Little is known about the school functioning of youth who are medically admitted with somatic symptom and related disorders (SSRD). The current study examines school absenteeism and associated factors in medically hospitalized children and adolescents with SSRDs. Retrospective data were reviewed of 243 patients aged 5 to 18 years admitted at a pediatric hospital from 2012 to 2014, referred to the Psychiatry Consultation Service and diagnosed with an SSRD. Only 10% of patients had normal school attendance in the past year and approximately 40% had severe school absenteeism (i.e. missed > 1 month of school). No association was found between school absenteeism and caregiver report of learning difficulties/disabilities. Patients with severe school absenteeism were more likely to be between the ages of 15 and 17, with higher somatization and functional disability scores, higher rates of suicidal ideation and/or attempts, greater psychotropic medication use and psychiatry sessions during admission, and greater rates of discharge to a higher level of psychiatric care. Findings from this study suggest that screening for school absenteeism during clinical visits by use of a single question "how many school days have you (or has your child) missed this past school year," may serve as a proxy for functional disability and an indicator of psychiatric, and somatic symptom severity concerns.

中文翻译：

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缺课作为躯体症状和相关疾病儿科患者功能的潜在代表

对于因躯体症状和相关疾病 (SSRD) 入院的青少年的学校运作情况知之甚少。目前的研究调查了患有 SSRD 的住院儿童和青少年的旷课和相关因素。回顾性数据回顾了 243 名 2012 年至 2014 年在儿科医院收治的 5 至 18 岁患者，转诊至精神病学咨询服务中心并被诊断为 SSRD。在过去一年中，只有 10% 的患者出勤率正常，大约 40% 的患者严重缺课（即缺勤 > 1 个月）。未发现学校缺勤与看护人报告学习困难/残疾之间存在关联。严重旷课的患者更有可能在 15 至 17 岁之间，更高的躯体化和功能障碍评分、更高的自杀意念和/或企图、更多的精神药物使用和入院期间的精神病治疗，以及更高水平的精神病治疗出院率。这项研究的结果表明，在临床访问期间通过使用单个问题“您（或您的孩子）在过去的学年缺勤多少天”来筛查学校缺勤，可以作为功能障碍的代理和指标精神和躯体症状严重程度的担忧。