SCHOOL ABSENTEEISM what patients from Viersen (D) - Nijmegen (NL) - - PowerPoint PPT Presentation

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SCHOOL ABSENTEEISM what patients from Viersen (D) - Nijmegen (NL) - - PowerPoint PPT Presentation

Oct 11, 2023 226 likes •528 views

SCHOOL ABSENTEEISM what patients from Viersen (D) - Nijmegen (NL) Essen (D) may tell us Volker Reissner, Bas deVeen, Martin Knollmann, Alexandra Whl, Ingo Spitczok von Brisinski, Freia Hahn, Wouter Staal, Johannes Hebebrand

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DGKJP (3/2009)

SCHOOL ABSENTEEISM

– what patients from Viersen (D) - Nijmegen (NL) – Essen (D) may tell us …

Volker Reissner, Bas deVeen, Martin Knollmann, Alexandra Wühl, Ingo Spitczok von Brisinski, Freia Hahn, Wouter Staal, Johannes Hebebrand Department of Child and Adolescent Psychiatry, LVR-Clinic Essen, University of Duisburg-Essen

EuRegio Symposium 2019

Kleve, 11.12.2019

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Agenda

1.

School absenteeism

2.

Comparison: Viersen – Nijmegen – Essen

3.

Preliminary Results

4.

Discussion

Zur Verfügung gestellt von Hr. Plassmann

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School absenteeism

Paul, 302 years later …

By Thomas Plassmann

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School absenteeism

Differentiation of School absenteeism

School absenteeism Disengagement (Schulmüdigkeit) School avoidance (Vermeidung) School truancy (Schulschwänzen) School refusal (Schulverweigerung) School- withdrawal (Fernhalten)

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Smoky Mountains Study, USA: N=4,500 children (9 – 13 years)

3-month- prevalence % with mental disorder Associated symptoms / mental disorders School refusal 1.5% 25% Depression Separation anxiety disorder etc. School truancy 5.8% 25% Conduct disorder Oppositional-defiant disorder etc. Mixed group 0.5% 88% Separation anxiety disorder & Conduct disorder etc.

School absenteeism

Prevalence of school absenteeism

Egger et al., 2003

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60% „Staying away from school …“ for some lessons or some days during their time at primary and secondary school 8.9 % Percentage of German students reported that they skipped a day of school at least once in the two weeks prior to the PISA test 5.3 % Percentage of Dutch students reported that they skipped a day of school at least once in the two weeks prior to the PISA test

6 z.B. Oberwittler et al. 2001; Wagner et al. 2004; Weiss, 2007; OECD, 2016 (PISA 2015)

School absenteeism

Prevalence of school absenteeism

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Agenda

1.

School absenteeism

2.

Comparison: Viersen – Nijmegen – Essen

3.

Preliminary Results

4.

Discussion

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Comparison

Study aims: Differences & Predictors?

Three clinical samples of children/adolescents with mental disorders from LVR, Viersen – Karakter, Nijmegen – LVR, Essen: Are there differences in … Age & Gender Diagnoses School absenteeism Severity of psychopathology Which of these factors predict school absenteeism?

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Comparison

Questionnaires / Assessment

Age & Gender Diagnoses ICD-10 / DSM-5 School absenteeism School Non-Attendence ChecKlist (SNACK) Severity of psychopathology Strengths and Difficulties Questionnaire (SDQ)  Cross-sectional design: One measurement

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Comparison

Patient-Recruitment

2019 Jan. Feb. Mar. Apr. May Jun. LVR In-p. Viersen Out-p. Karakter, „In-p.“ Nijmegen

Out-p.

LVR In-p. Essen Out-p.

Viersen

  • Total 4 month: N=102 patients

Nijmegen

  • N=159

Essen

  • N=101
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Agenda

1.

School absenteeism

2.

Comparison: Viersen – Nijmegen – Essen

3.

Preliminary Results

4.

Discussion

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Results

Age & Gender

Females * N % out of sample Viersen 41 40.2 % Nijmegen 63 39.6 % Essen 58 57.4 % Age *** N Mean Standard Deviation (SD) Viersen 102 13.2 3.5 Nijmegen 153 12.0 3.5 Essen 101 13.8 3.3

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Results

(multiple) Diagnoses (ICD-10)

Viersen Nijmegen Essen

Organic Substance Schizo- Mood Neurotic Eating Person- Mental Develop- Childhood use phrenia disorder ality retard. mental adolescence Organic Substance Schizo- Mood Neurotic Eating Person- Mental Develop- Childhood use phrenia disorder ality retard. mental adolescence Organic Substance Schizo- Mood Neurotic Eating Person- Mental Develop- Childhood use phrenia disorder ality retard. mental adolescence

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Results

Number of Diagnoses

Number of diagnoses * N Mean SD Viersen 102 2.6 1.6 Nijmegen 159 2.1 1.1 Essen 101 1.8 0.8

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Results

School Absenteeism

Absent from school *** N % out of sample Viersen 74 72.5 % Nijmegen 71 44.7 % Essen 95 94.1 %

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Results

School Absenteeism: Total number of days

Number of days absent*** N Mean SD Viersen 102 7.5 8.0 Nijmegen 159 3.4 6.1 Essen 101 9.8 7.5

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Results

School Absenteeism: Refusal & Truancy

School refusal *** N % Viersen 28 27.5 % Nijmegen 20 12.6 % Essen 30 29.7 % School truancy *** N % Viersen 16 15.7 % Nijmegen Essen 10 9.9 %

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Results

School Absenteeism: Family & School

Family „withdrawal“ N % Viersen 4 3.9 % Nijmegen 14 8.8 % Essen 5 5.0 % School „exclusion“ *** N % Viersen 13 12.7 % Nijmegen 18 11.3 % Essen 45 44.6 %

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Results

Psychopathology

Strengths & Difficulties Question.

Total difficulties * N Mean SD Viersen 97 34.0 5.8 Nijmegen 154 31.4 5.1 Essen 100 33.2 5.4

Differences between Nijmegen & Viersen** and between Nijmegen & Essen* SDQ Total difficulties score >15 clinically relevant.

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Results

What predicts the number of days absent?

B P Lower CI Upper CI Age .298 .016 .056 .539 Gender

  • 1.549

.040

  • 3.029
  • .069

Living in Essen (compared to Nijmegen) 4.018 .000 2.151 5.886 Severity of psychopathology (SDQ) .139 .031 .013 .265 Schizophrenia, schizotypal … disorders (F2) 5.911 .049 .024 11.798 Neurotic, stress-related, somatoform disorders (F4) 2.146 .031 .194 4.098 Behavioral & emotional disorders in childhood/adolescence (F9)

  • 2.851

.006

  • 4.879
  • .822

Corrected R2 = 0.31

B – Regression Coefficent; p – probability; CI – Confidence Interval

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Agenda

1.

School absenteeism

2.

Comparison: Viersen – Nijmegen – Essen

3.

Preliminary Results

4.

Discussion

Curtesy of INSA

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Summary & Discussion

Comparison of patients from 3 child-&adolescent clinics with different concepts: Differences with regard to diagnoses (Viersen: F1, Nijmengen: F8, Essen: F3) Severity of school absenteeism: Essen > Viersen > Nijmegen Severity of psychopathology: Viersen/Essen > Nijmegen Keep an eye on severely affected males with schizophrenia and anxiety? Are children / adolescents in D more severely affected than in NL? Are we comparing tulip bulbs and potatoes – or which additional information do we need?

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Paul again …

Curtesy of T. Plassmann

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That´s what we strive for …

Thank´s to the Viersen team, the Nijmegen team, the Essen team, and thank you very much for your attention.

Curtesy of T. Plassmann

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25

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26

With ≥ 3 diagnoses N % Viersen 48 47.1 % Nijmegen 45 28.4 % Essen 19 18.9 %

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Results

School Absenteeism: Refusal & Truancy

School refusal *** N Mean SD Viersen 102 3.5 6.8 Nijmegen 159 1.2 4.1 Essen 101 3.0 6.1 School truancy *** N Mean SD Viersen 102 1.5 4.6 Nijmegen 159 Essen 101 0.8 3.7

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Results

School Absenteeism: Family & School

Family „withdrawal“ N Mean SD Viersen 102 0.1 0.9 Nijmegen 159 0.4 1.9 Essen 101 0.1 0.4 School „exclusion“ *** N Mean SD Viersen 102 0.9 3.5 Nijmegen 159 0.4 1.8 Essen 101 1.7 3.4