Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia.
School of Psychology, Centre for Social and Early Emotional Development, Deakin University, Melbourne, Australia.
Child Psychiatry Hum Dev. 2023 Oct;54(5):1459-1475. doi: 10.1007/s10578-022-01358-z. Epub 2022 Apr 10.
School refusal is a complex problem that refers to difficulty attending/remaining at school due to emotional distress about attendance. Despite its occurrence being associated with negative outcomes, many are unresponsive to the current treatment options. While parent factors have a key role to play in school refusal, they are not adequately addressed in existing treatments. Further research is needed to consolidate understanding and implement new treatments. Employing the PRISMA method, this review aims to identify modifiable parent factors associated with child and/or adolescent school refusal. Eight studies met inclusion criteria from which nine factors were identified. Factors found to be associated with school refusal included: parent psychopathology, family functioning and maternal overprotection (communication subdomain). Other factors such as maternal overprotection (affection, assistance and travel subdomains) and parental self-efficacy had weak or inconsistent results warranting further investigation. Overall, findings call for action in this field that has sparse and dated literature.
学校拒绝是一个复杂的问题，是指由于对上学的情绪困扰而难以上学/留在学校。尽管它的发生与负面结果有关，但许多人对当前的治疗选择没有反应。虽然父母因素在学校拒绝中起着关键作用，但它们在现有的治疗方法中没有得到充分解决。需要进一步的研究来巩固理解并实施新的治疗方法。本综述采用 PRISMA 方法，旨在确定与儿童和/或青少年学校拒绝相关的可改变的父母因素。有八项研究符合纳入标准，从中确定了九个因素。与学校拒绝相关的因素包括：父母的精神病理学、家庭功能和母亲过度保护（沟通子域）。其他因素，如母亲过度保护（情感、帮助和旅行子域）和父母自我效能感，结果较弱或不一致，需要进一步研究。总的来说，这些发现呼吁在这个领域采取行动，因为该领域的文献稀少且陈旧。
