INTRODUCTION School refusal behaviour(SRB)has become an increasingly significant global issue.In China,the mental health of children and adolescents has emerged as a major soci-etal concern,prompting the development o...INTRODUCTION School refusal behaviour(SRB)has become an increasingly significant global issue.In China,the mental health of children and adolescents has emerged as a major soci-etal concern,prompting the development of related policy initiatives.The Chinese Ministry of Education,in collaboration with 17 other government departments,has issued a series of special action plans to address the mental health problems among Chinese children.展开更多
Background:Adolescent depression and school refusal(SR)are prevalent and important global concerns that need to be understood and addressed.Cross-sectional associations have been reported but prospective relationships...Background:Adolescent depression and school refusal(SR)are prevalent and important global concerns that need to be understood and addressed.Cross-sectional associations have been reported but prospective relationships between them remain unclear.This longitudinal study investigated the bidirectional relationships between these two problems among Chinese adolescents.Methods:A longitudinal study was conducted in Taizhou,China,surveying students of three junior high schools,three senior high schools,and one vocational high school.A total of 3882 students completed the questionnaire at baseline(T1);3167 of them completed an identical follow-up questionnaire after 6 months(T2).Depression was assessed via the Patient Health Questionnaire(PHQ-9)and SR via the modified Chinese version of The School Refusal Assessment Scale-Revised(SRAS-R).Cross-lagged panel modeling(CLPM)analysis was conducted to test the reciprocal relationships,adjusting for socio-demographic factors.Multiple group analysis was conducted to test whether the CLPM differed by gender and grade.Results:Statistically significant bidirectional relationships were found.A higher level of SR assessed at T1 is prospectively associated with a higher level of depression at T2(β=0.07,p=0.006);a higher level of depression at T1 also is prospectively associated with a higher level of SR at T2(β=0.14,p<0.001).Such models differed significantly by neither gender nor grade.Conclusion:SR and depression should be seen as each other’s mutually reinforcing association.The bidirectional relationships potentially result in a vicious cycle.Early interventions may target both problems concurrently.Future studies may involve more time points and test some mediators.展开更多
Nevertheless parents often fall into depression,anxiety,and stress because of their children’s school refusal which hinders their children’s school reentry on the contrary,they still play primary and critical roles ...Nevertheless parents often fall into depression,anxiety,and stress because of their children’s school refusal which hinders their children’s school reentry on the contrary,they still play primary and critical roles in the school reentry process of school-refusing adolescents.This study aimed to provide targeted psychological support to 274 parents of school-refusing adolescents through an action research through four action cycles.Based on parental needs and cutting-edge research,we underwent four cycles from top-down expert support to peer support for parents of school-refusing adolescents,from intervening in the families of school-refusing adolescents to intervening in the social-ecological system in which these families live,from a single discipline to interdisciplinary exploration,and emphasizing the postmodern psychological philosophy that emphasizes local knowledge.The results are:(1)a warm and peer-support internet we-chat group was established,(2)multi-disciplinary and multi-perspective psychological support and systems with different programs for these parents are figuring out,(3)a more comprehensive social atmosphere without stigmatization are for the phenomenon of school attendance problem are come into being,step by step.展开更多
基金funded by the National Social Science Fund of China(No.22CSH085).
文摘INTRODUCTION School refusal behaviour(SRB)has become an increasingly significant global issue.In China,the mental health of children and adolescents has emerged as a major soci-etal concern,prompting the development of related policy initiatives.The Chinese Ministry of Education,in collaboration with 17 other government departments,has issued a series of special action plans to address the mental health problems among Chinese children.
基金funded by Science and Technology Program of Wenzhou(Y20220843).
文摘Background:Adolescent depression and school refusal(SR)are prevalent and important global concerns that need to be understood and addressed.Cross-sectional associations have been reported but prospective relationships between them remain unclear.This longitudinal study investigated the bidirectional relationships between these two problems among Chinese adolescents.Methods:A longitudinal study was conducted in Taizhou,China,surveying students of three junior high schools,three senior high schools,and one vocational high school.A total of 3882 students completed the questionnaire at baseline(T1);3167 of them completed an identical follow-up questionnaire after 6 months(T2).Depression was assessed via the Patient Health Questionnaire(PHQ-9)and SR via the modified Chinese version of The School Refusal Assessment Scale-Revised(SRAS-R).Cross-lagged panel modeling(CLPM)analysis was conducted to test the reciprocal relationships,adjusting for socio-demographic factors.Multiple group analysis was conducted to test whether the CLPM differed by gender and grade.Results:Statistically significant bidirectional relationships were found.A higher level of SR assessed at T1 is prospectively associated with a higher level of depression at T2(β=0.07,p=0.006);a higher level of depression at T1 also is prospectively associated with a higher level of SR at T2(β=0.14,p<0.001).Such models differed significantly by neither gender nor grade.Conclusion:SR and depression should be seen as each other’s mutually reinforcing association.The bidirectional relationships potentially result in a vicious cycle.Early interventions may target both problems concurrently.Future studies may involve more time points and test some mediators.
基金funded by Outstanding Young Talents Project of the 2022 Beijing Municipal University Teacher Team Construction Support Plan“Interdisciplinary Ecological Intervention on School Attendance of young people”,grant number BPHR202203224Beijing Union University High Level Incubation Project“exploration on the path of’accompanying intervention’for adolescents with school attendance difficulties”,grant number SK20202303+1 种基金Beijing Union University High-quality Development for the Capital Project“School-Family-Community Collaborative Education Mechanism Research in Beijing”,grant number SK30202303China Preschool Education Research Association Project“an Action Research of Children’s Social Emotional Ability Curriculum Development and Implementation”,grant number K20210195.This research was funded by them.
文摘Nevertheless parents often fall into depression,anxiety,and stress because of their children’s school refusal which hinders their children’s school reentry on the contrary,they still play primary and critical roles in the school reentry process of school-refusing adolescents.This study aimed to provide targeted psychological support to 274 parents of school-refusing adolescents through an action research through four action cycles.Based on parental needs and cutting-edge research,we underwent four cycles from top-down expert support to peer support for parents of school-refusing adolescents,from intervening in the families of school-refusing adolescents to intervening in the social-ecological system in which these families live,from a single discipline to interdisciplinary exploration,and emphasizing the postmodern psychological philosophy that emphasizes local knowledge.The results are:(1)a warm and peer-support internet we-chat group was established,(2)multi-disciplinary and multi-perspective psychological support and systems with different programs for these parents are figuring out,(3)a more comprehensive social atmosphere without stigmatization are for the phenomenon of school attendance problem are come into being,step by step.
