Somatic symptoms in school refusal: a qualitative study among children, adolescents, and their parents during the COVID-19 pandemic

被引:4
作者
Li, Anne [1 ,2 ,3 ,4 ]
Yang, David Dawei [5 ]
Beauquesne, Agathe [1 ,4 ,6 ]
Moro, Marie Rose [1 ,2 ,3 ]
Falissard, Bruno [3 ]
Benoit, Laelia [1 ,3 ,4 ,7 ]
机构
[1] Cochin Hosp, AP HP, Maison Solenn, Maison Adolescents, 97 Blvd Port Royal, F-75014 Paris, France
[2] Paris Cite Univ, PCPP, F-92100 Boulogne Billancourt, France
[3] Paris Saclay Univ, CESP, UVSQ, Inserm U1018, Villejuif, France
[4] French Clin Res Grp Adolescent Med & Hlth, Paris, France
[5] Necker Enfants Malad Hosp, AP HP, Dept Pediat Emergency, Paris, France
[6] Sorbonne Univ, F-75006 Paris, France
[7] Yale Sch Med, Child Study Ctr, New Haven, CT USA
关键词
Somatic symptoms; School refusal; School attendance problems; Chronic pain; Emotional awareness and expression therapy (EAET); Qualitative research; HEALTH; ANXIETY; DEPRESSION; WAR;
D O I
10.1007/s00787-023-02313-6
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
School refusal (SR) is commonly associated with somatic symptoms that are temporally related to school attendance. Abdominal pain, headache, vomiting, and musculoskeletal pain are frequently encountered and are usually not caused by a physical disease. School refusers, parents and health care workers are often puzzled by these impairing symptoms. In this qualitative study, we assessed somatic symptoms in a population encompassing both school refusers and their parents. We aimed at better understanding experiences and strategies in the management of these debilitating symptoms, while also investigating the journey of these symptoms and their behavioral consequences on the said population. We conducted qualitative interviews both within an Integrated Youth Health Care Unit in Paris and through a French parent-led support group improving care for school refusers. We interviewed 19 young persons with SR (aged 6-21 years old) and 20 parents. Using the Grounded Theory, three themes were identified: (1) somatic symptoms' journey in four phases (emergence, coping, crisis, and disappearance in the context of school dropout); (2) their deconstruction, indicating the patients' emotional state; and (3) their management through self-care practices as well as increased emotional and body awareness. Some parents, who could portray similar symptoms at a younger age, mentioned familial pattern of heightened emotional and sensorial sensitivity as a possible cause. Findings suggested that somatic symptoms in SR offer an insight into the patients' emotional state. We recommend that psychotherapies targeting somatic symptoms could be further assessed in SR, along with educational content aimed at increasing emotional literacy in schools and health care settings.
引用
收藏
页码:2243 / 2251
页数:9
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