ArticleThe Psychiatric quarterly2026
Developmental Differences in the Emotional and Behavioural Profiles of Emotionally Based School Avoidance (EBSA) in Children and Adolescents.
Article in The Psychiatric quarterly, 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
introductionEmotionally based school avoidance (EBSA) arises from interaction between child level processes and the school environment, yet developmental differences remain unclear. This study examined whether the emotional and behavioural profiles of EBSA differ between children and adolescents.
methodsThis cross-sectional study included a clinical sample of 102 youth with EBSA: children (< 12 years, n = 40) and adolescents (≥ 12 years, n = 62). Psychiatric diagnoses were established with the K-SADS-PL-DSM-5, and emotion regulation, anxiety, behavioural symptoms, and EBSA severity were assessed using validated measures. Predictors of EBSA severity were examined with multiple linear regression, modelled separately for each age group.
resultsThe two groups were largely similar across clinical measures, but separation anxiety was higher in children (p = 0.004). Among children, younger age and lower clinical severity were associated with greater EBSA severity (R² = 0.47). Among adolescents, lower hyperactivity/inattention was associated with greater EBSA severity (R² = 0.18), with age and impulsivity showing positive but non-significant trends.
conclusionsChildren and adolescents with EBSA showed different emotional and behavioural profiles, with emotion- and attachment-related factors more salient in childhood and regulatory and cognitive factors more salient in adolescence.
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