Evidence map›Paper›PMID 35346125›Full record

ArticleBMC psychiatry2022

Clinical practitioners' experiences of psychological treatment for autistic children and adolescents with school attendance problems: a qualitative study.

Johanna Melin, Markus Jansson-Fröjmark, Nora Choque Olsson

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. School absenteeism in autistic children and adolescents: A scoping review.Autism : the international journal of research and practice · 2024
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Johanna MelinChild and Adolescent Psychiatry Research Center (CAP), Stockholm County Council, Stockholm, Sweden.
Markus Jansson-FröjmarkCentre for Psychiatry Research, Department of Clinical Neuroscience (CNS), Karolinska Institutet, & Stockholm Health Care Services, Liljeholmstorget 7, 117 63, Stockholm, Sweden.
Nora Choque OlssonCentre for Psychiatry Research, Department of Clinical Neuroscience (CNS), Karolinska Institutet, & Stockholm Health Care Services, Liljeholmstorget 7, 117 63, Stockholm, Sweden. nora.choque-olsson@ki.se.ORCID 0000-0002-3147-1986
Karolinska Institutet · SEStockholm County Council · SEStockholm University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSchool attendance problems (SAPs) are common among children and adolescents with autism spectrum disorder (ASD). Currently, there is a lack of guidelines for treatment or interventions aimed at this group.

methodTwelve clinical practitioners were interviewed via in-depth interviews using a semi-structured question guide. Interviews were audiotaped, transcribed verbatim, and initially independently coded by two coders. The interviews were analyzed according to thematic analysis.

resultsThe majority of the clinicians reported that it was common that children and adolescents with ASD at CAP had prolonged SAPs. A total of four themes and 22 sub-themes were identified in the analysis: the treatment situation; treatment goals at CAP; treatment interventions; and desired development. Insufficient adaptations in response to core impairment of ASD and lack of support in their daily life could be factors to the development of SAPs. Prolonged social isolation in combination with severe psychiatric comorbidities was reported as a treatment barrier. Also, insufficient collaboration between mental health care services, school and social services obstructed the return to school for this group of students. Favorable factors for positive treatment outcome were: early detection, accurate assessment and coordination between mental health care and schools and environmental adaptation at school as well as at home, parent support and sometimes change of school. Concerning useful therapeutic techniques, exposure from cognitive-behavioral treatment was reported.

conclusionChildren and adolescents with ASD with limited societal support tend to develop SAPs. Important factors that impact the outcome of treatment were the length of the absence from school and the severity of psychiatric comorbidities. Tailored and adapted interventions at school, parent support and mental health care are needed. Research about assessment and treatment for children and adolescents with ASD and SAPs is needed.

Indexed as

Autism Spectrum DisorderAutistic DisorderAdolescentChildHumansQualitative ResearchSchoolsStudentsAnd school refusalAnxietyAutismInterventionPsychologicalSchool absenteeismSchool attendance problemsTreatment

Identifiers

PMID35346125
PMCPMC8958765
OpenAlexW4220693170

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.