今日文獻聚焦於拒學行為的多因素驅動因素，尤其凸顯網路霸凌、母親憂鬱、心理服務未滿足需求與二手菸暴露等社會與家庭因素的影響，揭示拒學不僅是個別兒童問題，更與系統性風險緊密相關。
Cyberpsychology, behavior and social networking · Relationship Between Cyberbullying and Social Anxiety, School Refusal, and Academic Goals in Adolescents.
研究發現網路霸凌受害者、施暴者與旁觀者皆與學校情境回避（拒學核心構面）正相關，而學業導向目標則為保護性因素，凸顯需整合同儕關係與學業動機於預防介入。
Archives of women's mental health · Examining the direction of association between attendance-related difficulties and maternal depression symptoms in two UK birth cohorts.
學校回避行為預測後續母親憂鬱症狀增加，但母親憂鬱不預測後續學校回避，顯示兒童行為是驅動因素而非結果，挑戰『家長責備』論調。
Academic pediatrics · Examining the Association Between School Absences and Unmet Need for Mental Health Care Due to Cost among U.S. Children.
未因費用滿足心理服務需求的兒童，缺課超過4天的機率是未滿足需求兒童的2.18倍，即使控制SDQ症狀後仍顯著，凸顯經濟門檻是拒學的結構性原因。
Preventive medicine reports · Secondhand smoke exposure at home and school absenteeism among children in the United States: national estimates of attributable missed school days.
二手菸暴露與學校缺席顯著正相關，2024年全美約26.6萬天缺課歸因於家中二手菸，相當於每暴露兒童多缺0.95天，支持居家禁菸為出席率干預策略。
BMJ open · A randomised, participant- and assessor-blinded, sham-controlled trial investigating acupuncture for disorders of gut-brain interaction in children (P-GAP).
描述一項正在進行的雙盲 sham 對照試驗，評估針灸對兒童腸腦互動障礙（DGBI）的效果，主要結果為腹痛減緩，次要結果包括心理健康與學校出席，雖尚無結果但具方法嚴謹性。
BMJ open
描述一項正在進行的雙盲 sham 對照試驗，評估針灸對兒童腸腦互動障礙（DGBI）的效果，主要結果為腹痛減緩，次要結果包括心理健康與學校出席，雖尚無結果但具方法嚴謹性。