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Related Experiment Videos

School refusal: epidemiology and management.

D Heyne1, N J King, B J Tonge

  • 1Victorian Child Psychiatry Training Department, Faculty of Medicine, Dentistry, & Health Sciences, University of Melbourne, Australia. daheyne@unimelb.edu.au

Paediatric Drugs
|November 15, 2001
PubMed
Summary

School refusal, affecting 1% of students, involves emotional distress and parental concern. Cognitive behavioral therapy (CBT) is recommended as a primary treatment, potentially combined with medication.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Clinical Psychology

Background:

  • School refusal is distinct from truancy, characterized by child distress and parental involvement.
  • It affects approximately 1% of school children and can lead to long-term social, emotional, and academic issues.
  • Associated with anxiety or mood disorders, it requires early identification and assessment of contributing factors.

Purpose of the Study:

  • To differentiate school refusal from other attendance problems.
  • To outline assessment and management strategies for school refusal.
  • To review the efficacy of cognitive behavioral therapy (CBT) and pharmacological interventions.

Main Methods:

  • Literature review and synthesis of clinical outcome studies.

Related Experiment Videos

  • Analysis of characteristics differentiating school refusal from truancy and withdrawal.
  • Evaluation of treatment approaches including CBT and pharmacotherapy.

    • Main Results:

    • Cognitive behavioral therapy (CBT) demonstrates efficacy in managing school refusal.
    • CBT integrates anxiety management, parent behavior training, and school consultation.
    • Pharmacological treatments, like SSRIs, are used but have limited empirical support compared to CBT.

    Conclusions:

    • Effective management of school refusal necessitates early identification and assessment.
    • Cognitive behavioral therapy (CBT) is the recommended first-line treatment.
    • Pharmacological interventions may supplement CBT based on treatment response.