Chinese Journal of Child Health Care ›› 2022, Vol. 30 ›› Issue (12): 1354-1357.DOI: 10.11852/zgetbjzz2021-0872

• Review • Previous Articles     Next Articles

Research progress in school refusal of children

ZHOU Ya-nan*, YANG Chun, WU Dan-dan   

  1. *Department of Children Health Care,Children′s Hospital of Nanjing Medical University, Nanjing,Jiangsu 210000,China
  • Received:2021-09-07 Revised:2021-12-12 Online:2022-12-10 Published:2022-11-30
  • Contact: Corresponding authors:WU Dan-dan,;YANG Chun,


周亚男1, 杨春2, 吴丹丹1   

  1. 1.南京医科大学附属儿童医院儿童保健科,江苏 南京 210000;
  • 通讯作者: 吴丹丹,E-mail:;杨春,
  • 作者简介:周亚男(1990-),女,江苏人,本科学历,主要研究方向为儿童心理行为发育。
  • 基金资助:

Abstract: School refusal(SR) is a common psychological behavioral problem in children,which can be manifested by children′s reluctance to go to school,lack of interest in learning and school,or even completely refusing to go to school. More and more studies have shown that most children with school refusal are accompanied by anxiety,depression and other emotional problems,which may have a wide and negative impact on their academic performance,family,interpersonal relationship and other aspects. This review combs the definition,assessment,etiology,treatment and prognosis of school refusal in children,which is helpful for clinicians to further explore the etiology of school refusal in children,and timely assess and intervene to help them improve clinical outcomes and return to school as soon as possible.

Key words: school refusal, definition, assessment, etiology

摘要: 拒绝上学(SR)是儿童常见的心理行为问题之一,主要表现为儿童不愿上学或对学习、学校不感兴趣,甚至完全拒绝去学校。目前越来越多研究表明大多数拒绝上学儿童伴有焦虑、抑郁等情绪问题,对其学业、家庭、人际关系等各方面产生广泛且负面的影响。本文主要综述儿童拒绝上学的定义、评估方法、病因、治疗及预后,有助于临床医生进一步探究拒绝上学儿童的病因并及时地进行评估与干预,帮助其改善临床结局,尽早重返校园。

关键词: 拒绝上学, 定义, 评估, 病因学

CLC Number: