parma	PROPN
ecj-13637	23	27	,	,	PUNCT
ecj-13637	23	28	italy	italy	PROPN
ecj-13637	23	29	frequently	frequently	ADV
ecj-13637	23	30	,	,	PUNCT
ecj-13637	23	31	the	the	DET
ecj-13637	23	32	precipitating	precipitating	NOUN
ecj-13637	23	33	factor	factor	NOUN
ecj-13637	23	34	is	be	AUX
ecj-13637	23	35	the	the	DET
ecj-13637	23	36	shattering	shattering	NOUN
ecj-13637	23	37	of	of	ADP
ecj-13637	23	38	the	the	DET
ecj-13637	23	39	adolescent	adolescent	ADJ
ecj-13637	23	40	’s	’s	PART
ecj-13637	23	41	expectations	expectation	NOUN
ecj-13637	23	42	,	,	PUNCT
ecj-13637	23	43	leading	lead	VERB
ecj-13637	23	44	to	to	ADP
ecj-13637	23	45	a	a	DET
ecj-13637	23	46	rapid	rapid	ADJ
ecj-13637	23	47	decline	decline	NOUN
ecj-13637	23	48	in	in	ADP
ecj-13637	23	49	their	their	PRON
ecj-13637	23	50	condition	condition	NOUN
ecj-13637	23	51	and	and	CCONJ
ecj-13637	23	52	the	the	DET
ecj-13637	23	53	emergence	emergence	NOUN
ecj-13637	23	54	of	of	ADP
ecj-13637	23	55	the	the	DET
ecj-13637	23	56	disorder	disorder	NOUN
ecj-13637	23	57	.	.	PUNCT
ecj-13637	24	1	while	while	SCONJ
ecj-13637	24	2	rebellion	rebellion	NOUN
ecj-13637	24	3	and	and	CCONJ
ecj-13637	24	4	transgression	transgression	NOUN
ecj-13637	24	5	were	be	AUX
ecj-13637	24	6	once	once	ADV
ecj-13637	24	7	common	common	ADJ
ecj-13637	24	8	correlates	correlate	NOUN
ecj-13637	24	9	of	of	ADP
ecj-13637	24	10	adolescent	adolescent	ADJ
ecj-13637	24	11	distress	distress	NOUN
ecj-13637	24	12	,	,	PUNCT
ecj-13637	24	13	contemporary	contemporary	ADJ
ecj-13637	24	14	society	society	NOUN
ecj-13637	24	15	presents	present	VERB
ecj-13637	24	16	a	a	DET
ecj-13637	24	17	more	more	ADV
ecj-13637	24	18	complex	complex	ADJ
ecj-13637	24	19	picture	picture	NOUN
ecj-13637	24	20	.	.	PUNCT
ecj-13637	25	1	the	the	DET
ecj-13637	25	2	current	current	ADJ
ecj-13637	25	3	emphasis	emphasis	NOUN
ecj-13637	25	4	on	on	ADP
ecj-13637	25	5	idealized	idealized	ADJ
ecj-13637	25	6	outcomes	outcome	NOUN
ecj-13637	25	7	sets	set	VERB
ecj-13637	25	8	unrealistic	unrealistic	ADJ
ecj-13637	25	9	expectations	expectation	NOUN
ecj-13637	25	10	that	that	SCONJ
ecj-13637	25	11	,	,	PUNCT
ecj-13637	25	12	when	when	SCONJ
ecj-13637	25	13	not	not	PART
ecj-13637	25	14	met	meet	VERB
ecj-13637	25	15	,	,	PUNCT
ecj-13637	25	16	can	can	AUX
ecj-13637	25	17	contribute	contribute	VERB
ecj-13637	25	18	to	to	ADP
ecj-13637	25	19	feelings	feeling	NOUN
ecj-13637	25	20	of	of	ADP
ecj-13637	25	21	personal	personal	ADJ
ecj-13637	25	22	failure	failure	NOUN
ecj-13637	25	23	and	and	CCONJ
ecj-13637	25	24	inadequacy	inadequacy	NOUN
ecj-13637	25	25	.	.	PUNCT
ecj-13637	26	1	the	the	DET
ecj-13637	26	2	prevalence	prevalence	NOUN
ecj-13637	26	3	of	of	ADP
ecj-13637	26	4	often	often	ADV
ecj-13637	26	5	fabricated	fabricate	VERB
ecj-13637	26	6	models	model	NOUN
ecj-13637	26	7	of	of	ADP
ecj-13637	26	8	success	success	NOUN
ecj-13637	26	9	and	and	CCONJ
ecj-13637	26	10	popularity	popularity	NOUN
ecj-13637	26	11	(	(	PUNCT
ecj-13637	26	12	exemplified	exemplify	VERB
ecj-13637	26	13	by	by	ADP
ecj-13637	26	14	social	social	ADJ
ecj-13637	26	15	media	medium	NOUN
ecj-13637	26	16	influencers	influencer	NOUN
ecj-13637	26	17	)	)	PUNCT
ecj-13637	26	18	in	in	ADP
ecj-13637	26	19	contemporary	contemporary	ADJ
ecj-13637	26	20	society	society	NOUN
ecj-13637	26	21	has	have	AUX
ecj-13637	26	22	led	lead	VERB
ecj-13637	26	23	to	to	ADP
ecj-13637	26	24	a	a	DET
ecj-13637	26	25	heightened	heightened	ADJ
ecj-13637	26	26	emphasis	emphasis	NOUN
ecj-13637	26	27	on	on	ADP
ecj-13637	26	28	individualism	individualism	NOUN
ecj-13637	26	29	and	and	CCONJ
ecj-13637	26	30	competition	competition	NOUN
ecj-13637	26	31	.	.	PUNCT
ecj-13637	27	1	to	to	PART
ecj-13637	27	2	escape	escape	VERB
ecj-13637	27	3	the	the	DET
ecj-13637	27	4	pressures	pressure	NOUN
ecj-13637	27	5	of	of	ADP
ecj-13637	27	6	society	society	NOUN
ecj-13637	27	7	,	,	PUNCT
ecj-13637	27	8	the	the	DET
ecj-13637	27	9	hikikomori	hikikomori	PROPN
ecj-13637	27	10	individual	individual	PROPN
ecj-13637	27	11	constructs	construct	VERB
ecj-13637	27	12	a	a	DET
ecj-13637	27	13	virtual	virtual	ADJ
ecj-13637	27	14	reality	reality	NOUN
ecj-13637	27	15	,	,	PUNCT
ecj-13637	27	16	providing	provide	VERB
ecj-13637	27	17	an	an	DET
ecj-13637	27	18	escape	escape	NOUN
ecj-13637	27	19	from	from	ADP
ecj-13637	27	20	the	the	DET
ecj-13637	27	21	demands	demand	NOUN
ecj-13637	27	22	of	of	ADP
ecj-13637	27	23	the	the	DET
ecj-13637	27	24	real	real	ADJ
ecj-13637	27	25	world	world	NOUN
ecj-13637	27	26	.	.	PUNCT
ecj-13637	28	1	within	within	ADP
ecj-13637	28	2	the	the	DET
ecj-13637	28	3	confines	confine	NOUN
ecj-13637	28	4	of	of	ADP
ecj-13637	28	5	their	their	PRON
ecj-13637	28	6	room	room	NOUN
ecj-13637	28	7	,	,	PUNCT
ecj-13637	28	8	a	a	DET
ecj-13637	28	9	pc	pc	NOUN
ecj-13637	28	10	and	and	CCONJ
ecj-13637	28	11	internet	internet	NOUN
ecj-13637	28	12	connection	connection	NOUN
ecj-13637	28	13	provide	provide	VERB
ecj-13637	28	14	both	both	CCONJ
ecj-13637	28	15	a	a	DET
ecj-13637	28	16	sanctuary	sanctuary	NOUN
ecj-13637	28	17	and	and	CCONJ
ecj-13637	28	18	a	a	DET
ecj-13637	28	19	means	means	NOUN
ecj-13637	28	20	to	to	PART
ecj-13637	28	21	forge	forge	VERB
ecj-13637	28	22	and	and	CCONJ
ecj-13637	28	23	sustain	sustain	VERB
ecj-13637	28	24	virtual	virtual	ADJ
ecj-13637	28	25	relationships	relationship	NOUN
ecj-13637	28	26	,	,	PUNCT
ecj-13637	28	27	as	as	SCONJ
ecj-13637	28	28	real	real	ADJ
ecj-13637	28	29	-	-	PUNCT
ecj-13637	28	30	world	world	NOUN
ecj-13637	28	31	interactions	interaction	NOUN
ecj-13637	28	32	are	be	AUX
ecj-13637	28	33	perceived	perceive	VERB
ecj-13637	28	34	as	as	ADP
ecj-13637	28	35	too	too	ADV
ecj-13637	28	36	challenging	challenging	ADJ
ecj-13637	28	37	.	.	PUNCT
ecj-13637	29	1	these	these	DET
ecj-13637	29	2	tools	tool	NOUN
ecj-13637	29	3	also	also	ADV
ecj-13637	29	4	serve	serve	VERB
ecj-13637	29	5	as	as	ADP
ecj-13637	29	6	a	a	DET
ecj-13637	29	7	lifeline	lifeline	NOUN
ecj-13637	29	8	to	to	ADP
ecj-13637	29	9	the	the	DET
ecj-13637	29	10	external	external	ADJ
ecj-13637	29	11	world	world	NOUN
ecj-13637	29	12	.	.	PUNCT
ecj-13637	30	1	hikikomori	hikikomori	PROPN
ecj-13637	30	2	frequently	frequently	ADV
ecj-13637	30	3	co	co	VERB
ecj-13637	30	4	-	-	VERB
ecj-13637	30	5	occurs	occur	VERB
ecj-13637	30	6	with	with	ADP
ecj-13637	30	7	various	various	ADJ
ecj-13637	30	8	mental	mental	ADJ
ecj-13637	30	9	health	health	NOUN
ecj-13637	30	10	disorders	disorder	NOUN
ecj-13637	30	11	,	,	PUNCT
ecj-13637	30	12	including	include	VERB
ecj-13637	30	13	anxiety	anxiety	NOUN
ecj-13637	30	14	disorders	disorder	NOUN
ecj-13637	30	15	,	,	PUNCT
ecj-13637	30	16	depression	depression	NOUN
ecj-13637	30	17	,	,	PUNCT
ecj-13637	30	18	personality	personality	NOUN
ecj-13637	30	19	disorders	disorder	NOUN
ecj-13637	30	20	,	,	PUNCT
ecj-13637	30	21	schizophrenia	schizophrenia	NOUN
ecj-13637	30	22	,	,	PUNCT
ecj-13637	30	23	and	and	CCONJ
ecj-13637	30	24	,	,	PUNCT
ecj-13637	30	25	notably	notably	ADV
ecj-13637	30	26	,	,	PUNCT
ecj-13637	30	27	internet	internet	NOUN
ecj-13637	30	28	gaming	gaming	NOUN
ecj-13637	30	29	disorder	disorder	NOUN
ecj-13637	30	30	(	(	PUNCT
ecj-13637	30	31	igd	igd	PROPN
ecj-13637	30	32	)	)	PUNCT
ecj-13637	30	33	.	.	PUNCT
ecj-13637	31	1	the	the	DET
ecj-13637	31	2	literature	literature	NOUN
ecj-13637	31	3	extensively	extensively	ADV
ecj-13637	31	4	documents	document	VERB
ecj-13637	31	5	the	the	DET
ecj-13637	31	6	intricate	intricate	ADJ
ecj-13637	31	7	relationship	relationship	NOUN
ecj-13637	31	8	between	between	ADP
ecj-13637	31	9	hikikomori	hikikomori	PROPN
ecj-13637	31	10	and	and	CCONJ
ecj-13637	31	11	igd	igd	PROPN
ecj-13637	31	12	,	,	PUNCT
ecj-13637	31	13	with	with	ADP
ecj-13637	31	14	researchers	researcher	NOUN
ecj-13637	31	15	highlighting	highlight	VERB
ecj-13637	31	16	a	a	DET
ecj-13637	31	17	potential	potential	ADJ
ecj-13637	31	18	bidirectional	bidirectional	ADJ
ecj-13637	31	19	influence.8	influence.8	PROPN
ecj-13637	31	20	internet	internet	NOUN
ecj-13637	31	21	,	,	PUNCT
ecj-13637	31	22	video	video	NOUN
ecj-13637	31	23	games	game	NOUN
ecj-13637	31	24	,	,	PUNCT
ecj-13637	31	25	and	and	CCONJ
ecj-13637	31	26	social	social	ADJ
ecj-13637	31	27	networks	network	NOUN
ecj-13637	31	28	do	do	AUX
ecj-13637	31	29	not	not	PART
ecj-13637	31	30	appear	appear	VERB
ecj-13637	31	31	to	to	PART
ecj-13637	31	32	be	be	AUX
ecj-13637	31	33	the	the	DET
ecj-13637	31	34	cause	cause	NOUN
ecj-13637	31	35	of	of	ADP
ecj-13637	31	36	this	this	DET
ecj-13637	31	37	withdrawal	withdrawal	NOUN
ecj-13637	31	38	;	;	PUNCT
ecj-13637	31	39	however	however	ADV
ecj-13637	31	40	,	,	PUNCT
ecj-13637	31	41	without	without	ADP
ecj-13637	31	42	them	they	PRON
ecj-13637	31	43	,	,	PUNCT
ecj-13637	31	44	this	this	DET
ecj-13637	31	45	phenomenon	phenomenon	NOUN
ecj-13637	31	46	probably	probably	ADV
ecj-13637	31	47	would	would	AUX
ecj-13637	31	48	not	not	PART
ecj-13637	31	49	exist	exist	VERB
ecj-13637	31	50	.	.	PUNCT
ecj-13637	32	1	the	the	DET
ecj-13637	32	2	sars	sar	NOUN
ecj-13637	32	3	-	-	PUNCT
ecj-13637	32	4	cov-2	cov-2	NOUN
ecj-13637	32	5	pandemic	pandemic	NOUN
ecj-13637	32	6	has	have	AUX
ecj-13637	32	7	precipitated	precipitate	VERB
ecj-13637	32	8	a	a	DET
ecj-13637	32	9	significant	significant	ADJ
ecj-13637	32	10	upheaval	upheaval	NOUN
ecj-13637	32	11	in	in	ADP
ecj-13637	32	12	people	people	NOUN
ecj-13637	32	13	’s	’s	PART
ecj-13637	32	14	daily	daily	ADJ
ecj-13637	32	15	routines	routine	NOUN
ecj-13637	32	16	,	,	PUNCT
ecj-13637	32	17	dismantling	dismantle	VERB
ecj-13637	32	18	traditional	traditional	ADJ
ecj-13637	32	19	social	social	ADJ
ecj-13637	32	20	structures	structure	NOUN
ecj-13637	32	21	and	and	CCONJ
ecj-13637	32	22	necessitating	necessitate	VERB
ecj-13637	32	23	a	a	DET
ecj-13637	32	24	reconfiguration	reconfiguration	NOUN
ecj-13637	32	25	of	of	ADP
ecj-13637	32	26	interpersonal	interpersonal	ADJ
ecj-13637	32	27	relationships	relationship	NOUN
ecj-13637	32	28	.	.	PUNCT
ecj-13637	33	1	the	the	DET
ecj-13637	33	2	enforced	enforce	VERB
ecj-13637	33	3	social	social	ADJ
ecj-13637	33	4	distancing	distancing	NOUN
ecj-13637	33	5	during	during	ADP
ecj-13637	33	6	the	the	DET
ecj-13637	33	7	pandemic	pandemic	NOUN
ecj-13637	33	8	may	may	AUX
ecj-13637	33	9	have	have	AUX
ecj-13637	33	10	inadvertently	inadvertently	ADV
ecj-13637	33	11	created	create	VERB
ecj-13637	33	12	a	a	DET
ecj-13637	33	13	situation	situation	NOUN
ecj-13637	33	14	where	where	SCONJ
ecj-13637	33	15	the	the	DET
ecj-13637	33	16	subsequent	subsequent	ADJ
ecj-13637	33	17	resumption	resumption	NOUN
ecj-13637	33	18	of	of	ADP
ecj-13637	33	19	social	social	ADJ
ecj-13637	33	20	interactions	interaction	NOUN
ecj-13637	33	21	has	have	AUX
ecj-13637	33	22	led	lead	VERB
ecj-13637	33	23	to	to	ADP
ecj-13637	33	24	a	a	DET
ecj-13637	33	25	heightened	heightened	ADJ
ecj-13637	33	26	sense	sense	NOUN
ecj-13637	33	27	of	of	ADP
ecj-13637	33	28	social	social	ADJ
ecj-13637	33	29	anxiety	anxiety	NOUN
ecj-13637	33	30	and	and	CCONJ
ecj-13637	33	31	pressure	pressure	NOUN
ecj-13637	33	32	.	.	PUNCT
ecj-13637	34	1	it	it	PRON
ecj-13637	34	2	is	be	AUX
ecj-13637	34	3	noteworthy	noteworthy	ADJ
ecj-13637	34	4	that	that	SCONJ
ecj-13637	34	5	individuals	individual	NOUN
ecj-13637	34	6	with	with	ADP
ecj-13637	34	7	autism	autism	NOUN
ecj-13637	34	8	spectrum	spectrum	NOUN
ecj-13637	34	9	disorder	disorder	NOUN
ecj-13637	34	10	(	(	PUNCT
ecj-13637	34	11	asd	asd	NOUN
ecj-13637	34	12	)	)	PUNCT
ecj-13637	34	13	,	,	PUNCT
ecj-13637	34	14	characterized	characterize	VERB
ecj-13637	34	15	by	by	ADP
ecj-13637	34	16	challenges	challenge	NOUN
ecj-13637	34	17	in	in	ADP
ecj-13637	34	18	communication	communication	NOUN
ecj-13637	34	19	and	and	CCONJ
ecj-13637	34	20	social	social	ADJ
ecj-13637	34	21	interaction	interaction	NOUN
ecj-13637	34	22	,	,	PUNCT
ecj-13637	34	23	constitute	constitute	VERB
ecj-13637	34	24	a	a	DET
ecj-13637	34	25	population	population	NOUN
ecj-13637	34	26	at	at	ADP
ecj-13637	34	27	heightened	heighten	VERB
ecj-13637	34	28	risk	risk	NOUN
ecj-13637	34	29	of	of	ADP
ecj-13637	34	30	social	social	ADJ
ecj-13637	34	31	isolation	isolation	NOUN
ecj-13637	34	32	.	.	PUNCT
ecj-13637	35	1	however	however	ADV
ecj-13637	35	2	,	,	PUNCT
ecj-13637	35	3	research	research	NOUN
ecj-13637	35	4	investigating	investigate	VERB
ecj-13637	35	5	the	the	DET
ecj-13637	35	6	overlap	overlap	NOUN
ecj-13637	35	7	between	between	ADP
ecj-13637	35	8	hikikomori	hikikomori	PROPN
ecj-13637	35	9	and	and	CCONJ
ecj-13637	35	10	asd	asd	NOUN
ecj-13637	35	11	remains	remain	VERB
ecj-13637	35	12	limited	limited	ADJ
ecj-13637	35	13	.	.	PUNCT
ecj-13637	36	1	studies	study	NOUN
ecj-13637	36	2	have	have	AUX
ecj-13637	36	3	indicated	indicate	VERB
ecj-13637	36	4	that	that	SCONJ
ecj-13637	36	5	hikikomori	hikikomori	PROPN
ecj-13637	36	6	may	may	AUX
ecj-13637	36	7	co	co	VERB
ecj-13637	36	8	-	-	VERB
ecj-13637	36	9	occur	occur	VERB
ecj-13637	36	10	in	in	ADP
ecj-13637	36	11	approximately	approximately	ADV
ecj-13637	36	12	one	one	NUM
ecj-13637	36	13	-	-	PUNCT
ecj-13637	36	14	third	third	NOUN
ecj-13637	36	15	of	of	ADP
ecj-13637	36	16	individuals	individual	NOUN
ecj-13637	36	17	diagnosed	diagnose	VERB
ecj-13637	36	18	with	with	ADP
ecj-13637	36	19	asd.9	asd.9	PROPN
ecj-13637	36	20	according	accord	VERB
ecj-13637	36	21	to	to	ADP
ecj-13637	36	22	hayakawa	hayakawa	PROPN
ecj-13637	36	23	et	et	PROPN
ecj-13637	36	24	al	al	PROPN
ecj-13637	36	25	.	.	PROPN
ecj-13637	36	26	,	,	PUNCT
ecj-13637	36	27	individuals	individual	NOUN
ecj-13637	36	28	with	with	ADP
ecj-13637	36	29	hikikomori	hikikomori	PROPN
ecj-13637	36	30	exhibited	exhibit	VERB
ecj-13637	36	31	significantly	significantly	ADV
ecj-13637	36	32	higher	high	ADJ
ecj-13637	36	33	avoidant	avoidant	ADJ
ecj-13637	36	34	personality	personality	NOUN
ecj-13637	36	35	scores	score	NOUN
ecj-13637	36	36	in	in	ADP
ecj-13637	36	37	both	both	DET
ecj-13637	36	38	sexes.10	sexes.10	NOUN
ecj-13637	36	39	a	a	DET
ecj-13637	36	40	recent	recent	ADJ
ecj-13637	36	41	study	study	NOUN
ecj-13637	36	42	by	by	ADP
ecj-13637	36	43	setoyama	setoyama	PROPN
ecj-13637	36	44	et	et	PROPN
ecj-13637	36	45	al	al	PROPN
ecj-13637	36	46	.	.	PROPN
ecj-13637	36	47	,	,	PUNCT
ecj-13637	36	48	involving	involve	VERB
ecj-13637	36	49	42	42	NUM
ecj-13637	36	50	drug	drug	NOUN
ecj-13637	36	51	-	-	PUNCT
ecj-13637	36	52	free	free	ADJ
ecj-13637	36	53	individuals	individual	NOUN
ecj-13637	36	54	with	with	ADP
ecj-13637	36	55	hikikomori	hikikomori	PROPN
ecj-13637	36	56	and	and	CCONJ
ecj-13637	36	57	a	a	DET
ecj-13637	36	58	healthy	healthy	ADJ
ecj-13637	36	59	control	control	NOUN
ecj-13637	36	60	group	group	NOUN
ecj-13637	36	61	,	,	PUNCT
ecj-13637	36	62	reported	report	VERB
ecj-13637	36	63	significantly	significantly	ADV
ecj-13637	36	64	elevated	elevated	ADJ
ecj-13637	36	65	levels	level	NOUN
ecj-13637	36	66	of	of	ADP
ecj-13637	36	67	long	long	ADJ
ecj-13637	36	68	-	-	PUNCT
ecj-13637	36	69	chain	chain	NOUN
ecj-13637	36	70	acylcarnitines	acylcarnitine	NOUN
ecj-13637	36	71	in	in	ADP
ecj-13637	36	72	the	the	DET
ecj-13637	36	73	hikikomori	hikikomori	PROPN
ecj-13637	36	74	cohort	cohort	NOUN
ecj-13637	36	75	.	.	PUNCT
ecj-13637	37	1	this	this	DET
ecj-13637	37	2	finding	finding	NOUN
ecj-13637	37	3	is	be	AUX
ecj-13637	37	4	of	of	ADP
ecj-13637	37	5	particular	particular	ADJ
ecj-13637	37	6	interest	interest	NOUN
ecj-13637	37	7	given	give	VERB
ecj-13637	37	8	that	that	DET
ecj-13637	37	9	acylcarnitines	acylcarnitine	NOUN
ecj-13637	37	10	,	,	PUNCT
ecj-13637	37	11	crucial	crucial	ADJ
ecj-13637	37	12	substrates	substrate	NOUN
ecj-13637	37	13	for	for	ADP
ecj-13637	37	14	mitochondrial	mitochondrial	ADJ
ecj-13637	37	15	beta	beta	NOUN
ecj-13637	37	16	-	-	PUNCT
ecj-13637	37	17	oxidation	oxidation	NOUN
ecj-13637	37	18	,	,	PUNCT
ecj-13637	37	19	play	play	VERB
ecj-13637	37	20	a	a	DET
ecj-13637	37	21	vital	vital	ADJ
ecj-13637	37	22	role	role	NOUN
ecj-13637	37	23	in	in	ADP
ecj-13637	37	24	providing	provide	VERB
ecj-13637	37	25	energy	energy	NOUN
ecj-13637	37	26	to	to	ADP
ecj-13637	37	27	the	the	DET
ecj-13637	37	28	brain.11	brain.11	ADJ
ecj-13637	37	29	therapeutic	therapeutic	ADJ
ecj-13637	37	30	interventions	intervention	NOUN
ecj-13637	37	31	for	for	ADP
ecj-13637	37	32	hikikomori	hikikomori	PROPN
ecj-13637	37	33	typically	typically	ADV
ecj-13637	37	34	involve	involve	VERB
ecj-13637	37	35	psychotherapeutic	psychotherapeutic	ADJ
ecj-13637	37	36	approaches	approach	NOUN
ecj-13637	37	37	.	.	PUNCT
ecj-13637	38	1	however	however	ADV
ecj-13637	38	2	,	,	PUNCT
ecj-13637	38	3	a	a	DET
ecj-13637	38	4	multidisciplinary	multidisciplinary	ADJ
ecj-13637	38	5	treatment	treatment	NOUN
ecj-13637	38	6	plan	plan	NOUN
ecj-13637	38	7	,	,	PUNCT
ecj-13637	38	8	implemented	implement	VERB
ecj-13637	38	9	by	by	ADP
ecj-13637	38	10	a	a	DET
ecj-13637	38	11	team	team	NOUN
ecj-13637	38	12	comprising	comprise	VERB
ecj-13637	38	13	psychiatrists	psychiatrist	NOUN
ecj-13637	38	14	,	,	PUNCT
ecj-13637	38	15	psychologists	psychologist	NOUN
ecj-13637	38	16	,	,	PUNCT
ecj-13637	38	17	nurses	nurse	NOUN
ecj-13637	38	18	,	,	PUNCT
ecj-13637	38	19	and	and	CCONJ
ecj-13637	38	20	occupational	occupational	ADJ
ecj-13637	38	21	therapists	therapist	NOUN
ecj-13637	38	22	,	,	PUNCT
ecj-13637	38	23	may	may	AUX
ecj-13637	38	24	yield	yield	VERB
ecj-13637	38	25	more	more	ADV
ecj-13637	38	26	favorable	favorable	ADJ
ecj-13637	38	27	outcomes.1	outcomes.1	NOUN
ecj-13637	38	28	given	give	VERB
ecj-13637	38	29	that	that	SCONJ
ecj-13637	38	30	individuals	individual	NOUN
ecj-13637	38	31	with	with	ADP
ecj-13637	38	32	hikikomori	hikikomori	PROPN
ecj-13637	38	33	primarily	primarily	ADV
ecj-13637	38	34	withdraw	withdraw	VERB
ecj-13637	38	35	within	within	ADP
ecj-13637	38	36	their	their	PRON
ecj-13637	38	37	homes	home	NOUN
ecj-13637	38	38	,	,	PUNCT
ecj-13637	38	39	treatment	treatment	NOUN
ecj-13637	38	40	strategies	strategy	NOUN
ecj-13637	38	41	must	must	AUX
ecj-13637	38	42	prioritize	prioritize	VERB
ecj-13637	38	43	family	family	NOUN
ecj-13637	38	44	involvement	involvement	NOUN
ecj-13637	38	45	as	as	ADP
ecj-13637	38	46	a	a	DET
ecj-13637	38	47	crucial	crucial	ADJ
ecj-13637	38	48	intermediary	intermediary	NOUN
ecj-13637	38	49	between	between	ADP
ecj-13637	38	50	the	the	DET
ecj-13637	38	51	individual	individual	NOUN
ecj-13637	38	52	and	and	CCONJ
ecj-13637	38	53	society	society	NOUN
ecj-13637	38	54	.	.	PUNCT
ecj-13637	39	1	home	home	NOUN
ecj-13637	39	2	visits	visit	NOUN
ecj-13637	39	3	are	be	AUX
ecj-13637	39	4	considered	consider	VERB
ecj-13637	39	5	essential	essential	ADJ
ecj-13637	39	6	for	for	ADP
ecj-13637	39	7	accurate	accurate	ADJ
ecj-13637	39	8	assessment	assessment	NOUN
ecj-13637	39	9	,	,	PUNCT
ecj-13637	39	10	evaluation	evaluation	NOUN
ecj-13637	39	11	,	,	PUNCT
ecj-13637	39	12	and	and	CCONJ
ecj-13637	39	13	the	the	DET
ecj-13637	39	14	initiation	initiation	NOUN
ecj-13637	39	15	of	of	ADP
ecj-13637	39	16	therapeutic	therapeutic	ADJ
ecj-13637	39	17	interventions	intervention	NOUN
ecj-13637	39	18	.	.	PUNCT
ecj-13637	40	1	while	while	SCONJ
ecj-13637	40	2	psychoanalysis	psychoanalysis	NOUN
ecj-13637	40	3	and	and	CCONJ
ecj-13637	40	4	psychodynamic	psychodynamic	ADJ
ecj-13637	40	5	therapies	therapy	NOUN
ecj-13637	40	6	,	,	PUNCT
ecj-13637	40	7	both	both	CCONJ
ecj-13637	40	8	individual	individual	ADJ
ecj-13637	40	9	and	and	CCONJ
ecj-13637	40	10	group	group	NOUN
ecj-13637	40	11	-	-	PUNCT
ecj-13637	40	12	based	base	VERB
ecj-13637	40	13	,	,	PUNCT
ecj-13637	40	14	have	have	AUX
ecj-13637	40	15	demonstrated	demonstrate	VERB
ecj-13637	40	16	efficacy	efficacy	NOUN
ecj-13637	40	17	within	within	ADP
ecj-13637	40	18	a	a	DET
ecj-13637	40	19	comprehensive	comprehensive	ADJ
ecj-13637	40	20	treatment	treatment	NOUN
ecj-13637	40	21	framework	framework	NOUN
ecj-13637	40	22	,	,	PUNCT
ecj-13637	40	23	other	other	ADJ
ecj-13637	40	24	therapeutic	therapeutic	ADJ
ecj-13637	40	25	modalities	modality	NOUN
ecj-13637	40	26	,	,	PUNCT
ecj-13637	40	27	including	include	VERB
ecj-13637	40	28	animal	animal	NOUN
ecj-13637	40	29	-	-	PUNCT
ecj-13637	40	30	assisted	assist	VERB
ecj-13637	40	31	therapy	therapy	NOUN
ecj-13637	40	32	,	,	PUNCT
ecj-13637	40	33	interventions	intervention	NOUN
ecj-13637	40	34	utilizing	utilize	VERB
ecj-13637	40	35	robot	robot	NOUN
ecj-13637	40	36	pets	pet	NOUN
ecj-13637	40	37	and	and	CCONJ
ecj-13637	40	38	communication	communication	NOUN
ecj-13637	40	39	-	-	PUNCT
ecj-13637	40	40	assisting	assist	VERB
ecj-13637	40	41	robots	robot	NOUN
ecj-13637	40	42	,	,	PUNCT
ecj-13637	40	43	physical	physical	ADJ
ecj-13637	40	44	activity	activity	NOUN
ecj-13637	40	45	programs	program	NOUN
ecj-13637	40	46	,	,	PUNCT
ecj-13637	40	47	and	and	CCONJ
ecj-13637	40	48	even	even	ADV
ecj-13637	40	49	video	video	NOUN
ecj-13637	40	50	games	game	NOUN
ecj-13637	40	51	,	,	PUNCT
ecj-13637	40	52	have	have	AUX
ecj-13637	40	53	been	be	AUX
ecj-13637	40	54	explored	explore	VERB
ecj-13637	40	55	as	as	ADP
ecj-13637	40	56	potential	potential	ADJ
ecj-13637	40	57	supplementary	supplementary	ADJ
ecj-13637	40	58	approaches.2	approaches.2	ADJ
ecj-13637	40	59	pharmacological	pharmacological	NOUN
ecj-13637	40	60	interventions	intervention	NOUN
ecj-13637	40	61	,	,	PUNCT
ecj-13637	40	62	such	such	ADJ
ecj-13637	40	63	as	as	ADP
ecj-13637	40	64	the	the	DET
ecj-13637	40	65	use	use	NOUN
ecj-13637	40	66	of	of	ADP
ecj-13637	40	67	antipsychotic	antipsychotic	ADJ
ecj-13637	40	68	or	or	CCONJ
ecj-13637	40	69	antidepressant	antidepressant	ADJ
ecj-13637	40	70	medications	medication	NOUN
ecj-13637	40	71	,	,	PUNCT
ecj-13637	40	72	are	be	AUX
ecj-13637	40	73	typically	typically	ADV
ecj-13637	40	74	reserved	reserve	VERB
ecj-13637	40	75	for	for	ADP
ecj-13637	40	76	cases	case	NOUN
ecj-13637	40	77	of	of	ADP
ecj-13637	40	78	severe	severe	ADJ
ecj-13637	40	79	secondary	secondary	ADJ
ecj-13637	40	80	hikikomori.4	hikikomori.4	PROPN
ecj-13637	40	81	as	as	SCONJ
ecj-13637	40	82	the	the	DET
ecj-13637	40	83	phenomenon	phenomenon	NOUN
ecj-13637	40	84	has	have	AUX
ecj-13637	40	85	spread	spread	VERB
ecj-13637	40	86	,	,	PUNCT
ecj-13637	40	87	there	there	PRON
ecj-13637	40	88	has	have	AUX
ecj-13637	40	89	been	be	AUX
ecj-13637	40	90	a	a	DET
ecj-13637	40	91	corresponding	corresponding	ADJ
ecj-13637	40	92	increase	increase	NOUN
ecj-13637	40	93	in	in	ADP
ecj-13637	40	94	interest	interest	NOUN
ecj-13637	40	95	in	in	ADP
ecj-13637	40	96	hikikomori	hikikomori	PROPN
ecj-13637	40	97	in	in	ADP
ecj-13637	40	98	recent	recent	ADJ
ecj-13637	40	99	years	year	NOUN
ecj-13637	40	100	.	.	PUNCT
ecj-13637	41	1	while	while	SCONJ
ecj-13637	41	2	the	the	DET
ecj-13637	41	3	pandemic	pandemic	NOUN
ecj-13637	41	4	has	have	AUX
ecj-13637	41	5	had	have	VERB
ecj-13637	41	6	a	a	DET
ecj-13637	41	7	negative	negative	ADJ
ecj-13637	41	8	global	global	ADJ
ecj-13637	41	9	impact	impact	NOUN
ecj-13637	41	10	,	,	PUNCT
ecj-13637	42	1	wong	wong	PROPN
ecj-13637	42	2	et	et	PROPN
ecj-13637	42	3	al	al	PROPN
ecj-13637	42	4	.	.	PROPN
ecj-13637	42	5	suggest	suggest	VERB
ecj-13637	42	6	that	that	SCONJ
ecj-13637	42	7	the	the	DET
ecj-13637	42	8	lockdown	lockdown	NOUN
ecj-13637	42	9	may	may	AUX
ecj-13637	42	10	have	have	AUX
ecj-13637	42	11	inadvertently	inadvertently	ADV
ecj-13637	42	12	provided	provide	VERB
ecj-13637	42	13	a	a	DET
ecj-13637	42	14	unique	unique	ADJ
ecj-13637	42	15	opportunity	opportunity	NOUN
ecj-13637	42	16	for	for	SCONJ
ecj-13637	42	17	the	the	DET
ecj-13637	42	18	general	general	ADJ
ecj-13637	42	19	population	population	NOUN
ecj-13637	42	20	to	to	PART
ecj-13637	42	21	gain	gain	VERB
ecj-13637	42	22	empathy	empathy	NOUN
ecj-13637	42	23	for	for	ADP
ecj-13637	42	24	this	this	DET
ecj-13637	42	25	condition	condition	NOUN
ecj-13637	42	26	by	by	ADP
ecj-13637	42	27	experiencing	experience	VERB
ecj-13637	42	28	similar	similar	ADJ
ecj-13637	42	29	feelings	feeling	NOUN
ecj-13637	42	30	of	of	ADP
ecj-13637	42	31	uncertainty	uncertainty	NOUN
ecj-13637	42	32	,	,	PUNCT
ecj-13637	42	33	social	social	ADJ
ecj-13637	42	34	anxiety	anxiety	NOUN
ecj-13637	42	35	,	,	PUNCT
ecj-13637	42	36	and	and	CCONJ
ecj-13637	42	37	isolation	isolation	NOUN
ecj-13637	42	38	.	.	PUNCT
ecj-13637	43	1	references	reference	NOUN
ecj-13637	43	2	1	1	NUM
ecj-13637	43	3	.	.	PUNCT
ecj-13637	43	4	figueiredo	figueiredo	PROPN
ecj-13637	44	1	i	i	PRON
ecj-13637	44	2	m.	m.	PROPN
ecj-13637	44	3	hikikomori	hikikomori	PROPN
ecj-13637	44	4	syndrome	syndrome	PROPN
ecj-13637	44	5	:	:	PUNCT
ecj-13637	44	6	a	a	DET
ecj-13637	44	7	cultural	cultural	ADJ
ecj-13637	44	8	phenomenon	phenomenon	NOUN
ecj-13637	44	9	not	not	PART
ecj-13637	44	10	only	only	ADV
ecj-13637	44	11	limited	limit	VERB
ecj-13637	44	12	to	to	ADP
ecj-13637	44	13	japan	japan	PROPN
ecj-13637	44	14	.	.	PUNCT
ecj-13637	45	1	int	int	PROPN
ecj-13637	45	2	j	j	PROPN
ecj-13637	45	3	soc	soc	NOUN
ecj-13637	45	4	psychiatr	psychiatr	NOUN
ecj-13637	45	5	2023;70:626	2023;70:626	NUM
ecj-13637	45	6	-	-	SYM
ecj-13637	45	7	7	7	NUM
ecj-13637	45	8	.	.	NOUN
ecj-13637	45	9	2	2	NUM
ecj-13637	45	10	.	.	X
ecj-13637	45	11	dong	dong	PROPN
ecj-13637	45	12	b	b	PROPN
ecj-13637	45	13	,	,	PUNCT
ecj-13637	45	14	li	li	PROPN
ecj-13637	45	15	d	d	PROPN
ecj-13637	45	16	,	,	PUNCT
ecj-13637	45	17	baker	baker	PROPN
ecj-13637	45	18	gb	gb	PROPN
ecj-13637	45	19	.	.	PUNCT
ecj-13637	46	1	hikikomori	hikikomori	PROPN
ecj-13637	46	2	:	:	PUNCT
ecj-13637	46	3	a	a	DET
ecj-13637	46	4	society	society	NOUN
ecj-13637	46	5	-	-	PUNCT
ecj-13637	46	6	bound	bind	VERB
ecj-13637	46	7	syndrome	syndrome	NOUN
ecj-13637	46	8	of	of	ADP
ecj-13637	46	9	severe	severe	ADJ
ecj-13637	46	10	social	social	ADJ
ecj-13637	46	11	withdrawal	withdrawal	NOUN
ecj-13637	46	12	.	.	PUNCT
ecj-13637	47	1	psychiatry	psychiatry	PROPN
ecj-13637	47	2	clin	clin	PROPN
ecj-13637	47	3	psychopharmacol	psychopharmacol	PROPN
ecj-13637	47	4	2022;32:167	2022;32:167	PROPN
ecj-13637	47	5	-	-	PUNCT
ecj-13637	47	6	73	73	NUM
ecj-13637	47	7	.	.	PUNCT
ecj-13637	48	1	3	3	X
ecj-13637	48	2	.	.	X
ecj-13637	48	3	kato	kato	PROPN
ecj-13637	48	4	ta	ta	PROPN
ecj-13637	48	5	,	,	PUNCT
ecj-13637	48	6	kanba	kanba	PROPN
ecj-13637	48	7	s	s	PROPN
ecj-13637	48	8	,	,	PUNCT
ecj-13637	48	9	teo	teo	PROPN
ecj-13637	48	10	ar	ar	PROPN
ecj-13637	48	11	.	.	PROPN
ecj-13637	48	12	hikikomori	hikikomori	PROPN
ecj-13637	48	13	 	 	SPACE
ecj-13637	48	14	:	:	PUNCT
ecj-13637	48	15	multidimensional	multidimensional	ADJ
ecj-13637	48	16	understanding	understanding	NOUN
ecj-13637	48	17	,	,	PUNCT
ecj-13637	48	18	assessment	assessment	NOUN
ecj-13637	48	19	,	,	PUNCT
ecj-13637	48	20	and	and	CCONJ
ecj-13637	48	21	future	future	ADJ
ecj-13637	48	22	international	international	ADJ
ecj-13637	48	23	perspectives	perspective	NOUN
ecj-13637	48	24	.	.	PUNCT
ecj-13637	49	1	psychiatry	psychiatry	PROPN
ecj-13637	49	2	clin	clin	PROPN
ecj-13637	49	3	neurosci	neurosci	PROPN
ecj-13637	49	4	2019;73:427	2019;73:427	PROPN
ecj-13637	49	5	-	-	SYM
ecj-13637	49	6	40	40	NUM
ecj-13637	49	7	.	.	PUNCT
ecj-13637	49	8	4	4	X
ecj-13637	49	9	.	.	X
ecj-13637	49	10	dell’osso	dell’osso	PROPN
ecj-13637	49	11	l	l	NOUN
ecj-13637	49	12	,	,	PUNCT
ecj-13637	49	13	amatori	amatori	X
ecj-13637	49	14	g	g	PROPN
ecj-13637	49	15	,	,	PUNCT
ecj-13637	49	16	muti	muti	PROPN
ecj-13637	49	17	d	d	PROPN
ecj-13637	49	18	,	,	PUNCT
ecj-13637	49	19	et	et	PROPN
ecj-13637	49	20	al	al	PROPN
ecj-13637	49	21	.	.	PROPN
ecj-13637	50	1	autism	autism	PROPN
ecj-13637	50	2	spectrum	spectrum	PROPN
ecj-13637	50	3	,	,	PUNCT
ecj-13637	50	4	hikikomori	hikikomori	PROPN
ecj-13637	50	5	syndrome	syndrome	PROPN
ecj-13637	50	6	and	and	CCONJ
ecj-13637	50	7	internet	internet	NOUN
ecj-13637	50	8	gaming	gaming	NOUN
ecj-13637	50	9	disorder	disorder	NOUN
ecj-13637	50	10	:	:	PUNCT
ecj-13637	50	11	is	be	AUX
ecj-13637	50	12	there	there	PRON
ecj-13637	50	13	a	a	DET
ecj-13637	50	14	link	link	NOUN
ecj-13637	50	15	?	?	PUNCT
ecj-13637	51	1	brain	brain	NOUN
ecj-13637	51	2	sci	sci	PROPN
ecj-13637	51	3	2023;13:1116	2023;13:1116	NUM
ecj-13637	51	4	.	.	PROPN
ecj-13637	52	1	5	5	NUM
ecj-13637	52	2	.	.	X
ecj-13637	52	3	lo	lo	PROPN
ecj-13637	52	4	tw	tw	PROPN
ecj-13637	52	5	,	,	PUNCT
ecj-13637	52	6	wong	wong	PROPN
ecj-13637	52	7	jcm	jcm	PROPN
ecj-13637	52	8	,	,	PUNCT
ecj-13637	52	9	chan	chan	PROPN
ecj-13637	52	10	gh	gh	PROPN
ecj-13637	52	11	,	,	PUNCT
ecj-13637	53	1	kato	kato	PROPN
ecj-13637	53	2	ta	ta	PROPN
ecj-13637	53	3	.	.	PUNCT
ecj-13637	53	4	editorial	editorial	PROPN
ecj-13637	53	5	:	:	PUNCT
ecj-13637	54	1	hikikomori	hikikomori	PROPN
ecj-13637	54	2	:	:	PUNCT
ecj-13637	54	3	an	an	DET
ecj-13637	54	4	international	international	ADJ
ecj-13637	54	5	perspective	perspective	NOUN
ecj-13637	54	6	on	on	ADP
ecj-13637	54	7	assessment	assessment	NOUN
ecj-13637	54	8	,	,	PUNCT
ecj-13637	54	9	treatment	treatment	NOUN
ecj-13637	54	10	,	,	PUNCT
ecj-13637	54	11	and	and	CCONJ
ecj-13637	54	12	community	community	NOUN
ecj-13637	54	13	intervention	intervention	NOUN
ecj-13637	54	14	.	.	PUNCT
ecj-13637	55	1	front	front	ADJ
ecj-13637	55	2	psychiatry	psychiatry	NOUN
ecj-13637	55	3	2023;14:1297898	2023;14:1297898	NUM
ecj-13637	55	4	.	.	PROPN
ecj-13637	56	1	6	6	NUM
ecj-13637	56	2	.	.	PUNCT
ecj-13637	56	3	neoh	neoh	PROPN
ecj-13637	56	4	mjy	mjy	PROPN
ecj-13637	56	5	,	,	PUNCT
ecj-13637	56	6	carollo	carollo	ADV
ecj-13637	56	7	a	a	ADV
ecj-13637	56	8	,	,	PUNCT
ecj-13637	56	9	lim	lim	PROPN
ecj-13637	56	10	m	m	PROPN
ecj-13637	56	11	,	,	PUNCT
ecj-13637	56	12	esposito	esposito	PROPN
ecj-13637	56	13	g.	g.	PROPN
ecj-13637	56	14	hikikomori	hikikomori	PROPN
ecj-13637	56	15	:	:	PUNCT
ecj-13637	56	16	a	a	DET
ecj-13637	56	17	scientometric	scientometric	ADJ
ecj-13637	56	18	review	review	NOUN
ecj-13637	56	19	of	of	ADP
ecj-13637	56	20	20	20	NUM
ecj-13637	56	21	years	year	NOUN
ecj-13637	56	22	of	of	ADP
ecj-13637	56	23	research	research	NOUN
ecj-13637	56	24	.	.	PUNCT
ecj-13637	57	1	int	int	PROPN
ecj-13637	58	1	j	j	PROPN
ecj-13637	58	2	environ	environ	PROPN
ecj-13637	58	3	res	res	PROPN
ecj-13637	58	4	public	public	ADJ
ecj-13637	58	5	health	health	NOUN
ecj-13637	58	6	2023;20:5657	2023;20:5657	NUM
ecj-13637	58	7	.	.	PUNCT
ecj-13637	59	1	7	7	X
ecj-13637	59	2	.	.	X
ecj-13637	59	3	association	association	PROPN
ecj-13637	59	4	american	american	PROPN
ecj-13637	59	5	psychiatric	psychiatric	PROPN
ecj-13637	59	6	diagnostic	diagnostic	ADJ
ecj-13637	59	7	and	and	CCONJ
ecj-13637	59	8	statistical	statistical	ADJ
ecj-13637	59	9	manual	manual	NOUN
ecj-13637	59	10	of	of	ADP
ecj-13637	59	11	mental	mental	ADJ
ecj-13637	59	12	disorders	disorder	NOUN
ecj-13637	59	13	,	,	PUNCT
ecj-13637	59	14	text	text	NOUN
ecj-13637	59	15	revision	revision	NOUN
ecj-13637	59	16	(	(	PUNCT
ecj-13637	59	17	dsm5	dsm5	PROPN
ecj-13637	59	18	-	-	PUNCT
ecj-13637	59	19	tr	tr	VERB
ecj-13637	59	20	)	)	PUNCT
ecj-13637	59	21	;	;	PUNCT
ecj-13637	59	22	2022	2022	NUM
ecj-13637	59	23	.	.	PUNCT
ecj-13637	60	1	8	8	X
ecj-13637	60	2	.	.	PUNCT
ecj-13637	61	1	kato	kato	PROPN
ecj-13637	61	2	ta	ta	PROPN
ecj-13637	61	3	,	,	PUNCT
ecj-13637	61	4	shinfuku	shinfuku	PROPN
ecj-13637	61	5	n	n	CCONJ
ecj-13637	61	6	,	,	PUNCT
ecj-13637	61	7	tateno	tateno	PROPN
ecj-13637	61	8	m.	m.	NOUN
ecj-13637	61	9	internet	internet	NOUN
ecj-13637	61	10	society	society	NOUN
ecj-13637	61	11	,	,	PUNCT
ecj-13637	61	12	internet	internet	NOUN
ecj-13637	61	13	addiction	addiction	NOUN
ecj-13637	61	14	,	,	PUNCT
ecj-13637	61	15	and	and	CCONJ
ecj-13637	61	16	pathological	pathological	ADJ
ecj-13637	61	17	social	social	ADJ
ecj-13637	61	18	withdrawal	withdrawal	NOUN
ecj-13637	61	19	:	:	PUNCT
ecj-13637	61	20	the	the	DET
ecj-13637	61	21	chicken	chicken	NOUN
ecj-13637	61	22	and	and	CCONJ
ecj-13637	61	23	egg	egg	NOUN
ecj-13637	61	24	dilemma	dilemma	NOUN
ecj-13637	61	25	for	for	ADP
ecj-13637	61	26	internet	internet	NOUN
ecj-13637	61	27	addiction	addiction	NOUN
ecj-13637	61	28	and	and	CCONJ
ecj-13637	61	29	hikikomori	hikikomori	PROPN
ecj-13637	61	30	.	.	PUNCT
ecj-13637	62	1	curr	curr	PROPN
ecj-13637	62	2	opin	opin	NOUN
ecj-13637	62	3	psychiatry	psychiatry	NOUN
ecj-13637	62	4	2020;33:264	2020;33:264	NOUN
ecj-13637	62	5	-	-	SYM
ecj-13637	62	6	70	70	NUM
ecj-13637	62	7	.	.	PUNCT
ecj-13637	63	1	9	9	NUM
ecj-13637	63	2	.	.	X
ecj-13637	63	3	brosnan	brosnan	PROPN
ecj-13637	63	4	m	m	PROPN
ecj-13637	63	5	,	,	PUNCT
ecj-13637	63	6	gavin	gavin	PROPN
ecj-13637	63	7	j.	j.	PROPN
ecj-13637	64	1	the	the	DET
ecj-13637	64	2	impact	impact	NOUN
ecj-13637	64	3	of	of	ADP
ecj-13637	64	4	higher	high	ADJ
ecj-13637	64	5	levels	level	NOUN
ecj-13637	64	6	of	of	ADP
ecj-13637	64	7	autistic	autistic	ADJ
ecj-13637	64	8	traits	trait	NOUN
ecj-13637	64	9	on	on	ADP
ecj-13637	64	10	risk	risk	NOUN
ecj-13637	64	11	of	of	ADP
ecj-13637	64	12	hikikomori	hikikomori	PROPN
ecj-13637	64	13	(	(	PUNCT
ecj-13637	64	14	pathological	pathological	ADJ
ecj-13637	64	15	social	social	ADJ
ecj-13637	64	16	withdrawal	withdrawal	NOUN
ecj-13637	64	17	)	)	PUNCT
ecj-13637	64	18	in	in	ADP
ecj-13637	64	19	young	young	ADJ
ecj-13637	64	20	adults	adult	NOUN
ecj-13637	64	21	.	.	PUNCT
ecj-13637	65	1	plos	plos	PROPN
ecj-13637	65	2	one	one	NUM
ecj-13637	65	3	2023;18	2023;18	NUM
ecj-13637	65	4	:	:	PUNCT
ecj-13637	65	5	e0281833	e0281833	NOUN
ecj-13637	65	6	.	.	PROPN
ecj-13637	65	7	10	10	NUM
ecj-13637	65	8	.	.	PUNCT
ecj-13637	66	1	hayakawa	hayakawa	PROPN
ecj-13637	66	2	k	k	PROPN
ecj-13637	66	3	,	,	PUNCT
ecj-13637	66	4	kato	kato	PROPN
ecj-13637	66	5	ta	ta	PROPN
ecj-13637	66	6	,	,	PUNCT
ecj-13637	66	7	watabe	watabe	PROPN
ecj-13637	66	8	m	m	PROPN
ecj-13637	66	9	,	,	PUNCT
ecj-13637	66	10	et	et	PROPN
ecj-13637	66	11	al	al	PROPN
ecj-13637	66	12	.	.	PUNCT
ecj-13637	66	13	blood	blood	NOUN
ecj-13637	66	14	biomarkers	biomarker	NOUN
ecj-13637	66	15	of	of	ADP
ecj-13637	66	16	hikikomori	hikikomori	PROPN
ecj-13637	66	17	,	,	PUNCT
ecj-13637	66	18	a	a	DET
ecj-13637	66	19	severe	severe	ADJ
ecj-13637	66	20	social	social	ADJ
ecj-13637	66	21	withdrawal	withdrawal	NOUN
ecj-13637	66	22	syndrome	syndrome	NOUN
ecj-13637	66	23	.	.	PUNCT
ecj-13637	67	1	sci	sci	PROPN
ecj-13637	67	2	rep	rep	PROPN
ecj-13637	67	3	2018;8:2884	2018;8:2884	PROPN
ecj-13637	67	4	.	.	PUNCT
ecj-13637	68	1	11	11	NUM
ecj-13637	68	2	.	.	PUNCT
ecj-13637	69	1	setoyama	setoyama	PROPN
ecj-13637	69	2	d	d	PROPN
ecj-13637	69	3	,	,	PUNCT
ecj-13637	69	4	matsushima	matsushima	PROPN
ecj-13637	69	5	t	t	PROPN
ecj-13637	69	6	,	,	PUNCT
ecj-13637	69	7	hayakawa	hayakawa	PROPN
ecj-13637	69	8	k	k	PROPN
ecj-13637	69	9	,	,	PUNCT
ecj-13637	69	10	et	et	PROPN
ecj-13637	69	11	al	al	PROPN
ecj-13637	69	12	.	.	PUNCT
ecj-13637	69	13	blood	blood	NOUN
ecj-13637	69	14	metabolic	metabolic	NOUN
ecj-13637	69	15	signatures	signature	NOUN
ecj-13637	69	16	of	of	ADP
ecj-13637	69	17	hikikomori	hikikomori	PROPN
ecj-13637	69	18	,	,	PUNCT
ecj-13637	69	19	pathological	pathological	ADJ
ecj-13637	69	20	social	social	ADJ
ecj-13637	69	21	withdrawal	withdrawal	NOUN
ecj-13637	69	22	.	.	PUNCT
ecj-13637	70	1	dialogues	dialogue	NOUN
ecj-13637	70	2	clin	clin	PROPN
ecj-13637	70	3	neurosci	neurosci	PROPN
ecj-13637	70	4	2022;23:14	2022;23:14	PROPN
ecj-13637	70	5	-	-	PUNCT
ecj-13637	70	6	28	28	NUM
ecj-13637	70	7	.	.	PUNCT
ecj-13637	71	1	letter	letter	NOUN
ecj-13637	72	1	[	[	X
ecj-13637	72	2	emergency	emergency	NOUN
ecj-13637	72	3	care	care	NOUN
ecj-13637	72	4	journal	journal	NOUN
ecj-13637	72	5	2025	2025	NUM
ecj-13637	72	6	;	;	PUNCT
ecj-13637	72	7	21:13637	21:13637	NUM
ecj-13637	72	8	]	]	X
ecj-13637	73	1	[	[	X
ecj-13637	73	2	page	page	NOUN
ecj-13637	73	3	85	85	NUM
ecj-13637	73	4	]	]	PUNCT