The Characteristics and Social Functioning of Pathological Social Withdrawal, “Hikikomori,” in a Secondary Care Setting: A One-Year Cohort Study

The Characteristics and Social Functioning of Pathological Social Withdrawal, “Hikikomori,” in a Secondary Care Setting: A One-Year Cohort Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research article The Characteristics and Social Functioning of Pathological Social Withdrawal, “Hikikomori,” in a Secondary Care Setting: A One-Year Cohort Study Hissei Imai, Toko Takamatsu, Hideaki Mitsuya, Hajime Yoshizawa, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.2.17076/v2 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 06 Jul, 2020 Read the published version in BMC Psychiatry → Version 2 posted 9 You are reading this latest preprint version Show more versions Abstract Background: Pathological social withdrawal, named “Hikikomori,” is a Japanese culture-bound syndrome and a serious social problem in Japan. The number of Hikikomori cases in Japan was estimated at about 563,000 in 2016 according to governmental surveys. However, no studies have reported how many Hikikomori have access to community-based psychiatry clinics, and how different they are from non-Hikikomori patients regarding their baseline characteristics and outcomes. The aim of the present study is to evaluate the baseline characteristics, clinical attendance, and social functioning of community psychiatric clinic patients treated for social withdrawal at one-year follow-ups. Method : Participants (n = 304) were all patients (aged under 65) of a psychiatric clinic in a one-year period. Baseline patient characteristics were compared among “current” Hikikomori patients, “past” Hikikomori,” and “other” patients. Logistic regression analysis of “clinic attendance status” and “social functioning” at one-year follow-ups was used to assess patient outcomes. Independent variables were age, gender, Hikikomori status, and support from clinical staff. Results : Numbers of “current”, “past” Hikikomori, and “other” patients were 60 (19.7%), 81 (26.6%), and 163 (53.6%), respectively. The percentage of “current” Hikikomori who attended in person (56.7%) was significantly smaller than for “past” (92.6%) and “other” (92.6) (p < .001). The age distribution of “current” Hikikomori patients was bimodal, peaking at 20 and 40–45 years. The “current” state predicted significantly fewer regular visits (OR = 0.43; 95% CI = 0.22–0.83; p = .012); support from psychiatric social workers increased visits (OR = 2.35; 95% CI = 1.14–4.86; p = .021). Among the “current” Hikikomori patients, first visit attendance in-person predicted regular attendance; no factor consistently predicted working/schooling status. Conclusion : A sizable percentage of community clinic patients experienced Hikikomori. The “current” Hikikomori state corresponded with low clinic attendance and social function; “support from clinical staff” may increase visit regularity; no factors consistently improved social functioning. Further multi-site study is warranted to examine the generalizability of the findings from the current single-center study. Psychiatry anxiety apathy culture-bound syndrome anomie hikikomori Figures Figure 1 Background Pathological social withdrawal, named “Hikikomori,” was thought to be a Japanese culture-bound syndrome(Teo & Gaw, 2010). It is now serious social problem in other countries as well as in Japan(Kato et al., 2012). “Hiki” means withdrawal and “Komori,” relates to “Komoru,” which denotes secluding or confining to a certain place. In 2010, the Japanese Ministry of Health, Labor, and Welfare defined Hikikomori as a condition that causes a person to withdraw into his/her home for six months or more, during which time they do not go to school or work, or participate in socializing. Originally, Hikikomori patients was defined as having no psychiatric disorder. However, many of them proved to have psychiatric disorder afterward. As the result, present definition of Hikikomori by the Japanese Ministry of Health, Labor, and Welfare includes patients with psychiatric disorders. The narrow definition regarding people affected by the condition is “those who do not leave their rooms or homes, or who can go out in their neighborhoods but usually stay home;” the broader definition is “those who go out for their hobbies but usually stay home.” There is a long history of Hikikomori in Japan. The problem known as “school refusal” drew the attention of educators and psychiatrists in Japan around the 1950s(Kamimura, 2001). What is known presently as a Hikikomori-like state was already being reported at that time, but the word was not yet used. The psychiatrist Yomishi Kasahara proposed the concept of “retreat neurosis” in 1976, referring to a refusal of and withdrawal from social participation(Kasahara, 1976). People with this disorder can participate from the sidelines, however, they withdraw from expected social roles and present with apathy, indifference, and depression. Tamaki Saito clearly defined the state of Hikikomori in 1990, attracting social interest, and the term was adopted as the clinical definition of the condition(Saito, 1998). Many researchers have proposed ideas about the etiology of Hikikomori, but they are low quality of evidences, which are subjective opinions or come from cross-sectional studies. For example, regarding the role of society in the manifestation of Hikikomori, some study authors suggest that the high economic growth of the post-war period added to the emphasis in the education system on passing examinations to raise one’s social status. This denied diversity of life and society excluded children who dropped out fixed road, which promoted them to be Hikikomori. (Tomita, 2001) On the other hand, a maternal society marked by parents being overly protective and children being overly dependent. This prevented children from standing of their own feet and made them avoid society. (Machizawa, 2003) Others argue that young people’s inability to endure reality, worsened by non-working people having the same influence and right to speak out as people who work, where they can claim their right without having relation to the real world.(Okonogi, 2000) Additionally, others refer to the characteristics of individualism as narcissistic, where Hikikomori patients keep their omnipotence by avoiding reality(Kitanishi, 2000), or to the instable culture caused by the dissociation between Japanese unconscious orientation to relationship and conscious orientation to individuality(Kitayama, 2013). Alternatively, some cross-sectional studies have investigated the relationship of a patient’s Hikikomori with their father’s level of education; maternal psychiatric disorders;(Koyama et al., 2010) the patient’s educational level, income, and general health; the number of presenting symptoms of internet addiction;(Wong et al., 2015) their experience of feeling “buried”; and weak family ties.(Lee, Lee, Choi, & Choi, 2013) The number of Hikikomori(broad definition) cases in Japan was estimated at about 696,000 in 2010 and 563,000 in 2016 according to governmental surveys.(Director General for Policies on Cohesive Society, 2010, 2016) Other studies indicated that the lifetime prevalence is 1.2% in Japan.(Koyama et al., 2010) Although the majority of the population of Hikikomori used to be in their twenties, they are getting older, which is an economic and social problem in Japan(Ikegami, 2014). The number of Hikikomori (broad definition) cases in people between the ages of 40 and 64 was estimated to about 613,000 in Japan in 2018.(Director General for Policies on Cohesive Society, 2018) Hikikomori is not limited to Japan; it has been identified in Hong-Kong, Spain, France, India, Korea, and the U.S.(Kato et al., 2012; Lee et al., 2013; Wong et al., 2015) , (Malagon-Amor, Corcoles-Martinez, Martin-Lopez, & Perez-Sola, 2015) An investigation conducted in Hong-Kong showed that the point prevalence of Hikikomori was 1.7%.(Wong et al., 2015) A study conducted in Spain reported that 15.4% (200 out of 1297) of patients attended to the Crisis Resolution Home Treatment were Hikikomori case.(Malagon-Amor et al., 2015) The biggest challenge is to improve social function of Hikikomori patients. Community psychiatric clinics may play a major role in this point. However, it is unclear how different the outcome of Hikikomori patients would be from non-Hikikomori patients after the clinic attendance, and, the first of all, how different the status of clinic attendance of Hikikomori patients would be from non-Hikikomori patients. Additionally, no studies have reported how many Hikikomori are there in community-based psychiatry clinics. One key barrier of attending clinics may be anxiety. A study implies some school refusal shift Hikikomori(Saito, 1998). Avoidance to attend school or clinic may have similar pathological background. To clarify these points, the aim of the present study is to evaluate the percentage of “current” and “past” Hikikomori patients in a community private clinic in a year and compare the background and the outcomes at one-year follow-up between Hikikomori and non-Hikikomori patients. Methods Subjects We included new-visit patients aged below 65 in the Mitsuya psychiatric clinic in the year from June 1, 2017–May 31, 2018. We also included the data from family members in cases where they had visited on behalf of patients. We used clinical records from the clinic’s daily medical practice. Patients were informed of the study via the clinic’s website; the data of those who opted out were not included in the study. However, we included all new-visit patients aged below 65, as no patients wished to make their data opted out from the study. The study protocol was reviewed by the Kyoto University ethical review board (R0855-1). Study location The Mitsuya psychiatric clinic is a secondary care clinic in Neyagawa-city, Osaka prefecture, Japan. The city’s population as of June 1, 2017 was 236,483. The percentages of the population who were 14-years old or younger, between 15 and 64, and 65 and over were 12%, 59%, and 29%, respectively. Six doctors (four full-time and two part-time), nine nurses, nine psychiatric social workers, seven occupational therapists, five psychotherapists, and eight clerks work at the Mitsuya psychiatric clinic. It has daycare floors and offers home visits. The clinic is a general psychiatric clinic. Two psychiatrists see patients at the outpatient unit for six hours per day from Monday to Saturday. After that, some psychiatrists visit patients at home who cannot come to the clinic. Two and a half hours at Thursday and Wednesday, one psychiatrist is prepared to see Hikikomori patients. However, sometimes there are no Hikikomori consultation. The doctor sees general patients in that time. Definition of Hikikomori In determining eligibility for the study, we used the narrow definition of Hikikomori provided by the Japanese Ministry of Health, Labor and Welfare. It defines Hikikomori as those who do not go to a workplace or school, have no social interactions, stay in their homes for more than 6 months, and don’t leave their rooms/homes (or may go out into their neighborhoods but usually stay home.) Patients answered three questions asking if in the preceding six months they had: (a) gone to school or a workplace, (b) had any social interaction other than with family members and people at shops or hospitals, and (c) went out of the home more than rarely. The person was considered as “current Hikikomori” if all the answers were “no.” Additionally, we asked the patients if there had been any earlier periods about which they would also answer “no” to all of the questions. We determined that the person had experienced “past Hikikomori” if their answer was “yes.” The items equal to the definition of Hikikomori, which assures content validity. The Cronbach’s alpha of three items was 0.78, which means the acceptable reliability of the items. Variables The Overall Anxiety Severity and Impairment Scale (OASIS) The OASIS, a scale for assessing overall anxiety,(Norman, Cissell, Means-Christensen, & Stein, 2006) consists of 5 items (each scored 0–5; higher scores = more severe symptoms). It addresses the frequency and severity of anxiety, avoidance, interference of ability at work, school or home and social life, and relationships in the past week. It has excellent test-re-test reliability and convergent and divergent validity. The Japanese version of OASIS has also been validated.(Ito et al., 2015) Other variables Other variables included the basic demographics, experience of school refusal, the number of psychiatric clinics or hospitals they had visited to see a doctor, and the supporters during the follow-up period. School refusal was defined as the individual refusing to attend school (for ≥ 30 days/year). Patients were determined to have “experienced school refusal” if they answered “yes” to the following question: “Have you experienced school refusal (total days of absence from school ≥ 30 days per year)?” Non-physician supporters were listed as “home visiting nurse,” “psychiatric social worker” (PSW), “licensed psychotherapist,” and “occupational/physical therapist” (OT/PT) during the follow-up period. Outcome variables Attendance to the clinic Attendance to the clinic was divided to 7 categories: finalized consultation; regular visits (at least one visit per month three months before or after one year from the first visit); irregular visits (at least one visit three months before or after one year from the first visit); home visits by doctor without patient visiting the clinic; continuous consultation by person on behalf of patients (at least one consultation three months before or after one year from the first visit); transference to another clinic or hospital; discontinuation or “unknown.” Social functioning Social functioning was divided to 6 categories: working/(includes work with support and part-time jobs)/going to school/homemaker; regular visit to day/night care without working; going out freely without regular visit to day/night care; going out in restricted time and place; indoor activity without going out; activity restricted to their room. Day/night care offers rehabilitation for social participation. Activities include drawing picture, playing music, sports, cooking, social skill training and so on. Some patients only come to the place and do nothing, others join various activities. Indoor activity without going out means that patients does not go out of home, but they can do some activities inside the home. Usually, they can meet family members. Activity restricted to their room means that patients does not go out of their room except for toilet or sometimes bathing. They even rarely or never meet other family members. Meals are usually prepared by family member outside the patients’ room and patients take the meal when family member leave from the place. Data on diagnosis, attendance to the clinic, social functioning and supports were collected from hospital record, and other data were collected from medical interview sheet by patients or their family at the first visit. Statistical analysis We included all of the complete data (not missing any values) and calculated the percentage of “current-” or “past- Hikikomori” patients among the new patients in a one-year period. First, we calculated the percentage of “current Hikikomori” patients; second, we calculated “past” patients and “others” among the samples of the “without current Hikikomori” patients. The “presence in-person/not in person” was also calculated for each category. Variables were compared at baseline and at follow-up between Hikikomori and non-Hikikomori patients. We compared each patient’s gender, age, the number of clinic visits in the past year, experience of school refusal, and “only a surrogate person visited the clinic” because these variables can be objectively evaluated. We compared all the variables as of when patients themselves visited the clinic. Missing values were excluded. The one-way ANOVA was used for parametric variables and the Bonferroni test was used as a post hoc comparison when there was a significant difference. The Kruskal-Wallis test and its adjusted version were used for non-parametric variables and post hoc comparison. The Chi-square test and the Ryan test were used for the comparison of percentages. The primary analysis at the follow-up period was the influence of Hikiomori status on outcomes. Logistic regression was used to see the influence of variables on outcomes. Dependent variables were related to clinical visit (finalized consultation/regular visit or not, finalized consultation/regular visit/irregular visit/visit home by a doctor or not) and social function (work/school or not, work/school/daycare/night care or not). Independent variables were age, gender, Hikikomori status and support from a: nurse, PSW, OT/PT, and psychologist. Univariate logistic regression analysis was used for each independent variable and the multivariate logistic regression model for including all variables. The univariate logistic regression for “social function” was adjusted for the patient’s baseline social function. All reported p values are two-tailed; p < .05 was the threshold for statistical significance. SPSS version 20 and R were used for the statistical analysis. Results Among the 350 first-visit patients, 309 patients were under 65 years old. 304 patients were included in the study analysis excluding 5 patients who did not answer the question identifying Hikikomori status. The number of “current” Hikikomori patients was 60 (19.7%). Excluding these patients, 81(26.6%) had experienced past Hikikomori. The percentage of patients who presented in-person at the first visit was significantly smaller (p < .001) in current Hikikomori patients (n = 34, 56.7%) compared to other patients (past Hikikomori patients, n = 75, 92.6%; others, n = 151, 92.6%). Table 1 shows the comparison of basic demographics among all Hikikomori patients and “others.” The distribution of age was unusual, with the distribution of age of “current” Hikikomori patients being bimodal, the most frequent ages being 20, 40 - 45, whereas those of past Hikikomori patients and others were left-skewed and the peak frequency was at 22.5 and 20, respectively. (Figure1) The percentages of patients with past school refusal were significantly higher in current (n=31, 59.6%) and past Hikikomori patients (n=35, 50.0%) than in others (n = 28, 17.8%) (p < .001). The number of clinic visits was significantly larger in past Hikikomori patients (median = 1.0, interquartile range (IQR) = 0 - 3.0) than in others (median = 1.0, IQR = 0 - 1.0) (p = .002). Bonfferoni correction for multiple comparison setting the significance threshold as p<0.0125resulted in no significant difference in the number of clinic visits among groups. Table 2 shows the comparison of the basic demographics of Hikikomori patients and others who visited the clinic in person at the first visit. The between-group difference of all patients was replicated in this analysis; there was no significant difference between groups in age and percentage of females; the percentage of patients with past school refusal was significantly higher in the “current” and “past” Hikikomori patients, and the number of clinics visited was significantly higher in “past” patients than others. “Current” and “past” Hikikomori patients were significantly more anxious than others as measured by the OASIS scale (“current” Hikikomori mean (standard deviation; SD) = 12.3(4.1);” past” Hikikomori 10.8 (4.7); “others” 8.0 (4.9); p < .001). There is no significant difference in diagnosis between groups. Bonfferoni correction for multiple comparison setting the significance threshold as p<0.008 resulted in no significant difference in the number of clinic visits among groups. We compared clinic attendance history as of the one-year follow-up between the groups (Table 3). The percentage of “home visits by doctors” and “continuous consultation by family” were significantly larger in “current” Hikikomori patients (home visit by doctor n = 6, 10%; continuous consultation n = 4, 6.7%) than “past” Hikikomori patients (n = 0, 0%; n = 0, 0%) and “others” (n = 0, 0%; n = 1, 0.6%) (p < .001). Percentage of patients who had recovered and finished visiting the clinic was larger in “others” (n = 37, 22.7%) than “current” (n = 4, 6.7%) and “past” hikikomori patients (n = 4, 4.9%) (p < .001). Table 4 indicates support from a “nurse,” “PSW,” “OT/PT,” and “psychologist” as of the one-year follow-up. The percentage of support from nurses was significantly higher in “current” Hikikomori patients (n = 9, 15%) than “others” (n = 6, 3.7%) (p = .003). There was no significant difference in support from other medical staff members. Table 5 indicates social function at pre- and post- follow-up. One person of the “current” Hikikomori patients in the “work/school/homemaker” category was a housewife. Over half of the “past” Hikikomori patients and “others” were in the “work/school/homemaker” category at pre- (past Hikikomori patients n = 43, 53.1%; others n = 112, 69.1%) and post- (past Hikikomori patients n = 45, 57.0%; others n = 128, 79.0%) follow-up, whereas small number of “current” Hikikomori were in the work/school/homemaker category in pre- (n = 1, 1.7%) and post- (n = 14, 23.3%) follow-up. Around half of the “current” Hikikomori patients (n = 31, 51.7%) were restricted in indoor activity without going out in the pre-follow-up period, which was reduced in post-follow-up (n = 14, 23.3%). Some “current” patients restricted their activity in their room prior to the the-follow-up period (n = 3, 5.0%). We analyzed factors contributing to clinic attendance and social function, which were the primary outcomes. Table 6 shows the results of uni- and multivariate logistic regression for the clinic attendance variable. The results of the multivariate logistic regression indicated that “current” Hikikomori status at baseline predicted significantly less regular attendance/completed treatment at the clinic (odds ratio(OR) 0.43, 95% confidence interval (CI) 0.22–0.83, p = .012), and the support from PSW and OT/PT significantly predicted more regular attendance/completed treatment (PSW OR = 2.35, 95% CI 1.14–4.86, p = .021; OT OR = 6.07, 95% CI 1.28–28.71, p = .023). Being female, and having support from a nurse, PSW, or OT/PT significantly related to maintained contact with patients at the clinic or at home (female OR 1.66, 95% CI 1.01–2.73, p = .046; support from nurse OR = 8.44, 95% CI 1.05–68.11, p = .045; PSW OR 2.44, 95% CI 1.12–5.32, p < .025; OT/PT OR 10.06, 95% CI 1.25–80.89, p = .030). Table 7 shows the results of uni- and multivariate logistic regression for social function. The result of multivariate logistic regression showed that “current” status and “past” Hikikomori experience at baseline significantly decreased and “female” significantly increased the work/school status at the one-year follow-up (current Hikikomori OR = 0.30, 95% CI 0.13–0.68, p = .004; past Hikikomori OR = 0.40, 95% CI 0.20–0.82, p = .012; female OR = 1.96, 95% CI 1.04–3.70, p = .037). Bonfferoni correction for multiple comparison setting the significance threshold as p<0.025 for two primary outcomes did not change the significance according to the Hikikomri status. We conducted the same analysis with the “current” Hikikomori patients. The “attendance in person at the first visit” was included as an independent variable this time. Factors that significantly predicted the regular visit/completed treatment by the logistic regression were as follows: the attendance in person at the first visit (univariate OR = 6.97, 95% CI 2.18–22.26, p = .001; multi-variate OR = 21.59, 95% CI 3.1– 150.30, p=.002), support by nurse (univariate OR=11.43, 95%CI 1.33–98.34, p=.027; multi-variate OR=10.00, 95% CI 0.73–137.51, p = .085), and support by PSW (univariate OR = 3.55, 95% CI 0.97–13.03, p = .056; multivariate OR = 15.24, 95% CI 1.62–143.26, p = .017). The percentage of patients who had attended the clinic regularly as of their one-year follow-up was 79.3% (n = 23) for those whom had “attended in person at first visit” and 35.5% (n = 11) for “others.” Factors that significantly predicted the maintained contact with patients at clinic or home were as follows: the “attendance in person at the first visit” (univariate OR=3.79, 95%CI 1.26 to 11.46, p=.018; multivariate OR=4.74, 95%CI 1.04 to 21.58, p=.044) and “support by PSW” (univariate OR=4.62, 95%CI 0.93 to 23.01, p=.062; multivariate OR=14.43, 95%CI 1.29 to 161.42, p=.03). The “female” factor significantly increased patients’ work/school/homemaker status at a one-year follow-up (univariate OR = 4.16; 95% CI 1.06–19.50; p = .041, adjusted for baseline social function; multivariate OR=6.23, 95%CI 0.95 to 40.83, p=.057). No other factors significantly predicted the work/school/homemaker social function. No factors predicted work/school status using the multivariate logistic regression. Discussion This is the first study to clarify the percentage of “current” and “past” Hikikomori patients in a community private clinic among the first-visit patients to compare their outcomes at one-year follow-ups. The results indicated that 19.7% and 26.6% of first visit patients were “current” and “past” Hikikomori patients, respectively. That is, about half of the first-visit patients are currently experiencing or have experienced Hikikomori. However, the one-year outcome of “current” Hikikomori patients was poor as shown in the statuses of “regular attendance/completed treatment in clinic’ and “work/school” status. Among the current Hikikomori patients, the “attendance in-person at the first visit” and “support from nurse” or “PSW” increased “regular attendance/completed treatment”, whereas no factors related to increased “work/school” status except for gender (female). The aging of Hikikomori patients has been attracting attention in Japan since around 2014, when a book “Adult Hikikomori (Otonano Hikikomori)” pointed out this serious situation. In addition to the aging of Hikikomori patients, the aging of their parents is accompanied problem. This is called the “8050” problem, meaning 80-year old parents are supporting 50-year old Hikikomori patients. Both the parents and the patients worry about the future after the death of the parents. In fact, the survey in 2018 reported that the number of Hikikomori between the ages of 40 and 64 is estimated at about 613,000 for the country of Japan. The results of previous studies implied that the mean age of Hikikomori patients in psychiatric institutions was 19.0 in 2007, and the age of those in the community clinics was 28.9 in 2010.(Koyama et al., 2010; Tsujimoto, Daimon, Izumi, Sawai, & Iwashige, 2007) This study added new insights regarding these results. The age of current Hikikomori patients in our study was bimodal in distribution, peaking at 20, 40, and 45. This means that the aging of Hikikomori patients is real but that new, young Hikikomori patients are still appearing. The smaller frequency of Hikikomori patients aged between 25 and 35 was an “air pocket” around the ages of those visiting clinics. Supposing that the parents of these patients were amongst the working population, the pressure on Hikikomori patients from others or by themselves may be weaker than other age. However, patients may be urged to get jobs around the age of 20 as well as at 40 when parents are facing their retirement, relating to the occurrence of clinic visits for patients of those ages. The factors promoting patients and parents to visit clinics should be investigated. Some studies on the prevalence of Hikikomori and one on student apathy and withdrawal in Japan reported that Hikikomori were more prevalent among males than among females, (Director General for Policies on Cohesive Society, 2010, 2016, 2018; Koyama et al., 2010; Tsujimoto et al., 2007; Uchida, 2010) whereas a study on Hikikomori prevalence in Hong-Kong and home visitation program in Korea showed no significant difference in gender.(Lee et al., 2013; Wong et al., 2015) We found no difference in gender among “current,” “past” Hikikomori, and “other” patients. If Hikikomori is prevalent in males, they may be less motivated or find it more difficult to seek clinic consultation. However, considering the studies in Hong-Kong, Korea, and the present study, we should be cautious about assuming it is more common in males. The demographic comparison speaks to the causes and progression of Hikikomori state. “Current” and “past” Hikikomori patients experienced more school refusal and felt more anxious than other patients. One of the main pathologies of the Hikikomori state may be anxiety, leading to school refusal and present anxiety; or, school refusal may promote anxiety, leading to the Hikikomori state. Hikikomori patients may tend to visit more clinics than other patients. This may reflect Hikikomori patients’ anxiety or mean that no appropriate treatment for Hikikomori patients was provided; they may be continuing to seek help more than other patients. All the present and past Hikikomori patients had psychiatric disorders. Original definition of Hikikomori does not include people with psychiatric disorders, however, the newest definition by the Japanese Ministry of Health, Labor, and Welfare includes patients with psychiatric disorders. The present study supports the validity of the latter definition. Although it was not significant, percentage of mood disorders were relatively large among current and past Hikikomori patients than other patients, which should be confirmed by studies with larger sample size. Pathological relationship between Hikikomori and mood disorders may be one of the research implications. Of optimistic note was the finding that about 40% of “current” Hikikomori patients regularly visited clinics at their one year follow up, although the “current” Hikikomori state significantly lowered the visit’s likelihood compared to “other” patients. The factors promoting regular visits were “attendance in person at first visit,” support from “nurses” and “PSW.” Interventions encouraging Hikikomori patients to visit clinics in person are needed. Interventions directed at parents may be effective. The Japanese Ministry of Health, Labor, and Welfare conducted the research on the living condition of citizen aged between 40 and 64 in 2018. The percentage of Hikikomori patients who lived alone was only 10.6% and those who lived with mother or father was 53.2% and 25.5%, respectively. The efficacy of parental intervention has been shown for supporting parenting for anxious childhood emotions(SPACE).(Lebowitz, Marin, Martino, Shimshoni, & Silverman, 2019) Parental involvement in treatment is efficacious to reducing youth anxiety(Manassis et al., 2014). Additionally, the present study may support the importance of case management by clinical team members, especially nurses and PSW. A meta-analysis indicated intensive case management for severe mental illness reduced hospitalization.(Dieterich et al., 2017) The results may apply to Hikikomori patients to promote their clinical attendance. However, promising patients could have been better supported by clinical staff members in the present study, possibly creating an overestimate of the results. Unfortunately, no factor except for “female” promoted work/school status at one-year follow-ups. There is an apparent gap between regular visits and social function; or, maybe more years of follow-up are needed to see the improvement of social function. The present study has several limitations. First, the setting is a relatively large community clinic with 36 clinical workers, including part-time workers, and it somewhat focuses on supporting Hikikomori patients. Therefore, these results may be more optimistic than representative of general community clinics. The generalizability of the present results therefore cannot be assumed. Second, the sample size was small, which may cause underestimation variables’ influence on outcomes. The number of case categories were sometimes very small. They include contact with different kinds of healthcare providers and diagnosis of psychiatric disorders. The present study could not make generalizable conclusion at these points. Studies with more sample size should be conducted. Third, the Hikikomori state and school refusal were evaluated by subjective questionnaires. The agreement of answers from both patients and their families should be tested for more objectivity. However, there was no essential difference between the analyses using data from all subjects and data confined to subjects who attend clinic in person. It means that the influence of bias according to the responder was negligible, if any. Fourth, the follow-up period was short, as it may take longer than a year for improvements in social functioning, and the present results regarding social functioning may underestimate the effect of factors. Conclusions The percentage of patients who experienced a Hikikomori state could be large. The “current” Hikikomori state may lower patients' clinic attendance and their social function at a one-year follow-up. Hikikomori appears to be more difficult to successfully treat than many other psychiatric disorders. That fact combined with the social situation of aging parents and patients suggests further research into successful treatments, interventions for parents, and examination of the causes of Hikikomori should be considered a priority. Declarations -Ethics approval and consent to participate We used clinical records from the clinic’s daily medical practice. Patients were informed of the study via the clinic’s website; the data of those who opted out were not included in the study. The study protocol was reviewed by the Kyoto University ethical review board (R0855-1). -Consent for publication Not applicable -Availability of data and material The dataset supporting the conclusion of the current study is available from the corresponding author on reasonable request. -Competing interests HI received the lecture fee from Mitsubishi-Tanabe pharma and Kyowa pharmaceutical industry outside the submitted work. HI is an associate editor of BMC Psychiatry. TAF reports personal fees from Mitsubishi-Tanabe and MSD, and a grant from Mitsubishi-Tanabe, outside the submitted work; TAF has a patent 2018-177688 pending. -Funding This study is supported by the grant from the Osaka psychiatric clinic association and Okamoto mental health foundation. We thank staffs of Mitsuya psychiatric clinic. -Authors' contributions HI, TT, HM and TAF conceived and designed the study. HI, TT, HM, HM and HY collected and clean the data. HI performed the analysis. All authors contributed to the interpreting the data, drafting and revising the manuscript. All the authors approved the final version of the manuscript. -Acknowledgements We thank participants and staffs in Mitsuya Psychiatric Clinic. Abbreviations OASIS: The Overall Anxiety Severity and Impairment Scale PSW: psychiatric social worker OT/PT: occupational/physical therapist SD: standard deviation OR: odds ratio CI: confidence interval IQR: interquartile range SPACE: supporting parenting for anxious childhood emotions References Dieterich, M., Irving, C. B., Bergman, H., Khokhar, M. A., Park, B., & Marshall, M. (2017). Intensive case management for severe mental illness. Cochrane Database of Systematic Reviews , (1), CD007906. https://doi.org/10.1002/14651858.CD007906.pub3 Director General for Policies on Cohesive Society. (2010). Wakamono-no ishiki-ni kansuru chosa (awareness surevey for adolescents) . Director General for Policies on Cohesive Society. (2016). Wakamono-no seikatsu-ni kansuru chosa (awareness survey for adlescent life) . Director General for Policies on Cohesive Society. (2018). Seikatujyokyo-ni kansuru chosa(survey for living condition) . Ikegami, M. (2014). Otona-no hikikomori (Adult hikikomori) . Kodansya gendaishinsho. Ito, M., Oe, Y., Kato, N., Nakajima, S., Fujisato, H., Miyamae, M., … Norman, S. B. (2015). Validity and clinical interpretability of Overall Anxiety Severity And Impairment Scale (OASIS). Journal of Affective Disorders , 170 , 217–224. https://doi.org/10.1016/j.jad.2014.08.045 Kamimura, E. (2001). Futoko-no teigi kenkyu-no rekishi (History of definition and study of school refusal). Kyouikukensyu , 7 supple , 32–40. Kasahara, Y. (1976). Student apathy . Misuzu Shobo. Kato, T. A., Tateno, M., Shinfuku, N., Fujisawa, D., Teo, A. R., Sartorius, N., … Kanba, S. (2012). Does the “hikikomori” syndrome of social withdrawal exist outside Japan? A preliminary international investigation. Social Psychiatry and Psychiatric Epidemiology , 47 (7), 1061–1075. https://doi.org/10.1007/s00127-011-0411-7 Kitanishi, K. (2000). Taijin Kyofu. In K. Rikihachiro & K. Naoji (Eds.), Seinen-no hikikomori . Tokyo: Iwasaki Gakujyutsu Shuppansya. Kitayama, S. (2013). Jikomujun-no mentality. In K. Hayao & U. Yukiko (Eds.), Hikikomori kou . Osaka: Sogensha. Koyama, A., Miyake, Y., Kawakami, N., Tsuchiya, M., Tachimori, H., & Takeshima, T. (2010). Lifetime prevalence, psychiatric comorbidity and demographic correlates of “hikikomori” in a community population in Japan. Psychiatry Research , 176 (1), 69–74. https://doi.org/10.1016/j.psychres.2008.10.019 Lebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., & Silverman, W. K. (2019). Parent-Based Treatment as Efficacious as Cognitive-Behavioral Therapy for Childhood Anxiety: A Randomized Noninferiority Study of Supportive Parenting for Anxious Childhood Emotions. Journal of the American Academy of Child and Adolescent Psychiatry . https://doi.org/10.1016/j.jaac.2019.02.014 Lee, Y. S., Lee, J. Y., Choi, T. Y., & Choi, J. T. (2013). Home visitation program for detecting, evaluating and treating socially withdrawn youth in Korea. Psychiatry and Clinical Neurosciences , 67 (4), 193–202. https://doi.org/10.1111/pcn.12043 Machizawa, S. (2003). Hikikomoru wakamonotachi hikikomori-no jittai-to shohosen . Tokyo: Daiwa Shobo. Malagon-Amor, A., Corcoles-Martinez, D., Martin-Lopez, L. M., & Perez-Sola, V. (2015). Hikikomori in Spain: A descriptive study. The International Journal of Social Psychiatry , 61 (5), 475–483. https://doi.org/10.1177/0020764014553003 Manassis, K., Lee, T. C., Bennett, K., Zhao, X. Y., Mendlowitz, S., Duda, S., … Wood, J. J. (2014). Types of parental involvement in CBT with anxious youth: a preliminary meta-analysis. Journal of Consulting and Clinical Psychology , 82 (6), 1163–1172. https://doi.org/10.1037/a0036969 Norman, S. B., Cissell, S. H., Means-Christensen, A. J., & Stein, M. B. (2006). Development and validation of an Overall Anxiety Severity And Impairment Scale (OASIS). Depression and Anxiety , 23 (4), 245–249. https://doi.org/10.1002/da.20182 Okonogi, K. (2000). Hikikomorino Shinri-Syakai Haikei(Pscho-social backgroud of Hikikomori). In K. Rikihachiro & K. Naoji (Eds.), Seinen-no hikikomori . Tokyo: Iwasaki Gakujyutsu Shuppansya. Saito, T. (1998). Shakaiteki Hikikomori . PHP Shinsho. Teo, A. R., & Gaw, A. C. (2010). Hikikomori, a Japanese culture-bound syndrome of social withdrawal?: A proposal for DSM-5. The Journal of Nervous and Mental Disease , 198 (6), 444–449. https://doi.org/10.1097/NMD.0b013e3181e086b1 Tomita, F. (2001). Futoko hikikomori shido-no tebiki. In M. Tatsuya (Ed.). Tokyo: Kyoiku Kaihatsu Kenkyusho. Tsujimoto, T., Daimon, K., Izumi, K., Sawai, M., & Iwashige, T. (2007). [School-refusal and social-withdrawal in the clinical setting at a psychiatric medical institution]. Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica , 109 (4), 313–320. Uchida, C. (2010). Apathetic and withdrawing students in Japanese universities--with regard to Hikikomori and student apathy. Journal of Medical and Dental Sciences , 57 (1), 95–108. Wong, P. W. C., Li, T. M. H., Chan, M., Law, Y. W., Chau, M., Cheng, C., … Yip, P. S. F. (2015). The prevalence and correlates of severe social withdrawal (hikikomori) in Hong Kong: A cross-sectional telephone-based survey study. The International Journal of Social Psychiatry , 61 (4), 330–342. https://doi.org/10.1177/0020764014543711 Tables Table1 Comparison of basic demographics among Hikikomori patients and others in a community psychiatric clinic. Current Hikikomori Past Hikikomori Others p n n n Age, median(IQR) 60 34.0 (21.3-46.8) 81 32.0 (23.0-40.5) 163 29.0 (20.0-43.0) .31 Female, n(%) 60 27 (45.0) 81 43 (53.1) 163 86 (52.8) .55 School refusal, n(%) 52 31 (59.6) * 70 35 (50.0) # 157 28 (17.8) *,# < .001 Number of Clinic visits, median (IQR) 52 1.0 (0-2.0) 74 1.0 (0-3.0) + 133 1.0 (0-1.0) + .002 Notes. p: ANOVA for parametric outcomes and Kruskal-Wallis test for non-parametric outcomes; *,#post hoc Ryan test, p < .001; +post hoc adjusted Kruskal-Wallis test p = .002; IQR: interquartile range; SD: standard deviation Table 2 Comparison of Hikikomori patients and others (limited to “visited in-person”) at a community psychiatric clinic Current Hikikomori Past Hikikomori Others p n n n Age, median(IQR) 34 39.5 (21.5-51.3) 75 33.0 (23.0-40.0) 151 30.0 (20.0-44.0) .40 Female, n(%) 34 16 (47.1) 75 41 (54.7) 151 81 (53.6) .75 School refusal, n(%) 29 18 (62.1) ++ 64 33 (51.6) ## 146 24 (16.4) ++,## <.001 Number of Clinic visits, median (IQR) 32 1.0 (0-2.0) 69 1.0 (1.0-3.0)* 123 1.0 (0-2.0)* .002 OASIS score, mean(SD) 30 12.3 (4.1) # 74 10.8 (4.7) + 143 8.0 (4.9) #,+ <.001 Diagnosis F0 34 1 (2.9) 75 0 (0) 151 1 (0.7) .056 F1 1 (2.9) 3 (4.0) 2 (1.3) F2 2 (5.9) 7 (9.3) 7 (4.6) F3 7 (20.6) 17 (22.7) 19 (12.6) F4 16 (47.1) 33 (44.0) 86 (57.0) F5 0 (0) 1 (1.3) 0 (0) F6 0 (0) 1 (1.3) 0 (0) F7 3 (8.8) 0 (0) 19 (12.6) F8 4 (11.8) 6 (8.0) 8 (5.3) F9 0 (0) 6 (8.0) 8 (5.3) Unclear/ Undecided 0 (0) 1 (1.3) 1 (0.7) Notes. p: ANOVA for parametric outcome and Kruskal-Wallis test for non-parametric outcome, *Adjusted Kruskal-Wallis test p = .001; #,+ Bonferroni test p < .001; ++,## Ryan test p < .001 , Abbreviations: IQR: interquartile range, SD: standard deviation, F0: Organic, including symptomatic, mental disorders, F1: Mental and behavioral disorders due to psychoactive substance use, F2: Schizophrenia, schizotypal and delusional disorders, F3: Mood [affective] disorders, F4: Neurotic, stress-related and somatoform disorders, F5: Behavioral syndromes associated with physiological disturbances and physical factors, F6: Disorders of adult personality and behavior, F7: Mental retardation, F8: Disorders of psychological development, F9: Behavioral and emotional disorders with onset usually occurring in childhood and adolescence Table 3 The number (%) of clinic visits (attendance status) at a one-year follow-up of patients at a community psychiatric clinic Current Hikikomori(n=59) Past Hikikomori(n=81) Others(n=167) Regular visit 25 (41.7) 42 (51.9) 63 (38.7) Irregular visit 3 (5.0) 3 (3.7) 6 (3.7) Home visit by doctor 6 (10.0) 0 (0) 0 (0) Continuous consultation 4 (6.7) 0 (0) 1 (0.6) Transference 7 (11.7) 9 (11.1) 14 (8.6) Finished 4 (6.7) 4 (4.9) 37 (22.7) Unknown 11 (18.3) 23 (28.4) 42 (25.8) Notes. Chi-square test p < .001. Table 4 The number (%) of patients being supported by clinical staff members at a community psychiatric clinic Current Hikikomori (n = 60) Past Hikikomori (n = 81) Others (n =163) p Nurse 9 (15.0) 5 (6.2) 6 (3.7) .010 PSW 14 (23.3) 18 (22.2) 20 (12.3) .054 OT 5 (8.3) 9 (11.1) 7 (4.3) .13 psychologist 3 (5.0) 7 (8.6) 17 (10.4) .45 Notes. p: Chi-square test. Table 5 The number (%) for factors of social functioning at one-year follow-up of patients in a community psychiatric clinic Current Hikikomori(n = 60) Past Hikikomori (n = 81) Others (n = 162) Work/ school/homemaker Pre 1 (1.7) 43 (53.1) 112 (69.1) Post 14 (23.3) 45 (57.0) 128 (79.0) Day/night care Pre 0 (0) 0 (0) 0 (0) Post 6 (10.0) 4 (5.1) 7 (4.3) Going out freely Pre 4 (6.7) 24 (29.6) 37 (22.8) Post 3 (5.0) 21 (26.6) 13 (8.0) Going out with restriction Pre 19 (31.7) 12 (14.8) 11 (6.8) Post 14 (23.3) 9 (11.4) 12 (7.4) Indoor activity without going out Pre 31 (51.7) 2 (2.5) 2 (1.2) Post 19 (31.7) 0 (0) 2 (1.2) Activity restricted to their room Pre 3 (5.0) 0 (0) 0 (0) Post 4 (6.7) 0 (0) 0(0) Unknown Pre 2 (3.3) 0 (0) 0 (0) Post 0 (0) 0 (0) 0(0) Table 6 The logistic regression analysis on clinic attendance status with dependent variable “regular visit” and dependent variable “finish treatment” Univariate OR Multivariate OR † OR 95%CI p OR 95%CI p Age 1.01 1.00 to 1.03 .18 1.01 0.99 to 1.03 .34 Female 1.45 0.92 to 2.28 .11 1.44 0.89 to 2.34 .14 Current Hikikomori 0.59 0.33 to 1.07 .08 0.43 0.22 to 0.83 .012 Past Hikikomori 0.83 0.48 to 1.42 .49 0.66 0.37 to 1.18 .16 Other(reference) 1 1 Nurse 4.80 1.38 to 16.7 .013 3.74 0.95 to 14.68 .059 PSW 2.63 1.34 to 5.15 .005 2.35 1.14 to 4.86 .021 OT/PT 8.17 1.87 to 35.6 .005 6.07 1.28 to 28.71 .023 Psychologist 2.24 0.92 to 5.47 .076 1.74 0.66 to 4.59 .26 Notes. Multivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational therapist/physical therapist. †Dependent variable: regular visit. Univariate OR Multivariate OR ‡ OR 95%CI p OR 95%CI p Age 1.01 0.99 to 1.03 .20 1.01 0.99 to 1.03 .43 Female 1.64 1.03 to 2.61 .039 1.66 1.01 to 2.73 .046 Current Hikikomori 0.93 0.50 to 1.72 .81 0.70 0.36 to 1.37 .30 Past Hikikomori 0.82 0.48 to 1.43 .49 0.65 0.36 to 1.17 .15 Other(reference) 1 1 Nurse 12.73 1.68 to 96.16 .014 8.44 1.05 to 68.11 .045 PSW 2.90 1.39 to 6.02 .004 2.44 1.12 to 5.32 .025 OT 13.44 1.78 to 101.32 .012 10.06 1.25 to 80.89 .030 Psychologist 2.73 1.00 to 7.43 .049 2.31 0.80 to 6.68 .12 Notes. Multivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational therapist/physical therapist. ‡ Dependent variable: finish treatment. Table 7 The logistic regression analysis on social functioning with the dependent variable “work/school” and the dependent variable “work/school/day-night care” Univariate OR Multivariate OR† OR 95%CI p OR 95%CI p age 1.01 0.99 to 1.04 .21 1.02 0.99 to 1.04 .17 female 2.24 1.23 to 4.07 .008 1.96 1.04 to 3.70 .037 Current Hikikomori 0.27 0.12 to 0.59 .001 0.30 0.13 to 0.68 .004 Past Hikikomori 0.39 0.20 to 0.78 .007 0.40 0.20 to 0.82 .012 Other(reference) 1 1 Nurse 0.50 0.17 to 1.54 .23 0.58 0.17 to 2.02 .39 PSW 0.70 0.34 to 1.46 .35 0.85 0.39 to 1.89 .69 OT 0.32 0.10 to 1.02 .053 0.36 0.09 to 1.40 .14 Psychologist 1.50 0.56 to 3.98 .42 1.78 0.57 to 5.59 .32 Notes. Univariate analysis was adjusted for baseline social functioning, Multivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational therapist/physical therapist. †Dependent variable: work/school. Univariate OR Multivariate OR‡ OR 95%CI p OR 95%CI p age 1.01 0.99 to 1.03 .36 1.01 0.98 to 1.03 .49 female 1.58 0.88 to 2.82 .12 1.56 0.82 to 2.96 .18 Current Hikikomori 0.32 0.15 to 0.67 .003 0.30 0.13 to 0.67 .003 Past Hikikomori 0.34 0.17 to 0.69 .003 0.28 0.14 to 0.60 .001 Other(reference) 1 Nurse 3.23 1.14 to 9.18 .028 3.28 0.95 to 11.30 .06 PSW 1.68 0.81 to 3.48 .16 1.29 0.57 to 2.91 .54 OT 5.05 1.55 to 16.46 .007 4.49 1.16 to 17.43 .030 Psychologist 2.79 0.98 to 7.92 .054 1.57 0.47 to 5.26 .47 Notes . Univariate analysis was adjusted for baseline social functioning, Multivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational. therapist/physical therapist. ‡Dependent variable: work/school/day-night care. Cite Share Download PDF Status: Published Journal Publication published 06 Jul, 2020 Read the published version in BMC Psychiatry → Version 2 posted Editorial decision: Minor revision 30 Apr, 2020 Review # 2 received at journal 29 Apr, 2020 Reviewer # 2 agreed at journal 19 Apr, 2020 Review # 1 received at journal 17 Apr, 2020 Editor assigned by journal 15 Apr, 2020 Reviewers invited by journal 15 Apr, 2020 Reviewer # 1 agreed at journal 15 Apr, 2020 Submission checks completed at journal 14 Apr, 2020 Editor invited by journal 14 Apr, 2020 You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7710","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":493289,"identity":"ed552401-3255-4aa1-a6b2-21e88b39a2c1","order_by":1,"name":"Hissei Imai","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAuklEQVRIiWNgGAWjYBACNgnGBgaGigNgzoEHRGppbGA4c4CBB6QlgShrJBgYGxjbIFoYiNLCJ93c/vDnvDty9mKHHwJtsZPTbSDkMJmDjc28254Z80inGQC1JBubHSCkRSKxsZlx2+HEHukEkJYDiduI0dL4cw5IS/oH4rU08DaAtOSQYMtsnmOHjXlu5xQcSDAgwi/yM9IffPxRc1iOfXb65g8fKuzkCGpBAwakKR8Fo2AUjIJRgAMAAHIgRtFeJl/8AAAAAElFTkSuQmCC","orcid":"https://orcid.org/0000-0003-3656-5188","institution":"Kyoto Univeristy Graduate School of Medicine","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Hissei","middleName":"","lastName":"Imai","suffix":""},{"id":493290,"identity":"acadb1d8-5f3f-43b7-8f66-9d810425fd9c","order_by":2,"name":"Toko Takamatsu","email":"","orcid":"","institution":"Mitsuya Psychiatric Clinic","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Toko","middleName":"","lastName":"Takamatsu","suffix":""},{"id":493291,"identity":"5da23b6f-bb9c-477b-9476-e2c96316a8e1","order_by":3,"name":"Hideaki Mitsuya","email":"","orcid":"","institution":"Mitsuya Psychiatric Clinic","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Hideaki","middleName":"","lastName":"Mitsuya","suffix":""},{"id":493292,"identity":"631ff98d-b02b-429a-9ade-bdc04b0dae04","order_by":4,"name":"Hajime Yoshizawa","email":"","orcid":"","institution":"Mitsuya Psychiatric Clinic","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Hajime","middleName":"","lastName":"Yoshizawa","suffix":""},{"id":493293,"identity":"cd65059a-ca8a-4c8f-8c9d-59e69cd6db56","order_by":5,"name":"Hidehiko Mitsuya","email":"","orcid":"","institution":"Mitsuya Psychiatric Clinic","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Hidehiko","middleName":"","lastName":"Mitsuya","suffix":""},{"id":493294,"identity":"c76db58f-2743-4bf0-8260-690fab171b71","order_by":6,"name":"Toshi A Furukawa","email":"","orcid":"","institution":"Kyoto University Graduate School of Medicine","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Toshi","middleName":"A","lastName":"Furukawa","suffix":""}],"badges":[],"createdAt":"2019-11-07 12:56:44","currentVersionCode":2,"declarations":"","doi":"10.21203/rs.2.17076/v2","doiUrl":"https://doi.org/10.21203/rs.2.17076/v2","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12888-020-02660-7","type":"published","date":"2020-07-06T12:00:00+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":930637,"identity":"369f82e0-fa24-4240-a8d7-7e21b78fbc8d","added_by":"auto","created_at":"2020-04-20 17:47:13","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":32819,"visible":true,"origin":"","legend":"Age distribution of “current”, “past” Hikikomori, and other patients","description":"","filename":"fig1.PNG","url":"https://assets-eu.researchsquare.com/files/rs-7710/v2/fig1.PNG"},{"id":13499216,"identity":"bfe43225-adab-4107-96ed-40a6aaf618c1","added_by":"auto","created_at":"2021-09-16 23:01:11","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":333244,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-7710/v2/69f913bf-5261-43d9-b0e1-9767b67b8f1f.pdf"}],"financialInterests":"","formattedTitle":"\u003cp\u003eThe Characteristics and Social Functioning of Pathological Social Withdrawal, “Hikikomori,” in a Secondary Care Setting: A One-Year Cohort Study\u003c/p\u003e","fulltext":[{"header":"Background","content":"\u003cp\u003ePathological social withdrawal, named \u0026ldquo;Hikikomori,\u0026rdquo; was thought to be a Japanese culture-bound syndrome(Teo \u0026amp; Gaw, 2010). It is now serious social problem in other countries as well as in Japan(Kato et al., 2012). \u0026ldquo;Hiki\u0026rdquo; means withdrawal and \u0026ldquo;Komori,\u0026rdquo; relates to \u0026ldquo;Komoru,\u0026rdquo; which denotes secluding or confining to a certain place. In 2010, the Japanese Ministry of Health, Labor, and Welfare defined Hikikomori as a condition that causes a person to withdraw into his/her home for six months or more, during which time they do not go to school or work, or participate in socializing. Originally, Hikikomori patients was defined as having no psychiatric disorder. However, many of them proved to have psychiatric disorder afterward. As the result, present definition of Hikikomori by the Japanese Ministry of Health, Labor, and Welfare includes patients with psychiatric disorders. The narrow definition regarding people affected by the condition is \u0026ldquo;those who do not leave their rooms or homes, or who can go out in their neighborhoods but usually stay home;\u0026rdquo; the broader definition is \u0026ldquo;those who go out for their hobbies but usually stay home.\u0026rdquo;\u003c/p\u003e\n\u003cp\u003eThere is a long history of Hikikomori in Japan. The problem known as \u0026ldquo;school refusal\u0026rdquo; drew the attention of educators and psychiatrists in Japan around the 1950s(Kamimura, 2001). What is known presently as a Hikikomori-like state was already being reported at that time, but the word was not yet used. The psychiatrist Yomishi Kasahara proposed the concept of \u0026ldquo;retreat neurosis\u0026rdquo; in 1976, referring to a refusal of and withdrawal from social participation(Kasahara, 1976). People with this disorder can participate from the sidelines, however, they withdraw from expected social roles and present with apathy, indifference, and depression. Tamaki Saito clearly defined the state of Hikikomori in 1990, attracting social interest, and the term was adopted as the clinical definition of the condition(Saito, 1998).\u003c/p\u003e\n\u003cp\u003eMany researchers have proposed ideas about the etiology of Hikikomori, but they are low quality of evidences, which are subjective opinions or come from cross-sectional studies. For example, regarding the role of society in the manifestation of Hikikomori, some study authors suggest that the high economic growth of the post-war period added to the emphasis in the education system on passing examinations to raise one\u0026rsquo;s social status. This denied diversity of life and society excluded children who dropped out fixed road, which promoted them to be Hikikomori. (Tomita, 2001) On the other hand, a maternal society marked by parents being overly protective and children being overly dependent. This prevented children from standing of their own feet and made them avoid society. (Machizawa, 2003) Others argue that young people\u0026rsquo;s inability to endure reality, worsened by non-working people having the same influence and right to speak out as people who work, where they can claim their right without having relation to the real world.(Okonogi, 2000) Additionally, others refer to the characteristics of individualism as narcissistic, where Hikikomori patients keep their omnipotence by avoiding reality(Kitanishi, 2000), or to the instable culture caused by the dissociation between Japanese unconscious orientation to relationship and conscious orientation to individuality(Kitayama, 2013). Alternatively, some cross-sectional studies have investigated the relationship of a patient\u0026rsquo;s Hikikomori with their father\u0026rsquo;s level of education; maternal psychiatric disorders;(Koyama et al., 2010) the patient\u0026rsquo;s educational level, income, and general health; the number of presenting symptoms of internet addiction;(Wong et al., 2015) their experience of feeling \u0026ldquo;buried\u0026rdquo;; and weak family ties.(Lee, Lee, Choi, \u0026amp; Choi, 2013)\u003c/p\u003e\n\u003cp\u003eThe number of Hikikomori(broad definition) cases in Japan was estimated at about 696,000 in 2010 and 563,000 in 2016 according to governmental surveys.(Director General for Policies on Cohesive Society, 2010, 2016) Other studies indicated that the lifetime prevalence is 1.2% in Japan.(Koyama et al., 2010) Although the majority of the population of Hikikomori used to be in their twenties, they are getting older, which is an economic and social problem in Japan(Ikegami, 2014). The number of Hikikomori (broad definition) cases in people between the ages of 40 and 64 was estimated to about 613,000 in Japan in 2018.(Director General for Policies on Cohesive Society, 2018) Hikikomori is not limited to Japan; it has been identified in Hong-Kong, Spain, France, India, Korea, and the U.S.(Kato et al., 2012; Lee et al., 2013; Wong et al., 2015)\u003csup\u003e,\u003c/sup\u003e(Malagon-Amor, Corcoles-Martinez, Martin-Lopez, \u0026amp; Perez-Sola, 2015) An investigation conducted in Hong-Kong showed that the point prevalence of Hikikomori was 1.7%.(Wong et al., 2015) A study conducted in Spain reported that 15.4% (200 out of 1297) of patients attended to the Crisis Resolution Home Treatment were Hikikomori case.(Malagon-Amor et al., 2015)\u003c/p\u003e\n\u003cp\u003eThe biggest challenge is to improve social function of Hikikomori patients. Community psychiatric clinics may play a major role in this point. However, it is unclear how different the outcome of Hikikomori patients would be from non-Hikikomori patients after the clinic attendance, and, the first of all, how different the status of clinic attendance of Hikikomori patients would be from non-Hikikomori patients. Additionally, no studies have reported how many Hikikomori are there in community-based psychiatry clinics.\u003c/p\u003e\n\u003cp\u003eOne key barrier of attending clinics may be anxiety. A study implies some school refusal shift Hikikomori(Saito, 1998). Avoidance to attend school or clinic may have similar pathological background.\u003c/p\u003e\n\u003cp\u003eTo clarify these points, the aim of the present study is to evaluate the percentage of \u0026ldquo;current\u0026rdquo; and \u0026ldquo;past\u0026rdquo; Hikikomori patients in a community private clinic in a year and compare the background and the outcomes at one-year follow-up between Hikikomori and non-Hikikomori patients.\u003c/p\u003e"},{"header":"Methods","content":"\u003cp\u003e\u003cstrong\u003eSubjects\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe included new-visit patients aged below 65 in the Mitsuya psychiatric clinic in the year from June 1, 2017\u0026ndash;May 31, 2018. We also included the data from family members in cases where they had visited on behalf of patients. We used clinical records from the clinic\u0026rsquo;s daily medical practice. Patients were informed of the study via the clinic\u0026rsquo;s website; the data of those who opted out were not included in the study. However, we included all new-visit patients aged below 65, as no patients wished to make their data opted out from the study. The study protocol was reviewed by the Kyoto University ethical review board (R0855-1).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStudy location\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe Mitsuya psychiatric clinic is a secondary care clinic in Neyagawa-city, Osaka prefecture, Japan. The city\u0026rsquo;s population as of June 1, 2017 was 236,483. The percentages of the population who were 14-years old or younger, between 15 and 64, and 65 and over were 12%, 59%, and 29%, respectively. Six doctors (four full-time and two part-time), nine nurses, nine psychiatric social workers, seven occupational therapists, five psychotherapists, and eight clerks work at the Mitsuya psychiatric clinic. It has daycare floors and offers home visits. The clinic is a general psychiatric clinic. Two psychiatrists see patients at the outpatient unit for six hours per day from Monday to Saturday. After that, some psychiatrists visit patients at home who cannot come to the clinic. Two and a half hours at Thursday and Wednesday, one psychiatrist is prepared to see Hikikomori patients. However, sometimes there are no Hikikomori consultation. The doctor sees general patients in that time.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDefinition of Hikikomori\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn determining eligibility for the study, we used the narrow definition of Hikikomori provided by the Japanese Ministry of Health, Labor and Welfare. It defines Hikikomori as those who do not go to a workplace or school, have no social interactions, stay in their homes for more than 6 months, and don\u0026rsquo;t leave their rooms/homes (or may go out into their neighborhoods but usually stay home.)\u003c/p\u003e\n\u003cp\u003ePatients answered three questions asking if in the preceding six months they had: (a) gone to school or a workplace, (b) had any social interaction other than with family members and people at shops or hospitals, and (c) went out of the home more than rarely. The person was considered as \u0026ldquo;current Hikikomori\u0026rdquo; if all the answers were \u0026ldquo;no.\u0026rdquo; Additionally, we asked the patients if there had been any earlier periods about which they would also answer \u0026ldquo;no\u0026rdquo; to all of the questions. We determined that the person had experienced \u0026ldquo;past Hikikomori\u0026rdquo; if their answer was \u0026ldquo;yes.\u0026rdquo; The items equal to the definition of Hikikomori, which assures content validity. The Cronbach\u0026rsquo;s alpha of three items was 0.78, which means the acceptable reliability of the items.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eVariables\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eThe Overall Anxiety Severity and Impairment Scale (OASIS)\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe OASIS, a scale for assessing overall anxiety,(Norman, Cissell, Means-Christensen, \u0026amp; Stein, 2006) consists of 5 items (each scored 0\u0026ndash;5; higher scores = more severe symptoms). It addresses the frequency and severity of anxiety, avoidance, interference of ability at work, school or home and social life, and relationships in the past week. It has excellent test-re-test reliability and convergent and divergent validity. The Japanese version of OASIS has also been validated.(Ito et al., 2015)\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eOther variables\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eOther variables included the basic demographics, experience of school refusal, the number of psychiatric clinics or hospitals they had visited to see a doctor, and the supporters during the follow-up period. School refusal was defined as the individual refusing to attend school (for \u0026ge; 30 days/year). Patients were determined to have \u0026ldquo;experienced school refusal\u0026rdquo; if they answered \u0026ldquo;yes\u0026rdquo; to the following question: \u0026ldquo;Have you experienced school refusal (total days of absence from school \u0026ge; 30 days per year)?\u0026rdquo; Non-physician supporters were listed as \u0026ldquo;home visiting nurse,\u0026rdquo; \u0026ldquo;psychiatric social worker\u0026rdquo; (PSW), \u0026ldquo;licensed psychotherapist,\u0026rdquo; and \u0026ldquo;occupational/physical therapist\u0026rdquo; (OT/PT) during the follow-up period.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eOutcome variables\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAttendance to the clinic\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAttendance to the clinic was divided to 7 categories: finalized consultation; regular visits (at least one visit per month three months before or after one year from the first visit); irregular visits (at least one visit three months before or after one year from the first visit); home visits by doctor without patient visiting the clinic; continuous consultation by person on behalf of patients (at least one consultation three months before or after one year from the first visit); transference to another clinic or hospital; discontinuation or \u0026ldquo;unknown.\u0026rdquo;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eSocial functioning \u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSocial functioning was divided to 6 categories: working/(includes work with support and part-time jobs)/going to school/homemaker; regular visit to day/night care without working; going out freely without regular visit to day/night care; going out in restricted time and place; indoor activity without going out; activity restricted to their room.\u003c/p\u003e\n\u003cp\u003eDay/night care offers rehabilitation for social participation. Activities include drawing picture, playing music, sports, cooking, social skill training and so on. Some patients only come to the place and do nothing, others join various activities. Indoor activity without going out means that patients does not go out of home, but they can do some activities inside the home. Usually, they can meet family members. Activity restricted to their room means that patients does not go out of their room except for toilet or sometimes bathing. They even rarely or never meet other family members. Meals are usually prepared by family member outside the patients\u0026rsquo; room and patients take the meal when family member leave from the place.\u003c/p\u003e\n\u003cp\u003eData on diagnosis, attendance to the clinic, social functioning and supports were collected from hospital record, and other data were collected from medical interview sheet by patients or their family at the first visit.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eStatistical analysis\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe included all of the complete data (not missing any values) and calculated the percentage of \u0026ldquo;current-\u0026rdquo; or \u0026ldquo;past- Hikikomori\u0026rdquo; patients among the new patients in a one-year period. First, we calculated the percentage of \u0026ldquo;current Hikikomori\u0026rdquo; patients; second, we calculated \u0026ldquo;past\u0026rdquo; patients and \u0026ldquo;others\u0026rdquo; among the samples of the \u0026ldquo;without current Hikikomori\u0026rdquo; patients. The \u0026ldquo;presence in-person/not in person\u0026rdquo; was also calculated for each category.\u003c/p\u003e\n\u003cp\u003eVariables were compared at baseline and at follow-up between Hikikomori and non-Hikikomori patients. We compared each patient\u0026rsquo;s gender, age, the number of clinic visits in the past year, experience of school refusal, and \u0026ldquo;only a surrogate person visited the clinic\u0026rdquo; because these variables can be objectively evaluated. We compared all the variables as of when patients themselves visited the clinic. Missing values were excluded. The one-way ANOVA was used for parametric variables and the Bonferroni test was used as a post hoc comparison when there was a significant difference. The Kruskal-Wallis test and its adjusted version were used for non-parametric variables and post hoc comparison. The Chi-square test and the Ryan test were used for the comparison of percentages.\u003c/p\u003e\n\u003cp\u003eThe primary analysis at the follow-up period was the influence of Hikiomori status on outcomes. Logistic regression was used to see the influence of variables on outcomes. Dependent variables were related to clinical visit (finalized consultation/regular visit or not, finalized consultation/regular visit/irregular visit/visit home by a doctor or not) and social function (work/school or not, work/school/daycare/night care or not). Independent variables were age, gender, Hikikomori status and support from a: nurse, PSW, OT/PT, and psychologist. Univariate logistic regression analysis was used for each independent variable and the multivariate logistic regression model for including all variables. The univariate logistic regression for \u0026ldquo;social function\u0026rdquo; was adjusted for the patient\u0026rsquo;s baseline social function.\u003c/p\u003e\n\u003cp\u003eAll reported p values are two-tailed; p \u0026lt; .05 was the threshold for statistical significance. SPSS version 20 and R were used for the statistical analysis.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eAmong the 350 first-visit patients, 309 patients were under 65 years old. 304 patients were included in the study analysis excluding 5 patients who did not answer the question identifying Hikikomori status. The number of \u0026ldquo;current\u0026rdquo; Hikikomori patients was 60 (19.7%). Excluding these patients, 81(26.6%) had experienced past Hikikomori. The percentage of patients who presented in-person at the first visit was significantly smaller (p \u0026lt; .001) in current Hikikomori patients (n = 34, 56.7%) compared to other patients (past Hikikomori patients, n = 75, 92.6%; others, n = 151, 92.6%).\u003c/p\u003e\n\u003cp\u003eTable 1 shows the comparison of basic demographics among all Hikikomori patients and \u0026ldquo;others.\u0026rdquo; The distribution of age was unusual, with the distribution of age of \u0026ldquo;current\u0026rdquo; Hikikomori patients being bimodal, the most frequent ages being 20, 40 - 45, whereas those of past Hikikomori patients and others were left-skewed and the peak frequency was at 22.5 and 20, respectively. (Figure1) The percentages of patients with past school refusal were significantly higher in current (n=31, 59.6%) and past Hikikomori patients (n=35, 50.0%) than in others (n = 28, 17.8%) (p \u0026lt; .001). The number of clinic visits was significantly larger in past Hikikomori patients (median = 1.0, interquartile range (IQR) = 0 - 3.0) than in others (median = 1.0, IQR = 0 - 1.0) (p = .002). Bonfferoni correction for multiple comparison setting the significance threshold as p\u0026lt;0.0125resulted in no significant difference in the number of clinic visits among groups.\u003c/p\u003e\n\u003cp\u003eTable 2 shows the comparison of the basic demographics of Hikikomori patients and others who visited the clinic in person at the first visit. The between-group difference of all patients was replicated in this analysis; there was no significant difference between groups in age and percentage of females; the percentage of patients with past school refusal was significantly higher in the \u0026ldquo;current\u0026rdquo; and \u0026ldquo;past\u0026rdquo; Hikikomori patients, and the number of clinics visited was significantly higher in \u0026ldquo;past\u0026rdquo; patients than others. \u0026ldquo;Current\u0026rdquo; and \u0026ldquo;past\u0026rdquo; Hikikomori patients were significantly more anxious than others as measured by the OASIS scale (\u0026ldquo;current\u0026rdquo; Hikikomori mean (standard deviation; SD) = 12.3(4.1);\u0026rdquo; past\u0026rdquo; Hikikomori 10.8 (4.7); \u0026ldquo;others\u0026rdquo; 8.0 (4.9); p \u0026lt; .001). There is no significant difference in diagnosis between groups. Bonfferoni correction for multiple comparison setting the significance threshold as p\u0026lt;0.008 resulted in no significant difference in the number of clinic visits among groups.\u003c/p\u003e\n\u003cp\u003eWe compared clinic attendance history as of the one-year follow-up between the groups (Table 3). The percentage of \u0026ldquo;home visits by doctors\u0026rdquo; and \u0026ldquo;continuous consultation by family\u0026rdquo; were significantly larger in \u0026ldquo;current\u0026rdquo; Hikikomori patients (home visit by doctor n = 6, 10%; continuous consultation n = 4, 6.7%) than \u0026ldquo;past\u0026rdquo; Hikikomori patients (n = 0, 0%; n = 0, 0%) and \u0026ldquo;others\u0026rdquo; (n = 0, 0%; n = 1, 0.6%) (p \u0026lt; .001). Percentage of patients who had recovered and finished visiting the clinic was larger in \u0026ldquo;others\u0026rdquo; (n = 37, 22.7%) than \u0026ldquo;current\u0026rdquo; (n = 4, 6.7%) and \u0026ldquo;past\u0026rdquo; hikikomori patients (n = 4, 4.9%) (p \u0026lt; .001).\u003c/p\u003e\n\u003cp\u003eTable 4 indicates support from a \u0026ldquo;nurse,\u0026rdquo; \u0026ldquo;PSW,\u0026rdquo; \u0026ldquo;OT/PT,\u0026rdquo; and \u0026ldquo;psychologist\u0026rdquo; as of the one-year follow-up. The percentage of support from nurses was significantly higher in \u0026ldquo;current\u0026rdquo; Hikikomori patients (n = 9, 15%) than \u0026ldquo;others\u0026rdquo; (n = 6, 3.7%) (p = .003). There was no significant difference in support from other medical staff members.\u003c/p\u003e\n\u003cp\u003eTable 5 indicates social function at pre- and post- follow-up. One person of the \u0026ldquo;current\u0026rdquo; Hikikomori patients in the \u0026ldquo;work/school/homemaker\u0026rdquo; category was a housewife. Over half of the \u0026ldquo;past\u0026rdquo; Hikikomori patients and \u0026ldquo;others\u0026rdquo; were in the \u0026ldquo;work/school/homemaker\u0026rdquo; category at pre- (past Hikikomori patients n = 43, 53.1%; others n = 112, 69.1%) and post- (past Hikikomori patients n = 45, 57.0%; others n = 128, 79.0%) follow-up, whereas small number of \u0026ldquo;current\u0026rdquo; Hikikomori were in the work/school/homemaker category in pre- (n = 1, 1.7%) and post- (n = 14, 23.3%) follow-up. Around half of the \u0026ldquo;current\u0026rdquo; Hikikomori patients (n = 31, 51.7%) were restricted in indoor activity without going out in the pre-follow-up period, which was reduced in post-follow-up (n = 14, 23.3%). Some \u0026ldquo;current\u0026rdquo; patients restricted their activity in their room prior to the the-follow-up period (n = 3, 5.0%).\u003c/p\u003e\n\u003cp\u003eWe analyzed factors contributing to clinic attendance and social function, which were the primary outcomes. Table 6 shows the results of uni- and multivariate logistic regression for the clinic attendance variable. The results of the multivariate logistic regression indicated that \u0026ldquo;current\u0026rdquo; Hikikomori status at baseline predicted significantly less regular attendance/completed treatment at the clinic (odds ratio(OR) 0.43, 95% confidence interval (CI) 0.22\u0026ndash;0.83, p = .012), and the support from PSW and OT/PT significantly predicted more regular attendance/completed treatment (PSW OR = 2.35, 95% CI 1.14\u0026ndash;4.86, p = .021; OT OR = 6.07, 95% CI 1.28\u0026ndash;28.71, p = .023). Being female, and having support from a nurse, PSW, or OT/PT significantly related to maintained contact with patients at the clinic or at home (female OR 1.66, 95% CI 1.01\u0026ndash;2.73, p = .046; support from nurse OR = 8.44, 95% CI 1.05\u0026ndash;68.11, p = .045; PSW OR 2.44, 95% CI 1.12\u0026ndash;5.32, p \u0026lt; .025; OT/PT OR 10.06, 95% CI 1.25\u0026ndash;80.89, p = .030).\u003c/p\u003e\n\u003cp\u003eTable 7 shows the results of uni- and multivariate logistic regression for social function. The result of multivariate logistic regression showed that \u0026ldquo;current\u0026rdquo; status and \u0026ldquo;past\u0026rdquo; Hikikomori experience at baseline significantly decreased and \u0026ldquo;female\u0026rdquo; significantly increased the work/school status at the one-year follow-up (current Hikikomori OR = 0.30, 95% CI 0.13\u0026ndash;0.68, p = .004; past Hikikomori OR = 0.40, 95% CI 0.20\u0026ndash;0.82, p = .012; female OR = 1.96, 95% CI 1.04\u0026ndash;3.70, p = .037).\u003c/p\u003e\n\u003cp\u003eBonfferoni correction for multiple comparison setting the significance threshold as p\u0026lt;0.025 for two primary outcomes did not change the significance according to the Hikikomri status.\u003c/p\u003e\n\u003cp\u003eWe conducted the same analysis with the \u0026ldquo;current\u0026rdquo; Hikikomori patients. The \u0026ldquo;attendance in person at the first visit\u0026rdquo; was included as an independent variable this time. Factors that significantly predicted the regular visit/completed treatment by the logistic regression were as follows: the attendance in person at the first visit (univariate OR = 6.97, 95% CI 2.18\u0026ndash;22.26, p = .001; multi-variate OR = 21.59, 95% CI 3.1\u0026ndash; 150.30, p=.002), support by nurse (univariate OR=11.43, 95%CI 1.33\u0026ndash;98.34, p=.027; multi-variate OR=10.00, 95% CI 0.73\u0026ndash;137.51, p = .085), and support by PSW (univariate OR = 3.55, 95% CI 0.97\u0026ndash;13.03, p = .056; multivariate OR = 15.24, 95% CI 1.62\u0026ndash;143.26, p = .017). The percentage of patients who had attended the clinic regularly as of their one-year follow-up was 79.3% (n = 23) for those whom had \u0026ldquo;attended in person at first visit\u0026rdquo; and 35.5% (n = 11) for \u0026ldquo;others.\u0026rdquo;\u003c/p\u003e\n\u003cp\u003eFactors that significantly predicted the maintained contact with patients at clinic or home were as follows: the \u0026ldquo;attendance in person at the first visit\u0026rdquo; (univariate OR=3.79, 95%CI 1.26 to 11.46, p=.018; multivariate OR=4.74, 95%CI 1.04 to 21.58, p=.044) and \u0026ldquo;support by PSW\u0026rdquo; (univariate OR=4.62, 95%CI 0.93 to 23.01, p=.062; multivariate OR=14.43, 95%CI 1.29 to 161.42, p=.03).\u003c/p\u003e\n\u003cp\u003eThe \u0026ldquo;female\u0026rdquo; factor significantly increased patients\u0026rsquo; work/school/homemaker status at a one-year follow-up (univariate OR = 4.16; 95% CI 1.06\u0026ndash;19.50; p = .041, adjusted for baseline social function; multivariate OR=6.23, 95%CI 0.95 to 40.83, p=.057). No other factors significantly predicted the work/school/homemaker social function. No factors predicted work/school status using the multivariate logistic regression.\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis is the first study to clarify the percentage of \u0026ldquo;current\u0026rdquo; and \u0026ldquo;past\u0026rdquo; Hikikomori patients in a community private clinic among the first-visit patients to compare their outcomes at one-year follow-ups. The results indicated that 19.7% and 26.6% of first visit patients were \u0026ldquo;current\u0026rdquo; and \u0026ldquo;past\u0026rdquo; Hikikomori patients, respectively. That is, about half of the first-visit patients are currently experiencing or have experienced Hikikomori. However, the one-year outcome of \u0026ldquo;current\u0026rdquo; Hikikomori patients was poor as shown in the statuses of \u0026ldquo;regular attendance/completed treatment in clinic\u0026rsquo; and \u0026ldquo;work/school\u0026rdquo; status. Among the current Hikikomori patients, the \u0026ldquo;attendance in-person at the first visit\u0026rdquo; and \u0026ldquo;support from nurse\u0026rdquo; or \u0026ldquo;PSW\u0026rdquo; increased \u0026ldquo;regular attendance/completed treatment\u0026rdquo;, whereas no factors related to increased \u0026ldquo;work/school\u0026rdquo; status except for gender (female).\u003c/p\u003e\n\u003cp\u003eThe aging of Hikikomori patients has been attracting attention in Japan since around 2014, when a book \u0026ldquo;Adult Hikikomori (Otonano Hikikomori)\u0026rdquo; pointed out this serious situation. In addition to the aging of Hikikomori patients, the aging of their parents is accompanied problem. This is called the \u0026ldquo;8050\u0026rdquo; problem, meaning 80-year old parents are supporting 50-year old Hikikomori patients. Both the parents and the patients worry about the future after the death of the parents. In fact, the survey in 2018 reported that the number of Hikikomori between the ages of 40 and 64 is estimated at about 613,000 for the country of Japan. The results of previous studies implied that the mean age of Hikikomori patients in psychiatric institutions was 19.0 in 2007, and the age of those in the community clinics was 28.9 in 2010.(Koyama et al., 2010; Tsujimoto, Daimon, Izumi, Sawai, \u0026amp; Iwashige, 2007)\u003c/p\u003e\n\u003cp\u003eThis study added new insights regarding these results. The age of current Hikikomori patients in our study was bimodal in distribution, peaking at 20, 40, and 45. This means that the aging of Hikikomori patients is real but that new, young Hikikomori patients are still appearing. The smaller frequency of Hikikomori patients aged between 25 and 35 was an \u0026ldquo;air pocket\u0026rdquo; around the ages of those visiting clinics. Supposing that the parents of these patients were amongst the working population, the pressure on Hikikomori patients from others or by themselves may be weaker than other age. However, patients may be urged to get jobs around the age of 20 as well as at 40 when parents are facing their retirement, relating to the occurrence of clinic visits for patients of those ages. The factors promoting patients and parents to visit clinics should be investigated.\u003c/p\u003e\n\u003cp\u003eSome studies on the prevalence of Hikikomori and one on student apathy and withdrawal in Japan reported that Hikikomori were more prevalent among males than among females, (Director General for Policies on Cohesive Society, 2010, 2016, 2018; Koyama et al., 2010; Tsujimoto et al., 2007; Uchida, 2010) whereas a study on Hikikomori prevalence in Hong-Kong and home visitation program in Korea showed no significant difference in gender.(Lee et al., 2013; Wong et al., 2015) We found no difference in gender among \u0026ldquo;current,\u0026rdquo; \u0026ldquo;past\u0026rdquo; Hikikomori, and \u0026ldquo;other\u0026rdquo; patients. If Hikikomori is prevalent in males, they may be less motivated or find it more difficult to seek clinic consultation. However, considering the studies in Hong-Kong, Korea, and the present study, we should be cautious about assuming it is more common in males.\u003c/p\u003e\n\u003cp\u003eThe demographic comparison speaks to the causes and progression of Hikikomori state. \u0026ldquo;Current\u0026rdquo; and \u0026ldquo;past\u0026rdquo; Hikikomori patients experienced more school refusal and felt more anxious than other patients. One of the main pathologies of the Hikikomori state may be anxiety, leading to school refusal and present anxiety; or, school refusal may promote anxiety, leading to the Hikikomori state. Hikikomori patients may tend to visit more clinics than other patients. This may reflect Hikikomori patients\u0026rsquo; anxiety or mean that no appropriate treatment for Hikikomori patients was provided; they may be continuing to seek help more than other patients.\u003c/p\u003e\n\u003cp\u003eAll the present and past Hikikomori patients had psychiatric disorders. Original definition of Hikikomori does not include people with psychiatric disorders, however, the newest definition by the Japanese Ministry of Health, Labor, and Welfare includes patients with psychiatric disorders. The present study supports the validity of the latter definition.\u003c/p\u003e\n\u003cp\u003eAlthough it was not significant, percentage of mood disorders were relatively large among current and past Hikikomori patients than other patients, which should be confirmed by studies with larger sample size. Pathological relationship between Hikikomori and mood disorders may be one of the research implications.\u003c/p\u003e\n\u003cp\u003eOf optimistic note was the finding that about 40% of \u0026ldquo;current\u0026rdquo; Hikikomori patients regularly visited clinics at their one year follow up, although the \u0026ldquo;current\u0026rdquo; Hikikomori state significantly lowered the visit\u0026rsquo;s likelihood compared to \u0026ldquo;other\u0026rdquo; patients. The factors promoting regular visits were \u0026ldquo;attendance in person at first visit,\u0026rdquo; support from \u0026ldquo;nurses\u0026rdquo; and \u0026ldquo;PSW.\u0026rdquo; Interventions encouraging Hikikomori patients to visit clinics in person are needed. Interventions directed at parents may be effective. The Japanese Ministry of Health, Labor, and Welfare conducted the research on the living condition of citizen aged between 40 and 64 in 2018. The percentage of Hikikomori patients who lived alone was only 10.6% and those who lived with mother or father was 53.2% and 25.5%, respectively. The efficacy of parental intervention has been shown for supporting parenting for anxious childhood emotions(SPACE).(Lebowitz, Marin, Martino, Shimshoni, \u0026amp; Silverman, 2019) Parental involvement in treatment is efficacious to reducing youth anxiety(Manassis et al., 2014). Additionally, the present study may support the importance of case management by clinical team members, especially nurses and PSW. A meta-analysis indicated intensive case management for severe mental illness reduced hospitalization.(Dieterich et al., 2017) The results may apply to Hikikomori patients to promote their clinical attendance. However, promising patients could have been better supported by clinical staff members in the present study, possibly creating an overestimate of the results.\u003c/p\u003e\n\u003cp\u003eUnfortunately, no factor except for \u0026ldquo;female\u0026rdquo; promoted work/school status at one-year follow-ups. There is an apparent gap between regular visits and social function; or, maybe more years of follow-up are needed to see the improvement of social function.\u003c/p\u003e\n\u003cp\u003eThe present study has several limitations. First, the setting is a relatively large community clinic with 36 clinical workers, including part-time workers, and it somewhat focuses on supporting Hikikomori patients. Therefore, these results may be more optimistic than representative of general community clinics. The generalizability of the present results therefore cannot be assumed. Second, the sample size was small, which may cause underestimation variables\u0026rsquo; influence on outcomes. The number of case categories were sometimes very small. They include contact with different kinds of healthcare providers and diagnosis of psychiatric disorders. The present study could not make generalizable conclusion at these points. Studies with more sample size should be conducted. Third, the Hikikomori state and school refusal were evaluated by subjective questionnaires. The agreement of answers from both patients and their families should be tested for more objectivity. However, there was no essential difference between the analyses using data from all subjects and data confined to subjects who attend clinic in person. It means that the influence of bias according to the responder was negligible, if any. Fourth, the follow-up period was short, as it may take longer than a year for improvements in social functioning, and the present results regarding social functioning may underestimate the effect of factors.\u003c/p\u003e"},{"header":"Conclusions","content":"\u003cp\u003eThe percentage of patients who experienced a Hikikomori state could be large. The \u0026ldquo;current\u0026rdquo; Hikikomori state may lower patients' clinic attendance and their social function at a one-year follow-up. Hikikomori appears to be more difficult to successfully treat than many other psychiatric disorders. That fact combined with the social situation of aging parents and patients suggests further research into successful treatments, interventions for parents, and examination of the causes of Hikikomori should be considered a priority.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e-Ethics approval and consent to participate\u003c/p\u003e\n\u003cp\u003eWe used clinical records from the clinic\u0026rsquo;s daily medical practice. Patients were informed of the study via the clinic\u0026rsquo;s website; the data of those who opted out were not included in the study. The study protocol was reviewed by the Kyoto University ethical review board (R0855-1).\u003c/p\u003e\n\u003cp\u003e-Consent for publication\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp\u003e-Availability of data and material\u003c/p\u003e\n\u003cp\u003eThe dataset supporting the conclusion of the current study is available from the corresponding author on reasonable request.\u003c/p\u003e\n\u003cp\u003e-Competing interests\u003c/p\u003e\n\u003cp\u003eHI received the lecture fee from Mitsubishi-Tanabe pharma and Kyowa pharmaceutical industry outside the submitted work. HI is an associate editor of BMC Psychiatry. TAF reports personal fees from Mitsubishi-Tanabe and MSD, and a grant from Mitsubishi-Tanabe, outside the submitted work; TAF has a patent 2018-177688 pending.\u003c/p\u003e\n\u003cp\u003e-Funding\u003c/p\u003e\n\u003cp\u003eThis study is supported by the grant from the Osaka psychiatric clinic association and Okamoto mental health foundation. We thank staffs of Mitsuya psychiatric clinic.\u003c/p\u003e\n\u003cp\u003e-Authors' contributions\u003c/p\u003e\n\u003cp\u003eHI, TT, HM and TAF conceived and designed the study. HI, TT, HM, HM and HY collected and clean the data. HI performed the analysis. All authors contributed to the interpreting the data, drafting and revising the manuscript. All the authors approved the final version of the manuscript.\u003c/p\u003e\n\u003cp\u003e-Acknowledgements\u003c/p\u003e\n\u003cp\u003eWe thank participants and staffs in Mitsuya Psychiatric Clinic.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eOASIS: The Overall Anxiety Severity and Impairment Scale\u003c/p\u003e\n\u003cp\u003ePSW: psychiatric social worker\u003c/p\u003e\n\u003cp\u003eOT/PT: occupational/physical therapist\u003c/p\u003e\n\u003cp\u003eSD: standard deviation\u003c/p\u003e\n\u003cp\u003eOR: odds ratio\u003c/p\u003e\n\u003cp\u003eCI: confidence interval\u003c/p\u003e\n\u003cp\u003eIQR: interquartile range\u003c/p\u003e\n\u003cp\u003eSPACE: supporting parenting for anxious childhood emotions\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eDieterich, M., Irving, C. B., Bergman, H., Khokhar, M. A., Park, B., \u0026amp; Marshall, M. (2017). Intensive case management for severe mental illness. \u003cem\u003eCochrane Database of Systematic Reviews\u003c/em\u003e, (1), CD007906. https://doi.org/10.1002/14651858.CD007906.pub3\u003c/li\u003e\n\u003cli\u003eDirector General for Policies on Cohesive Society. (2010). \u003cem\u003eWakamono-no ishiki-ni kansuru chosa (awareness surevey for adolescents)\u003c/em\u003e.\u003c/li\u003e\n\u003cli\u003eDirector General for Policies on Cohesive Society. (2016). \u003cem\u003eWakamono-no seikatsu-ni kansuru chosa (awareness survey for adlescent life)\u003c/em\u003e.\u003c/li\u003e\n\u003cli\u003eDirector General for Policies on Cohesive Society. (2018). \u003cem\u003eSeikatujyokyo-ni kansuru chosa(survey for living condition)\u003c/em\u003e.\u003c/li\u003e\n\u003cli\u003eIkegami, M. (2014). \u003cem\u003eOtona-no hikikomori (Adult hikikomori)\u003c/em\u003e. Kodansya gendaishinsho.\u003c/li\u003e\n\u003cli\u003eIto, M., Oe, Y., Kato, N., Nakajima, S., Fujisato, H., Miyamae, M., \u0026hellip; Norman, S. B. (2015). Validity and clinical interpretability of Overall Anxiety Severity And Impairment Scale (OASIS). \u003cem\u003eJournal of Affective Disorders\u003c/em\u003e, \u003cem\u003e170\u003c/em\u003e, 217\u0026ndash;224. https://doi.org/10.1016/j.jad.2014.08.045\u003c/li\u003e\n\u003cli\u003eKamimura, E. (2001). Futoko-no teigi kenkyu-no rekishi (History of definition and study of school refusal). \u003cem\u003eKyouikukensyu\u003c/em\u003e, \u003cem\u003e7 supple\u003c/em\u003e, 32\u0026ndash;40.\u003c/li\u003e\n\u003cli\u003eKasahara, Y. (1976). \u003cem\u003eStudent apathy\u003c/em\u003e. Misuzu Shobo.\u003c/li\u003e\n\u003cli\u003eKato, T. A., Tateno, M., Shinfuku, N., Fujisawa, D., Teo, A. R., Sartorius, N., \u0026hellip; Kanba, S. (2012). Does the \u0026ldquo;hikikomori\u0026rdquo; syndrome of social withdrawal exist outside Japan? A preliminary international investigation. \u003cem\u003eSocial Psychiatry and Psychiatric Epidemiology\u003c/em\u003e, \u003cem\u003e47\u003c/em\u003e(7), 1061\u0026ndash;1075. https://doi.org/10.1007/s00127-011-0411-7\u003c/li\u003e\n\u003cli\u003eKitanishi, K. (2000). Taijin Kyofu. In K. Rikihachiro \u0026amp; K. Naoji (Eds.), \u003cem\u003eSeinen-no hikikomori\u003c/em\u003e. Tokyo: Iwasaki Gakujyutsu Shuppansya.\u003c/li\u003e\n\u003cli\u003eKitayama, S. (2013). Jikomujun-no mentality. In K. Hayao \u0026amp; U. Yukiko (Eds.), \u003cem\u003eHikikomori kou\u003c/em\u003e. Osaka: Sogensha.\u003c/li\u003e\n\u003cli\u003eKoyama, A., Miyake, Y., Kawakami, N., Tsuchiya, M., Tachimori, H., \u0026amp; Takeshima, T. (2010). Lifetime prevalence, psychiatric comorbidity and demographic correlates of \u0026ldquo;hikikomori\u0026rdquo; in a community population in Japan. \u003cem\u003ePsychiatry Research\u003c/em\u003e, \u003cem\u003e176\u003c/em\u003e(1), 69\u0026ndash;74. https://doi.org/10.1016/j.psychres.2008.10.019\u003c/li\u003e\n\u003cli\u003eLebowitz, E. R., Marin, C., Martino, A., Shimshoni, Y., \u0026amp; Silverman, W. K. (2019). Parent-Based Treatment as Efficacious as Cognitive-Behavioral Therapy for Childhood Anxiety: A Randomized Noninferiority Study of Supportive Parenting for Anxious Childhood Emotions. \u003cem\u003eJournal of the American Academy of Child and Adolescent Psychiatry\u003c/em\u003e. https://doi.org/10.1016/j.jaac.2019.02.014\u003c/li\u003e\n\u003cli\u003eLee, Y. S., Lee, J. Y., Choi, T. Y., \u0026amp; Choi, J. T. (2013). Home visitation program for detecting, evaluating and treating socially withdrawn youth in Korea. \u003cem\u003ePsychiatry and Clinical Neurosciences\u003c/em\u003e, \u003cem\u003e67\u003c/em\u003e(4), 193\u0026ndash;202. https://doi.org/10.1111/pcn.12043\u003c/li\u003e\n\u003cli\u003eMachizawa, S. (2003). \u003cem\u003eHikikomoru wakamonotachi hikikomori-no jittai-to shohosen\u003c/em\u003e. Tokyo: Daiwa Shobo.\u003c/li\u003e\n\u003cli\u003eMalagon-Amor, A., Corcoles-Martinez, D., Martin-Lopez, L. M., \u0026amp; Perez-Sola, V. (2015). Hikikomori in Spain: A descriptive study. \u003cem\u003eThe International Journal of Social Psychiatry\u003c/em\u003e, \u003cem\u003e61\u003c/em\u003e(5), 475\u0026ndash;483. https://doi.org/10.1177/0020764014553003\u003c/li\u003e\n\u003cli\u003eManassis, K., Lee, T. C., Bennett, K., Zhao, X. Y., Mendlowitz, S., Duda, S., \u0026hellip; Wood, J. J. (2014). Types of parental involvement in CBT with anxious youth: a preliminary meta-analysis. \u003cem\u003eJournal of Consulting and Clinical Psychology\u003c/em\u003e, \u003cem\u003e82\u003c/em\u003e(6), 1163\u0026ndash;1172. https://doi.org/10.1037/a0036969\u003c/li\u003e\n\u003cli\u003eNorman, S. B., Cissell, S. H., Means-Christensen, A. J., \u0026amp; Stein, M. B. (2006). Development and validation of an Overall Anxiety Severity And Impairment Scale (OASIS). \u003cem\u003eDepression and Anxiety\u003c/em\u003e, \u003cem\u003e23\u003c/em\u003e(4), 245\u0026ndash;249. https://doi.org/10.1002/da.20182\u003c/li\u003e\n\u003cli\u003eOkonogi, K. (2000). Hikikomorino Shinri-Syakai Haikei(Pscho-social backgroud of Hikikomori). In K. Rikihachiro \u0026amp; K. Naoji (Eds.), \u003cem\u003eSeinen-no hikikomori\u003c/em\u003e. Tokyo: Iwasaki Gakujyutsu Shuppansya.\u003c/li\u003e\n\u003cli\u003eSaito, T. (1998). \u003cem\u003eShakaiteki Hikikomori\u003c/em\u003e. PHP Shinsho.\u003c/li\u003e\n\u003cli\u003eTeo, A. R., \u0026amp; Gaw, A. C. (2010). Hikikomori, a Japanese culture-bound syndrome of social withdrawal?: A proposal for DSM-5. \u003cem\u003eThe Journal of Nervous and Mental Disease\u003c/em\u003e, \u003cem\u003e198\u003c/em\u003e(6), 444\u0026ndash;449. https://doi.org/10.1097/NMD.0b013e3181e086b1\u003c/li\u003e\n\u003cli\u003eTomita, F. (2001). Futoko hikikomori shido-no tebiki. In M. Tatsuya (Ed.). Tokyo: Kyoiku Kaihatsu Kenkyusho.\u003c/li\u003e\n\u003cli\u003eTsujimoto, T., Daimon, K., Izumi, K., Sawai, M., \u0026amp; Iwashige, T. (2007). [School-refusal and social-withdrawal in the clinical setting at a psychiatric medical institution]. \u003cem\u003eSeishin shinkeigaku zasshi = Psychiatria et neurologia Japonica\u003c/em\u003e, \u003cem\u003e109\u003c/em\u003e(4), 313\u0026ndash;320.\u003c/li\u003e\n\u003cli\u003eUchida, C. (2010). Apathetic and withdrawing students in Japanese universities--with regard to Hikikomori and student apathy. \u003cem\u003eJournal of Medical and Dental Sciences\u003c/em\u003e, \u003cem\u003e57\u003c/em\u003e(1), 95\u0026ndash;108.\u003c/li\u003e\n\u003cli\u003eWong, P. W. C., Li, T. M. H., Chan, M., Law, Y. W., Chau, M., Cheng, C., \u0026hellip; Yip, P. S. F. (2015). The prevalence and correlates of severe social withdrawal (hikikomori) in Hong Kong: A cross-sectional telephone-based survey study. \u003cem\u003eThe International Journal of Social Psychiatry\u003c/em\u003e, \u003cem\u003e61\u003c/em\u003e(4), 330\u0026ndash;342. https://doi.org/10.1177/0020764014543711\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Tables","content":"\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0); background-color: rgb(255, 255, 255);\"\u003eTable1\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eComparison of basic demographics among Hikikomori patients and others in a community psychiatric clinic.\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 106%;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.7%;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 21.94%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 21.9%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 21.9%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOthers\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 9.36%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.7%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003en\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.68%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003en\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003en\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.7%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAge, median(IQR)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e60\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.68%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e34.0\u003cbr\u003e\u0026nbsp;(21.3-46.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e81\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e32.0\u003cbr\u003e\u0026nbsp; (23.0-40.5)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e163\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e29.0\u003cbr\u003e\u0026nbsp; (20.0-43.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.31\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.7%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFemale, n(%)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e60\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.68%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e27 (45.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e81\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e43 (53.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e163\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e86 (52.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.55\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.7%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eSchool refusal, n(%)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e52\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.68%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e31 (59.6)\u003csup\u003e*\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e70\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e35 (50.0)\u003csup\u003e#\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e157\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e28 (17.8)\u003csup\u003e*,#\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026lt; .001\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.7%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNumber of Clinic visits, median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e52\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.68%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.0\u003cbr\u003e\u0026nbsp;(0-2.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e74\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.0\u003cbr\u003e(0-3.0)\u003csup\u003e+\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 3.1%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 6.26%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e133\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.64%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.0\u003cbr\u003e(0-1.0)\u003csup\u003e+\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.002\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes.\u0026nbsp;\u003c/em\u003ep: ANOVA for parametric outcomes and Kruskal-Wallis test for non-parametric outcomes; *,#post hoc Ryan test, p \u0026lt; .001; +post hoc adjusted Kruskal-Wallis test p = .002; IQR: interquartile range; SD: standard deviation\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cbr\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTable 2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eComparison of Hikikomori patients and others (limited to \u0026ldquo;visited in-person\u0026rdquo;) at a community psychiatric clinic\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 103%;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 22.02%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.9%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 20.58%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.88%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 24.52%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOthers\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 9.36%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.9%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003en\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 16.12%;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.9%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.88%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003en\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.7%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.88%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 7.34%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003en\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 17.2%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAge, median(IQR)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.9%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 16.12%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e39.5\u003cbr\u003e\u0026nbsp; (21.5-51.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.9%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.88%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e75\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.7%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e33.0\u003cbr\u003e\u0026nbsp;(23.0-40.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.88%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 7.34%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e151\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 17.2%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e30.0\u003cbr\u003e\u0026nbsp; (20.0-44.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.40\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFemale, n(%)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.9%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 16.12%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e16 (47.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.9%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.88%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e75\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.7%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e41 (54.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.88%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 7.34%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e151\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 17.2%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e81 (53.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.75\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eSchool refusal, n(%)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.9%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e29\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 16.12%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e18 (62.1)\u003csup\u003e++\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.9%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.88%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e64\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.7%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e33 (51.6)\u003csup\u003e##\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.88%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 7.34%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e146\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 17.2%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e24 (16.4)\u003csup\u003e\u003cspan style=\"font-size:11px;\"\u003e++,##\u003c/span\u003e\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026lt;.001\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 52.5pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNumber of Clinic visits, median (IQR)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:5.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.0\u003cbr\u003e\u0026nbsp;(0-2.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:5.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e69\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.0\u003cbr\u003e\u0026nbsp; (1.0-3.0)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:7.34%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e123\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.0\u003cbr\u003e\u0026nbsp;(0-2.0)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:9.36%;border:none;padding:0in 5.4pt 0in 5.4pt;height:52.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.002\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOASIS score, mean(SD)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:5.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e30\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e12.3 (4.1)\u003csup\u003e#\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:5.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e74\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e10.8 (4.7)\u003csup\u003e+\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:7.34%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e143\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e8.0 (4.9)\u003csup\u003e#,+\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:9.36%;border:none;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026lt;.001\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eDiagnosis\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.9%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 16.12%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.9%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.88%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.7%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.88%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 7.34%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 17.2%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.36%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"11\" style=\"width:5.9%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (2.9)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"11\" style=\"width:5.88%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e75\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"11\" style=\"width:7.34%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e151\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (0.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"11\" style=\"width:9.36%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.056\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (2.9)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3 (4.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2 (1.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2 (5.9)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e7 (9.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e7 (4.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e7 (20.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e17 (22.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e19 (12.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e16 (47.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e33 (44.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e86 (57.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;text-indent:5.25pt;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eF5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (1.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.95pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (1.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.95pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3 (8.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e19 (12.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4 (11.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e6 (8.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e8 (5.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border: none;padding: 0in 5.4pt;height: 17.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;F9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e6 (8.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;padding:0in 5.4pt 0in 5.4pt;height:17.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e8 (5.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 17.76%;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 35.25pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;margin-left:5.25pt;text-indent:-5.25pt;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;Unclear/\u003cbr\u003e\u0026nbsp;Undecided\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:16.12%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.9%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:14.7%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (1.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:2.88%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:17.2%;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:35.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (0.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes.\u003c/em\u003e p: ANOVA for parametric outcome and Kruskal-Wallis test for non-parametric outcome, *Adjusted Kruskal-Wallis test p = .001; \u003cspan style=\"background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;\"\u003e#,+ Bonferroni test p \u0026lt; .001; ++,## Ryan test p \u0026lt; .001\u003c/span\u003e, Abbreviations: IQR: interquartile range, SD: standard deviation, F0: Organic, including symptomatic, mental disorders, F1: Mental and behavioral disorders due to psychoactive substance use, F2: Schizophrenia, schizotypal and delusional disorders, F3: Mood [affective] disorders, F4: Neurotic, stress-related and somatoform disorders, F5: Behavioral syndromes associated with physiological disturbances and physical factors, F6: Disorders of adult personality and behavior, F7: Mental retardation, F8: Disorders of psychological development, F9: Behavioral and emotional disorders with onset usually occurring in childhood and adolescence\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cbr\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTable 3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eThe number (%) of clinic visits (attendance status) at a one-year follow-up of patients at a community psychiatric clinic\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border: none;width:425.25pt;border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e \u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori(n=59)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori(n=81)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOthers(n=167)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:23.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eRegular visit\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:23.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e25 (41.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:23.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e42 (51.9)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:23.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e63 (38.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;padding:0in 4.95pt 0in 4.95pt;height:21.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIrregular visit\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;padding:0in 4.95pt 0in 4.95pt;height:21.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3 (5.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;padding:0in 4.95pt 0in 4.95pt;height:21.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3 (3.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;padding:0in 4.95pt 0in 4.95pt;height:21.0pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e6 (3.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;padding:0in 4.95pt 0in 4.95pt;height:21.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHome visit by doctor\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;padding:0in 4.95pt 0in 4.95pt;height:21.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e6 (10.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;padding:0in 4.95pt 0in 4.95pt;height:21.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;padding:0in 4.95pt 0in 4.95pt;height:21.25pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;padding:0in 4.95pt 0in 4.95pt;height:27.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eContinuous consultation\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;padding:0in 4.95pt 0in 4.95pt;height:27.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4 (6.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;padding:0in 4.95pt 0in 4.95pt;height:27.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;padding:0in 4.95pt 0in 4.95pt;height:27.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (0.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;padding:0in 4.95pt 0in 4.95pt;height:21.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTransference\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;padding:0in 4.95pt 0in 4.95pt;height:21.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e7 (11.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;padding:0in 4.95pt 0in 4.95pt;height:21.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e9 (11.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;padding:0in 4.95pt 0in 4.95pt;height:21.9pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e14 (8.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;padding:0in 4.95pt 0in 4.95pt;height:20.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFinished\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;padding:0in 4.95pt 0in 4.95pt;height:20.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4 (6.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;padding:0in 4.95pt 0in 4.95pt;height:20.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4 (4.9)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;padding:0in 4.95pt 0in 4.95pt;height:20.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e37 (22.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:134.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnknown\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e11 (18.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.3pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e23 (28.4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:85.05pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e42 (25.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes.\u003c/em\u003e Chi-square test p \u0026lt; .001.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cbr\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTable 4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eThe number (%) of patients being supported by clinical staff members at a community psychiatric clinic\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border: none;width:416.0pt;border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:58.2pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 4.95pt 0in 4.95pt;height:51.5pt;\"\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cbr\u003e\u003c/span\u003e\u003c/span\u003e\u003c/td\u003e\n \u003ctd style=\"width: 102.95pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 4.95pt;height: 51.5pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e(n = 60)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 102.95pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 4.95pt;height: 51.5pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e(n = 81)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 99.9pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 4.95pt;height: 51.5pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOthers\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;(n =163)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 52pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 4.95pt;height: 51.5pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:58.2pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNurse\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e9 (15.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e5 (6.2)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.9pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e6 (3.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:52.0pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size: 15px; font-family: \"Yu Gothic\", sans-serif;'\u003e.010\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:58.2pt;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePSW\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;padding:0in 4.95pt 0in 4.95pt;height: 34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e14 (23.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;padding:0in 4.95pt 0in 4.95pt;height: 34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e18 (22.2)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.9pt;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e20 (12.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:52.0pt;padding:0in 4.95pt 0in 4.95pt;height:34.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size: 15px; font-family: \"Yu Gothic\", sans-serif;'\u003e.054\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:58.2pt;padding:0in 4.95pt 0in 4.95pt;height:51.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOT\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;padding:0in 4.95pt 0in 4.95pt;height: 51.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e5 (8.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;padding:0in 4.95pt 0in 4.95pt;height: 51.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e9 (11.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.9pt;padding:0in 4.95pt 0in 4.95pt;height:51.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e7 (4.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:52.0pt;padding:0in 4.95pt 0in 4.95pt;height:51.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size: 15px; font-family: \"Yu Gothic\", sans-serif;'\u003e.13\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:58.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:68.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003epsychologist\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:68.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3 (5.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.95pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:68.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e7 (8.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:99.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:68.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e17 (10.4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:52.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:68.5pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size: 15px; font-family: \"Yu Gothic\", sans-serif;'\u003e.45\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes.\u0026nbsp;\u003c/em\u003ep: Chi-square test.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cbr\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTable 5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eThe number (%) for factors of social functioning at one-year follow-up of patients in a community psychiatric clinic\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border: none;width:438.7pt;border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:101.25pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e \u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e \u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 104.25pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 4.95pt;height: 18.85pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori(n = 60)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 102.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 4.95pt;height: 18.85pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori \u0026nbsp;(n = 81)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 4.95pt;height: 18.85pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOthers (n = 162)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:101.25pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eWork/ school/homemaker\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePre\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1 (1.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e43 (53.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;border:none;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e112 (69.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePost\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e14 (23.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e45 (57.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e128 (79.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:101.25pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eDay/night care\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePre\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePost\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e6 (10.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4 (5.1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:52.45pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e7 (4.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:101.25pt;padding:0in 4.95pt 0in 4.95pt;height:69.8pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eGoing out freely\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:69.8pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePre\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 69.8pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4 (6.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:69.8pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e24 (29.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:69.8pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e37 (22.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePost\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3 (5.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e21 (26.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e13 (8.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:101.25pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eGoing out with restriction\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePre\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e19 (31.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e12 (14.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:35.15pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e11 (6.8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePost\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e14 (23.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e9 (11.4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e12 (7.4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:101.25pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIndoor activity without going out\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePre\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e31 (51.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2 (2.5)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2 (1.2)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePost\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e19 (31.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2 (1.2)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:101.25pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eActivity restricted to their room\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePre\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3 (5.0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePost\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4 (6.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0(0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:101.25pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnknown\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:35.8pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePre\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;padding:0in 4.95pt 0in 4.95pt;height: 18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2 (3.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:35.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePost\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:104.25pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:102.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0 (0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:95.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 4.95pt 0in 4.95pt;height:18.85pt;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0(0)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style='font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cbr\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTable 6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eThe logistic regression analysis on clinic attendance status\u003c/em\u003e with \u003cem\u003edependent variable \u0026ldquo;regular visit\u0026rdquo;\u003c/em\u003e and\u003cem\u003e\u0026nbsp;dependent variable \u0026ldquo;finish treatment\u0026rdquo;\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 4.3e+2pt;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 164.35pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnivariate OR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 155.9pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMultivariate OR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026dagger;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAge\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.00 to 1.03\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.99 to 1.03\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.45\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.92 to 2.28\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.11\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.44\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.89 to 2.34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.14\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.59\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.33 to 1.07\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.08\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.43\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.22 to 0.83\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.012\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.83\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.48 to 1.42\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.49\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.66\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.37 to 1.18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.16\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOther(reference)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNurse\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4.80\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.38 to 16.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.013\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3.74\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.95 to 14.68\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.059\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePSW\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.63\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.34 to 5.15\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.005\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.35\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.14 to 4.86\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.021\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOT/PT\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e8.17\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.87 to 35.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.005\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e6.07\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.28 to 28.71\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.023\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePsychologist\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.24\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.92 to 5.47\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.076\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.74\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.66 to 4.59\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.26\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes.\u0026nbsp;\u003c/em\u003eMultivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational therapist/physical therapist.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026dagger;Dependent variable: regular visit.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 4.3e+2pt;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 164.1pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnivariate OR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 155.9pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMultivariate OR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026Dagger;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAge\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.99 to 1.03\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.20\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.99 to 1.03\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.43\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFemale\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.64\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.03 to 2.61\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.039\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.66\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01 to 2.73\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.046\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.93\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.50 to 1.72\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.81\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.70\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.36 to 1.37\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.30\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.82\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.48 to 1.43\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.49\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.65\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.36 to 1.17\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.15\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOther(reference)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNurse\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e12.73\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.68 to 96.16\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.014\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e8.44\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.05 to 68.11\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.045\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePSW\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.90\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.39 to 6.02\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.004\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.44\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.12 to 5.32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.025\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOT\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e13.44\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.78 to 101.32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.012\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e10.06\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.25 to 80.89\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.030\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePsychologist\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.73\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 86.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.00 to 7.43\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.049\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.2pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.31\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.80 to 6.68\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 35.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.12\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes.\u003c/em\u003e Multivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational therapist/physical therapist.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026Dagger; Dependent variable: finish treatment.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTable 7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eThe logistic regression analysis on social functioning with the dependent variable \u0026ldquo;work/school\u0026rdquo; and the dependent variable \u0026ldquo;work/school/day-night care\u0026rdquo;\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 4.3e+2pt;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 157.3pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnivariate OR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 163.25pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMultivariate OR\u0026dagger;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eage\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.99 to 1.04\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.21\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.02\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.99 to 1.04\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.17\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003efemale\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.24\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.23 to 4.07\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.008\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.96\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.04 to 3.70\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.037\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.27\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.12 to 0.59\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.001\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.30\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.13 to 0.68\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.004\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.39\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.20 to 0.78\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.007\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.40\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.20 to 0.82\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.012\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOther(reference)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNurse\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.50\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.17 to 1.54\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.23\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.58\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.17 to 2.02\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.39\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePSW\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.70\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.34 to 1.46\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.35\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.85\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.39 to 1.89\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.69\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOT\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.10 to 1.02\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.053\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.36\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.09 to 1.40\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.14\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePsychologist\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.50\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.56 to 3.98\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.42\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.78\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 70.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.57 to 5.59\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.75pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes.\u003c/em\u003e Univariate analysis was adjusted for baseline social functioning, Multivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational therapist/physical therapist.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026dagger;Dependent variable: work/school.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 4.3e+2pt;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 157.3pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnivariate OR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 170.35pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMultivariate OR\u0026Dagger;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOR\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e95%CI\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ep\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eage\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.99 to 1.03\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.36\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;border-right: none;border-bottom: none;border-left: none;border-image: initial;border-top: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.01\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.98 to 1.03\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.49\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003efemale\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.58\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.88 to 2.82\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.12\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.56\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.82 to 2.96\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCurrent Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.15 to 0.67\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.003\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.30\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.13 to 0.67\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.003\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePast Hikikomori\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.17 to 0.69\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.003\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.28\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.14 to 0.60\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.001\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOther(reference)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNurse\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3.23\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.14 to 9.18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.028\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e3.28\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.95 to 11.30\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.06\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePSW\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.68\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.81 to 3.48\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.16\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.29\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.57 to 2.91\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.54\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOT\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e5.05\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.55 to 16.46\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.007\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e4.49\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.16 to 17.43\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.030\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 90.8pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:justify;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePsychologist\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e2.79\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 72.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.98 to 7.92\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.054\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13.9pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 49.6pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e1.57\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 78.25pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e0.47 to 5.26\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 42.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;margin-bottom:.0001pt;text-align:center;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e.47\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"background-color: rgb(255, 255, 255);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cem\u003eNotes\u003c/em\u003e. Univariate analysis was adjusted for baseline social functioning, Multivariate analysis included all the variables in the table, PSW: psychiatric social worker, OT/PT: occupational. therapist/physical therapist.\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;margin-bottom:.0001pt;text-align:left;font-size:14px;font-family:\"Yu Mincho\",serif;'\u003e\u003cspan style=\"color: rgb(0, 0, 0); background-color: rgb(255, 255, 255);\"\u003e\u0026Dagger;Dependent variable: work/school/day-night care.\u003c/span\u003e\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-psychiatry","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bpsy","sideBox":"Learn more about [BMC Psychiatry](http://bmcpsychiatry.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bpsy/default.aspx","title":"BMC Psychiatry","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"anxiety; apathy; culture-bound syndrome; anomie; hikikomori ","lastPublishedDoi":"10.21203/rs.2.17076/v2","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.2.17076/v2","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground: \u003c/strong\u003ePathological social withdrawal, named “Hikikomori,” is a Japanese culture-bound syndrome and a serious social problem in Japan. The number of Hikikomori cases in Japan was estimated at about 563,000 in 2016 according to governmental surveys. However, no studies have reported how many Hikikomori have access to community-based psychiatry clinics, and how different they are from non-Hikikomori patients regarding their baseline characteristics and outcomes. The aim of the present study is to evaluate the baseline characteristics, clinical attendance, and social functioning of community psychiatric clinic patients treated for social withdrawal at one-year follow-ups.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eMethod\u003c/strong\u003e: Participants (n = 304) were all patients (aged under 65) of a psychiatric clinic in a one-year period. Baseline patient characteristics were compared among “current” Hikikomori patients, “past” Hikikomori,” and “other” patients. Logistic regression analysis of “clinic attendance status” and “social functioning” at one-year follow-ups was used to assess patient outcomes. Independent variables were age, gender, Hikikomori status, and support from clinical staff.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e: Numbers of “current”, “past” Hikikomori, and “other” patients were 60 (19.7%), 81 (26.6%), and 163 (53.6%), respectively. The percentage of “current” Hikikomori who attended in person (56.7%) was significantly smaller than for “past” (92.6%) and “other” (92.6) (p \u0026lt; .001). The age distribution of “current” Hikikomori patients was bimodal, peaking at 20 and 40–45 years. The “current” state predicted significantly fewer regular visits (OR = 0.43; 95% CI = 0.22–0.83; p = .012); support from psychiatric social workers increased visits (OR = 2.35; 95% CI = 1.14–4.86; p = .021). Among the “current” Hikikomori patients, first visit attendance in-person predicted regular attendance; no factor consistently predicted working/schooling status.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e: A sizable percentage of community clinic patients experienced Hikikomori. The “current” Hikikomori state corresponded with low clinic attendance and social function; “support from clinical staff” may increase visit regularity; no factors consistently improved social functioning. Further multi-site study is warranted to examine the generalizability of the findings from the current single-center study.\u003c/p\u003e","manuscriptTitle":"The Characteristics and Social Functioning of Pathological Social Withdrawal, “Hikikomori,” in a Secondary Care Setting: A One-Year Cohort Study","msid":"","msnumber":"","nonDraftVersions":[{"code":2,"date":"2020-04-20 17:47:11","doi":"10.21203/rs.2.17076/v2","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Minor revision","date":"2020-04-30T12:00:00+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2020-04-29T12:00:00+00:00","index":2,"fulltext":"Recommendation: Accept after discretionary revisions\nForm responses:\n---\n\nComments to Author:\n---\nComment: Keywords - I might suggest the authors include \"Social withdrawal\" and\nperhaps also \"social dysfunction\" in their keywords, so it is found by relevant\nresearchers.\nResponse: Thank you for your suggestion. We added \"social withdrawal\" and \"social\ndysfunction\" in the keywords.\n\nComment, round 2: great\n\nComment: INTRODUCTION\nThe authors provide summaries of some of the social, societal and clinical factors that\nmight have produced the phenomenon of Hikikomori, but these were not explained in a\nway that was easy to understand. For example, \"a maternal society marked by parents\nbeing overly protective and children being overly dependent\" is cited as one possible\ncause, but the link between this and Hikikomori is not obvious. Why are over protective\nmothers linked to Hikikomori? In this case it would be relevant perhaps to describe\ndata about the number of Hikikomori who live with their parents. Some readers will not\nknow that this is a common feature of Hikikomori.\nNote, that I felt that the use of English as used in the manuscript could be most\nimproved in the Introduction and in the Discussion, where the more complex ideas are\npresented. I would suggest that they are both carefully reviewed to improve the flow\nand clarity of ideas.\nResponse: Thank you for your comment. We cited the examples of causes of\nHikikomori to show that there are scant evidences with high quality. So some opinions\nare not based on the clear logic. However, we added some detailed explanations in the\nIntroduction. (p3, line 24-p4, line2)\n\nComment, round 2: OK, I think it is good you have emphasized that these theories are speculative and have not necessarily been rigorously tested for supportive evidence.\n\nComment: METHODS\nIn the methods we are told that the study \"included new-visit patients aged below 65\"\nbetween certain dates. Other than individuals who opted out of the study (with the\ninformation about the study being presented on the clinic website), did this recruitment\ninclude ALL new-visit patients in this time window? If not, this may represent possible\nsampling bias in the study, and more information should be provided about the\nselection of patients whose data was included in the study.\nResponse: We included all new-visit patients aged below 65 in this time window. We\nadded the explanation as follows.\nHowever, we included all new-visit patients aged below 65, as no patients wished to\nmake their data opted out from the study. (p5, line8-9)\n\nComment, round 2: OK thank you\n\nComment:Iis there a reason why those with ongoing care were not recruited?\nResponse: We chose not to recruit patients with ongoing care, as it would bias the\nresults. If we include patients with ongoing care, the outcomes of attendance of clinic\nand social functioning will be better than the present study because the percentage of\npatients who dropped out within a short period will decrease. So, we excluded patients\nwith ongoing care.\n\nComment, round 2: OK thank you\n\nComment: In some cases, Hikikomori is defined as social withdrawal that is not caused\nby other (primary) psychiatric or physical illness. The authors do not comment much on\nthe link between psychiatric illness and Hikikomori in this manuscript, although all or\nalmost all patients have a current psychiatric diagnosis (which is to be expected in\nsecondary healthcare services). I think this is a weakness of the Introduction and\nDiscussion.\nResponse: Thank you for your comment. Originally, Hikikomori patients was defined as\nhaving no psychiatric disorder. However, many of them proved to have psychiatric\ndisorder afterward. As the result, present definition of Hikikomori by the Japanese\nMinistry of Health, Labor, and Welfare includes patients with psychiatric disorders. In\nfact, Hikikomori patients in the present study were diagnosed by some psychiatric\ndisorders. We added these explanations in the Introduction and Discussion as follows\nthis time;\nOriginally, Hikikomori patients was defined as having no psychiatric disorder. However,\nmany of them proved to have psychiatric disorder afterward. As the result, present\ndefinition of Hikikomori by the Japanese Ministry of Health, Labor, and Welfare\nincludes patients with psychiatric disorders. (p3, line8-11)\nAll the present and past Hikikomori patients had psychiatric disorders. Original\ndefinition of Hikikomori does not include people with psychiatric disorders, however,\nthe newest definition by the Japanese Ministry of Health, Labor, and Welfare includes\npatients with psychiatric disorders. The present study supports the validity of the latter\ndefinition. (p,12, line 11-14)\n\nComment, round 2: OK thank you, although I think the quality of the English used here can be improved (see my last comment)\n\nComment: There is little discussion of the \"procedure\" for the conduct of the study. It\nwould be valuable to add details to explain where data was collected from patients'\nself-report, and where it was taken from their clinical records. It seems to be the case\nthat participants completed the brief questionnaire on Hikikomori, school refusal, and\nalso OASIS themselves. Was the rest of the data collected from hospital records,\nincluding diagnosis for example?\nResponse: Thank you for your comment. Data on diagnosis, attendance to the clinic,\nsocial functioning and supports were collected from hospital record, and other data\nwere collected from medical interview sheet at the first visit. We added the explanation\nthis time as follows.\nData on diagnosis, attendance to the clinic, social functioning and supports were\ncollected from hospital record, and other data were collected from medical interview\nsheet by patients or their family at the first visit. (p7, line 14-16)\n\nComment, round 2: OK thank you\n\nComment: I would define the term \"school refusal\" for readers who are not familiar with\nthis term. Some readers may think this is the result of students being expelled from\nschool, when I understand the definition is the individual refusing to attend school (for\n\u003e=30 days)\nResponse: Yes. You are right. We added the definition this time. (p6, line 17-19)\n\nComment, round 2: OK thank you\n\nComment; What is the meaning of \"outcome assessment\" (e.g. section entitled\n\"Attendance to the clinic\")? How does it differ from e.g. the finalized consultation?\nResponse: Thank you for your comment. The \"outcome assessment\" means that the\ntiming of outcome assessment. We evaluated outcomes at one year after the first visit.\nWe clarified it this time. (p6, line 29-32)\n\nComment, round 2: This is probably a language issue, which is causing me some confusion. Could you include a description of what \"finalized consultation\" means? (also, is it the same as \"finished\" in Table 3?)\n\nComment: Could the authors explain a bit more what \"regular visit to day/night care\nwithout working\" means? What kind of care is this? Similarly, can they explain what the\nphrases \"indoor activity without going out\" and \"activity restricted to their room\" mean?\nHow do they differ? Are they both measures of poor social function?\nOn page 10, lines 31-36, there is description of this data, and I think the language\ncould be clarified.\nResponse: Thank you for your comment. We clarified the definition of the terms this\ntime as follows.\nDay/night care offers rehabilitation for social participation. Activities include drawing\npicture, playing music, sports, cooking, social skill training and so on. Some patients\nonly come to the place and do nothing, others join various activities. Indoor activity\nwithout going out means that patients does not go out of home, but they can do some\nactivities inside the home. Usually, they can meet family members. Activity restricted to\ntheir room means that patients does not go out of their room except for toilet or\nsometimes bathing. They even rarely or never meet other family members. Meals are\nusually prepared by family member outside the patients' room and patients take the\nmeal when family member leave from the place. (p7, line 4-12)\n\nComment, round 2: OK thank you\n\nComment: RESULTS\nThe authors describe how the age distribution of \"current\" Hikikomori patients was\nbimodal, peaking at 20 and 40-45 years. It would be advisable to provide a histogram\nof the age distributions for the current Hikikomori group (and perhaps also for the past\nand the other groups) to illustrate this, rather than only presenting median data and\nIQR as it appears in the Tables.\nResponse: Thank you for your suggestion. We added the histogram of age distribution\nas figure1.\n\nComment, round 2: OK thank you. The distributions of each group by age are interesting.\n\nComment: The authors report that \"There is no significant difference in diagnosis\nbetween groups\", and statistically of course I would agree, but this is one of the places\nwhere the analyses appear to be underpowered because of the number of categories\nthat a relatively small number of cases have been put into. The data looks like it might\nbe pointing to greater prevalence of mood disorders in the current and past Hikikomori\ngroups, compared to the \"other group\" ... even though this does not reach significance\nthreshold. This is an important point if we are to understand that the focus of our limited\nhealthcare resources should be on the psychiatric illness, or, on the features of\nHikikomori itself. I think the authors could emphasize further the limitation of their study\nin terms of small sample size, if they are intending to explore the effects of single\ndiagnostic categories (where often there are 0 or only 1 case in a particular category).\nThe sample size is also small to explore the effects of contact with different kinds of\nhealthcare providers, where again the number of cases per category is often too small\nto make any firm or generalisable conclusion.\nResponse: We agree with your comment. We added discussion as follows:\nAlthough it was not significant, percentage of mood disorders were relatively large\namong current and past Hikikomori patients than other patients, which should be\nconfirmed by studies with larger sample size. Pathological relationship between\nHikikomori and mood disorders may be one of the research implications. (p12, line 15-\n18)\nthe sample size was small, which may cause underestimation variables' influence on\noutcomes. The number of case categories were sometimes very small. They include\ncontact with different kinds of healthcare providers and diagnosis of psychiatric\ndisorders. The present study could not make generalizable conclusion at these points.\nStudies with more sample size should be conducted. (p13, line 8-12)\n\nComment, round 2: OK thank you.\n\nComment: DISCUSSION\n\"\"Adult Hikikomori (Otonano Hikikomori)\" was published in 2014.\" This sentence, in the\nDiscussion, comes across as a fragment and needs explaining. Is this a book of some\nspecial significance?\nResponse: We cited this book to show since when the aging of Hikikomori patients\nattracted attention in Japan. We reworded the sentence this time as follows:\nThe aging of Hikikomori patients has been attracting attention in Japan since around\n2014, when a book \"Adult Hikikomori (Otonano Hikikomori)\" pointed out this serious\nsituation. (p11, line9-11)\n\nComment, round 2: OK thank you.\n\nComment: The authors mention that \"Intervention directed at parents may be\neffective\". Relevant to this, did the researchers collect any data about the living\nsituation of their participants, i.e. whether those individuals were still living \"at home\"\nwith family? This seems to be very relevant to the economic and healthcare impact of\nHikikomori as parents age and are no longer as able, financially or otherwise, to look\nafter their live-at-home children.\nResponse: Thank you for your comment. The Japanese Ministry of Health, Labor, and\nWelfare conducted the research on the living condition of citizen aged between 40 and\n64 in 2018 (n=3,248). The number of Hikikomori patients was 47 and 10.6% lived\nalone. The percentage of those who lived with mother or father was 53.2% and 25.5%,\nrespectively. We added this fact in the manuscript this time. (p12, line 24-27)\n\nComment, round 2: OK thank you. I recommend that you add a caveat / limitation that data about participants' living circumstances were not collected in this study. I feel this would be useful data to have in future studies.\n\nComment: In the Discussion, where the phrase \"social status\" is used, I would suggest\nthat \"social function\" is more appropriate and also consistent with the rest of the\nmanuscript.\nResponse: Thank you for your suggestion. We changed the phrase \"social status\" to\n\"social function\".\n\nComment, round 2: OK thank you.\n\nComment: The authors state \"The external validity of the present results is not\nwarranted.\" I might suggest \"The generalisability of the present results therefore cannot\nbe assumed.\"\nResponse: Thank you for your suggestion. We revised as you suggested. (p13, line7)\n\nComment, round 2: OK thank you.\n\nComment: \"Second, the number of \"current\" Hikikomori patients was small, which may\ncause underestimation variables' influence on outcomes.\" yes, as commented on\nabove, some of your analyses will be statistically underpowered. Arguably, it would be\nbetter to collapse some of your categories together to increase your power. As it is, I\nrecommend that the authors specify which of their analyses will be most prone to being\nunderpowered. This includes the analysis of diagnosis, clinical visit categorisation, and\nclinical staff support categorisation. The authors may want to nuance their findings\nrelated to these data, for this reason.\nResponse: We decided not to collapse categories and conducted the analysis as we\ndeclared in the protocol. One reason for this was that data driven analysis may arise\nbias and the other reason was that the heterogeneity between categories made us\nhesitate to collapse. As the results, we decided to mention the limitation of small\nsample size in the discussion.\n\nComment, round 2: OK thank you.\n\nComment: TABLES\nIn the tables there are sometimes # and + signals. What do these communicate?\nResponse: Thank you for your comment. We explained the point in the legend.\n\nComment, round 2: I was confused by the legend. Because I could not understand why the symbol was sometimes \"##\" and was sometimes \"##,++\" . I think I now understand that the symbols are communicating particular group pairings where the difference between those groups were significant. If I am right, this way of presenting the symbols is confusing, but I cannot myself think of a better way. So I suggest you add to the legend this text, after \"Ryan test p\u003c0.001\" .... \"Symbols are matched to indicate where, for the indicated two groups, the difference between those groups were significant.\"\nI hope my suggestion is accurate.\n\nComment: Typing and small language errors:\nPage 9 line 25 - \"was significantly small\" should be \"was significantly smaller\"\nPage 9 line 33 - \"20, 4and 0 and 45\" should perhaps be \"20, and 40 - 45\nPage 12 line 36 - \"males were more prevalent\" should probably be \"Hikikomori was\nmore prevalent among males than among females.\"\nPage 13, lines 10 and 12, \"Intervention\" should be \"Interventions\"\nResponse: Thank you for your indication. We amended them.\n\nComment, round 2: OK thank you.\n\nFinal Comment for my round 2 review: The English in the manuscript requires improvement, both for improved readability but also comprehension. I do not see evidence of a thorough review and improvement on the use of English in the manuscript.\n* Are the methods appropriate and well described?: **Yes**\n* Does the work include the necessary controls?: **Yes**\n* Are the conclusions drawn adequately supported by the data shown?: **Yes**\n* Are you able to assess any statistics in the manuscript or would you recommend an additional statistical review?: **I am able to assess the statistics**\n* Quality of written English: **Not suitable for publication unless extensively edited**\n* Declaration of competing interests: **I declare that I have no competing interests**\n* I agree to the open peer review policy of the journal. I understand that my name will be included on my report to the authors and, if the manuscript is accepted for publication, my named report including any attachments I upload will be posted on the website along with the authors' responses. I agree for my report to be made available under an Open Access Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any comments which I do not wish to be included in my named report can be included as confidential comments to the editors, which will not be published.: ** I agree to the open peer review policy of the journal**\n"},{"type":"reviewerAgreed","content":"","date":"2020-04-19T12:00:00+00:00","index":2,"fulltext":""},{"type":"editorInvitedReview","content":"","date":"2020-04-17T12:00:00+00:00","index":1,"fulltext":"Recommendation: Accept after discretionary revisions\nForm responses:\n---\n\nComments to Author:\n---\nPEER REVIEWER ASSESSMENTS:\n\nOBJECTIVE - Full research articles: is there a clear objective that addresses one or several testable research questions? (Brief or other article types: is there a clear objective?)\nYes - there is a clear objective\n\nDESIGN - Is the current approach (including controls and analysis protocols) appropriate for the objective?\nYes - the approach is appropriate\n\nEXECUTION - Are the experiments and analyses performed with sufficient technical rigor to allow confidence in the results?\nN/A - no experiments or analyses\n\nSTATISTICS - Is the use of statistics in the manuscript appropriate?\nYes - appropriate statistical analyses have been used in the study\n\nINTERPRETATION - Is the current interpretation/discussion of the results reasonable and not overstated?\nYes - the author's interpretation is reasonable\n\nOVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently for you to now recommend the work as a technically sound contribution? If not, can further revisions be made to make the work technically sound?\nYes - current version is technically sound\n\nPEER REVIEWER COMMENTS:\n\nGENERAL COMMENTS: The authors have done an excellent job of addressing all of the points raised by myself and the other reviewer. They have been very open to feedback and I believe that the manuscript is considerably improved.\n\nREQUESTED REVISIONS:\nNo more changes required.\nADDITIONAL REQUESTS/SUGGESTIONS:\nNil* Are the methods appropriate and well described?: **Yes**\n* Does the work include the necessary controls?: **Yes**\n* Are the conclusions drawn adequately supported by the data shown?: **Yes**\n* Are you able to assess any statistics in the manuscript or would you recommend an additional statistical review?: **I am able to assess the statistics**\n* Quality of written English: **Needs some language corrections before being published**\n* Declaration of competing interests: **This reviewer has been recruited by a partner organization, Research Square. Reviewers with declared or apparent competing interests are not utilized for these reviews. This reviewer has agreed to publication of their comments online under a Creative Commons Attribution License attributed to Research Square and was paid a small honorarium for completing the review within a specified timeframe. Honoraria for reviews such as this are paid regardless of the reviewer recommendation.**\n* I agree to the open peer review policy of the journal. I understand that my name will be included on my report to the authors and, if the manuscript is accepted for publication, my named report including any attachments I upload will be posted on the website along with the authors' responses. I agree for my report to be made available under an Open Access Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any comments which I do not wish to be included in my named report can be included as confidential comments to the editors, which will not be published.: ** I agree to the open peer review policy of the journal**\n"},{"type":"editorAssigned","content":"","date":"2020-04-15T12:00:00+00:00","index":"","fulltext":""},{"type":"reviewersInvited","content":"","date":"2020-04-15T12:00:00+00:00","index":"","fulltext":""},{"type":"reviewerAgreed","content":"","date":"2020-04-15T12:00:00+00:00","index":1,"fulltext":""},{"type":"checksComplete","content":"","date":"2020-04-14T12:00:00+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2020-04-14T12:00:00+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-psychiatry","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bpsy","sideBox":"Learn more about [BMC Psychiatry](http://bmcpsychiatry.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bpsy/default.aspx","title":"BMC Psychiatry","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2019-11-11 17:53:22","doi":"10.21203/rs.2.17076/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Major revision","date":"2020-03-23T12:00:00+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2020-03-20T12:00:00+00:00","index":2,"fulltext":"Recommendation: Accept after minor essential revisions\nForm responses:\n---\n\nComments to Author:\n---\nPEER REVIEWER ASSESSMENTS:\n\nOBJECTIVE - Full research articles: is there a clear objective that addresses a testable research question(s) (brief or other article types: is there a clear objective)?\nNo - there are major issues\n\nDESIGN - Is the current approach (including controls and analysis protocols) appropriate for the objective?\nYes - the approach is appropriate\n\nEXECUTION - Are the experiments and analyses performed with technical rigor to allow confidence in the results?\nNo - there are minor issues\n\nSTATISTICS - Is the use of statistics in the manuscript appropriate?\nNo - there are issues with the statistics in the study\n\nINTERPRETATION - Is the current interpretation/discussion of the results reasonable and not overstated?\nNo - there are minor issues\n\nOVERALL MANUSCRIPT POTENTIAL - Is the current version of this work technically sound? If not, can revisions be made to make the work technically sound?\nProbably - with minor revisions\n\nPEER REVIEWER COMMENTS:\n\nGENERAL COMMENTS:\nOverall, this is a very interesting description of a potentially unique population. Hikikomori refers to extreme levels of social withdrawal, which is an interesting phenomenon to study and may have far-reaching consequences for patients. There are few descriptions of this population, and therefore the current study has a contribution to make. There are a number of limitations, however.\n\nREQUESTED REVISIONS:\nThe current Introduction focuses primarily on providing an historical and descriptive overview of Hikikomori. It is described as \"culture-bound,\" but this may not be true--social withdrawal is a common human response and is common across all societies. However, the issue here is that the background did not provide any real theoretical or conceptual justification for this study. If I was going to study social withdrawal, I might want to measure things like depression, friendships, social skills, and so on. So why the authors decided to study variables such as work, demographics, clinic visits, and so on is never made clear from the Introduction. The manuscript would strongly benefit from a more conceptual introduction that helps the reader to understand why the selected variables are important.\nDetermination of the three groups for the study was produced through three questions. There is no indication of the psychometric properties of these items. Are they reliable? Do they validly detect Hikikomori? And importantly, how reliable and valid are they when they are completed by relatives and not by the patient?\nThere is a very large number of statistical comparisons conducted with no attempt to control for inflation of the Type 1 error.\nThe school refusal measure was very difficult to understand. First, it is a single item, which always is open to serious measurement error problems. But more importantly, the measure is described as a total of \u003e30 days absent. Does this mean that the patient missed 30 days across their entire school life (12 years)? This would only average to around 3 days per year, which is lower than the average student.\nThere needs to be an indication of who reported the clinic data (and similar) and how much agreement there was between raters if there were different reporters.\nThe comparisons between age and clinic visits was confusing. They are reported as medians, and in fact, the medians appear to be exactly the same between groups. Yet, the authors indicate that they differ significantly. This is hard to follow. Can the data be reported as means and conduct a simple ANOVA? I think readers would understand this better.\nA bimodal age distribution is reported as a key finding, but there are no data provided to support this claim. Unless I missed something, readers will want to see the distribution of age in a graph and some objective demonstration of its bimodality.\nFinally, but perhaps most important of all, a critical limitation of this study is that it was conducted in a clinic that specialises in Hikikomori. This is a critical issue when interpreting the prevalence data. Yet, we are not told about this point until very late in the Discussion. This limitation needs to be described much earlier-- right near the beginning of the Discussion--and all of the prevalence data need to be discussed within the limits of this limitation.* Are the methods appropriate and well described?: **No**\n* Does the work include the necessary controls?: **No**\n* Are the conclusions drawn adequately supported by the data shown?: **No**\n* Are you able to assess any statistics in the manuscript or would you recommend an additional statistical review?: **I am able to assess the statistics**\n* Quality of written English: **Acceptable**\n* Declaration of competing interests: **This reviewer has been recruited by a partner organization, Research Square. Reviewers with declared or apparent competing interests are not utilized for these reviews. This reviewer has agreed to publication of their comments online under a Creative Commons Attribution License attributed to Research Square and was paid a small honorarium for completing the review within a specified timeframe. Honoraria for reviews such as this are paid regardless of the reviewer recommendation.**\n* I agree to the open peer review policy of the journal. I understand that my name will be included on my report to the authors and, if the manuscript is accepted for publication, my named report including any attachments I upload will be posted on the website along with the authors' responses. I agree for my report to be made available under an Open Access Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any comments which I do not wish to be included in my named report can be included as confidential comments to the editors, which will not be published.: ** I agree to the open peer review policy of the journal**\n"},{"type":"reviewerAgreed","content":"","date":"2020-03-04T12:00:00+00:00","index":2,"fulltext":""},{"type":"editorInvitedReview","content":"","date":"2020-01-20T12:00:00+00:00","index":1,"fulltext":"Recommendation: Accept after minor essential revisions\nForm responses:\n---\n\nComments to Author:\n---\nThank you for the opportunity to review this manuscript of a naturalistic population of individuals (or their representatives/families) attending a psychiatric secondary healthcare clinic, with a focus on the prevalence of Hikikomori and outcomes associated with Hikikomori over a 1-year follow-up period.\n\nBroadly speaking I found the study to have been well designed, the analyses well described, and the conclusions well justified, although there are a number of places where the manuscript requires revision.\n\nKeywords - I might suggest the authors include \"Social withdrawal\" and perhaps also \"social dysfunction\" in their keywords, so it is found by relevant researchers.\n\nINTRODUCTION\nThe authors provide summaries of some of the social, societal and clinical factors that might have produced the phenomenon of Hikikomori, but these were not explained in a way that was easy to understand. For example, \"a maternal society marked by parents being overly protective and children being overly dependent\" is cited as one possible cause, but the link between this and Hikikomori is not obvious. Why are over protective mothers linked to Hikikomori? In this case it would be relevant perhaps to describe data about the number of Hikikomori who live with their parents. Some readers will not know that this is a common feature of Hikikomori.\nNote, that I felt that the use of English as used in the manuscript could be most improved in the Introduction and in the Discussion, where the more complex ideas are presented. I would suggest that they are both carefully reviewed to improve the flow and clarity of ideas.\n\nMETHODS\nIn the methods we are told that the study \"included new-visit patients aged below 65\" between certain dates. Other than individuals who opted out of the study (with the information about the study being presented on the clinic website), did this recruitment include ALL new-visit patients in this time window? If not, this may represent possible sampling bias in the study, and more information should be provided about the selection of patients whose data was included in the study. Also, is there a reason why those with ongoing care were not recruited?\n\nIn some cases, Hikikomori is defined as social withdrawal that is not caused by other (primary) psychiatric or physical illness. The authors do not comment much on the link between psychiatric illness and Hikikomori in this manuscript, although all or almost all patients have a current psychiatric diagnosis (which is to be expected in secondary healthcare services). I think this is a weakness of the Introduction and Discussion.\n\nThere is little discussion of the \"procedure\" for the conduct of the study. It would be valuable to add details to explain where data was collected from patients' self-report, and where it was taken from their clinical records. It seems to be the case that participants completed the brief questionnaire on Hikikomori, school refusal, and also OASIS themselves. Was the rest of the data collected from hospital records, including diagnosis for example?\n\nI would define the term \"school refusal\" for readers who are not familiar with this term. Some readers may think this is the result of students being expelled from school, when I understand the definition is the individual refusing to attend school (for \u003e=30 days)\n\nWhat is the meaning of \"outcome assessment\" (e.g. section entitled \"Attendance to the clinic\")? How does it differ from e.g. the finalized consultation?\n\nCould the authors explain a bit more what \"regular visit to day/night care without working\" means? What kind of care is this? Similarly, can they explain what the phrases \"indoor activity without going out\" and \"activity restricted to their room\" mean? How do they differ? Are they both measures of poor social function?\nOn page 10, lines 31-36, there is description of this data, and I think the language could be clarified.\n\nRESULTS\nThe authors describe how the age distribution of \"current\" Hikikomori patients was bimodal, peaking at 20 and 40-45 years. It would be advisable to provide a histogram of the age distributions for the current Hikikomori group (and perhaps also for the past and the other groups) to illustrate this, rather than only presenting median data and IQR as it appears in the Tables.\n\nThe authors report that \"There is no significant difference in diagnosis between groups\", and statistically of course I would agree, but this is one of the places where the analyses appear to be underpowered because of the number of categories that a relatively small number of cases have been put into. The data looks like it might be pointing to greater prevalence of mood disorders in the current and past Hikikomori groups, compared to the \"other group\" ... even though this does not reach significance threshold. This is an important point if we are to understand that the focus of our limited healthcare resources should be on the psychiatric illness, or, on the features of Hikikomori itself. I think the authors could emphasize further the limitation of their study in terms of small sample size, if they are intending to explore the effects of single diagnostic categories (where often there are 0 or only 1 case in a particular category). The sample size is also small to explore the effects of contact with different kinds of healthcare providers, where again the number of cases per category is often too small to make any firm or generalisable conclusion.\n\nDISCUSSION\n\"\"Adult Hikikomori (Otonano Hikikomori)\" was published in 2014.\" This sentence, in the Discussion, comes across as a fragment and needs explaining. Is this a book of some special significance?\nThe authors mention that \"Intervention directed at parents may be effective\". Relevant to this, did the researchers collect any data about the living situation of their participants, i.e. whether those individuals were still living \"at home\" with family? This seems to be very relevant to the economic and healthcare impact of Hikikomori as parents age and are no longer as able, financially or otherwise, to look after their live-at-home children.\nIn the Discussion, where the phrase \"social status\" is used, I would suggest that \"social function\" is more appropriate and also consistent with the rest of the manuscript.\nThe authors state \"The external validity of the present results is not warranted.\" I might suggest \"The generalisability of the present results therefore cannot be assumed.\"\n\"Second, the number of \"current\" Hikikomori patients was small, which may cause underestimation variables' influence on outcomes.\" yes, as commented on above, some of your analyses will be statistically underpowered. Arguably, it would be better to collapse some of your categories together to increase your power. As it is, I recommend that the authors specify which of their analyses will be most prone to being underpowered. This includes the analysis of diagnosis, clinical visit categorisation, and clinical staff support categorisation. The authors may want to nuance their findings related to these data, for this reason.\n\nTABLES\nIn the tables there are sometimes # and + signals. What do these communicate?\n\nTyping and small language errors:\nPage 9 line 25 - \"was significantly small\" should be \"was significantly smaller\"\nPage 9 line 33 - \"20, 4and 0 and 45\" should perhaps be \"20, and 40 - 45\nPage 12 line 36 - \"males were more prevalent\" should probably be \"Hikikomori was more prevalent among males than among females.\"\nPage 13, lines 10 and 12, \"Intervention\" should be \"Interventions\"\n\n\n\n\n\n\n* Are the methods appropriate and well described?: **Yes**\n* Does the work include the necessary controls?: **Yes**\n* Are the conclusions drawn adequately supported by the data shown?: **Yes**\n* Are you able to assess any statistics in the manuscript or would you recommend an additional statistical review?: **I am able to assess the statistics**\n* Quality of written English: **Needs some language corrections before being published**\n* Declaration of competing interests: **I am a full-time employee of P1vital Ltd and view this as outside the work described in this manuscript.**\n* I agree to the open peer review policy of the journal. I understand that my name will be included on my report to the authors and, if the manuscript is accepted for publication, my named report including any attachments I upload will be posted on the website along with the authors' responses. I agree for my report to be made available under an Open Access Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any comments which I do not wish to be included in my named report can be included as confidential comments to the editors, which will not be published.: ** I agree to the open peer review policy of the journal**\n"},{"type":"reviewerAgreed","content":"","date":"2020-01-06T12:00:00+00:00","index":1,"fulltext":""},{"type":"reviewersInvited","content":"","date":"2019-12-09T12:00:00+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2019-11-06T12:00:00+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2019-10-30T12:00:00+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2019-10-29T12:00:00+00:00","index":"","fulltext":""},{"type":"submitted","content":"","date":"2019-10-28T12:00:00+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-psychiatry","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bpsy","sideBox":"Learn more about [BMC Psychiatry](http://bmcpsychiatry.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/bpsy/default.aspx","title":"BMC Psychiatry","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"898ab571-46fb-44ea-90b0-bc67bb5ecb3f","owner":[],"postedDate":"April 20th, 2020","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":35770,"name":"Psychiatry"}],"tags":[],"updatedAt":"2020-07-12T15:02:10+00:00","versionOfRecord":{"articleIdentity":"rs-7710","link":"https://doi.org/10.1186/s12888-020-02660-7","journal":{"identity":"bmc-psychiatry","isVorOnly":false,"title":"BMC Psychiatry"},"publishedOn":"2020-07-06 12:00:00","publishedOnDateReadable":"July 6th, 2020"},"versionCreatedAt":"2020-04-20 17:47:11","video":"","vorDoi":"10.1186/s12888-020-02660-7","vorDoiUrl":"https://doi.org/10.1186/s12888-020-02660-7","workflowStages":[]},"version":"v2","identity":"rs-7710","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"identity":"rs-7710","version":["v2"]},"buildId":"7rjqhiLT3MXkJMwkYKINL","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}