ArticleBMC psychology2026
A network analysis of school refusal behavior among Hani adolescents in rural border regions of Yunnan, China.
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
objectiveThis study applied network analysis to explore the complex associations between school refusal behavior (SRB) and related individual and environmental psychosocial factors among rural ethnic minority adolescents in China's border regions (Yunnan), identifying core and bridge nodes to inform targeted interventions.
methodsA cross-sectional design was used to survey 1,357 adolescents aged 11-15 years (M
resultsThe network revealed strong connections within SRB dimension, with the strongest edge between anxious anticipation and difficult transition (edge weight = 0.567). Among cross-variable connections, harsh parenting showed the strongest links with school avoidance (0.279) and pathological internet use (0.227). Centrality analysis indicated that anxious anticipation and difficult transition were the core nodes. Bridge centrality analysis identified harsh parenting and pathological internet use as key bridge nodes, linking family risk, emotional distress, and avoidance behaviors.
conclusionsSRB among rural ethnic minority adolescents is embedded in a psychosocial network centered on anxious anticipation and difficult transition, closely intertwined with family risk (harsh parenting) and pathological internet use. Interventions should systematically address core anxiety symptoms while jointly targeting bridge factors such as improving parenting practices and managing pathological internet use to disrupt the maintenance of SRB.
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