奈良県立医大精神科児童思春期外来における不登校の現況と登校拒否の予後因子

Abstract

A study on prognostic factors of non-attendance, especially school refusal in the strict sense was conducted. 114 out-patients (male 63, female 51) visiting the Child and Adolescent Clinic of the Department of Psychiatry at Nara Medical University were studied. The results were : (1) The patients consisted of 17 students of elementary school (14.9%), 46 of junior high school (40.4%) and 51 of high school (44.7%). (2) School refusal in the strict sense was 51.8%. In the rest, non-attendance at school was based on mental disorders including schizophrenia (14.9%), depression (6.1%), and anthropophobia (6.1%). (3) As to onset of school refusal, many cases began in September, April and May. Premorbid personality tended to be introverted, perfectionisitc, sensitive and obstinate. Psychiatric hereditary factors were found in 24.5% of all cases, and antipsychotics were administered to 45.8% of all cases. (4) In regard to the differences between the good prognostic group and poor prognostic group, grade, trigger and the number of times of consultation were significant.