School refusal behavior associated with separation anxiety disorder: A cognitive-behavioral approach to treatment

2008 ◽  
Vol 45 (4) ◽  
pp. 261-272 ◽  
Author(s):  
Alissa F. Doobay
2005 ◽  
Vol 30 (3) ◽  
pp. 241-257 ◽  
Author(s):  
Neville J. King ◽  
David Heyne ◽  
Thomas H. Ollendick

This article provides an overview of cognitive-behavioural strategies used in the treatment of child-anxiety problems, emphasizing the need for exposure and caregiver involvement. Most of the paper focuses on developments in empirically supported cognitive-behavioral intervention protocols for generalized anxiety disorder, separation anxiety disorder, social phobia, specific phobia, and school refusal. The research status of interventions for phobias and anxiety disorders of children with disabilities, a much neglected area, is also considered. Particular attention is given to randomized controlled trials. Analogue studies are not included in this particular review, thus strengthening conclusions regarding treatment efficacy. In general, cognitive and behavioral strategies appear to be useful for these distressing child-anxiety problems; however, there is a limited understanding of the active components in treatment, treatment mechanisms of change, and prediction of treatment outcome.


Author(s):  
Sumita Sharma

Separation anxiety disorder is characterized by developmentally inappropriate and excessive fear or anxiety that occurs when the child is separated from major attachment figures. The disorder may manifest with challenging behaviors such as school refusal, temper tantrums, or somatic complaints. Worries typically center around fear of untoward events that may occur when separated from loved ones, such as accidents, kidnapping, or death. Cognitive behavioral therapy (CBT) is the initial treatment of choice for separation anxiety disorder. Pharmacotherapy including selective serotonin reuptake inhibitors (SSRIs) may be used as an adjunct to behavioral or psychotherapeutic interventions.


2006 ◽  
Vol 27 (2) ◽  
pp. 56-63
Author(s):  
Gregory L. Hanna ◽  
Daniel J. Fischer ◽  
Thomas E. Fluent

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