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School Refusal in Anxiety-Disordered Children and Adolescents

LAST, CYNTHIA G., STRAUSS, CYD C.·1990·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/00004583-199001000-00006

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Abstract

The characteristics of anxiety-based school refusal were examined in 63 school refusing children and adolescents referred to an outpatient anxiety disorder clinic. Patients were assessed on sociodemographic, diagnostic, and personality variables, as well as familial history of school refusal. Results suggest that there are two primary diagnostic "subgroups" of school refusers--separation anxious and phobic. Phobic school refusers had a later age of onset and showed more pervasive (severe) school refusal than separation anxious school refusers. By contrast, separation anxious school refusers were more likely than phobic school refusers to have mothers who had a history of school refusal problems. The implications of these findings are discussed.

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In‐Albon, T., & Knappe, S. (2018) · Springer eBooks · doi:10.1007/978-3-662-45995-9_1-1 · Cited by 2
Niveau d’anxiété et refus scolaire dans les troubles anxieux chez l’adolescent
Sanchez, S. L., Denis, H., Moulis, L., Périés, M., & Baghdadli, A. (2023) · Neuropsychiatrie de l Enfance et de l Adolescence · doi:10.1016/j.neurenf.2023.05.008 · Cited by 2
School Refusal Behavior: A Narrative Review
Sahoo, M. K., Awasthi, S., Biswas, H., & Padhy, S. K. (2023) · Journal of Indian Association for Child and Adolescent Mental Health · doi:10.1177/09731342231220705 · Cited by 2

Authors: LAST, C. G., & STRAUSS, C. C.
Affiliations: University of Pittsburgh (US)
Corresponding author: LAST, CYNTHIA G.
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 1990-01
Volume: 29
Issue: 1
Pages: 31-35
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/00004583-199001000-00006
OpenAlex: W2086391253
Cited by: 264
References: 24
Citations by year: 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 13 · 2019: 6 · 2018: 15 · 2017: 2 · 2016: 7 · 2015: 9 · 2014: 9 · 2013: 9 · 2012: 4
FWCI: 41.38
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (grant #MH40021)
Topics: Social Sciences › Education › Youth Substance Use and School Attendance
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
Keywords: school refusal, separation anxiety disorder, age of onset, diagnostic subgroups
MeSH terms: Adolescent, Anxiety, Separation, Child, Dependency, Psychological, Depressive Disorder, Female, Humans, Male, Phobic Disorders

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School Refusal in Anxiety-Disordered Children and Adolescents

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