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School Refusal in Anxiety-Disordered Children and Adolescents
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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“Such groupings often involve anxiety, mood, and disruptive behavior disorders, including some combination of these (Bernstein and Garfinkel, 1986; Last and Strauss, 1990; McShane et al., 2001; Kearney and Albano, 2004).”
From Reconciling Contemporary Approaches to School Attendance and School Absenteeism: Toward Promotion and Nimble Response, Global Policy Review and Implementation, and Future Adaptability (Part 1) (2019) · cites this paper as Last and Strauss, 1990
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Identyfikacja podłoża odmowy uczęszczania do szkoły w opinii dzieci i ich rodziców
Dąbkowska, M. (2007) · Psychiatria i Psychologia Kliniczna
(2003) · PubMed · Cited by 151
Metadata
- 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)
- 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
- 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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