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Males often isolate themselves from the social community in order to engage in online gaming while females use the internet as to not be excluded from their communications online.Mental health providers should be aware of the seriousness of internet addictions and hikikomori.Discussion: Internet technology has changed our daily lives dramatically and altered the way we communicate as well.As social media applications are becoming more popular, users are connected more tightly to the internet and their time spent with others in the real world continues to decrease.As the number of internet users increases, problematic internet use, or internet addiction, has been rising as well.

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It is notable that 68.4% of teenagers use SNSs, according to the MIAC survey (1).A lot of teens have their smartphones with them throughout the day due to smartphones having superb mobility and multifunction capability.They can connect to the internet anytime and anywhere.The results of the MIAC survey (n = 38,630) reported that 59.7% of users access the internet through a smartphone, while 52.5% of them use the internet via desktop and/or laptop computers (1).Dominance of the smartphone is more prominent in younger age groups compared to senior age groups.It has been controversial whether internet addiction is a clinical entity in psychiatry since Young’s proposal about two decades ago (5, 9–11).Internet addiction has not been listed as a psychiatric disorder in the DSM-5 in 2013 (12) nor the International Classification of Diseases (ICD)-11, which was released in June 2018 (13).The number of internet users in Japan has exceeded 100 million and continues to grow.Internet technology has changed our daily lives dramatically.In this study, we investigated the relationship of internet addiction, smartphone addiction, and the risk of hikikomori, severe social withdrawal, in Japanese young adult.Methods: The subjects were 478 college/university students in Japan.

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