Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal

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,...

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Main Authors: Johan Strömbeck PhD Student, Robert Palmér BA, Ia Sundberg Lax BA, Jonas Fäldt MA, Martin Karlberg PhD, Martin Bergström PhD
Format: Article
Language:English
Published: SAGE Publishing 2021-03-01
Series:Global Pediatric Health
Online Access:https://doi.org/10.1177/2333794X211002952
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author Johan Strömbeck PhD Student
Robert Palmér BA
Ia Sundberg Lax BA
Jonas Fäldt MA
Martin Karlberg PhD
Martin Bergström PhD
author_facet Johan Strömbeck PhD Student
Robert Palmér BA
Ia Sundberg Lax BA
Jonas Fäldt MA
Martin Karlberg PhD
Martin Bergström PhD
author_sort Johan Strömbeck PhD Student
collection DOAJ
description 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.
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spelling doaj.art-78f9807fc9cd4a1b96569f4cb80d58082022-12-21T23:05:54ZengSAGE PublishingGlobal Pediatric Health2333-794X2021-03-01810.1177/2333794X211002952Outcome of a Multi-modal CBT-based Treatment Program for Chronic School RefusalJohan Strömbeck PhD Student0Robert Palmér BA1Ia Sundberg Lax BA2Jonas Fäldt MA3Martin Karlberg PhD4Martin Bergström PhD5Magelungen Utveckling AB, Stockholm, SwedenMagelungen Utveckling AB, Stockholm, SwedenMagelungen Utveckling AB, Stockholm, SwedenMagelungen Utveckling AB, Stockholm, SwedenUppsala University, Uppsala, SwedenLund University, Lund, SwedenSchool 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.https://doi.org/10.1177/2333794X211002952
spellingShingle Johan Strömbeck PhD Student
Robert Palmér BA
Ia Sundberg Lax BA
Jonas Fäldt MA
Martin Karlberg PhD
Martin Bergström PhD
Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal
Global Pediatric Health
title Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal
title_full Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal
title_fullStr Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal
title_full_unstemmed Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal
title_short Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal
title_sort outcome of a multi modal cbt based treatment program for chronic school refusal
url https://doi.org/10.1177/2333794X211002952
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