今日文獻聚焦於拒學行為的多維度探討,從心理治療介入(如雙軌團體CBT)到發展過程理論(如分離 individuation 中斷)均有新見解,顯示研究正從單一焦慮模型轉向更整體的發展與系統視角。
Asian journal of psychiatry · Efficacy of dual-track group CBT on emotion-related school attendance challenges and parent-adolescent perceptual bias among Chinese adolescents with depression: A non-randomized controlled trial.
雙軌團體CBT顯著提升抑鬱伴拒學青少年之返校率(16.7%→66.7%),並減少父母對青少年的正向感知偏見,證明家校協同介入具初步臨床效益。
Clinical child psychology and psychiatry · Beyond Anxiety: School Refusal as a Disrupted Individuation Process in Post-COVID Adolescents.
提出後疫情拒學應理解為分離 individuation 過程之中斷,而非單純焦慮症狀,強調封鎖與過度數位化如何干擾青少年自主發展。
Journal of child and adolescent psychiatric nursing · Developmental Dysgraphia in Child and Adolescent Psychiatric-Mental Health Nursing: An Integrative Review.
發展性寫字障礙常見於被轉介至精神科之兒童(伴焦慮、憂鬱、拒學),但常被忽略,建議將寫字監測納入精神科評估與介入中。
The Journal of school nursing · Impact of the Child Anxiety Learning Modules (CALM), a School Nurse-Delivered Intervention for Anxiety, on Elementary Students' School Outcomes.
由學校護士提供的簡短焦慮介入(CALM)可改善小學生之工作記憶、降低焦慮對學習影響及負面課堂行為,間接支持上學。
Journal of autism and developmental disorders · Quality of Life and Societal Cost in Autistic Children: An Exploratory Comparative Study Pre- and Post-Diagnosis.
自閉症兒童診斷後雖未顯著降低總社會成本,但醫療費用減半且生活品質趨改善,顯示早期診斷對資源分配與福祉具正向影響。
Journal of renal care
接受腹膜透析之兒童常因身體不適、情緒困擾及社會隔離而導致學校生活中斷與缺席,凸顯慢性疾病對上學的間接影響。
Journal of clinical research in pediatric endocrinology
先天性心臟病青少年月經特徵與健康對照組無礙,但其對月經症狀之感知與容忍度可能異同,需進一步探討其對學校出席之影響。
International journal of infectious diseases
托兒所缺席監測系統(NSASSy)能有效緩解社區流感爆發對托兒所內部傳染病傳播之影響,症狀回報率與資料上傳呈負相關。