PMID- 35360464
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220402
IS  - 2385-0787 (Electronic)
IS  - 1724-4935 (Print)
IS  - 1724-4935 (Linking)
VI  - 19
IP  - 1
DP  - 2022 Feb
TI  - School Refusal Behavior: Role of Personality Styles, Social Functioning, and 
      Psychiatric Symptoms in a Sample of Adolescent Help-Seekers.
PG  - 20-28
LID - 10.36131/cnfioritieditore20220104 [doi]
AB  - OBJECTIVE: School refusal (SR) in adolescence represents an important risk factor 
      associated with adverse consequences. Although many clinical features of 
      adolescents presenting with SR have been studied, the relationship between SR and 
      personality styles-specifically in the help-seeking population-remains unclear. 
      The present study aimed at investigating differences in personality style, 
      adaptive functioning, and symptomology between Italian help-seeking adolescents 
      who refused (SRa) and did not refuse (non-SRa) to attend school, to provide 
      preliminary evidence of personality patterns in adolescent help-seekers 
      presenting with SR. METHOD: The study sample was comprised of 103 help-seeking 
      adolescents (54 female, 49 male) aged 14-18 years. Participants were recruited 
      during their first clinical visit and evaluated using the Shedler and Westen 
      Assessment Procedure - Adolescent version (SWAP-A), the Hamilton Rating Scale for 
      Depression (HAM-D), the Hamilton Rating Scale for Anxiety (HAM-A), the Maniac 
      Rating Scale (MRS), the Global Assessment of Functioning (GAF), the Global 
      Functioning Social Scale (GFSS), and the Global Functioning Role Scale (GFRS). 
      Differences in the studied variables between SRa and non-SRa were measured and a 
      multivariable logistic regression analysis was performed to identify possible 
      predictive factors of SR. RESULTS: SRa presented with more anxious and depressive 
      symptomatology and worse social functioning compared to non-SRa. With respect to 
      personality, SRa displayed more schizoid and schizotypal characteristics and 
      fewer adaptive and healthy personality features. Irrespective of any differences 
      between groups, SRa were largely characterized by inhibited-self-constricted and 
      emotionally dysregulated personality styles. CONCLUSIONS: The results suggest 
      that personality styles are clinical features that may contribute to broadening 
      our knowledge of SR behavior and aid in the detection of SRa, also in the 
      help-seeking population. The findings have clinical, social, and political 
      implications for prevention, diagnosis, and treatment, in both clinical and 
      non-clinical settings. However, more data are needed on personality features to 
      clarify their contribution to the more complex phenomenon of school absenteeism.
CI  - (c) 2022 Giovanni Fioriti Editore s.r.l.
FAU - Carpentieri, Renato
AU  - Carpentieri R
AD  - NESMOS Department (Neurosciences, Mental Health and Sensory Organs), Sant' Andrea 
      Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Italy.
AD  - Department of Dynamic and Clinical Psychology, Faculty of Medicine and 
      Psychology, Sapienza University of Rome, Italy.
FAU - Iannoni, Maria Elena
AU  - Iannoni ME
AD  - Child Neuropsychiatry Unit, Department of Neuroscience, I.R.C.C.S. Children 
      Hospital Bambino Gesu, Rome, Italy.
FAU - Curto, Martina
AU  - Curto M
AD  - Department of Human Neuroscience, Sapienza University, Rome, Italy.
FAU - Biagiarelli, Mario
AU  - Biagiarelli M
AD  - Faculty of Psychology, G. D'Annunzio University of Chieti-Pescara, Italy.
FAU - Listanti, Giulia
AU  - Listanti G
AD  - NESMOS Department (Neurosciences, Mental Health and Sensory Organs), Sant' Andrea 
      Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Italy.
FAU - Andraos, Maria Paola
AU  - Andraos MP
AD  - Department of Dynamic and Clinical Psychology, Faculty of Medicine and 
      Psychology, Sapienza University of Rome, Italy.
FAU - Mantovani, Beatrice
AU  - Mantovani B
AD  - Mental Health Department, ASL Roma 5, Rome, Italy.
FAU - Farulla, Carla
AU  - Farulla C
AD  - NESMOS Department (Neurosciences, Mental Health and Sensory Organs), Sant' Andrea 
      Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Italy.
FAU - Pelaccia, Simona
AU  - Pelaccia S
AD  - NESMOS Department (Neurosciences, Mental Health and Sensory Organs), Sant' Andrea 
      Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Italy.
FAU - Grosso, Giuseppe
AU  - Grosso G
AD  - Mental Health Department, ASL Roma 5, Rome, Italy.
FAU - Speranza, Anna Maria
AU  - Speranza AM
AD  - Department of Dynamic and Clinical Psychology, Faculty of Medicine and 
      Psychology, Sapienza University of Rome, Italy.
FAU - Sarlatto, Cinzia
AU  - Sarlatto C
AD  - NESMOS Department (Neurosciences, Mental Health and Sensory Organs), Sant' Andrea 
      Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Italy.
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - Clin Neuropsychiatry
JT  - Clinical neuropsychiatry
JID - 101237961
PMC - PMC8951164
OTO - NOTNLM
OT  - SWAP-A
OT  - adolescence
OT  - personality style
OT  - school refusal behavior
OT  - social functioning
COIS- Competing interests: None.
EDAT- 2022/04/02 06:00
MHDA- 2022/04/02 06:01
PMCR- 2022/02/01
CRDT- 2022/04/01 05:22
PHST- 2022/04/01 05:22 [entrez]
PHST- 2022/04/02 06:00 [pubmed]
PHST- 2022/04/02 06:01 [medline]
PHST- 2022/02/01 00:00 [pmc-release]
AID - 10.36131/cnfioritieditore20220104 [doi]
PST - ppublish
SO  - Clin Neuropsychiatry. 2022 Feb;19(1):20-28. doi: 
      10.36131/cnfioritieditore20220104.