Izlaganje sa skupa
INPATIENT WITH AN ANXIOUS SCHOOL REFUSAL: A RETROSPECTIVE STUDY
Mouna Al Husni Al Keilani
; Department of Child Psychiatry, Queen Fabiola University Children Hospital, Brussels, Belgium
Veronique Delvenne
; Department of Child Psychiatry, Queen Fabiola University Children Hospital, Brussels, Belgium
Sažetak
Background: School refusal has an impact on the mental health and on future of young people. This phenomenon cannot only be
linked to school dysfunction but must be considered in a larger set of processes. Recent studies propose an understanding of school
refusal in terms of psychopathology and individual functioning as well as in terms of associated environmental and family factors.
Subjects and methods: We conducted a retrospective study on youths admitted in our child psychiatric unit at HUDERF with an
anxious school refusal behavior. The medical records of all 442 patients, admitted in the unit between 1996 and 2019, were
inspected. It allows the inclusion of 71 patients, aged from 8 to 16 years.
Results: 16% of all patients present an anxious school refusal (ASR). There is a significant difference of sex, in inpatients with
anxious school refusal, with 70.42% of male (p<0.0003). Concerning familial and parental characteristics, family separation
(56.3%), conflict at home (27%), contact rupture with the father (25.3%) were associated with the onset of the school refusal.
Parental psychiatric illness was frequently reported with maternal psychiatric illness (46.5%) and paternal history of psychiatric
illness (28.2%). Maltreatment (30.9%) was also frequently observed in our inpatient population of youths with ASR. Concerning
school and peers' relationship , we observe relational difficulties with peers (46,5%) , bullying (26,7%), academic difficulties
(36.6%) or change of school or moving home (19.7%). Mood and adjustment disorder were the most frequent associated diagnosis in
our sample.
Conclusion: We confirmed that patient with anxious school refusal that need inpatient care were usually male, with more
complex psychopathologies in term of comorbidities and familial maltreatment or psychiatric loading. They also have much more
peers and school problems.
Ključne riječi
school phobia; school refusal; anxious school refusal; school absenteeism
Hrčak ID:
274030
URI
Datum izdavanja:
16.9.2021.
Posjeta: 527 *