Document Detail

School refusal and depression with school inattendance in children and adolescents: comparative assessment between the Children's Depression Inventory and somatic complaints.
MedLine Citation:
PMID:  11737797     Owner:  NLM     Status:  MEDLINE    
School refusal has become a relatively common problem of increasing magnitude in Japan. Although clarification of the relationship between 'school refusal' and 'depression with school inattendance' is crucial in light of the difference in treatment modalities involved, it is not clear whether the two are to be regarded along the same tangent or as disparate entities. For clarification, a comparison was made between clinical diagnosis, Children's Depression Inventory (CDI) scores, and scores for the three subordinate scales of the CDI in 34 cases of school refusal, 10 cases of depression with school inattendance, and normal students. Significant difference in CDI score was noted between the three groups: highest among depression cases, followed by school refusers, and lowest in normal students. A larger proportion of school refusers expressed somatic complaints together with low CDI scores. The typical case of school refusal appears to exhibit somatic complaints in the foreground rather than depression, both clinical characteristics and CDI scores indicate school refusal and depression to be separate entities. Although many approaches are being taken in the treatment of school refusal, the results appear to justify primacy of the psychotherapeutic approach with the possible adjuvant use of pharmacological agents, for the phenomenon as it presents in Japan.
S Honjo; T Nishide; S Niwa; Y Sasaki; H Kaneko; K Inoko; Y Nishide
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Psychiatry and clinical neurosciences     Volume:  55     ISSN:  1323-1316     ISO Abbreviation:  Psychiatry Clin. Neurosci.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-13     Completed Date:  2002-02-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9513551     Medline TA:  Psychiatry Clin Neurosci     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  629-34     Citation Subset:  IM    
Nagoya University Center for Developmental Clinical Psychology and Psychiatry, Japan.
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MeSH Terms
Adolescent Behavior / psychology
Child Behavior / psychology
Depressive Disorder, Major / diagnosis*,  epidemiology,  psychology
Japan / epidemiology
Somatoform Disorders / diagnosis*,  epidemiology,  psychology
Student Dropouts / psychology*,  statistics & numerical data*
Students / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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