Cited by 339Youth Substance Use and School AttendanceSchool Health and Nursing EducationChild and Adolescent Psychosocial and Emotional Development

The DOI matches its Crossref record; 185 of the 188 references it cites were found in a registry or an index, and 1 are not checked yet; none of the 144 sources its claims cite is checked for support yet.

Differentiation Between School Attendance Problems: Why and How?

Open access
Heyne, David, Gren-Landell, Malin, Melvin, Glenn, Gentle-Genitty, Carolyn·2019·Cognitive and Behavioral Practice

Checked 2026-10-09 · 1 reference not checked yet

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This conceptual review argues that school attendance problems (SAPs) should be differentiated by type—school refusal, truancy, school withdrawal, and school exclusion—while evaluating the alternative SRAS functional approach. It proposes refined definitions and the SNACK screening measure to support type-based identification.

Key findings

  • SAPs are heterogeneous and terminology is inconsistent; the paper proposes nuanced definitions for school refusal (SR), truancy (TR), school withdrawal (SW), and school exclusion (SE), and introduces the SNACK, a brief screening measure with 14 possible responses plus an open item (nonproblematic reasons 1, 2, 8, 9, 10, 11, 14; SR reason 3; TR reason 4; SW reasons 5, 6, 7; SE reasons 12, 13).
  • Scientific support for differentiating SR and TR includes differing associations with internalizing and externalizing behavior: Bools et al. found half of TR youth had conduct disorder while none had an emotional disorder, and no SR youth had conduct disorder while half had an emotional disorder; Egger et al. found 5% of SR youth versus 15% of TR youth diagnosed with conduct disorder.
  • Overlap between SR and TR among youth with a SAP is reported as 5%, 9%, or 17%, meaning between 83% and 95% can be classified as SR or TR (or SW) rather than both.
  • The SRAS functional model links four functions to cognitive-behavioral treatments, but its four-factor structure is not consistently supported; some studies yield three factors, parent-youth agreement is limited, and the SRAS does not assess factors associated with SW and SE.

Methods

  • Conceptual/narrative review and synthesis of literature on SAP conceptualization, definitions, typology, and the SRAS functional approach; no primary empirical sample is reported for the review itself.
  • Draws on prior component, cluster, and confirmatory factor analyses and community, clinic, and education samples, including Havik et al.’s over 3,600 youth and Keppens and Spruyt’s cluster analysis yielding subtypes of 40%, 33%, and 27%.
  • Introduces the SNACK and notes a study under way administering it to parents via online or pen-and-paper format if school staff identified absenteeism during the preceding four weeks.

Limitations

  • The paper states that Kearney’s problematic absenteeism criteria include nonspecific criteria and that the 25% cut-point appeared based on expert opinion; it also states that the SRAS four-factor model is not consistently supported, that some studies yield three factors, that parent-youth agreement is limited, and that treatment utility support comes from case studies and a small nonrandomized controlled study.
  • The paper states that SNACK sensitivity and specificity are yet to be established and acknowledges that SR, TR, SW, and SE are not mutually exclusive categories and that typologies pose labeling problems.
  • Evident from the text: the proposed definitions and SNACK are not empirically validated in this paper, and no direct comparison of the SRAS approach and the SAP typology is reported.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cbpra.2018.03.006

Cites

185 of 186 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

121 Not checked yet · 55 Own interpretation · 22 No basis given · 3 Own method

Verify all 144 references — free account

Show all 92 claims

  • It may state two separate claims as one. 58
  • Probably not a substantial claim. 67
  • The quote only partly states this claim. 1
109 of 109
  • The paper relies on this without support.

    School is a central context for development.

    “S CHOOL is a central context for development.”
  • The paper relies on this without support.

    Temporary absenteeism is common and often not problematic.

    “The 2-week criterion was applied because temporary absenteeism is common and often not problematic.”
  • The authors state this as an assumption.

    Differentiation between SAP types has value for the field.

    “Assuming that differentiation between SAP types has value for the field, it is essential to have shared definitions of SR, TR, SW, and SE.”
  • The paper relies on this without support.

    The SNACK is the first measure to simultaneously screen for the presence of SR, TR, SW, and SE, as well as nonproblematic absenteeism.

    “This is the first measure to simultaneously screen for the presence of SR, TR, SW, and SE, as well as nonproblematic absenteeism.”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Research works printed but not linked: 8

  1. Brandibas, 2001, Evaluation des modes de refus de l’école: Validation française de la SRAS (School Refusal Assessment Scale) [School refusal evaluation: French validation of SRAS], Psychologie et Psychometrie, 22, 45
  2. Carroll, 1986, Parental factors in primary school pupil absenteeism and their possible implications for educational psychologists, Educational and Child Psychology, 3, 202
  3. Frick, 1964, School phobia: A critical review of the literature, Merrill-Palmer Quarterly Review of Behavior and Development, 10, 361
  4. McKay-Brown, 2018, Re-engaging severe school refusers: A collaborative home-school-clinic approach in Australia, Cognitive and Behavioral Practice
  5. Morgan, 1959, Children who refuse to go to school: Observations on school anxiety, The Medical Officer, 102, 221
  6. Overmeyer, 1994, Kindheit und Entwicklung, 3, 238
  7. Partridge, 1939, Truancy, British Journal of Psychiatry, 85, 45
  8. Rigante, 2007, Il rifiuto scolare [The school refusal], Cognitivismo Clinico, 4, 124

Cited by

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Metadata

Authors
Heyne, D., Gren-Landell, M., Melvin, G., & Gentle-Genitty, C.
Affiliations
  • Leiden University (NL)
  • Monash University (AU)
  • Indiana University (US)
Corresponding author
Heyne, David
Venue
Cognitive and Behavioral Practice
Publisher
Elsevier BV
Published
2019-02
Volume
26
Issue
1
Pages
8-34
ISSN
1077-7229 (ISSN-L)
OpenAlex
W2806053504
Cited by
339
References
188
Citations by year
2026: 66 · 2025: 61 · 2024: 49 · 2023: 33 · 2022: 43 · 2021: 32 · 2020: 26 · 2019: 24
FWCI
70.68
Type
journal article
Language
en
Open access
Locations
  • Cognitive and Behavioral Practice (publishedVersion)
  • Leiden Repository (Leiden University) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • IUScholarWorks (Indiana University) (submittedVersion)
  • Purdue University Indianapolis (Indiana University) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Social Sciences › Education › Youth Substance Use and School Attendance
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
school attendance problems, school refusal, truancy, school withdrawal, school exclusion, conceptual history

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