Evidence map›Paper›PMID 40625434›Full record

ArticleFrontiers in psychology2025

School-based support for emotion-related attendance challenges: effectiveness of @School when implemented with neurodiverse adolescents, their parents, and school staff.

Evelyne Karel, Cynthia Defourny, Gil Keppens, Patricia A Graczyk, Floor Sauter, David Heyne

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Network analysis of school absence: central symptoms and their functions.Frontiers in child and adolescent psychiatry · 2025
    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

6 authors.

Evelyne KarelDepartment of Education and Innovation, De Berkenschutse, Centre for Educational Expertise, Heeze, Netherlands.
Cynthia DefournyDepartment of Education and Innovation, De Berkenschutse, Centre for Educational Expertise, Heeze, Netherlands.
Gil KeppensDepartment of Sociology, Tilburg University, Tilburg, Netherlands.
Patricia A GraczykDepartment of Psychiatry, University of Illinois at Chicago, Chicago, IL, United States.
Floor SauterDe Banjaard, Outpatient Mental Healthcare Expertise Center for Youth with MID/BIF (Youz, Parnassia Group Psychiatric Institute), The Hague, Netherlands.
David HeyneInstitute of Psychology, Leiden University, Leiden, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emotion-related school attendance challenges (ER-SAC) among neurodiverse adolescents are a growing concern due to their impact on both academic and social-emotional development. Despite the prevalence of ER-SAC, few school-based interventions specifically addressing this challenge have been evaluated in real-world settings. The current effectiveness study examined outcomes of the @School intervention, a modular, developmentally sensitive cognitive behavioral intervention that had previously only been evaluated in a research context. In this study, it was delivered by school-based psychologists in a specialized educational setting. Nineteen neurodiverse adolescents aged 12-17 years, all experiencing ER-SAC, participated in the study along with their parents. @School comprises individualized modules for adolescents and parents, as well as structured collaboration with school staff. Outcomes were assessed at pre-, post-, and five-month follow-up, and included adolescents' school attendance, anxiety, school-related fear, depression, and self-efficacy, together with parent self-efficacy. Results revealed significant improvements in school attendance, adolescent anxiety (reported by both adolescents and parents), adolescent depression (reported by parents), and school-related fear. No significant changes were observed in adolescent or parent self-efficacy. Post-hoc analyses indicated significant reductions in social anxiety symptoms, although these reductions did not predict school attendance outcomes. Findings support the effectiveness of the @School intervention, delivered in a real-world setting, for improving school attendance and reducing emotional distress among neurodiverse adolescents. The results also highlight the value of school-based interventions that integrate support across multiple levels-addressing the needs of adolescents, their parents, and the school environment-to respond to the complex emotional and contextual factors contributing to ER-SAC.

Indexed as

anxietycognitive behavioral therapydepressionemotion-related school attendance challengesneurodiversityschool attendanceschool-based interventionschool refusal

Identifiers

PMID40625434
PMCPMC12230860

What OpenQuestion holds

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LicenceCC BY
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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.