身体愁訴を伴う入院不登校児の自己像

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This study was conducted to describe the self-image of hospitalized children with school refusal accompanied with various physical complaints. 81 children with school refusal (12 to 18 years of age) were asked to answer 42 items concerning mental stress, interpersonal relations, self-reliance and personal interests. Control groups consisted of 491 junior high school students, 492 senior high school students and 377 college students. As a result of factor analysis based on all of 1,440 subjects' data, three factors were extracted : emotional instability, sympathy and self-reliance. According to mean factor scores and mean rating values, the following findings were obtained : 1. Subjects in the control groups became more self-reliant, though their emotional instability became slightly stronger as they grew up, in that they increased their ability to calm unstable emotions. 2. Children with school refusal were emotionally more unstable than the controls, and moreover, their emotional instability was resembled that of patients with psychosomatic diseases or neurosis. Because they generally lacked self-reliance, they seemed too immature to control their unstable emotions, unlike the control groups. Lack of self-reliance was more salient in females than in males. Females with school refusal also showed more sympathy than males in any control group, but they actually were incapable of sharing feelings with others as they wished. 3. The self-image of children with school refusal seemed to have an imbalance with these three factors. Therefore, in order to improve their self-image, it is necessary to assist them toward engaging in proper interpersonal relations and to let them experience on coping with trivial troubles by themselves in their daily lives.
日本心身医学会の論文
1995-08-01

身体愁訴を伴う入院不登校児の自己像

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