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Outcome of a multi-modal CBT-based treatment program for chronic school refusal

Strömbeck, Johan ; Palmér, Robert ; Sundberg, Ia ; Fäldt, Jonas ; Karlberg, Martin and Bergström, Martin LU (2021) In Global Pediatric Health 8.
Abstract
School refusal (SR) can have several negative consequences, but effective treatments are available. When chronic, school absence requires comprehensive treatment. This study evaluates an intervention for SR based on a Cognitive Behavioral Therapy (CBT) model, Hemmasittarprogrammet (HSP). Attendance, anxiety, depression, quality of life, and emotional and behavioral symptoms were measured at pre-treatment, post-treatment, and follow-up. The participants (n = 84; 69% male) were SR students between 10 and 17 years old and their parents. School attendance increased after treatment and at follow-up. The proportion of students totally absent from school decreased and the number of students with an acceptable level of school attendance increased.... (More)
School refusal (SR) can have several negative consequences, but effective treatments are available. When chronic, school absence requires comprehensive treatment. This study evaluates an intervention for SR based on a Cognitive Behavioral Therapy (CBT) model, Hemmasittarprogrammet (HSP). Attendance, anxiety, depression, quality of life, and emotional and behavioral symptoms were measured at pre-treatment, post-treatment, and follow-up. The participants (n = 84; 69% male) were SR students between 10 and 17 years old and their parents. School attendance increased after treatment and at follow-up. The proportion of students totally absent from school decreased and the number of students with an acceptable level of school attendance increased. Levels of anxiety and depression were lower both post-treatment and at follow-up for the youths and their parents. HSP, a promising treatment program for school refusal, builds on the literature of CBT-based programs, which has been shown to be effective for SR treatment. However, more research about the effectiveness of the program is needed. Future studies should have a stronger research design, include a measure of fidelity, and be evaluated independent of the founders of the program under investigation. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Global Pediatric Health
volume
8
publisher
SAGE Publications
external identifiers
  • scopus:85103553716
  • pmid:33855128
ISSN
2333-794X
DOI
10.1177/2333794X211002952
language
English
LU publication?
yes
id
545cae22-f828-4179-bde2-81128b57a495
date added to LUP
2021-03-16 09:06:59
date last changed
2022-04-27 00:48:37
@article{545cae22-f828-4179-bde2-81128b57a495,
  abstract     = {{School refusal (SR) can have several negative consequences, but effective treatments are available. When chronic, school absence requires comprehensive treatment. This study evaluates an intervention for SR based on a Cognitive Behavioral Therapy (CBT) model, Hemmasittarprogrammet (HSP). Attendance, anxiety, depression, quality of life, and emotional and behavioral symptoms were measured at pre-treatment, post-treatment, and follow-up. The participants (n = 84; 69% male) were SR students between 10 and 17 years old and their parents. School attendance increased after treatment and at follow-up. The proportion of students totally absent from school decreased and the number of students with an acceptable level of school attendance increased. Levels of anxiety and depression were lower both post-treatment and at follow-up for the youths and their parents. HSP, a promising treatment program for school refusal, builds on the literature of CBT-based programs, which has been shown to be effective for SR treatment. However, more research about the effectiveness of the program is needed. Future studies should have a stronger research design, include a measure of fidelity, and be evaluated independent of the founders of the program under investigation.}},
  author       = {{Strömbeck, Johan and Palmér, Robert and Sundberg, Ia and Fäldt, Jonas and Karlberg, Martin and Bergström, Martin}},
  issn         = {{2333-794X}},
  language     = {{eng}},
  publisher    = {{SAGE Publications}},
  series       = {{Global Pediatric Health}},
  title        = {{Outcome of a multi-modal CBT-based treatment program for chronic school refusal}},
  url          = {{http://dx.doi.org/10.1177/2333794X211002952}},
  doi          = {{10.1177/2333794X211002952}},
  volume       = {{8}},
  year         = {{2021}},
}