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Related Experiment Videos

School refusal and psychiatric disorders: a community study.

Helen Link Egger1, E Jane Costello, Adrian Angold

  • 1Center for Developmental Epidemiology, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA. hegger@psych.mc.duke.edu

Journal of the American Academy of Child and Adolescent Psychiatry
|June 24, 2003
PubMed
Summary

Anxious school refusal and truancy are distinct conditions significantly linked to psychopathology in children. Understanding these associations is crucial for effective identification and intervention strategies.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Behavioral Science

Background:

  • School refusal and truancy are common challenges in child and adolescent mental health.
  • Previous research has explored their links to psychopathology, but distinct associations require further clarification.
  • A descriptive definition of school refusal is used to differentiate its subtypes.

Purpose of the Study:

  • To investigate the relationship between anxious school refusal, truancy, and psychiatric disorders in a community sample.
  • To differentiate the psychopathological correlates of pure anxious school refusal, pure truancy, and mixed school refusal.
  • To explore the role of specific fears, sleep, somatic complaints, peer relationships, and psychosocial factors.

Main Methods:

Related Experiment Videos

  • Analysis of data from eight annual waves of structured psychiatric interviews.
  • Inclusion of children and adolescents aged 9–16 years and their parents.
  • Utilizing the Great Smoky Mountains Study dataset for comprehensive assessment.

    • Main Results:

    • Pure anxious school refusal strongly associated with depression and separation anxiety disorder.
    • Pure truancy linked to oppositional defiant disorder, conduct disorder, and depression.
    • Mixed school refusers (anxious school refusal and truancy) showed high rates of psychiatric disorders, including emotional and behavioral issues.

    Conclusions:

    • Anxious school refusal and truancy are distinct yet overlapping conditions.
    • Both are significantly associated with psychopathology and adverse experiences.
    • Findings inform assessment, identification, and intervention for school refusal and related behaviors.