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完美风暴:后 COVID-19 大流行背景下基于情绪的学校回避现象。

Perfect storm: emotionally based school avoidance in the post-COVID-19 pandemic context.

机构信息

School of Psychology, University of Sussex, Falmer, Brighton, East Sussex, UK

Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

出版信息

BMJ Ment Health. 2024 Apr 5;27(1):e300944. doi: 10.1136/bmjment-2023-300944.

Abstract

School absences have risen following the COVID-19 pandemic and persistent absenteeism remains high in primary and secondary schools in England compared with pre-pandemic levels. This coincides with an upward trend in emotionally based school avoidance (EBSA). EBSA adversely affects children's educational attainment, health, social functioning and life prospects and warrants early intervention before a pattern of absenteeism becomes entrenched. In this article, we consider how the COVID-19 pandemic and its sequelae have created a 'perfect storm' of conditions, amplifying known school, family and child-based risk factors for EBSA while simultaneously reducing access to support services. We then outline priorities for developing new EBSA interventions and argue for a multi-component approach, which works across education, health and social care, and voluntary sectors to address the complex interplay between risk factors. Given the difficulties that families often face in obtaining timely support for EBSA, it is also essential that new interventions are accessible, resource-efficient and scalable. To this end, we specifically discuss the potential for contextually-sensitive, parent-focused interventions that can be delivered online with minimal synchronous support from a trained coach or facilitator.

摘要

在 COVID-19 大流行之后,学校的缺勤率有所上升,与大流行前相比,英国中小学校的持续缺勤率仍然很高。这与基于情绪的学校回避(EBSA)呈上升趋势相吻合。EBSA 会对儿童的教育成就、健康、社会功能和生活前景产生不利影响,因此需要在旷课模式根深蒂固之前进行早期干预。在本文中,我们考虑了 COVID-19 大流行及其后果如何造成了一种“完美风暴”的情况,放大了已知的与 EBSA 相关的学校、家庭和儿童风险因素,同时减少了获得支持服务的机会。然后,我们概述了制定新的 EBSA 干预措施的重点,并主张采取多组分方法,跨教育、卫生和社会保健以及志愿部门开展工作,以解决风险因素之间的复杂相互作用。鉴于家庭在为 EBSA 获得及时支持方面经常面临困难,新的干预措施必须易于获得、资源效率高且具有可扩展性。为此,我们特别讨论了具有潜在的敏感性、以父母为中心的干预措施的可能性,这些干预措施可以通过在线提供,只需受过培训的教练或协调员提供最少的同步支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98a/11021743/ad147d4c8140/bmjment-2023-300944f01.jpg

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