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School Refusal and Parental Illness: A Narrative Review

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

ChildLast synced 6/22/2026Status: syncedPMID: 42322075 pmidDOI: 10.1111/cch.70306

ABSTRACT Introduction School refusal (SR) affects many young people and has short‐ and long‐term consequences on their development. Early interventions improve SR prognosis. Among the risk factors studied, parental illness is often mentioned. This narrative review assesses the frequency and strength of the link between SR and parental illness and its specificities. cch70306-sec-0001 Methods PsycInfo, PsycArticles, Google Scholar and PubMed were queried, resulting in the inclusion of 18 studies. cch70306-sec-0002 Results This link exists, but the number of robust studies is limited. While often acknowledged, it is seldom considered the main topic and is more often found with parental mental illness than physical illness. cch70306-sec-0003 Discussion This association, observed in both quantitative and qualitative studies, seems to correspond to clinical reality. This review highlights the lack of precise data on parental illnesses in the SR literature and the limited hypotheses put forward to explain this link. This relationship requires greater attention in order to better understand and improve support for these children and adolescents and their families. cch70306-sec-0004 Summary The association between school refusal and parental illness appears to be statistically significant and strong when studied. cch70306-li-0001 There is a lack of precise data on parental illnesses in the school refusal literature. cch70306-li-0002 Few and limited hypotheses on the explanatory factor

Abstract

ABSTRACT Introduction School refusal (SR) affects many young people and has short‐ and long‐term consequences on their development. Early interventions improve SR prognosis. Among the risk factors studied, parental illness is often mentioned. This narrative review assesses the frequency and strength of the link between SR and parental illness and its specificities. cch70306-sec-0001 Methods PsycInfo, PsycArticles, Google Scholar and PubMed were queried, resulting in the inclusion of 18 studies. cch70306-sec-0002 Results This link exists, but the number of robust studies is limited. While often acknowledged, it is seldom considered the main topic and is more often found with parental mental illness than physical illness. cch70306-sec-0003 Discussion This association, observed in both quantitative and qualitative studies, seems to correspond to clinical reality. This review highlights the lack of precise data on parental illnesses in the SR literature and the limited hypotheses put forward to explain this link. This relationship requires greater attention in order to better understand and improve support for these children and adolescents and their families. cch70306-sec-0004 Summary The association between school refusal and parental illness appears to be statistically significant and strong when studied. cch70306-li-0001 There is a lack of precise data on parental illnesses in the school refusal literature. cch70306-li-0002 Few and limited hypotheses on the explanatory factors of this link are proposed. cch70306-li-0003 The study of this link has theoretical and practical implications. cch70306-li-0004 These young people might be living in a parental environment that is not a source of support; therefore, this issue requires greater attention to better understand it and improve effective support for these children, adolescents and their families. cch70306-li-0005 bullet cch70306-list-0001 highlights cch70306-abs-5002

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