![]() ![]() However, none of the current DSM diagnoses can account for the full range of symptoms seen in PRS, and the active/angry resistance can be considered as the main distinguishing feature. PRS shows a symptom overlap with many other psychiatric disorders. A premorbid high-achieving, perfectionist, conscientious personality seems to play an important role in the aetiology of PRS, as can a psychiatric history of parents or child and environmental stressors. The mean age of the known population is 10.5 years. This article presents a critical review of the published literature, illustrated by a case report of an 11-year-old girl. ![]() A literature search yielded only 15 relevant articles, all published between 19. Pervasive refusal syndrome (PRS) is a rare child psychiatric disorder characterized by pervasive refusal, active/angry resistance to help and social withdrawal leading to an endangered state. ![]()
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