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School refusal behavior: Latent class analysis approach and its relationship with psychopathological symptoms

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Abstract

School attendance problems are a serious issue for educators, psychologists and physicians. Nonattendance is a key risk factor for academic failure, violence, psychiatric disorders or economic deprivation. This study aimed to identify different school refusal behavior profiles and to determine whether these profiles differ from each other based on several psychopathological symptoms (somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism). The participants were 1894 Spanish adolescents (53% boys) aged 15–18 years (M = 16.84, SD = 1.03). The School Refusal Assessment Scale-Revised (SRAS-R) and the Symptom Assessment-45 Questionnaire (SA-45) were administered. Latent class analysis revealed four school refusal behavior profiles: Non-School Refusal Behavior, High School Refusal Behavior, Moderately Low School Refusal Behavior and Moderately High School Refusal Behavior. The results indicated that the High School Refusal Behavior and Moderately High School Refusal Behavior groups were the most maladaptive profiles and revealed the highest mean scores on the psychopathological symptoms. These findings highlight the importance of promoting good mental health to prevent school refusal behaviors.

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References

  • Alvarado, B. G., Sandín, B., Valdez-Medina, J. L., González-Arratia, N., & Rivera, S. (2012). Análisis factorial confirmatorio del Cuestionario SA-45 en una muestra mexicana [Confirmatory factor analysis of the SA-45 questionnaire in a Mexi-can simple]. Anales de Psicología, 28(2), 426–433. https://doi.org/10.6018/analesps.28.2.148851.

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.

    Book  Google Scholar 

  • Balfanz, R., Herzog, L., & MacIver, D. (2007). Preventing student disengagement and keeping students on the graduation path in urban middle-grades schools: Early identification and effective interventions. Educational Psychologist, 42(4), 223–235. https://doi.org/10.1080/00461520701621079.

    Article  Google Scholar 

  • Berg, I., Butler, A., Franklin, J., Hayes, H., Lucas, C., & Sims, R. (1993). DSM-III-R disorders, social factors and management of school attendance problems in the normal population. Journal of Child Psychology Psychiatry, 34, 1187–1203. https://doi.org/10.1111/j.1469-7610.1993.tb01782.x.

    Article  PubMed  Google Scholar 

  • Bools, C., Foster, J., Brown, I., & Berg, I. (1990). The identification of psychiatric disorders in children who fail to attend school: A cluster analysis of a non-clinical population. Psychological Medicine, 20, 171–181. https://doi.org/10.1017/S0033291700013350.

    Article  PubMed  Google Scholar 

  • Brandibas, G., Jeunier, B., Gaspard, J. L., & Fouraste, R. (2001). Evaluation des modes de refus de l’ecole: validation française de la SRAS (School refusal assessment scale). Psychologie et Psuchometrie, 22(1), 45–58.

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Nueva York: Academic Press.

    Google Scholar 

  • Davison, M., Bershadsky, B., Bieber, J., Silversmith, D., Maruish, M., & Kane, R. (1997). Development of a brief, multidimensional, self-report instrument for treatment outcomes assessment in psychiatric settings: Preliminary findings. Assessment, 4(3), 259–276. https://doi.org/10.1177/107319119700400306.

    Article  PubMed  Google Scholar 

  • Dembo, R., Briones-Robins, R., Barrett, K., Winters, K. C., Schmeidler, J., Ungaro, R. A., et al. (2013). Mental health, substance use, and delinquency among truant youth in a brief intervention project: A longitudinal study. Journal of Emotional and Behavioral Disorders, 21(3), 176–192. https://doi.org/10.1177/1063426611421006.

    Article  PubMed  Google Scholar 

  • Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). SCL-90: An outpatient psychiatric rating scale preliminary report. Psychopharmacology Bulletin, 9(1), 13–28.

    PubMed  Google Scholar 

  • Dube, S. R., & Orpinas, P. (2009). Understanding excessive school absenteeism as school refusal behavior. Children & Schools, 31(2), 87–95. https://doi.org/10.1093/cs/31.2.87.

    Article  Google Scholar 

  • Egger, H. L., Costello, E. J., & Angold, A. (2003). School refusal and psychiatry disorders: A community study. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 797–807. https://doi.org/10.1097/01.CHI.0000046865.56865.79.

    Article  PubMed  Google Scholar 

  • Filippello, P., Buzzai, C., Costa, S., & Sorrenti, L. (2019). School refusal and absenteeism: Perception of teacher behaviors, psychological basic needs, and academic achievement. Frontiers in Psychology, 10, 1–9. https://doi.org/10.3389/fpsyg.2019.01471.

    Article  Google Scholar 

  • Fornander, M. J., & Kearney, C. A. (2020). Internalizing symptoms as predictors of school absenteeism severity at multiple levels: Ensemble and classification and regression tree analysis. Frontiers in Psychology, 10, 1–8. https://doi.org/10.3389/fpsyg.2019.03079.

    Article  Google Scholar 

  • Gallé-Tessonneau, M., Bach-Johnsen, D., & Keppens, G. (2019). The relationship between mental health and school absenteeism in a community sample of French secondary school students: Four profiles derived from cluster analysis. European Journal of Education and Psychology, 12(1), 77–90. https://doi.org/10.30552/ejep.v12i1.242.

    Article  Google Scholar 

  • Geum-Woon, K. (2010). A validation study of the school refusal assessment scale for Korean adolescents. Korean Journal of Play Therapy, 13(3), 121–139.

    Google Scholar 

  • Gonzálvez, C., Inglés, C. J., Kearney, C. A., Vicent, M., Sanmartín, R., & García-Fernández, J. M. (2016). School Refusal Assessment Scale-Revised: factorial invariance and latent means differences across gender and age in Spanish children. Frontiers in Psychology, 7, 1–10. https://doi.org/10.3389/fpsyg.2016.02011.

  • Gonzálvez, C., Kearney, C. A., Lagos-San Martín, N., Sanmartín, R., Vicent, M., Inglés, C. J., & García-Fernández, J. M. (2017). School Refusal Assessment Scale-Revised Chilean version: factorial invariance and latent means differences across gender and age. Journal of Psychoeducational Assessment, 1–9. https://doi.org/10.1177/0734282917712173.

  • Gonzálvez, C., Inglés, C. J., Sanmartín, R., Vicent, M., Calderón, C. M., & García-Fernández, J. M. (2018a). Testing factorial invariance and latent means differences of the school refusal assessment scale-revised in Ecuadorian adolescents. Current Psychology. https://doi.org/10.1007/s12144-018-9871-1.

  • Gonzálvez, C., Inglés, C. J., Sanmartín, R., Vicent, M., Fernández-Sogorb, A., & García-Fernández, J. M. (2018b). A cluster analysis of school refusal behavior: identification of profiles and risk for school anxiety. International Journal of Educational Research, 90, 43–49. https://doi.org/10.1016/j.ijer.2018.05.006.

  • Gonzálvez, C., Inglés, C. J., Fernández-Sogorb, A., Sanmartín, R., Vicent, M., & García-Fernández, J. M. (2018c). Profiles derived from the School Refusal Assessment Scale-Revised and its relationship to anxiety. Educational Psychology, 1–14. https://doi.org/10.1080/01443410.2018.1530734.

  • Gonzálvez, C., Kearney, C. A., Jiménez-Ayala, C. E., Sanmartín, R., Vicent, M., Inglés, C. J., & García-Fernández, J. M. (2018d). Functional profiles of school Refusal behavior and their relationship with depression, anxiety and stress. Psychiatry Research, 269, 140–144. https://doi.org/10.1016/j.psychres.2018.08.069.

  • Gonzálvez, C., Inglés, C. J., Kearney, C. A., Sanmartín, R., Vicent, M., & García-Fernández, J. M. (2019). Relationship between school refusal behavior and social functioning: a cluster analysis approach. European Journal of Education and Psychology, 12(1), 17–29. https://doi.org/10.30552/ejep.v12i1.238.

  • Gottfried, M. A. (2014). Chronic absenteeism and its effects on students’ academic and socioemotional outcomes. Journal of Education for Students Placed at Risk, 19, 53–75. https://doi.org/10.1080/10824669.2014.962696.

    Article  Google Scholar 

  • Haight, C., Kearney, C. A., Hendron, M., & Schafer, R. (2011). Confirmatory analyses of the school refusal assessment scale- revised: Replication and extension to a truancy sample. Journal of Psychopathology and Behavioral Assessment, 33(2), 196–204. https://doi.org/10.1007/s10862-011-9218-9.

    Article  Google Scholar 

  • Hallfors, D., Vevea, J. L., Iritani, B., Cho, H., Khatapoush, S., & Saxe, L. (2002). Truancy, grade point average, and sexual activity: A meta-analysis of risk indicators for youth substance use. Journal of School Health, 72, 205–211. https://doi.org/10.1111/j.1746-1561.2002.tb06548.x.

    Article  Google Scholar 

  • Havik, T., Bru, E., & Ertesvåg, S. K. (2015). Assessing reasons for school non-attendance. Scandinavian Journal of Educational Research, 59, 316–336.

    Article  Google Scholar 

  • Heyne, D., & Sauter, F. M. (2013). School refusal. In C. A. Essau & T. H. Ollendick (Eds.), The Wiley-Blackwell handbook of the treatment of childhood and adolescent anxiety (pp. 471–517). Chichester: Wiley.

    Google Scholar 

  • Heyne, D., Vreeke, L. J., Maric, M., Boelens, D., & van Widenfelt, B. M. (2017). Functional assessment of school attendance problems: An adapted version of the school refusal assessment scale-revised. Journal of Emotional and Behavioral Disorders, 25(3), 178–192. https://doi.org/10.1177/1063426616661701.

    Article  Google Scholar 

  • Heyne, D., Gren-Landell, M., Melvin, G., & Gentle-Genity, C. (2019). Differentiation between school attendance problems: Why and how? Cognitive and Behavioral Practice, 26(1), 8–34. https://doi.org/10.1016/j.cbpra.2018.03.006.

    Article  Google Scholar 

  • Higa, C. K., Daleiden, E. L., & Chorpita, B. F. (2002). Psychometric properties and clinical utility of the school refusal assessment scale in a multiethnic sample. Journal of Psychopathology and Behavioral Assessment, 24(4), 247–258. https://doi.org/10.1023/A:1020727016113.

    Article  Google Scholar 

  • Holgado-Tello, F. P., Vila-Abad, E., & Barbero-García, M. I. (2019). Factor structure of the symptom Assessment-45 questionnaire (SA-45) [Estructura interna del factor structure of the symptom assessment-45 questionnaire (SA-45)]. Acción Psicológica, 16(1), 31–42. https://doi.org/10.5944/ap.16.1.22048.

    Article  Google Scholar 

  • Ingul, J. M., & Nordahl, H. M. (2013). Anxiety as a risk factor for school absenteeism: What differentiates anxious school attenders from non-attenders? Annals of General Psychiatry, 12(25), 1–9. https://doi.org/10.1186/1744-859X-12-25.

    Article  Google Scholar 

  • Kearney, C. A. (2002). Identifying the function of school refusal behavior: A revision of the school refusal assessment scale. Journal of Psychopathology and Behavioral Assessment, 24(4), 235–245. https://doi.org/10.1023/A:1020774932043.

    Article  Google Scholar 

  • Kearney, C. A. (2016). Managing school absenteeism at multiple tiers: An evidence-based and practical guide for professionals. New York: Oxford University Press.

    Book  Google Scholar 

  • Kearney, C. A., & Albano, A. (2004). The functional profiles of school refusal behavior: Diagnostic aspects. Behavior Modification, 28(1), 147–161. https://doi.org/10.1177/01454455033259263.

    Article  PubMed  Google Scholar 

  • Kearney, C. A., & Diliberto, R. (2014). School refusal behavior. In S. G. Hofmann & W. Riefs (Eds.), The Wiley handbook of cognitive behavioral therapy (Vol. II, pp. 875–892). New York: Wiley.

    Google Scholar 

  • Kearney, C. A., & Silverman, W. K. (1990). A preliminary analysis of a functional model of assessment and treatment for school refusal behavior. Behavior Modification, 14, 340–366.

    Article  Google Scholar 

  • Kearney, C. A., & Silverman, W. K. (1993). Measuring the function of school refusal behavior: The school refusal assessment scale. Journal of Clinical Child Psychology, 22(1), 85–96. https://doi.org/10.1207/s15374424jccp2201_9.

    Article  Google Scholar 

  • Kearney, C. A., Gonzálvez, C., Graczyk, P., & Fornander, M. J. (2019). Reconciling contemporary approaches to school attendance and school absenteeism: Toward promotion and nimble response, global policy review and implementation, and future adaptability (part 1). Frontiers in Psychology, 10, 1–16. https://doi.org/10.3389/fpsyg.2019.02222.

    Article  Google Scholar 

  • Knollmann, M., Reissner, V., Kiessling, S., & Hebebrand, J. (2013). Differentielle Klassifikation schulvermeidenden Verhaltens: Eine cluster analytische Untersuchung [the differential classification of school avoidance: A cluster-analytic investigation]. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 41, 335–345. https://doi.org/10.1024/1422-4917//a000248.

    Article  PubMed  Google Scholar 

  • Lyon, A. R., & Cotler, S. (2007). Toward reduced bias and increased utility in the assessment of school refusal behavior: The case for diverse samples and evaluations of context. Psychology in the Schools, 44, 551–565. https://doi.org/10.1002/pits.20247.

    Article  Google Scholar 

  • Maynard, B. R., Salas-Wright, C. P., Vaughn, M. G., & Peters, K. E. (2012). Who are truant youth? Examining distinctive profiles of truant youth using latent profile analysis. Journal of Youth Adolescence, 41, 1671–1684. https://doi.org/10.1007/s10964-012-9788-1.

    Article  PubMed  Google Scholar 

  • Méndez, F. X., Llavona, L. M., Espada, J. P., & Orgilés, M. (2012). Programa FORTIUS. Fortaleza psicológica y prevención de las dificultades emocionales [FORTIUS program. Psychological strength and prevention of emotional difficulties]. Madrid: Pirámide.

    Google Scholar 

  • Nayak, A., Sangoi, B., & Nachane, H. (2018). School refusal behavior in Indian children: Analysis of clinical profile, psychopathology and development of a best-fit risk assessment model. Indian Journal of Pediatrics., 85, 1073–1078. https://doi.org/10.1007/s12098-018-2631-2.

    Article  PubMed  Google Scholar 

  • Nyland, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modelling: A Monte Carlo simulation study. Structural Equation Modeling, 14, 535–569. https://doi.org/10.1080/10705510701575396.

    Article  Google Scholar 

  • Overmeyer, S., Schmidt, M. H., & Blanz, B. (1994). Die Einschät-zungsskala der Schulverweigerung (ESV): Modifizierte deutsche Fassung der School Refusal Assessment Scale (SRAS) nach C.A. Kearney und W.K. Silverman (1993) [The School Refusal Assessment Scale (SRAS): Modified German version of the SRAS by C.A. Kearney and W.K. Silverman (1993)]. Kindheit und Entwicklung, 3, 238–243.

    Google Scholar 

  • Richards, H. J., & Hadwin, J. A. (2011). An exploration of the relationship between trait anxiety and school attendance in young people. School Mental Health, 3, 236–244. https://doi.org/10.1007/s12310-011-9054-9.

    Article  Google Scholar 

  • Rigante, L., & Patrizi, C. (2007). Il rifiuto scolare [The school refusal]. Cognitivismo Clínico, 4, 124–138.

    Google Scholar 

  • Roeser, R. W., Eccles, J. S., & Strobel, K. R. (1998). Linking the study of schooling and mental health: Selected issues and empirical illustrations at the level of the individual. Educational Psychologist, 33, 153–176. https://doi.org/10.1207/s15326985ep3304_2.

    Article  Google Scholar 

  • Sandín, B., Valiente, R. M., Chorot, P., Santed, M. A., & Lostao, L. (2008). SA-45: forma abreviada del SCL-90. Psicothema, 20(2), 290–296.

    PubMed  Google Scholar 

  • Schreiber, J. B. (2017). Latent class analysis: An example for reporting results. Research in Social and Administrative Pharmacy, 13, 1196–1201. https://doi.org/10.1016/j.sapharm.2016.11.011.

    Article  PubMed  Google Scholar 

  • Seçer, I. (2014). The adaptation of school refusal assessment scale into Turkish: Reliability and validity studies. Pakistan Journal of Statistics, 30(6), 1197–1202.

    Google Scholar 

  • Vaughn, M. G., Maynard, B. R., Salas-Wright, C. P., Perron, B. E., & Abdon, A. (2013). Prevalence and correlates of truancy in the US: Results from a national sample. Journal of Adolescence, 36, 767–776. https://doi.org/10.1016/j.adolescence.2013.03.015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Walter, D., Bialy, J. V., Wirth, E. V., & Doepfner, M. (2017). Psychometric properties of the German school refusal assessment scale-revised. Journal of Psychoeducational Assessment, 1–5. https://doi.org/10.1177/0734282916689641.

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Funding

This research was funded by the Ministry of Science, Innovation and Universities and Fondos FEDER with the grant number RTI2018–098197-B-I00 awarded to José M. García-Fernández and the project GV/2019/075 awarded to Carolina Gonzálvez.

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Gonzálvez, C., Díaz-Herrero, Á., Vicent, M. et al. School refusal behavior: Latent class analysis approach and its relationship with psychopathological symptoms. Curr Psychol 41, 2078–2088 (2022). https://doi.org/10.1007/s12144-020-00711-6

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