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An Exploration of the Relationship Between Trait Anxiety and School Attendance in Young People

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Abstract

Previous research has consistently found an association between elevated anxiety and school refusal behaviour (SRB) in children and young people. Kearney (J Child Psychol Psychiatry 48:53–61, 2007) suggested that this relationship is best understood by exploring motivations underlying SRB. The present study aimed to establish whether motivating factors associated with non-attendance could explain the relationship between trait anxiety and school attendance in a community sample of 162 12–13-year-old young people. We measured motivating factors using the School Refusal Assessment Scale-Revised (SRAS-R; Kearney in J Psychopathol Behav Assess 24:235–245, 2002). In addition, we assessed the factor structure of the SRAS-R using confirmatory factor analysis. Goodness-of-fit indices supported a three-factor model highlighting motivational factors related to negative affect, social avoidance and attention-seeking. The results showed a negative relationship between trait anxiety and school attendance that was mediated by social avoidance and attention-seeking. We suggested that a consideration of motivating factors is important to understand and address anxiety-related non-attendance in young people.

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Acknowledgments

This research was supported by funding from the Economic and Social Research Council, UK (award number PTA-031-2006-00179). We would like to thank Matthew Owens, Jim Stevenson, Rebecca Newman and the members of the Developmental Brain-Behaviour Laboratory at the University of Southampton for valuable comments and advice on this research.

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Correspondence to Helen J. Richards.

Appendix A

Appendix A

Items removed in the current factor analysis of the School Refusal Assessment Scale-Revised (Kearney, 2002)

Negative affect

 Item 17

If you had less bad feelings (for example, scared, nervous, sad) about school, would it be easier for you to go to school?

Social avoidance

 Item 18

If it were easier for you to make new friends, would it be easier for you to go to school?

 Item 22

How often do you stay away from people at school compared to other kids your age?

Attention seeking

 Item 7

How often do you think about your parents or family when in school?

 Item 19

Would it be easier for you to go to school if your parents went with you?

 Item 23

Would you like to be home with your parents more than other kids your age would?

Tangible reinforcement

 Item 4

When you are not in school during the week (Monday to Friday), how often do you leave the house and do something fun?

 Item 8

When you are not in school during the week (Monday to Friday), how often do you talk to or see other people (other than your family)?

 Item 12

When you are not in school during the week (Monday to Friday), how much do you enjoy doing different things (for example, being with friends, going places)?

 Item 16

How often do you refuse to go to school because you want to have fun outside of school?

 Item 20

Would it be easier for you to go to school if you could do more things you like to do after school hours (for example, being with friends)?

 Item 24

Would you rather be doing fun things outside of school more than most kids your age?

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Richards, H.J., Hadwin, J.A. An Exploration of the Relationship Between Trait Anxiety and School Attendance in Young People. School Mental Health 3, 236–244 (2011). https://doi.org/10.1007/s12310-011-9054-9

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