今日文獻普遍指出，青少年缺席背後常伴隨複雜的心理社會困境（如焦慮、自殺風險）與現代生活挑戰（如過長的螢幕使用時間），臨床人員應將其視為潛在精神病理或環境脆弱性的早期警示信號，而非單紹的行為問題。
Asian journal of psychiatry · Developmental differences in psychiatric diagnoses among youth with school refusal behavior.
探討不同發展階段的拒學/懼學青少年其精神科共病診斷的差異，提醒臨床人員在評估時需考量年齡發展特徵對精神病理表現的影響。
The Journal of school health · Truancy, Psychosocial Distress, and Risk Behaviors in School-Going Adolescents: Insights From a National School-Based Survey in the Philippines.
曠課行為與孤獨感、焦慮、自殺企圖及霸凌高度相關，且存在性別差異，支持將缺席視為心理健康危機的早期篩檢指標。
Addictive behaviors reports · Trends and Behavioral Correlates of Excessive Screen Time Among Swedish Adolescents: A Repeated Cross-Sectional Study (2017-2023).
無論是打遊戲或滑社群媒體，過長的螢幕使用時間皆與睡眠不足、身心症狀及學校缺席/曠課率增加有顯著且一致的關聯。
Public health in practice (Oxford, England) · A comprehensive outside-of-school intervention to promote school attendance and achievement during the COVID-19 pandemic.
針對弱勢青少年的密集校外支持計畫不僅能提升學業成績，每參加一天的課後輔導還能顯著減少0.14天的學校缺席。
Annals of African medicine · A Study on the Lung Health of School Children Travelling By School Buses and Air-Conditioned Vehicles: A Cross-Sectional Observational Study.
搭乘無空調校車的學童因暴露於較多的空氣污染，導致呼吸道症狀增加，進而顯著提高了學校的缺席率。