今日文獻聚焦於拒學行為的多維成因與干預,尤其突顯後疫情時代分離- individuation 失調與情感認知偏見的角色,並證實校護師導向之焦慮介入與雙軌團體認知行為療法可有效改善學校出席與功能。
Clinical child psychology and psychiatry · Beyond Anxiety: School Refusal as a Disrupted Individuation Process in Post-COVID Adolescents.
提出後疫情時代拒學不僅源於焦慮,更反映分離- individuation 過程被社交隔離與過度數位化所破壞,需以發展視角理解並介入。
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.
雙軌團體認知行為療法(親Teen分離線上/下課)顯著改善學校出席率(16.7% → 66.7%),並降低父母對青少年的正向感知偏見,證實家長參與是關鍵。
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.
由校護師導入的簡短焦慮介入(CALM)顯著改善小學生的學校功能、工作記憶並減少學校迴避,證實非心理專業人員亦能有效介入。
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.
寫字障礙(dysgraphia)常被忽視但與焦慮、憂鬱、ADHD、自閉症及拒學高度共病,建議納入精神科評估常規篩檢。
Journal of autism and developmental disorders · Quality of Life and Societal Cost in Autistic Children: An Exploratory Comparative Study Pre- and Post-Diagnosis.
自閉症診斷後雖服務利用結構改變(減少體式醫療、增加心理支持),但生活品質與學校出席僅有非顯著改善,顯示早期介入的必要性。
The Journal of school health
將現代疼痛神經科學教育納入教師培訓課程,可顯著提升未來教師對疼痛的認識與信心,有助於減少因疼痛導致的學校缺席與污名。
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
托兒所傳染病監測系統(NSASSy)透過提升資料回報率,可顯著降低流感與症狀性缺席,證實主動監測對減少傳染病導致的間接拒學有保護效果。
Journal of renal care
接受腹膜透析的兒童常因身體不適、睡眠 disturbance 與社會隔離導致學校生活中斷與缺席,提醒醫護需關注其學習權與社會重整。