# What drives EBSA across contexts? evidence from China using BERTopic

**Authors:** Hang Chen

PMC · DOI: 10.3389/frcha.2026.1720890 · Frontiers in Child and Adolescent Psychiatry · 2026-02-12

## TL;DR

This study explores the factors behind school avoidance in Chinese adolescents using text analysis, revealing both common and unique causes compared to Western contexts.

## Contribution

The study introduces a computational method to analyze large-scale narratives, revealing new insights into EBSA in a non-Western context.

## Key findings

- Seven thematic domains were identified, including anxiety, family conflict, and systemic barriers.
- The study validates cross-contextual EBSA constructs while highlighting unique institutional challenges in China.
- It suggests practical strategies like improving teacher-student trust and family-school partnerships.

## Abstract

Emotionally based school avoidance (EBSA) has been extensively studied in Western contexts, yet little is known about its manifestation in non-Western settings. This study applies BERTopic and semantic network analysis to 60,000 counseling-based narratives from Chinese adolescents to examine the psychological, familial, school, and systemic factors underlying EBSA. The analysis identified seven thematic domains: anxiety-driven symptoms, sensory overload, family conflict, peer and teacher difficulties, post-COVID adjustment, systemic barriers, and loss of belonging. These results validate the cross-contextual relevance of established EBSA constructs while also revealing institutional challenges unique to the Chinese context. Methodologically, the study demonstrates how computational text analysis can extend qualitative inquiry to large-scale, culturally grounded data. Substantively, it advances EBSA research by integrating individual, relational, and systemic dimensions, offering both cross-cultural insights and practical implications. The findings suggest that Chinese schools should strengthen teacher–student trust, foster collaborative family–school partnerships, and adopt systemic, preventive strategies to reduce EBSA and promote student well-being.

## Full-text entities

- **Diseases:** distress (MESH:D012128), Anxiety (MESH:D001007), autistic (MESH:D001321), Loss (MESH:D016388), Post-COVID (MESH:D000094024), depression (MESH:D003866), EBSA (MESH:D010698), -COVID (MESH:D000086382), psychological (MESH:D000067073)
- **Species:** HC [taxon 11103]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12935965/full.md

## References

37 references — full list in the complete paper: https://tomesphere.com/paper/PMC12935965/full.md

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Source: https://tomesphere.com/paper/PMC12935965