Case Report: Burden of Illness in Narcolepsy Type 1: Hikikomori in a Teenage Girl

Marco Filardi; Vincenza Blunda; Stefano Vandi; Stefano Vandi; Alessandro Musetti; Annio Posar; Annio Posar; Paola Visconti; Fabio Pizza; Fabio Pizza; Giuseppe Plazzi; Giuseppe Plazzi; Christian Franceschini

doi:10.3389/fpsyg.2021.634941

Frontiers in Psychology (Mar 2021)

Case Report: Burden of Illness in Narcolepsy Type 1: Hikikomori in a Teenage Girl

Marco Filardi,
Vincenza Blunda,
Stefano Vandi,
Stefano Vandi,
Alessandro Musetti,
Annio Posar,
Annio Posar,
Paola Visconti,
Fabio Pizza,
Fabio Pizza,
Giuseppe Plazzi,
Giuseppe Plazzi,
Christian Franceschini

Affiliations

Marco Filardi: Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
Vincenza Blunda: Istituto Di Ricovero e Cura a Carattere Scientifico, Istituto delle Scienze Neurologiche di Bologna, Unità Operativa Semplice d'Istituto Disturbi dello Spettro Autistico, Bologna, Italy
Stefano Vandi: Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
Stefano Vandi: Istituto Di Ricovero e Cura a Carattere Scientifico, Istituto delle Scienze Neurologiche di Bologna, Unita Operativa Complessa Clinica Neurologica, Bologna, Italy
Alessandro Musetti: Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
Annio Posar: Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
Annio Posar: Istituto Di Ricovero e Cura a Carattere Scientifico, Istituto delle Scienze Neurologiche di Bologna, Unità Operativa Semplice d'Istituto Disturbi dello Spettro Autistico, Bologna, Italy
Paola Visconti: Istituto Di Ricovero e Cura a Carattere Scientifico, Istituto delle Scienze Neurologiche di Bologna, Unità Operativa Semplice d'Istituto Disturbi dello Spettro Autistico, Bologna, Italy
Fabio Pizza: Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
Fabio Pizza: Istituto Di Ricovero e Cura a Carattere Scientifico, Istituto delle Scienze Neurologiche di Bologna, Unita Operativa Complessa Clinica Neurologica, Bologna, Italy
Giuseppe Plazzi: Istituto Di Ricovero e Cura a Carattere Scientifico, Istituto delle Scienze Neurologiche di Bologna, Unita Operativa Complessa Clinica Neurologica, Bologna, Italy
Giuseppe Plazzi: Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
Christian Franceschini: Department of Medicine and Surgery, University of Parma, Parma, Italy

DOI: https://doi.org/10.3389/fpsyg.2021.634941
Journal volume & issue: Vol. 12

Abstract

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Narcolepsy type 1 (NT1) deeply impacts on quality of life, especially during adolescence, with NT1 children and adolescents that frequently report difficulties in integration with peers and decreased participation in after-school activities. Here we describe the case of NT1 teenager girl presenting with severe physical and social withdrawal, fulfilling the proposed diagnostic criteria for hikikomori, together with the classic NT1 symptoms. Social withdrawal is an overlooked phenomenon among NT1 children and adolescents that, if present, require a multidisciplinary approach and personalized interventions, but patients can benefit from NT1 pharmacological treatment.

Published in Frontiers in Psychology

ISSN: 1664-1078 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Philosophy. Psychology. Religion: Psychology
Website: https://www.frontiersin.org/journals/psychology

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