Department of Psychiatry, The Catholic University of Korea, St. Vincent Hospital, Suwon, South Korea.
Department of Preventive Medicine, The Catholic University of Korea, College of Medicine, Seoul, South Korea.
Psychiatry Res. 2015 Jun 30;227(2-3):160-5. doi: 10.1016/j.psychres.2015.04.011. Epub 2015 Apr 13.
Refusing to attend school is a serious problem that could lead to psychopathology. We aimed to: (1) prospectively observe the actual development of school refusal behavior according to a history of separation anxiety symptoms (SAS) and (2) explore factors for predicting school refusal behavior in children who were just beginning primary school. The participants were 277 children, aged 6-7 years, who were expected to enter primary school in 2 months. The parents were surveyed about the child׳s history of SAS and their behavior. The children were questioned about anxiety symptoms. The children were surveyed about whether school refusal behavior developed or not after they entered primary school. Of the 248 children who responded to the follow-up survey, 7.66% of children met the criteria for school refusal behavior during the 3 months after entering school. We found no significant differences in the occurrence of school refusal behavior according to the children׳s SAS history. Familial risk factors for school refusal behavior included low parental educational level and a working mother. School refusal behavior by first graders cannot be fully explained by the expression of SAS and could be implicated in a more complex psychopathology.
拒绝上学是一个严重的问题，可能导致精神病理学。我们的目的是：（1）根据分离焦虑症状（SAS）的病史，前瞻性观察学校拒绝行为的实际发展；（2）探索预测刚上小学的儿童学校拒绝行为的因素。参与者为 277 名年龄在 6-7 岁、预计在 2 个月后进入小学的儿童。父母接受了关于孩子 SAS 病史和行为的调查。对儿童的焦虑症状进行了询问。调查儿童进入小学后是否出现学校拒绝行为。在 248 名回应随访调查的儿童中，有 7.66%的儿童在入学后 3 个月符合学校拒绝行为的标准。我们发现，根据儿童的 SAS 病史，学校拒绝行为的发生没有显著差异。学校拒绝行为的家庭危险因素包括父母教育水平低和职业母亲。一年级学生的学校拒绝行为不能完全用 SAS 的表现来解释，可能涉及更复杂的精神病理学。
