European Child & Adolescent Psychiatry

, 20:271

Follow-up study of four cases of pervasive refusal syndrome

  • Suzy Guirguis
  • Corrine Reid
  • Sushma Rao
  • Victoria Grahame
  • Carole Kaplan
Case Report

DOI: 10.1007/s00787-011-0169-1

Cite this article as:
Guirguis, S., Reid, C., Rao, S. et al. Eur Child Adolesc Psychiatry (2011) 20: 271. doi:10.1007/s00787-011-0169-1

Abstract

The term pervasive refusal syndrome was first mentioned in a paper detailing a sample study of four children by Bryan Lask and colleagues in 1991. This article presents a sample of four children diagnosed with Pervasive Refusal Syndrome, three girls and a boy, seen within a specialist NHS inpatient unit in the North East of England, and describes the main features presented. The main focus of the article will be on long-term prognosis and outcome in relation to day to day functioning and activities. Each of the cases has been followed up once at an interval of between 3 and 16 years after discharge, and the outcomes are presented here. Results suggest that two of the young people with PRS made a complete recovery in the long term, that one was impaired by anorexia nervosa at follow-up, and the remaining young person was reluctant to be interviewed, so it is unclear how well she has maintained her initial discharge recovery.

Keywords

Pervasive refusal syndromeCAMHSIn-patient treatmentWithdrawal

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Suzy Guirguis
    • 1
  • Corrine Reid
    • 1
  • Sushma Rao
    • 1
  • Victoria Grahame
    • 1
  • Carole Kaplan
    • 1
  1. 1.Fleming Nuffield UnitBurdon TerraceNewcastle upon TyneUK