title: [School-refusal and social-withdrawal in the clinical setting at a psychiatric medical institution].
abstract: Fifty two outpatients, who showed signs of school-refusal-withdrawal at the Shiga Prefectural Psychiatric Institution have been analyzed according to their age, gender, ICD-10 diagnosis, medical evolution, and total number of consultations. A total of 61.5% of the population were male, and they showed a higher average and a wider range of age than female patients. According to the ICD-10 diagnosis, 67.3% were in the group of F40-48 neurotic, stress-related and somatoform disorders, and 11.5% were in the group of F30-39 mood [affective] disorders. Twenty five % of the patients were assumed to have show medical improvement, and 42.3% of the patients continued to have further consultations. This article discusses the possible role of psychiatric medical institutions in supporting cases of school-refusal and social-withdrawal.
authors.affiliation: Shiga Mental Health and Welfare Center.
authors.forename: Tetsushi
authors.initials: T
authors.lastname: Tsujimoto
authors.forename: Kazushi
authors.initials: K
authors.lastname: Daimon
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Izumi
authors.forename: Maki
authors.initials: M
authors.lastname: Sawai
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Iwashige
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D007564:Japan / Q000453:epidemiology; D008297:Male; D009497:Neurotic Disorders / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D010698:Phobic Disorders / Q000453:epidemiology / Q000209:etiology / Q000534:rehabilitation*; D011379:Prognosis; D012737:Sex Factors; D013001:Somatoform Disorders / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology; D040921:Stress Disorders, Traumatic / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology