今日文獻聚焦於拒學行為的多樣病因與介入策略,其中心理治療(尤其認知行為療法)與家庭因素成為研究熱點,顯示從單一焦慮模型向更整合的發展、系統及數位環境視角轉移的趨勢。
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.
此準實驗研究證明雙軌團體CBT顯著提升青少年返校率(16.7%→66.7%),並降低父母正向感知偏見,指出家長參與與感知調整是改善拒學的關鍵過程。
Clinical child psychology and psychiatry · Beyond Anxiety: School Refusal as a Disrupted Individuation Process in Post-COVID Adolescents.
此理論文獻提出後COVID青少年拒學應理解為分離- individuation 過程之中斷,而非單純焦慮症狀,強調數位過度使用與依恋模式的互動影響。
The Journal of school nursing : the official publication of the National Association of School Nurses · Impact of the Child Anxiety Learning Modules (CALM), a School Nurse-Delivered Intervention for Anxiety, on Elementary Students' School Outcomes.
校護師導入的簡短焦慮干預(CALM)顯著改善小學生的學校功能,減少學校回避與負面課堂行為,並提升工作記憶,證實非心理專業人員亦可有效介入。
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · Developmental Dysgraphia in Child and Adolescent Psychiatric-Mental Health Nursing: An Integrative Review.
此整合性檢視指出書寫障礙常導致任務迴避與情緒問題,且常被誤診為焦慮或憂鬱,建議在轉介學校拒學兒童之精神評估中加入書寫功能篩檢。
Journal of autism and developmental disorders · Quality of Life and Societal Cost in Autistic Children: An Exploratory Comparative Study Pre- and Post-Diagnosis.
研究發現自閉症兒童診斷後雖醫療費用減少、生活品質略改善,且學校缺席趨勢下降,提示早期診斷對降低長期社會負擔與改善功能具潛在益處。
Journal of renal care
接受腹膜透析的兒童常因身體不適、情緒困擾及社會隔離而導致學校生活中斷與缺席,凸顯慢性疾病對教育參與的衝擊。
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
托兒所參與全國性缺席監測系統(NSASSy)顯著降低流感爆發影響及症狀發生率,證實系統性監測對防疫與維持幼兒園運作之正面效益。