Capacidad predictiva del rechazo escolar sobre la alta ansiedad social en adolescentes chilenos
Main Article Content
Abstract
Existe un interés creciente por cuantificar el riesgo de presentar conductas desadaptativas mediante algoritmos de predicción multivariante como las regresiones logísticas. El objetivo de este estudio fue analizar la capacidad predictiva del rechazo escolar sobre los altos niveles de ansiedad social. Participaron 895 adolescentes chilenos (54.3% chicas) con edades comprendidas entre los 14 y los 17 años. La Escala de Evaluación del Rechazo Escolar-Revisada (SRAS-R) y la Escala de Ansiedad Social para Adolescentes (SAS-A) fueron administradas. Los resultados revelaron que los adolescentes con rechazo escolar debido a sentimientos de aversión social, afectividad negativa, miedo la evaluación o cuando se pretende captar la atención de personas significativas presentaron puntuaciones significativamente más altas en ansiedad social que sus iguales con bajas puntuaciones en rechazo escolar. Este tipo de rechazo escolar resultó ser un predictor positivo y estadísticamente significativo de altas puntuaciones en ansiedad social. Por el contrario, cuando el rechazo escolar se basa en la obtención de refuerzos tangibles externos a la escuela este factor actúa como un predictor negativo y estadísticamente significativo de altas puntuaciones en ansiedad social. Se discuten estos hallazgos en basa a las diferencias encontradas según el tipo de rechazo escolar y su repercusión en la aparición de altos niveles de ansiedad social.
References
Alden, L. E., & Taylor, C. T. (2004). Interpersonal processes in social phobia. Clinical psychology review, 24(7), 857-882. http://doi.org/10.1016/j.cpr.2004.07.006.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5). American psychiatric association.
Barker, M. M., Beresford, B., Bland, M., & Fraser, L. K. (2019). prevalence and incidence of anxiety and depression among children, adolescents, and young adults with life-limiting conditions. JAMA Pediatrics, 173(9), 835. https://doi.org/10.1001/jamapediatrics.2019.1712
Bellón, J., Delgado, A., Luna, J., & Lardelli, P. (1996) Validez y fiabilidad del cuestionario de función familiar Apgar familiar. Atención Primaria, 8, 289-295.
Bernstein, G. A., Bernat, D. H., Andrew, A. D., & Layne, A. E. (2007). Symptom presentation and classroom functioning in a nonclinical sample of children with social phobia. Depression and Anxiety, 25(9), 752-60.
Cakin, N., Sismanlar, S. G., Yildiz, O., Karakaya, I., Isik, C., & Agaoglu, B. (2010). Social anxiety level in Turkish adolescents. European child & adolescent psychiatry, 19(10), 765-772. http://doi.org/10.1007/s00787-010-0119-3.
Caldwell, D. M., Davies, S. R., Hetrick, S. E., Palmer, J. C., Caro, P., López-López, J.A., Gunnell, D., Kidger, J., Thomas, J., French, C., Stockings, E., Campbell, R., Welton, N. J. (2019). School-based interventions to prevent anxiety and depression in children and young people: a systematic review and network metaanalysis. The Lancet Psychiatry, 6(12), 1011-1020.
http://doi.org/10.1016/S2215-0366(19)30403-1.
Chmielewski, A. (2019). The global increase in the socioeconomic achievement gap, 1964 to 2015. American Sociological Review, 84(3) 517-544. https://doi.org/10.1177/0003122419847165.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Erlbaum. Cooper, K., & Stewart, K. (2021). Does household income affect children’s outcomes? A systematic review of the evidence. Child Indicators Research, 14, 981-1005.
https://doi.org/10.1007/s12187-020-09782-0.
Coyle, S., Mahmud, F., Weeks, C., & Masia Warner, C. (2020). School-based treatment for children and adolescents with social anxiety disorder. In D. W. Nangle, C. A. Erdley, & R. A. Schwartz-Mette (Eds.), Social skills across the life span: Theory, assessment, and intervention (pp. 237–254). Elsevier Academic Press.
Cunha, M., Gouveia, J. P., Alegre, S., & Salvador, M. C. (2004). Assessment of social anxiety in adolescence: the Portuguese version of the SAS-A. Psychologica, 35, 249-263.
de Lijster, J. M., Dierckx, B., Utens, E. M., Verhulst, F. C., Zieldorff, C., Dieleman, G. C., & Legerstee, J. S. (2017). The age of onset of anxiety disorders: a metaanalysis. The Canadian Journal of Psychiatry, 62(4), 237-246. http://doi.org/10.1177/0706743716640757.
Delgado, B., García-Fernández, J. M., Martínez-Monteagudo, M. C., Inglés, C. J., Marzo, J. C., La Greca, A. M., & Hugon, M. (2019). Social anxiety scale for adolescents and school anxiety inventory: psychometric properties in French adolescents. Child Psychiatry & Human Development, 50(1), 13-26. http://doi.org/10.1007/s10578-018-0818-4.
Dube S. R., & Orpinas P. (2009). Understanding Excessive School Absenteeism as School Refusal Behavior, Children & Schools, 31(2), 87-95. http://doi.org/10.1093/cs/31.2.87.
Egger, H.L., Costello, E. J. & Angold, A. (2003). School refusal and psychiatric disorders: a community study. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 797-807. https://doi.org/:10.1097/01.CHI.0000046865.56865.79.
Elliott, J. G., & Place, M. (2019). Practitioner Review: School refusal: developments in conceptualisation and treatment since 2000. Journal of Child Psychology and Psychiatry, and allied disciplines, 60(1), 4-15. http://doi.org/10.1111/jcpp.12848.
Finning, K., Ukoumunne, O. C., Ford, T., Danielson‐Waters, E., Shaw, L., Romero De Jager, I., Stentiford, L., & Moore, D. A. (2019). The association between anxiety and poor attendance at school–a systematic review. Child and adolescent mental health, 24(3), 205-216. http://doi.org/10.1111/camh.12322.
Fornander, M. J., & Kearney, C. A. (2020). Internalizing symptoms as predictors of school absenteeism severity at multiple levels: Ensemble and classification and regression tree analysis. Frontiers in psychology, 10, 3079. https://doi.org/10.3389/fpsyg.2019.03079.
Kearney, C. A. (2002). Identifying the Function of School Refusal Behavior: A Revision of the School Refusal Assessment Scale. Journal of Psychopathology and Behavioral Assessment, 24, 235-245. https://doi.org/10.1023/A:1020774932043.
García-Escalera J, Valiente R. M, Chorot P, Ehrenreich-May J., Kennedy, S. M., & Sandín, B. (2017). The Spanish Version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) Adapted as a School-Based Anxiety and Depression Prevention Program: Study Protocol for a Cluster Randomized Controlled Trial. JMIR Research Protocols, 6(8), e149. https://doi.org/:10.2196/resprot.7934.
García-Fernández, J. M., Inglés, C. J., Gonzálvez, C., Vicent, M., Delgado, B., & Gómez- Núñez, M. I. (2016). Revisión bibliométrica del rechazo escolar: perspectivas de investigación y su análisis. Educatio Siglo XXI, 34(1), 71-92. https://doi.org/:10.6018/j/252541.
García-López, L. J., Olivares, J., Hidalgo, M. D., Beidel, D. C., & Turner, S. M. (2001). Psychometric properties of the social phobia and anxiety inventory, the Social Anxiety Scale for Adolescents, the Fear of Negative Evaluation Scale, and the Social Avoidance and Distress Scale in an adolescent Spanish-speaking sample. Journal of Psychopathology and behavioral assessment, 23(1), 51-59.
Gonzálvez, C., Díaz-Herrero, A., Sanmartín, R., Vicent, M., Pérez-Sánchez, A. M., García- Fernández, J. M. (2019). Identifying Risk Profiles of School Refusal Behavior: Differences in Social Anxiety and Family Functioning Among Spanish Adolescents. International Journal of Environmental Research and Public Health, 16(19), 3731. https://doi.org/:10.3390/ijerph16193731.
Gonzálvez, C., Inglés, C. J., Sanmartín, R., Vicent, M., Calderón, C. M., & García- Fernández, J. M. (2020). Testing factorial invariance and latent means differences of the school refusal assessment scale-revised in Ecuadorian adolescents. Current Psychology, 39, 1715-1724. http://doi.org/10.1007/s12144-018-9871-1.
Gonzálvez, C., Kearney, C. A., Jiménez-Ayala, C. E., Sanmartín, R., Vicent, M., Inglés, C. J., & García-Fernández, J. M. (2018). Functional profiles of school refusal behavior and their relationship with depression, anxiety, and stress. Psychiatry Research, 269, 140-144. http://doi.org/10.1016/j.psychres.2018.08.069.
Gonzálvez, C., Kearney, C. A., Lagos-San Martín, N., Sanmartín, R., Vicent, M., Inglés, C. J., & García-Fernández, J. M. (2017) School Refusal Assessment Scale Revised Chilean version: factorial invariance and latent means differences across gender and age. Journal of Psychoeducational Assessment, 36, 835-843. http://doi.org/10.1177/0734282917712173.
Gonzálvez, C., Díaz-Herrero, Á., Vicent, M., Sanmartín, R., Pérez-Sánchez, A. M., & García-Fernández, J. M. (2020). School refusal behavior: Latent class analysis approach and its relationship with psychopathological symptoms. Current Psychology, 41, 2078-2088. https://doi.org/10.1007/s12144-020-00711-6.
Gubbels, J., van der Put, C. E., & Assink, M. (2019). Risk Factors for School Absenteeism and Dropout: A Meta-Analytic Review. Journal of Youth and Adolescence, 48, 1637- 1667. https://doi.org/10.1007/s10964-019-01072-5.
Hendron, M., & Kearney, C.A. (2011) Bridging the gap between assessment and treatment of youths with school refusal behavior: What to do when clients ask “what now”? Journal of Clinical Psychology, 2, 14–21.
Hofmann, S. G. (2007). Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive behaviour therapy, 36(4), 193-209. http://doi.org/10.1080/16506070701421313.
Inderbitzen-Nolan, H., Davies, C. A., & McKeon, N. D. (2004). Investigating the construct validity of the SPAI-C: comparing the sensitivity and specificity of the SPAI-C and the SAS-A. Journal of Anxiety Disorders, 18(4), 547-560.
http://doi.org/10.1016/S0887-6185(03)00042-2.
Inglés, C. J., Gonzálvez-Maciá, C., García-Fernández, J. M., Vicent, M., & Martínez- Monteagudo, M. C. (2015). Current status of research on school refusal. European Journal of Education and Psychology, 8(1), 37-52. https://doi.org/10.1016/J.EJEPS.2015.10.005.
Inglés, C. J., La Greca, A. M., Marzo, J. C., García-López, L. J., & García-Fernández, J. M. (2010). Social Anxiety Scale for Adolescents: Factorial invariance and latent mean differences across gender and age in Spanish adolescents. Journal of Anxiety Disorders,
(8), 847-855. http://doi.org/10.1016/j.janxdis.2010.06.007.
Ingul, J. M., Klockner, C. A., Silverman, W. K., & Nordahl, H. M. € (2012). Adolescent school absenteeism: Modelling social and individual risk factors. Child and Adolescent Mental Health, 17, 93-100. https://doi.org/10.1111/j.1475-3588.2011.00615.x.
Ingul, J. M., & Nordahl, H. M. (2013) Anxiety as a risk factor for school absenteeism: what differentiates anxious school attenders from non-attenders? Annals of General Psychiatry, 12(1), 25. http://doi.org/10.1186/1744-859X-12-25.
Junttila, N., Laakkonen, E., Niemi, P. M., & Ranta, K. (2010). Modeling the interrelations of adolescents’ loneliness, social anxiety and social phobia. Scientific Annals of the Psychological Society of Northern Greece, 8, 69-99.
Kearney, C. A., & Albano, A. M. (2004). The functional profiles of school refusal behavior: Diagnostic aspects. Behavior modification, 28(1), 147-161. http://doi.org/10.1177/0145445503259263.
Kearney, C.A., Gonzálvez, C., & Heyne, D. (2020). Editorial: School Attendance and Problematic School Absenteeism in Youth. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2020.602242.
Kingery, J. N., Erdley, C. A., Marshall, K. C., Whitaker, K. G., & Reuter, T. R. (2010). Peer Experiences of Anxious and Socially Withdrawn Youth: An Integrative Review of the Developmental and Clinical Literature. Clinical Child and Family Psychology Review, 13, 91-128 http://doi.org/10.1007/s10567-009-0063-2.
Klein, M., Sosu, E. M., & Dare, S. (2020). Mapping inequalities in school attendance: The relationship between dimensions of socioeconomic status and forms of school absence. Children and Youth Services Review, 118, 105432.
https://doi.org/10.1016/J.CHILDYOUTH.2020.105432.
La Greca, A. M. (1999). The Social Anxiety Scales for Children and Adolescents. The Behavior Therapist, 22(7), 133-136.
La Greca, A. M., & López, N. (1998) Social Anxiety Among Adolescents: Linkages with Peer Relations and Friendships. Journal of Abnormal Child Psychology, 26, 83-94. https://doi.org/10.1023/A:1022684520514.
Legerstee J.S. et al. (2019) The Age of Onset of Anxiety Disorders. In G. de Girolamo, P. McGorry, & N. Sartorius (eds), Age of Onset of Mental Disorders (pp. 125-147). Springer. https://doi.org/10.1007/978-3-319-72619-9_7.
Olivares, J., Ruiz, J., Hidalgo, M. D., García-López, L. J., Rosa, A. I., & Piqueras, J. A. (2005). Social Anxiety Scale for Adolescents (SAS-A): Psychometric properties in a Spanish-speaking population. International Journal of Clinical and Health Psychology, 5(1), 85-97.
Pflug, V. & Schneider, S. (2016). School absenteeism: an online survey via social networks. Child Psychiatry and Human Development, 47(3), 417-29. https://doi.org/10.1007/s10578-015-0576-5.
Prabhuswamy, M. (2018). To go or not to go: School refusal and its clinical correlates. Journal of Paediatrics and Child Health, 54, 1117-1120. https://doi.org/10.1111/jpc.14198.
Racine, N., McArthur, B. A., Cooke, J. E., Eirich, R., Zhu, J., & Madigan, S. (2021). Global prevalence of depressive and anxiety symptoms in children and adolescents during covid-19: A meta-analysis. JAMA Pediatrics, 175(11), 1142-1150.
https://doi.org/10.1001/JAMAPEDIATRICS.2021.2482.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour research and therapy, 35(8), 741-756. http://doi.org/10.1016/S0005-7967(97)00022-3.
Rapee, R. M., & Spence, S. H. (2004) The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review 24(7), 737-767. http://doi.org/10.1016/j.cpr.2004.06.004.
Richards, H. J., & Hadwin, J. A. (2011) An Exploration of the Relationship Between Trait Anxiety and School Attendance in Young People. School Mental Health, 3, 236-244. https://doi.org/10.1007/s12310-011-9054-9.
Schneider, B. H., & Tessier, N. G. (2007). Close Friendship as Understood by Socially Withdrawn, Anxious Early Adolescents. Child Psychiatry and Human Development, 38, 339-351. http://doi.org/10.1007/s10578-007-0071-8.
Sultana, S. & Shirin, A., & Islam, M. (2017). Social Anxiety and Academic Achievement of Children. Rajshahi University journal of life & earth and agricultural sciences, 44-45.
Sheldon, S. B., & Epstein, J. L. (2004). Getting students to school: Using family and community involvement to reduce chronic absenteeism. School Community Journal, 14(2), 39-56.
Tillfors M., Ander G., Ekselius L., Furmark T., Lewenhaupt S., Karlsson A. & Carlbring P. (2011) A Randomized Trial of Internet-Delivered Treatment for Social Anxiety Disorder in High School Students, Cognitive Behaviour Therapy, 40(2), 147-157. http://doi.org/10.1080/16506073.2011.555486.
Van Ameringen, M., Mancini, C., & Farvolden, P. (2003). The impact of anxiety disorders on educational achievement. Journal of anxiety disorders, 17(5), 561-571. http://doi.org/10.1016/S0887-6185(02)00228-1.
World Medical Association (1998). Declaration of Helsinki. In I. J. Sugarman, A. C. Mastroianni, & J. P. Kahn (Eds.), Ethics of research with human subjects (pp. 14-18). University Publishing Group.
Zhou, X., Xu, Q., Inglés, C. J., Hidalgo, M. D., & La Greca, A. M. (2008). Reliability and validity of the Chinese version of the social anxiety scale for adolescents. Child Psychiatry and Human Development, 39(2), 185-200. http://doi.org/10.1007/s10578-007-0079-0.