Abstract
Children with Autism Spectrum Disorder (ASD) or Attention-Deficit/Hyperactivity Disorder (ADHD) are at increased risk for bullying victimization. School refusal is a ‘red flag’ for identification of bullying in children with ASD and/or ADHD. This study examined the impact of diagnoses, demographics, and school variables on school refusal due to bullying. Participants were 97 parents of 154 children with ASD, ADHD, ASD + ADHD, other diagnoses, or no diagnosis. Children with ASD + ADHD were most likely to refuse school due to bullying. Classroom aides and behavior problems were protective and risk factors, respectively. In the final regression model, child diagnosis no longer predicted school refusal. School refusal and problem behavior warrant consideration as a marker of distress for victimized children.
References
Adams, R. E., Fredstrom, B. K., Duncan, A. W., Holleb, L. J., & Bishop, S. L. (2014). Using self-and parent-reports to test the association between peer victimization and internalizing symptoms in verbally fluent adolescents with ASD. Journal of Autism and Developmental Disorders, 44(4), 861–872. https://doi.org/10.1007/s10803-013-1938-0.
Auyeung, B., Baron-Cohen, S., Wheelwright, S., & Allison, C. (2008). The autism spectrum quotient: Children’s version (AQ-Child). Journal of Autism and Developmental Disorders, 38(7), 1230–1240. https://doi.org/10.1007/s10803-007-0504-z.
Bitsika, V., & Sharpley, C. F. (2014). Understanding, experiences, and reactions to bullying experiences in boys with an autism spectrum disorder. Journal of Developmental and Physical Disabilities, 26(6), 747–761. https://doi.org/10.1007/s10882-014-9393-1.
Black, L. I., & Zablotsky, B. (2018). Chronic school absenteeism among children with selected developmental disabilities: National Health Interview Survey, 2014-2016. National Health Statistics Reports, 118, 1–7.
Dormann, C. F., Elith, J., Bacher, S., Buchmann, C., Carl, G., Carré, G., et al. (2013). Collinearity: A review of methods to deal with it and a simulation study evaluating their performance. Ecography, 36(1), 27–46. https://doi.org/10.1111/j.1600-0587.2012.07348.x.
Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28(1), 1–11. https://doi.org/10.3758/BF03203630.
Havik, T., Bru, E., & Ertesvåg, S. (2014). Parental perspectives of the role of school factors in school refusal. Emotional and Behavioural Difficulties, 19(2), 131–153. https://doi.org/10.1080/13632752.2013.816199.
Havik, T., Bru, E., & Ertesvåg, S. K. (2015). School factors associated with school refusal- and truancy-related reasons for school non-attendance. Social Psychology of Education, 18(2), 221–240. https://doi.org/10.1007/s11218-015-9293-y.
Hebron, J., Humphrey, N., & Oldfield, J. (2015). Vulnerability to bullying of children with autism spectrum conditions in mainstream education: A multi-informant qualitative exploration. Journal of Research in Special Educational Needs, 15(3), 185–193. https://doi.org/10.1111/1471-3802.12108.
Holbrook, J. R., Bitsko, R. H., Danielson, M. L., & Visser, S. N. (2017). Interpreting the prevalence of mental disorders in children: Tribulation and triangulation. Health Promotion Practice, 18(1), 5–7. https://doi.org/10.1177/1524839916677730.
Hudec, K. L., & Mikami, A. Y. (2018). Diagnostic issues for ODD/CD with ADHD comorbidity. In J. E. Lochman & W. Matthys (Eds.), The Wiley handbook of disruptive and impulse-control disorders (pp. 55–71). Hoboken: Wiley-Blackwell.
Hwang, S., Kim, Y. S., Koh, Y. J., & Leventhal, B. L. (2018). Autism spectrum disorder and school bullying: Who is the victim? Who is the perpetrator? Journal of Autism and Developmental Disorders, 48(1), 225–238. https://doi.org/10.1007/s10803-017-3285-z.
Iossi Silva, M. A., Pereira, B., Mendonça, D., Nunes, B., & Oliveira, W. A. D. (2013). The involvement of girls and boys with bullying: An analysis of gender differences. International Journal of Environmental Research and Public Health, 10(12), 6820–6831. https://doi.org/10.3390/ijerph10126820.
Karande, S. (2018). School refusal behavior: An enigma still to be resolved. The Indian Journal of Pediatrics, 85(12), 1055–1056. https://doi.org/10.1007/s12098-018-2787-9.
Kearney & Spear. (2014). School refusal behavior. In Translating psychological research into practice. American Psychological Association. https://psycnet.apa.org/record/2013-41734-000.
Kloosterman, P., Kelley, E., Craig, W., Parker, J., & Javier, C. (2013). Types and experiences of bullying in adolescents with an autism spectrum disorder. Research in Autism Spectrum Disorders, 7(7), 824–832.
Kurita, H. (1991). School refusal in pervasive developmental disorders. Journal of Autism and Developmental Disorders, 21(1), 1–15. https://doi.org/10.1007/BF02206993.
Montes, G., & Halterman, J. (2007). Bullying among children with autism and the influence of comorbidity with ADHD: A population-based study. Ambulatory Pediatrics, 7(3), 253. https://doi.org/10.1016/j.ambp.2007.02.003.
Morton, H. E., Gillis, J., Mattson, R., & Romanczyk, R. G. (2019). Conceptualizing bullying in children with ASD: Using a mixed model to differentiate behavior types and identify predictors. Autism, 23(7), 1853–1864. https://doi.org/10.1177/1362361318813997.
Munkhaugen, E., Gjevik, E., Pripp, A., Sponheim, E., & Diseth, T. (2017). School refusal behaviour: Are children and adolescents with autism spectrum disorder at a higher risk? Research in Autism Spectrum Disorders, 41–42, 31–38. https://doi.org/10.1016/j.rasd.2017.07.001.
National Center for Health Statistics (US). Division of Health Interview Statistics. (2015). National health interview survey. https://www.cdc.gov/nchs/nhis/index.htm.
Ochi, M., Kawabe, K., Ochi, S., Miyama, T., Horiuchi, F., & Ueno, S. I. (2020). School refusal and bullying in children with autism spectrum disorder. Child and Adolescent Psychiatry and Mental Health, 14, 1–7. https://doi.org/10.1186/s13034-020-00325-7.
Petrou, A. M., Parr, J. R., & McConachie, H. (2018). Gender differences in parent-reported age at diagnosis of children with autism spectrum disorder. Research in Autism Spectrum Disorders, 50, 32–42. https://doi.org/10.1016/j.rasd.2018.02.003.
Preece, D., & Howley, M. (2018). An approach to supporting young people with autism spectrum disorder and high anxiety to re-engage with formal education—The impact on young people and their families. International Journal of Adolescence and Youth, 23(4), 468–481. https://doi.org/10.1080/02673843.2018.1433695.
Russell, G., Rodgers, L. R., Ukoumunne, O. C., & Ford, T. (2014). Prevalence of parent-reported ASD and ADHD in the UK: Findings from the Millennium Cohort Study. Journal of Autism and Developmental Disorders, 44(1), 31–40. https://doi.org/10.1007/s10803-013-1849-0.
Sobba, K. N. (2019). Correlates and buffers of school avoidance: A review of school avoidance literature and applying social capital as a potential safeguard. International Journal of Adolescence and Youth, 24(3), 380–394. https://doi.org/10.1080/02673843.2018.1524772.
Sreckovic, M., Brunsting, N., & Able, H. (2014). Victimization of students with autism spectrum disorder: A review of prevalence and risk factors. Research in Autism Spectrum Disorders, 8(9), 1155–1172. https://doi.org/10.1016/j.rasd.2014.06.004.
Taylor, L., Saylor, C., Twyman, K., & Macias, M. (2010). Adding insult to injury: Bullying experiences of youth with attention deficit hyperactivity disorder. Children’s Health Care, 39(1), 59–72. https://doi.org/10.1080/02739610903455152.
Thomas, H. J., Chan, G. C., Scott, J. G., Connor, J. P., Kelly, A. B., & Williams, J. (2016). Association of different forms of bullying victimization with adolescents’ psychological distress and reduced emotional wellbeing. Australian and New Zealand Journal of Psychiatry, 50(4), 371–379. https://doi.org/10.1177/0004867415600076.
Vanderbilt, D., & Augustyn, M. (2010). The effects of bullying. Pediatrics and Child Health, 20(7), 315–320. https://doi.org/10.1016/j.paed.2010.03.008.
Vidourek, R. A., King, K. A., & Merianos, A. L. (2016). School bullying and student trauma: Fear and avoidance associated with victimization. Journal of Prevention & Intervention in the Community, 44(2), 121–129. https://doi.org/10.1080/10852352.2016.1132869.
Visser, S. N., Danielson, M. L., Bitsko, R. H., Perou, R., & Blumberg, S. J. (2013). Convergent validity of parent-reported attention-deficit/hyperactivity disorder diagnosis: A cross-study comparison. JAMA Pediatrics, 167(7), 674–675. https://doi.org/10.1001/jamapediatrics.2013.2364.
Winters, R. R., Blake, J. J., & Chen, S. (2018). Bully victimization among children with attention-deficit/hyperactivity disorder: A longitudinal examination of behavioral phenotypes. Journal of Emotional and Behavioral Disorders. https://doi.org/10.1177/1063426618814724.
Zablotsky, B., Bradshaw, C., Anderson, C., & Law, P. (2014). Risk factors for bullying among children with autism spectrum disorders. Autism, 18(4), 419–427. https://doi.org/10.1177/1362361313477920.
Zych, I., Ortega-Ruiz, R., & Del Rey, R. (2015). Systematic review of theoretical studies on bullying and cyberbullying: Facts, knowledge, prevention, and intervention. Aggression and Violent Behavior, 23, 1–21. https://doi.org/10.1016/j.avb.2015.10.001.
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Participant remuneration was funded through the Binghamton University startup fund for Dr. Jennifer Gillis. Dr. Gillis was involved in study design and manuscript review. There were no external funding sources for this project.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by HEM. The manuscript was written by AJM and HEM. Participant remuneration was funded through the Binghamton University startup fund for JMG. All authors contributed to manuscript revisions. All authors read and approved the final manuscript.
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McClemont, A.J., Morton, H.E., Gillis, J.M. et al. Brief Report: Predictors of School Refusal Due to Bullying in Children with Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder. J Autism Dev Disord 51, 1781–1788 (2021). https://doi.org/10.1007/s10803-020-04640-y
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DOI: https://doi.org/10.1007/s10803-020-04640-y