School Refusal in Child and Adolescent Patients at Ramathibodi Hospital

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Nida Limsuwan

Abstract

ABSTRACT

Objectives: To study characteristics of child and adolescent patients who were diagnosed with school refusal at the psychiatric unit, Ramathibodi Hospital.

Methods: This is a chart review of patients who were diagnosed school refusal. All subjects, both inpatients and outpatients, received psychiatric care at Ramathibodi hospital during January 2007 to October 2010.

Results: There were 17 subjects. School refusal occurred equally among boys and girls. The referral age ranged between 8 and 16 years (mean 11.6 years). Most of the subjects were in grade 3-6. About 60% of the subjects had chronic onset. Most of the subjects, about 70%, had peer problems at school and about 40% of the subjects had precipitating traumatic events at school before developing school refusal. The most common family pattern was conflicts family which was found in 53% of the subjects. In addition, school refusal was associated with several psychiatric disorders especially learning disorder and separation anxiety disorder which were subsequently found co-occurring 53% and 35% respectively.

Conclusion: School refusal forms a heterogeneous group of youth and is associated with several psychiatric disorders.

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How to Cite
Limsuwan, N. (2013). School Refusal in Child and Adolescent Patients at Ramathibodi Hospital. Journal of the Psychiatric Association of Thailand, 57(1), 39–46. Retrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/4943
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Original Articles
Author Biography

Nida Limsuwan, Faculty of Medicine, Ramathibodi Hospitak Mahidol University

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