Kearney Christopher A
Department of Psychology, University of Nevada, Las Vegas, Las Vegas, NV 89154-5030, USA.
Clin Psychol Rev. 2008 Mar;28(3):451-71. doi: 10.1016/j.cpr.2007.07.012. Epub 2007 Aug 3.
Absenteeism from school is a serious public health issue for mental health professionals, physicians, and educators. The prevalence of unexcused absences from school exceeds that of major childhood behavior disorders and is a key risk factor for violence, injury, substance use, psychiatric disorders, and economic deprivation. This article involves a contemporary research review on absenteeism prevalence, comorbid physical and psychiatric conditions, classification, contextual risk factors, cross-cultural variables, assessment, intervention, and outcome. Contextual risk factors include homelessness and poverty, teenage pregnancy, school violence and victimization, school climate and connectedness, parental involvement, and family variables, among others. A description of intervention includes medical, clinical, and systemic interventions. Medical professionals, community- and school-based mental health professionals, and educators are encouraged to fully understand the parameters of school absenteeism to develop better, consensual policies regarding definition, classification, assessment, and intervention of youths with problematic school absenteeism.
对于心理健康专业人员、医生和教育工作者而言,学生旷课是一个严重的公共卫生问题。无故旷课的发生率超过了主要的儿童行为障碍,并且是暴力、伤害、物质使用、精神疾病和经济贫困的关键风险因素。本文涉及对旷课发生率、共病的身体和精神状况、分类、背景风险因素、跨文化变量、评估、干预及结果的当代研究综述。背景风险因素包括无家可归和贫困、少女怀孕、校园暴力与受害情况、学校氛围与联系、家长参与度以及家庭变量等。干预措施的描述包括医学、临床和系统性干预。鼓励医学专业人员、社区和学校心理健康专业人员以及教育工作者充分了解学生旷课的相关参数,以便就有旷课问题的青少年的定义、分类、评估和干预制定更好的、达成共识的政策。