ArticleBMC psychology2026
The developmental trajectory and influencing factors of school refusal behavior among Chinese adolescents.
Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe developmental trajectory among Chinese adolescents remains unclear. This study aimed to explore the developmental trajectory of school refusal behavior and examine how individual and environmental factors predict this trajectory among Chinese adolescents. PARTICIPANTS AND
methodsA longitudinal design was used with 1,308 middle and high school students (mean
resultsThe latent growth mixture model analysis (LGMM) revealed four subgroups within the developmental trajectory of school refusal behavior among Chinese adolescents: a low-decrease group (n = 678), a high-stable group (n = 445), a high-decrease group (n = 104), and a low-increase group (n = 81). Furthermore, group membership was predicted by academic resilience, family functioning, and class interpersonal harmony.
conclusionsThese findings suggest that effective interventions are needed to address the various developmental trajectories of school refusal behavior in adolescents.
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