ArticleNeuropsychiatric disease and treatment2020
Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior.
Article in Neuropsychiatric disease and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 13 citations in OpenAlex.
- Paediatric Patients With Multiple Referrals and Complex Health Complaints Experienced Notable Functional Impairment.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Influence of self-esteem on health-related quality of life in children and adolescents with autism spectrum disorders.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Evaluating Children's Drawings as a Means of Expression in Children with Chronic Diseases.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2025Article
- School absenteeism in autistic children and adolescents: A scoping review.Autism : the international journal of research and practice · 2024Article
- School refusal behavior in children and adolescents: a five-year narrative review of clinical significance and psychopathological profiles.Italian journal of pediatrics · 2024Review
- School refusal profiles maintained by negative reinforcement and their relationship with self-perceived health.Frontiers in psychology · 2024Article
- School Refusal Behavior: Role of Personality Styles, Social Functioning, and Psychiatric Symptoms in a Sample of Adolescent Help-Seekers.Clinical neuropsychiatry · 2022Article
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Authors and funding
10 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSchool refusal behavior (SRB), which is the refusal to attend or remain in school, has been associated with emotional, psychological, and other behavioral problems, as well as a lower health-related quality of life (HRQOL). However, the effects of self-esteem and a psychiatric diagnosis in students with SRB on HRQOL are not yet known. Understanding these relationships could help to develop more effective therapeutic interventions.
methodsA total of 175 young people (aged 8-18 years old) who visited our medical centers and outpatient clinics participated in the study. This comprised the SRB group (n = 70) and an age- and sex-matched control group (n = 105). Information about any psychiatric diagnosis was collected from medical records, HRQOL was measured using the J-KIDSCREEN-52, SRB was assessed using the School Refusal Assessment Scale-Revised for Japanese Attendance at School, self-esteem was measured using the Rosenberg Self-Esteem Scale, children's mental health status was measured using the Strengths and Difficulties Questionnaire, and social support was measured using the Oslo 3-item Social Support Scale. We performed between-group comparisons and multiple regression analysis.
resultsThe SRB had a significantly lower HRQOL than the control group in several of the KIDSCREEN-52 dimensions. In the SRB group, 35.7% had chronic disease and 35.7% of their parents had health problems and were receiving treatment. The multiple regression analysis revealed that, within the SRB group, a psychiatric diagnosis was associated with a lower HRQOL. However, this was not the case for a diagnosis of autistic spectrum disorder. Self-esteem positively affected HRQOL in six dimensions of the KIDSCREEN-52 within the SRB group.
conclusionOur results could inform the development of support strategies for young people with SRB. Namely, support that enhances self-esteem could be used to increase HRQOL in young people with SRB. Furthermore, the presence of psychiatric disorders should be assessed as early as possible.
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