{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T09:51:17Z","timestamp":1794390677147,"version":"4.9.0"},"reference-count":67,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100013276","name":"Interreg","doi-asserted-by":"publisher","award":["203020\/2018P08"],"award-info":[{"award-number":["203020\/2018P08"]}],"id":[{"id":"10.13039\/100013276","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Problematic school absence (PSA) can severely impact children\u2019s mental health. Research on the prevalence of PSA in child and adolescent psychiatry is still limited. This study explores the prevalence and severity of PSA in Dutch and German young people with mental health problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study included 354 patients aged 6-20 years (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      = 13.0;\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      = 3.5) from three psychiatric clinics in the Netherlands and Germany (151 Dutch and 203 German children), recruited between March and June 2019. Parents completed the Strengths and Difficulties Questionnaire and the School-Non-Attendance-ChecKlist. The study analysed PSA and associated factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>School absence occurred in 66.9% of the sample. Any PSA was significantly associated with inpatient treatment, conduct problems and comorbidity, while attention-deficit\/hyperactivity disorder, and other behavioural disorders were negatively associated. Severe PSA (missing 8 or more of 20 school days) was associated with higher age, inpatient treatment, and phobic anxiety disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study showed a high prevalence of PSA among children with mental health problems in an international sample. Given its impact on children\u2019s development and future prospects, addressing PSA should be a priority for mental health professionals working with young people with mental health problems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045251400395","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T16:52:01Z","timestamp":1764003121000},"page":"721-743","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["School Absence and Mental Health in a Help-Seeking Sample From Child and Adolescent Psychiatry"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9775-1654","authenticated-orcid":false,"given":"Bas T. H.","family":"de Veen","sequence":"first","affiliation":[{"name":"Radboud University"},{"name":"Karakter"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0198-1843","authenticated-orcid":false,"given":"Martin","family":"Knollmann","sequence":"additional","affiliation":[{"name":"University of Duisburg-Essen"},{"name":"University Hospital Essen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2666-5556","authenticated-orcid":false,"given":"Martine","family":"van Dongen-Boomsma","sequence":"additional","affiliation":[{"name":"Karakter"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0066-6246","authenticated-orcid":false,"given":"Pierre C. M.","family":"Herpers","sequence":"additional","affiliation":[{"name":"GGZ Oost Brabant"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Spitczok von Brisinski","sequence":"additional","affiliation":[{"name":"LVR-Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Hebebrand","sequence":"additional","affiliation":[{"name":"University of Duisburg-Essen"},{"name":"University Hospital Essen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron H. J.","family":"Scholte","sequence":"additional","affiliation":[{"name":"Radboud University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3276-1133","authenticated-orcid":false,"given":"Wouter G.","family":"Staal","sequence":"additional","affiliation":[{"name":"Karakter"},{"name":"Department of Psychiatry, Radboud University Medical Centre"},{"name":"Leiden Institution for Brain and Cognition"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Reissner","sequence":"additional","affiliation":[{"name":"University of Duisburg-Essen"},{"name":"University Hospital Essen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-021-05211-5"},{"issue":"9","key":"e_1_3_7_3_1","first-page":"69","article-title":"Inpatient with an anxious school refusal: A retrospective study","volume":"33","author":"Al Husni Al Keilani M.","year":"2021","unstructured":"Al Husni Al Keilani M., Delvenne V. (2021). Inpatient with an anxious school refusal: A retrospective study. Psychiatria Danubina, 33(suppl 9), 69\u201374.","journal-title":"Psychiatria Danubina"},{"key":"e_1_3_7_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e3180cabc28"},{"key":"e_1_3_7_6_1","doi-asserted-by":"publisher","DOI":"10.1024\/1422-4917\/a000589"},{"key":"e_1_3_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0272-7358(87)90016-X"},{"key":"e_1_3_7_8_1","volume-title":"\u00dcberleitungstabellen ICD\u201310\/DSM\u20135","author":"Dilling H.","year":"2015","unstructured":"Dilling H., Reinhardt K. (2015). \u00dcberleitungstabellen ICD\u201310\/DSM\u20135. Hogrefe AG."},{"key":"e_1_3_7_9_1","unstructured":"Dutch Support Centre for Inclusive Education. (2024). Getting started with school attendance. https:\/\/www.steunpuntpassendonderwijs-povo.nl\/document\/publicatie-aan-de-slag-met-schoolaanwezigheid\/"},{"key":"#cr-split#-e_1_3_7_10_1.1","unstructured":"Dutch Central Bureau for Statistics. (2018). Data set: Education"},{"key":"#cr-split#-e_1_3_7_10_1.2","unstructured":"students detailed education type. Academic year 2003\/'04-2021\/'22. https:\/\/opendata.cbs.nl\/statline\/#\/CBS\/nl\/dataset\/80040ned\/table?dl=6C1CD"},{"key":"e_1_3_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CHI.0000046865.56865.79"},{"key":"e_1_3_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-019-01342-4"},{"key":"e_1_3_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12322"},{"key":"e_1_3_7_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171700215X"},{"key":"e_1_3_7_15_1","doi-asserted-by":"publisher","DOI":"10.30552\/ejep.v12i1.242"},{"issue":"5","key":"e_1_3_7_16_1","first-page":"1023","article-title":"Rages and refusals. Managing the many faces of adolescent anxiety","volume":"47","author":"Garland E. J.","year":"2001","unstructured":"Garland E. J. (2001). Rages and refusals. Managing the many faces of adolescent anxiety. Canadian family physician Medecin de famille canadien, 47(5), 1023\u20131030.","journal-title":"Canadian family physician Medecin de famille canadien"},{"key":"e_1_3_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1997.tb01545.x"},{"key":"e_1_3_7_18_1","doi-asserted-by":"publisher","DOI":"10.3102\/0002831209350494"},{"key":"e_1_3_7_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/00313831.2014.904424"},{"key":"#cr-split#-e_1_3_7_20_1.1","unstructured":"Hawes M. T. Szenczy A. K. Olino T. M. Nelson B. D. Klein D. N. (2021). Trajectories of depression anxiety and pandemic experiences"},{"key":"#cr-split#-e_1_3_7_20_1.2","doi-asserted-by":"crossref","unstructured":"A longitudinal study of youth in New York during the spring-summer of 2020. Psychiatry Research 298 Article 113778. https:\/\/doi.org\/10.1016\/j.psychres.2021.113778","DOI":"10.1016\/j.psychres.2021.113778"},{"key":"e_1_3_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2007.00159.x"},{"key":"e_1_3_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2018.03.006"},{"key":"e_1_3_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2018.03.006"},{"key":"e_1_3_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470753385.ch11"},{"key":"e_1_3_7_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1063426616661701"},{"key":"e_1_3_7_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118315088.ch21"},{"issue":"1","key":"e_1_3_7_27_1","first-page":"29","article-title":"School refusal in Japan","volume":"55","author":"Honjo S","year":"1992","unstructured":"Honjo S, Kasahara Y, Ohtaka K (1992). School refusal in Japan. Acta Paedopsychiatrica: International Journal of Child & Adolescent Psychiatry, 55(1), 29\u201332.","journal-title":"Acta Paedopsychiatrica: International Journal of Child & Adolescent Psychiatry"},{"key":"e_1_3_7_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10935-009-0187-7"},{"key":"e_1_3_7_29_1","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2019.010101"},{"key":"e_1_3_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00367-9"},{"key":"e_1_3_7_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261449"},{"key":"e_1_3_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2007.07.012"},{"key":"e_1_3_7_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445503259263"},{"key":"e_1_3_7_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-020-00317-1"},{"key":"e_1_3_7_35_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15374424jccp2201_9"},{"key":"e_1_3_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2007.07.012"},{"key":"e_1_3_7_37_1","doi-asserted-by":"crossref","unstructured":"Klein M. Sosu E. Dare S. (2020). Mapping inequalities in school attendance: The relationship between dimensions of socioeconomic status and forms of school absence. Children and Youth Services Review 118 Article 105432. https:\/\/doi.org\/10.1016\/j.childyouth.2020.105432","DOI":"10.1016\/j.childyouth.2020.105432"},{"key":"e_1_3_7_38_1","doi-asserted-by":"crossref","unstructured":"Klein M. Sosu E. M. Dare S. (2022). School absenteeism and academic achievement: Does the reason for absence matter? AERA Open 8 Article 23328584211071115. https:\/\/doi.org\/10.1177\/23328584211071115","DOI":"10.1177\/23328584211071115"},{"issue":"4","key":"e_1_3_7_39_1","first-page":"43","article-title":"School avoidance from the point of view of child and adolescent psychiatry: Symptomatology, development, course, and treatment","volume":"107","author":"Knollmann M.","year":"2010","unstructured":"Knollmann M., Knoll S., Reissner V., Metzelaars J., Hebebrand J. (2010). School avoidance from the point of view of child and adolescent psychiatry: Symptomatology, development, course, and treatment. Deutsches Arzteblatt international, 107(4), 43\u201349. https:\/\/doi.org\/10.3238\/arztebl.2010.0043","journal-title":"Deutsches Arzteblatt international"},{"key":"e_1_3_7_40_1","doi-asserted-by":"publisher","DOI":"10.3389\/frcha.2025.1604431"},{"key":"e_1_3_7_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-012-0117-8"},{"key":"e_1_3_7_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004944118823576"},{"key":"e_1_3_7_43_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2023.0846"},{"key":"e_1_3_7_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjep.12375"},{"key":"e_1_3_7_45_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.53.1.57"},{"key":"e_1_3_7_46_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.2001.00955.x"},{"key":"e_1_3_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2024.04.003"},{"key":"e_1_3_7_48_1","doi-asserted-by":"crossref","unstructured":"Niemi S. Lagerstr\u00f6m M. Alanko K. (2022). School attendance problems in adolescent with attention deficit hyperactivity disorder. Frontiers in Psychology 13 Article 1017619. https:\/\/doi.org\/10.3389\/fpsyg.2022.1017619","DOI":"10.3389\/fpsyg.2022.1017619"},{"key":"e_1_3_7_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/13632752.2014.945741"},{"key":"e_1_3_7_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-015-0576-5"},{"key":"e_1_3_7_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/0741713692043001001"},{"key":"e_1_3_7_52_1","doi-asserted-by":"crossref","unstructured":"Rou\u00e9 A. Harf A. Benoit L. Sibeoni J. Moro M. R. (2021). Multifamily therapy for adolescents with school refusal: Perspectives of the adolescents and their parents. Frontiers in Psychiatry 12 Article 624841. https:\/\/doi.org\/10.3389\/fpsyt.2021.624841","DOI":"10.3389\/fpsyt.2021.624841"},{"key":"e_1_3_7_53_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200202000-00014"},{"key":"e_1_3_7_54_1","unstructured":"San Francisco Health Network. (2015). DSM crosswalk for selected mental health diagnoses. https:\/\/www.pasco.k12.fl.us\/library\/ese\/medicaid\/dsm_crosswalk_mental_health_dx.pdf"},{"key":"e_1_3_7_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/00098655.2011.603766"},{"key":"e_1_3_7_56_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.23.3.451"},{"key":"e_1_3_7_57_1","unstructured":"Swiderski T. Fuller S. C. Bastian K. C. (2024). The relationship between student attendance and achievement pre-and post-COVID. In: 2024 APPAM Fall Research Conference Maryland USA November 21 - 23 2024."},{"key":"e_1_3_7_58_1","first-page":"016237372513157","article-title":"Student-level attendance patterns across three post-pandemic years","author":"Swiderski T.","year":"2025","unstructured":"Swiderski T., Fuller S. C., Bastian K. C. (2025). Student-level attendance patterns across three post-pandemic years. Educational Evaluation and Policy Analysis, 01623737251315715. https:\/\/doi.org\/10.3102\/01623737251315715","journal-title":"Educational Evaluation and Policy Analysis"},{"key":"e_1_3_7_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1994.tb01135.x"},{"key":"e_1_3_7_60_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361320916967"},{"key":"e_1_3_7_61_1","unstructured":"UK Department for Education. (2019). A guide to absence statistics. https:\/\/www.gov.uk\/government\/publications\/absence-statistics-guide"},{"key":"e_1_3_7_62_1","unstructured":"UNESCO. (2012). International standard classification of education: ISCED 2011. Montreal Canada: UNESCO Institute for Statistics https:\/\/unesdoc.unesco.org\/ark:\/48223\/pf0000219109"},{"key":"e_1_3_7_63_1","unstructured":"US Department of Education. (2016). Data visualizations of chronic absenteeism in our nation\u2019s schools. https:\/\/jacksonfreepress.media.clients.ellingtoncms.com\/news\/documents\/2016\/02\/04\/factbook_web.pdf1.pdf"},{"key":"e_1_3_7_64_1","volume-title":"Emotionally Based School Avoidance: Good Practice Guidance for Schools and Support Agencies","author":"West Sussex County Council","year":"2022","unstructured":"West Sussex County Council. (2022). Emotionally Based School Avoidance: Good Practice Guidance for Schools and Support Agencies. West Sussex, United Kingdom: West Sussex: Educational Psychology ServiceCounty Council. https:\/\/schools.westsussex.gov.uk\/Page\/10483."},{"key":"e_1_3_7_65_1","volume-title":"The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines","author":"World Health Organization","year":"1992","unstructured":"World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. World Health Organization."},{"key":"e_1_3_7_66_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20569"}],"container-title":["Clinical Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045251400395","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591045251400395","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045251400395","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T05:42:30Z","timestamp":1784353350000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591045251400395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":67,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/13591045251400395"],"URL":"https:\/\/doi.org\/10.1177\/13591045251400395","relation":{},"ISSN":["1359-1045","1461-7021"],"issn-type":[{"value":"1359-1045","type":"print"},{"value":"1461-7021","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,24]]}}}