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Understanding School Refusal: Insights from Recent Research

Understanding School Refusal: Insights from Recent Research

Introduction

School refusal is a complex issue affecting adolescents worldwide. Defined as the reluctance or refusal to attend school, it poses significant challenges for educators, parents, and mental health professionals. Recent research utilizing functional near-infrared spectroscopy (fNIRS) sheds light on the psychological characteristics and emotional difficulties underlying this behavior. This blog aims to help practitioners improve their skills by implementing research outcomes or encouraging further exploration.

Key Findings from the Research

The study titled "Psychological characteristics and emotional difficulties underlying school refusal in adolescents using functional near-infrared spectroscopy" provides valuable insights into the emotional and neural mechanisms associated with school refusal. Conducted by Li et al., the research involved 38 adolescents with school refusal behavior and 35 healthy controls. Participants underwent psychological assessments and fNIRS to explore brain function differences.

Psychological Characteristics

The study found that adolescents with school refusal exhibited higher neuroticism scores and lower extraversion scores compared to healthy controls. These personality traits are linked to emotional instability and social withdrawal, contributing to school refusal behavior. Additionally, the refusal group showed elevated scores on depression and anxiety scales, emphasizing the need for attention to their emotional well-being.

Neural Correlates

Using fNIRS, researchers identified significant differences in brain activity between the two groups. Adolescents with school refusal showed altered oxygenated hemoglobin concentrations in the frontal and temporal cortices during cognitive tasks. These findings suggest a biological basis for school refusal, highlighting the potential of fNIRS in early diagnosis and intervention.

Implications for Practitioners

For practitioners, these findings underscore the importance of addressing emotional regulation and cognitive control in adolescents with school refusal. Early intervention strategies should focus on enhancing emotional resilience and social skills. Family involvement is crucial, as family dynamics significantly influence school refusal behavior. Practitioners are encouraged to integrate these insights into their practice and consider further research to refine intervention approaches.

Conclusion

Understanding the psychological and neural underpinnings of school refusal can guide practitioners in developing effective intervention strategies. By leveraging data-driven insights, professionals can better support adolescents in overcoming school refusal and achieving positive educational outcomes.

To read the original research paper, please follow this link: Psychological characteristics and emotional difficulties underlying school refusal in adolescents using functional near-infrared spectroscopy.


Citation: Li, G., Niu, Y., Liang, X., Andari, E., & Liu, Z. (2023). Psychological characteristics and emotional difficulties underlying school refusal in adolescents using functional near-infrared spectroscopy. BMC Psychiatry. https://doi.org/10.1186/s12888-023-05291-w
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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