Profiles of School Refusal Among Neurodivergent Youth

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Granieri, J. E., Morton, H. E., Romanczyk, R. G., & Mattson, J. M. G. (2023). Profiles of School Refusal Among Neurodivergent Youth. European Education, 55(3-4), 186-201. https://doi.org/10.1080/10564934.2023.2251013

Publication date: 7 Sep 2023 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English
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Authors

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4
Publication authors identified as autistic
1 / 4 (25.0%)
  1. Jessica E. Granieri
  2. Hannah E. Morton *
  3. Raymond G. Romanczyk
  4. Jennifer M. Gillis Mattson

Abstract

Neurodivergent youth (i.e., autistic, attention-deficit hyperactivity disorder) are at increased risk for school refusal and subsequent disengagement. Factors associated with school refusal in this population remain unclear. Latent profile analysis was conducted to identify profiles of school and demographic variables associated with parent-reported school refusal for 508 neurodivergent and community youth (ages 6–17 years). Five profiles were identified, including three groups characterized by frequent school refusal, high levels of neurodivergent traits, and frequent peer victimization. Differentiation was noted via educational placement, support needs, mental health, and bullying. Implications concern identification and intervention for subgroups of neurodivergent youth.

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Cited references
58
Total cited references integrated for this publication.
Cited references with an identified autistic author
4 / 58 (6.9%)
Cited author occurrences identified as autistic
4 / 205 (2.0%)
Among occurrences linked to AutiHub author records: 4 / 43 (9.3%). Distinct cited authors identified as autistic: 2 / 185 (1.1%).
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Distinct linked cited authors: 34 / 185 (18.4%)
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39 / 43 (90.7%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 39 / 205 (19.0%). Distinct linked cited authors not identified as autistic: 32 / 34 (94.1%).
  1. (2001). New Developments and Techniques in Structural Equation Modeling . Psychology Press.
    Type: Book DOI: 10.4324/9781410601858 OpenAlex: https://openalex.org/W1586617512
    OpenAlex
  2. American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association Publishing.
    Type: Book DOI: 10.1176/appi.books.9780890425787 OpenAlex: https://openalex.org/W4281687410
    Crossref OpenAlex OpenCitations
  3. Benjamin Zablotsky , Catherine P Bradshaw , Connie M Anderson , Paul Law (2014). Risk factors for bullying among children with autism spectrum disorders . Autism, 18(4), 419-427. SAGE Publications.
    Type: Article DOI: 10.1177/1362361313477920 OpenAlex: https://openalex.org/W2108015902
    Crossref OpenAlex OpenCitations
  4. Verena Pflug , Silvia Schneider (2016). School Absenteeism: An Online Survey via Social Networks . Child Psychiatry & Human Development, 47(3), 417-429. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10578-015-0576-5 OpenAlex: https://openalex.org/W1938884351
    Crossref OpenAlex OpenCitations
  5. Kevin M. Antshel , Natalie Russo (2019). Autism Spectrum Disorders and ADHD: Overlapping Phenomenology, Diagnostic Issues, and Treatment Considerations . Current Psychiatry Reports, 21(5), 1. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s11920-019-1020-5 OpenAlex: https://openalex.org/W2923605635
    Crossref OpenAlex OpenCitations
  7. Stephen P. Becker , Joshua M. Langberg , Aaron J. Vaughn , Jeffery N. Epstein (2012). Clinical Utility of the Vanderbilt ADHD Diagnostic Parent Rating Scale Comorbidity Screening Scales . Journal of Developmental & Behavioral Pediatrics, 33(3), 221-228. Ovid Technologies (Wolters Kluwer Health).
    Type: Article DOI: 10.1097/dbp.0b013e318245615b OpenAlex: https://openalex.org/W1969783369
    Crossref OpenAlex OpenCitations
  8. Christopher A. Kearney (2008). School absenteeism and school refusal behavior in youth: A contemporary review . Clinical Psychology Review, 28(3), 451-471. Elsevier BV.
    Type: Article DOI: 10.1016/j.cpr.2007.07.012 OpenAlex: https://openalex.org/W2048999606
    Crossref OpenAlex OpenCitations
  9. Mijke Rhemtulla , Patricia É. Brosseau-Liard , Victoria Savalei (2012). When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions. Psychological Methods, 17(3), 354-373. American Psychological Association (APA).
    Type: Article DOI: 10.1037/a0029315 OpenAlex: https://openalex.org/W1970325005
    Crossref OpenAlex OpenCitations
  10. Christine J. Bellanti , Karen L. Bierman (2000). Disentangling the Impact of Low Cognitive Ability and Inattention on Social Behavior and Peer Relationships . Journal of Clinical Child Psychology, 29(1), 66-75. Informa UK Limited.
    Type: Article DOI: 10.1207/s15374424jccp2901_7 OpenAlex: https://openalex.org/W2090693454
    Crossref OpenAlex OpenCitations
  11. Karen L. Nylund , Tihomir Asparouhov , Bengt O. Muthén (2007). Deciding on the Number of Classes in Latent Class Analysis and Growth Mixture Modeling: A Monte Carlo Simulation Study . Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535-569. Informa UK Limited.
    Type: Article DOI: 10.1080/10705510701575396 OpenAlex: https://openalex.org/W2090330784
    Crossref OpenAlex OpenCitations
  12. Yoshito Kawabata , Wan-Ling Tseng , Susan Shur-Fen Gau (2012). Symptoms of Attention-Deficit/Hyperactivity Disorder and Social and School Adjustment: The Moderating Roles of Age and Parenting . Journal of Abnormal Child Psychology, 40(2), 177-188. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10802-011-9556-9 OpenAlex: https://openalex.org/W1993315662
    Crossref OpenAlex OpenCitations
  13. Carmen Berenguer , Belén Roselló , Carla Colomer , Inmaculada Baixauli , Ana Miranda (2018). Children with autism and attention deficit hyperactivity disorder. Relationships between symptoms and executive function, theory of mind, and behavioral problems . Research in Developmental Disabilities, 83, 260-269. Elsevier BV.
    Type: Article DOI: 10.1016/j.ridd.2018.10.001 OpenAlex: https://openalex.org/W2898260092
    Crossref OpenAlex OpenCitations
  14. Hannah J Thomas , Gary CK Chan , James G Scott , Jason P Connor , Adrian B Kelly , Joanne Williams (2016). Association of different forms of bullying victimisation with adolescents’ psychological distress and reduced emotional wellbeing . Australian & New Zealand Journal of Psychiatry, 50(4), 371-379. SAGE Publications.
    Type: Article DOI: 10.1177/0004867415600076 OpenAlex: https://openalex.org/W2159707343
    Crossref OpenAlex OpenCitations
  15. Wen-Jiun Chou , Tai-Ling Liu , Pinchen Yang , Cheng-Fang Yen , Huei-Fan Hu (2018). Bullying Victimization and Perpetration and Their Correlates in Adolescents Clinically Diagnosed With ADHD . Journal of Attention Disorders, 22(1), 25-34. SAGE Publications.
    Type: Article DOI: 10.1177/1087054714558874 OpenAlex: https://openalex.org/W2017594064
    Crossref OpenAlex OpenCitations
  16. Ian Berg , Keith Nichols , Colin Pritchard (1969). SCHOOL PHOBIA—ITS CLASSIFICATION AND RELATIONSHIP TO DEPENDENCY . Journal of Child Psychology and Psychiatry, 10(2), 123-141. Wiley.
    Type: Article DOI: 10.1111/j.1469-7610.1969.tb02074.x OpenAlex: https://openalex.org/W2039068873
    Crossref OpenAlex OpenCitations
  17. Laurent Mottron (2021). A radical change in our autism research strategy is needed: Back to prototypes . Autism Research, 14(10), 2213-2220. Wiley.
    Type: Article DOI: 10.1002/aur.2494 OpenAlex: https://openalex.org/W3164845480
    Crossref OpenAlex OpenCitations
  18. Adrienne Perry , Azin Taheri , Victoria Ting , Jonathan A. Weiss (2015). The GO 4 KIDDS Brief Adaptive Scale . Journal of Applied Research in Intellectual Disabilities, 28(6), 594-597. Wiley.
    Type: Article DOI: 10.1111/jar.12143 OpenAlex: https://openalex.org/W2023671589
    Crossref OpenAlex OpenCitations
  19. Vicki Bitsika , David Heyne , Christopher F. Sharpley (2021). Is Bullying Associated with Emerging School Refusal in Autistic Boys? Journal of Autism and Developmental Disorders, 51(4), 1081-1092. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-020-04610-4 OpenAlex: https://openalex.org/W3044438375
    Crossref OpenAlex OpenCitations
  20. Ellen Kathrine Munkhaugen , Elen Gjevik , Are Hugo Pripp , Eili Sponheim , Trond H. Diseth (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. Elsevier BV.
    Type: Article DOI: 10.1016/j.rasd.2017.07.001 OpenAlex: https://openalex.org/W2742908058
    Crossref OpenAlex OpenCitations
  21. Emma Rowley , Susie Chandler , Gillian Baird , Emily Simonoff , Andrew Pickles , Tom Loucas et al. (2012). The experience of friendship, victimization and bullying in children with an autism spectrum disorder: Associations with child characteristics and school placement . Research in Autism Spectrum Disorders, 6(3), 1126-1134. Elsevier BV.
    Type: Article DOI: 10.1016/j.rasd.2012.03.004 OpenAlex: https://openalex.org/W2029109279
    Crossref OpenAlex OpenCitations
  23. M. Catherine Cappadocia , Jonathan A. Weiss , Debra Pepler (2012). Bullying Experiences Among Children and Youth with Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 42(2), 266-277. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-011-1241-x OpenAlex: https://openalex.org/W2034774915
    Crossref OpenAlex OpenCitations
  24. Teryn P. Bruni (2014). Test Review: Social Responsiveness Scale–Second Edition (SRS-2) . Journal of Psychoeducational Assessment, 32(4), 365-369. SAGE Publications.
    Type: Article DOI: 10.1177/0734282913517525 OpenAlex: https://openalex.org/W2206641237
    Crossref OpenAlex OpenCitations
  25. Gwen M. Glew , Ming-Yu Fan , Wayne Katon , Frederick P. Rivara , Mary A. Kernic (2005). Bullying, Psychosocial Adjustment, and Academic Performance in Elementary School . Archives of Pediatrics & Adolescent Medicine, 159(11), 1026. American Medical Association (AMA).
    Type: Article DOI: 10.1001/archpedi.159.11.1026 OpenAlex: https://openalex.org/W2089738156
    Crossref OpenAlex OpenCitations
  26. Fiona Aldridge , Vicki Gibbs , Katherine Schmidhofer , Megan Williams (2012). Investigating the Clinical Usefulness of the Social Responsiveness Scale (SRS) in a Tertiary Level, Autism Spectrum Disorder Specific Assessment Clinic . Journal of Autism and Developmental Disorders, 42(2), 294-300. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-011-1242-9 OpenAlex: https://openalex.org/W2044144140
    Crossref OpenAlex OpenCitations
  27. Vasiliki Totsika , Richard P. Hastings , Yoko Dutton , Alison Worsley , Glenn Melvin , Kylie M. Gray et al. (2020). Types and correlates of school non-attendance in students with autism spectrum disorders . Autism, 24(7), 1639-1649. SAGE Publications.
    Type: Article DOI: 10.1177/1362361320916967 OpenAlex: https://openalex.org/W3012853167
    Crossref OpenAlex OpenCitations
  28. John N. Constantino (2021). Response to “A Radical Change in Our Autism Research Strategy is Needed: Back to Prototypes” by Mottron et al. (2021) . Autism Research, 14(10), 2221-2223. Wiley.
    Type: Article DOI: 10.1002/aur.2529 OpenAlex: https://openalex.org/W3164532338
    Crossref OpenAlex OpenCitations
  29. Matthew D Lerner , Casey D. Calhoun , Amori Yee Mikami , Andres De Los Reyes (2012). Understanding Parent–Child Social Informant Discrepancy in Youth with High Functioning Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 42(12), 2680-2692. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-012-1525-9 OpenAlex: https://openalex.org/W2072578457
    Crossref OpenAlex OpenCitations
  30. Sofia Diamantopoulou , Lisbeth Henricsson , Ann-Margret Rydell (2005). ADHD symptoms and peer relations of children in a community sample: Examining associated problems, self-perceptions, and gender differences . International Journal of Behavioral Development, 29(5), 388-398. SAGE Publications.
    Type: Article DOI: 10.1080/01650250500172756 OpenAlex: https://openalex.org/W4247501443
    Crossref OpenAlex OpenCitations
  31. Helen Link Egger , Jane E. Costello , Adrian Angold (2003). School Refusal and Psychiatric Disorders: A Community Study . Journal of the American Academy of Child & Adolescent Psychiatry, 42(7), 797-807. Elsevier BV.
    Type: Article DOI: 10.1097/01.chi.0000046865.56865.79 OpenAlex: https://openalex.org/W2172257889
    Crossref OpenAlex OpenCitations
  32. Spencer C. Evans , John L. Cooley , Jennifer B. Blossom , Casey A. Pederson , Elizabeth C. Tampke , Paula J. Fite (2020). Examining ODD/ADHD Symptom Dimensions as Predictors of Social, Emotional, and Academic Trajectories in Middle Childhood . Journal of Clinical Child & Adolescent Psychology, 49(6), 912-929. Informa UK Limited.
    Type: Article DOI: 10.1080/15374416.2019.1644645 OpenAlex: https://openalex.org/W2970524615
    Crossref OpenAlex OpenCitations
  33. Rebecca A. Vidourek , Keith A. King , Ashley L. Merianos (2016). School bullying and student trauma: Fear and avoidance associated with victimization . Journal of Prevention & Intervention in the Community, 44(2), 121-129. Informa UK Limited.
    Type: Article DOI: 10.1080/10852352.2016.1132869 OpenAlex: https://openalex.org/W2295904445
    Crossref OpenAlex OpenCitations
  34. Éric Fombonne , Leigh Coppola , Sarah Mastel , Brian J. O’Roak (2022). Validation of Autism Diagnosis and Clinical Data in the SPARK Cohort . Journal of Autism and Developmental Disorders, 52(8), 3383-3398. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10803-021-05218-y OpenAlex: https://openalex.org/W3183185631
    Crossref OpenAlex OpenCitations
  35. Joel T. Nigg , Margaret H. Sibley , Anita Thapar , Sarah L. Karalunas (2020). Development of ADHD: Etiology, Heterogeneity, and Early Life Course . Annual Review of Developmental Psychology, 2(1), 559-583. Annual Reviews.
    Type: Article DOI: 10.1146/annurev-devpsych-060320-093413 OpenAlex: https://openalex.org/W3094155593
    Crossref OpenAlex OpenCitations
  36. Cheng-Fang Yen , Pinchen Yang , Peng-Wei Wang , Huang-Chi Lin , Tai-Ling Liu , Yu-Yu Wu et al. (2014). Association between school bullying levels/types and mental health problems among Taiwanese adolescents . Comprehensive Psychiatry, 55(3), 405-413. Elsevier BV.
    Type: Article DOI: 10.1016/j.comppsych.2013.06.001 OpenAlex: https://openalex.org/W2115290485
    Crossref OpenAlex OpenCitations
  37. Fremont W. P. (2003). School refusal in children and adolescents . Am Fam Physician, 68(8), 1555.
    Type: Other
    Crossref
  38. Trude Havik , Edvin Bru , Sigrun K. Ertesvåg (2015). School factors associated with school refusal- and truancy-related reasons for school non-attendance . Social Psychology of Education, 18(2), 221-240. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s11218-015-9293-y OpenAlex: https://openalex.org/W2124567192
    Crossref OpenAlex OpenCitations
  39. M. L. Wolraich (2003). Psychometric Properties of the Vanderbilt ADHD Diagnostic Parent Rating Scale in a Referred Population . Journal of Pediatric Psychology, 28(8), 559-568. Oxford University Press (OUP).
    Type: Article DOI: 10.1093/jpepsy/jsg046 OpenAlex: https://openalex.org/W2135245912
    Crossref OpenAlex OpenCitations
  40. Carolina Gonzálvez , Ángela Díaz-Herrero , María Vicent , Ricardo Sanmartín , Antonio M. Pérez-Sánchez , José M. García-Fernández (2022). School refusal behavior: Latent class analysis approach and its relationship with psychopathological symptoms . Current Psychology, 41(4), 2078-2088. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s12144-020-00711-6 OpenAlex: https://openalex.org/W3016718875
    Crossref OpenAlex OpenCitations
  41. Janet Hicks , Lynn Jennings , Stephen Jennings , Stephan Berry , Dee-Anna Green (2018). Middle School Bullying: Student Reported Perceptions and Prevalence . Journal of Child and Adolescent Counseling, 4(3), 195-208. Informa UK Limited.
    Type: Article DOI: 10.1080/23727810.2017.1422645 OpenAlex: https://openalex.org/W2794260724
    Crossref OpenAlex OpenCitations
  42. Laurent Mottron , Danilo Bzdok (2020). Autism spectrum heterogeneity: fact or artifact? Molecular Psychiatry, 25(12), 3178-3185. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1038/s41380-020-0748-y OpenAlex: https://openalex.org/W3022866684
    Crossref OpenAlex OpenCitations
  43. Ji S. Hong , Vini Singh , Luke Kalb (2021). Attention Deficit Hyperactivity Disorder Symptoms in Young Children with Autism Spectrum Disorder . Autism Research, 14(1), 182-192. Wiley.
    Type: Article DOI: 10.1002/aur.2414 OpenAlex: https://openalex.org/W3093080988
    Crossref OpenAlex OpenCitations
  44. Stacy Lauderdale-Littin , Erica Howell , Jan Blacher (2013). Educational Placement for Children with Autism Spectrum Disorders in Public and Non-Public School Settings: The Impact of Social Skills and Behavior Problems . Education and Training in Autism and Developmental Disabilities, 48(4), 469-478. SAGE Publications.
    Type: Article DOI: 10.1177/215416471304800405 OpenAlex: https://openalex.org/W2227524028
    Crossref OpenAlex
  45. Sarah L. Karalunas , Elizabeth Hawkey , Hanna Gustafsson , Meghan Miller , Marybeth Langhorst , Michaela Cordova et al. (2018). Overlapping and Distinct Cognitive Impairments in Attention-Deficit/Hyperactivity and Autism Spectrum Disorder without Intellectual Disability . Journal of Abnormal Child Psychology, 46(8), 1705-1716. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1007/s10802-017-0394-2 OpenAlex: https://openalex.org/W2788653795
    Crossref OpenAlex OpenCitations
  46. Azadeh Kushki , Evdokia Anagnostou , Christopher Hammill , Pierre Duez , Jessica Brian , Alana Iaboni et al. (2019). Examining overlap and homogeneity in ASD, ADHD, and OCD: a data-driven, diagnosis-agnostic approach . Translational Psychiatry, 9(1), 318-318. Springer Science and Business Media LLC.
    Type: Article DOI: 10.1038/s41398-019-0631-2 OpenAlex: https://openalex.org/W2990589677
    Crossref OpenAlex OpenCitations
  47. Ellen Kathrine Munkhaugen , Tonje Torske , Elen Gjevik , Terje Nærland , Are Hugo Pripp , Trond H Diseth (2019). Individual characteristics of students with autism spectrum disorders and school refusal behavior . Autism, 23(2), 413-423. SAGE Publications.
    Type: Article DOI: 10.1177/1362361317748619 OpenAlex: https://openalex.org/W2771308612
    Crossref OpenAlex OpenCitations
  48. Christopher A. Kearney , Laelia Benoit , Carolina Gonzálvez , Gil Keppens (2022). School attendance and school absenteeism: A primer for the past, present, and theory of change for the future . Frontiers in Education, 7. Frontiers Media SA.
    Type: Article DOI: 10.3389/feduc.2022.1044608 OpenAlex: https://openalex.org/W4308453108
    Crossref OpenAlex OpenCitations
  49. Kearney C. A. (2014). Translating psychological research into practice . Translating psychological research into practice, 83.
    Type: Other
    Crossref
  50. Geovanna Rodriguez , Kim Drastal , Sigan L. Hartley (2021). Cross-lagged model of bullying victimization and mental health problems in children with autism in middle to older childhood . Autism, 25(1), 90-101. SAGE Publications.
    Type: Article DOI: 10.1177/1362361320947513 OpenAlex: https://openalex.org/W3085164009
    Crossref OpenAlex OpenCitations
  52. Peter Mitchell , Elizabeth Sheppard , Sarah Cassidy (2021). Autism and the double empathy problem: Implications for development and mental health . British Journal of Developmental Psychology, 39(1), 1-18. Wiley.
    Type: Article DOI: 10.1111/bjdp.12350 OpenAlex: https://openalex.org/W3119501104
    Crossref OpenAlex OpenCitations
  54. Bridget E. Weller , Natasha K. Bowen , Sarah J. Faubert (2020). Latent Class Analysis: A Guide to Best Practice . Journal of Black Psychology, 46(4), 287-311. SAGE Publications.
    Type: Article DOI: 10.1177/0095798420930932 OpenAlex: https://openalex.org/W3032942076
    Crossref OpenAlex OpenCitations
  55. Muthén B. O. (2012). New developments and techniques in structural equation modeling . New developments and techniques in structural equation modeling, 21.
    Type: Other
    Crossref
  56. Lisa Grossman Liu , Steven Walfish (2013). Translating Psychological Research Into Practice .
    Type: Book OpenAlex: https://openalex.org/W3133750216
    OpenAlex
  57. (2016). U.S. Department of Education . U.S. Department of Education.
    Type: Other
    Crossref
  58. World Health Organization. (2019). ICD-11: International classification of diseases (11 ed.). https://icd.who.int/
    Type: Other
    Crossref