ArticleEuropean child & adolescent psychiatry2024
Somatic symptoms in school refusal: a qualitative study among children, adolescents, and their parents during the COVID-19 pandemic.
Article in European child & adolescent psychiatry, 2024. 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, 10 citations in OpenAlex.
- Feasibility of short-term supine rehabilitation for pediatric orthostatic intolerance: a case series.Journal of physical therapy science · 2026Article
- Clinical characteristics and healthcare utilization of orthostatic dysregulation in Japan: a nationwide descriptive study.BioPsychoSocial medicine · 2026Article
- Moving Integrated Care for Pediatric Somatic Symptoms into Primary Care: An Innovative Approach.Journal of clinical psychology in medical settings · 2026Review
- The Challenges of Parenting a Child with Anxiety: Insights from a Qualitative Lived Experience Study.Child psychiatry and human development · 2026Article
- Toward a decent learning theory: a structural-psychological framework for understanding students' appraisals of learning.Frontiers in psychology · 2026Article
- School refusal: a hidden challenge for working parents.Journal of occupational health · 2025Review
- Trajectories of school refusal: sequence analysis using retrospective parent reports.European child & adolescent psychiatry · 2024Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
School refusal (SR) is commonly associated with somatic symptoms that are temporally related to school attendance. Abdominal pain, headache, vomiting, and musculoskeletal pain are frequently encountered and are usually not caused by a physical disease. School refusers, parents and health care workers are often puzzled by these impairing symptoms. In this qualitative study, we assessed somatic symptoms in a population encompassing both school refusers and their parents. We aimed at better understanding experiences and strategies in the management of these debilitating symptoms, while also investigating the journey of these symptoms and their behavioral consequences on the said population. We conducted qualitative interviews both within an Integrated Youth Health Care Unit in Paris and through a French parent-led support group improving care for school refusers. We interviewed 19 young persons with SR (aged 6-21 years old) and 20 parents. Using the Grounded Theory, three themes were identified: (1) somatic symptoms' journey in four phases (emergence, coping, crisis, and disappearance in the context of school dropout); (2) their deconstruction, indicating the patients' emotional state; and (3) their management through self-care practices as well as increased emotional and body awareness. Some parents, who could portray similar symptoms at a younger age, mentioned familial pattern of heightened emotional and sensorial sensitivity as a possible cause. Findings suggested that somatic symptoms in SR offer an insight into the patients' emotional state. We recommend that psychotherapies targeting somatic symptoms could be further assessed in SR, along with educational content aimed at increasing emotional literacy in schools and health care settings.
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