Table 4.

Adapted diagnostic criteria for PRS

Diagnostic criteria for pervasive refusal syndrome
A. Partial or complete refusal in three or more of the following domains: (1) eating, (2) mobilization, (3) speech, (4) attention to personal care
B. Active and angry resistance to acts of help and encouragement
C. Social withdrawal and school refusal
D. No organic condition accounts for the severity of the degree of symptoms
E. No other psychiatric disorder could better account for the symptoms
F. The endangered state of the patient requires hospitalization