今日文獻聚焦於拒學與身心健康的雙向關聯，尤其突顯兒童行為問題（如分離焦慮、迴避）對父母心理健康的影響，以及未滿足心理需求與身體健康因素（如二手菸、肥胖）如何透過增加缺課間接導致拒學現象。
Archives of women's mental health · Examining the direction of association between attendance-related difficulties and maternal depression symptoms in two UK birth cohorts.
發現兒童的上學回避與分離焦慮行為會顯著增加母親後續憂鬱症狀，但母親憂鬱不會預測子日後回避行為，提示干預應聚焦於支持兒童而非指責父母。
Academic pediatrics · Examining the Association Between School Absences and Unmet Need for Mental Health Care Due to Cost among U.S. Children.
因費用未獲得心理健康照護的兒童，因病傷缺課超過4天的機會是未有此需求兒童的2.18倍，即使控制精神症狀後仍顯著。
Preventive medicine reports · Secondhand smoke exposure at home and school absenteeism among children in the United States: national estimates of attributable missed school days.
美國6-11歲兒童因住宅二手菸暴露導致的缺課日數在2024年估計達266,008天，平均每暴露兒童多缺0.95天。
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · Re-schooling as a major outcome of « therapeutic and schooling » programs for adolescents with obesity.
參與住院式『照護-學習』計畫的複雜性肥胖青少年，校園出席率顯著改善，但較高初始焦慮與長期輟學相關。
BMJ open · A randomised, participant- and assessor-blinded, sham-controlled trial investigating acupuncture for disorders of gut-brain interaction in children (P-GAP).
正在進行的隨機對照試驗，將評估標準化針灸對8-17歲腸胃腦互動障礙兒童之疼痛減輕、生活品質及心理健康的影響，缺課為潛在次要收益。