PMID- 31623358 OWN - NLM STAT- MEDLINE DCOM- 20200221 LR - 20231014 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 16 IP - 19 DP - 2019 Oct 3 TI - Identifying Risk Profiles of School Refusal Behavior: Differences in Social Anxiety and Family Functioning Among Spanish Adolescents. LID - 10.3390/ijerph16193731 [doi] LID - 3731 AB - School attendance problems negatively affect students' development. This study attempted to identify different school refusal behavior profiles and to examine their relationship with three dimensions of social anxiety (fear of negative evaluation, social avoidance and distress in new situations, and social avoidance and distress that is experienced more generally in the company of peers) and the perception of family functioning. Participants included 1842 Spanish adolescents (53% girls) aged 15-18 years (M = 16.43; SD = 1.05). The School Refusal Assessment Scale-Revised (SRAS-R), the Social Anxiety Scale for Adolescents (SAS-A), and the Family APGAR Scale (APGAR: Adaptation, Partnership, Growth, Affection, and Resolve) were administered. Latent class analysis revealed four school refusal behavior profiles: non-school refusal behavior, high school refusal behavior, moderately low school refusal behavior, and moderately high school refusal behavior. Analyses of variance (ANOVA) indicated that adolescents' with the profile of high school refusal behavior showed higher scores in all the subscales of social anxiety. In contrast, the non-school refusal behavior group revealed higher scores in the perception of good family functioning, whereas the high school refusal behavior profile obtained the lowest scores in this scale. These findings suggest that students who reject school are at a higher risk of developing social anxiety problems and manifesting family conflicts. These students should be prioritized in order to attend to their needs, promoting self-help to overcome social anxiety and family problems with the purpose of preventing school refusal behaviors. FAU - Gonzalvez, Carolina AU - Gonzalvez C AUID- ORCID: 0000-0002-7810-9044 AD - Department of Development Psychology and Teaching, Faculty of Education, University of Alicante, 03690 Alicante, Spain. carolina.gonzalvez@ua.es. FAU - Diaz-Herrero, Angela AU - Diaz-Herrero A AD - Department of Development Psychology and Education, Faculty of Psychology, University of Murcia, 30003 Murcia, Spain. adiaz@um.es. FAU - Sanmartin, Ricardo AU - Sanmartin R AD - Department of Development Psychology and Teaching, Faculty of Education, University of Alicante, 03690 Alicante, Spain. ricardo.sanmartin@ua.es. FAU - Vicent, Maria AU - Vicent M AUID- ORCID: 0000-0002-6254-4770 AD - Department of Development Psychology and Teaching, Faculty of Education, University of Alicante, 03690 Alicante, Spain. maria.vicent@ua.es. FAU - Perez-Sanchez, Antonio M AU - Perez-Sanchez AM AD - Department of Development Psychology and Teaching, Faculty of Education, University of Alicante, 03690 Alicante, Spain. am.perez@ua.es. FAU - Garcia-Fernandez, Jose M AU - Garcia-Fernandez JM AD - Department of Development Psychology and Teaching, Faculty of Education, University of Alicante, 03690 Alicante, Spain. josemagf@ua.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20191003 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Adolescent MH - Adolescent Behavior/*psychology MH - Anxiety/epidemiology/*psychology MH - Family/*psychology MH - Female MH - Humans MH - Male MH - Peer Group MH - Refusal to Participate/*psychology MH - Risk Assessment MH - *Schools MH - *Social Behavior MH - Spain/epidemiology MH - Students/*psychology PMC - PMC6801475 OTO - NOTNLM OT - adolescents OT - family functioning OT - latent class analysis OT - school refusal behavior OT - social anxiety COIS- The authors declare no conflicts of interest. EDAT- 2019/10/19 06:00 MHDA- 2020/02/23 06:00 PMCR- 2019/10/01 CRDT- 2019/10/19 06:00 PHST- 2019/09/12 00:00 [received] PHST- 2019/09/29 00:00 [revised] PHST- 2019/09/30 00:00 [accepted] PHST- 2019/10/19 06:00 [entrez] PHST- 2019/10/19 06:00 [pubmed] PHST- 2020/02/23 06:00 [medline] PHST- 2019/10/01 00:00 [pmc-release] AID - ijerph16193731 [pii] AID - ijerph-16-03731 [pii] AID - 10.3390/ijerph16193731 [doi] PST - epublish SO - Int J Environ Res Public Health. 2019 Oct 3;16(19):3731. doi: 10.3390/ijerph16193731.