今日文獻聚焦於拒學與多重心理社會因素的關聯，尤其突顯母親憂鬱、精神健康未met需求與網路霸凌對學校出缺席的影響，顯示拒學干預需從家庭、學校及同儕系統多層面介入。
Archives of women's mental health · Examining the direction of association between attendance-related difficulties and maternal depression symptoms in two UK birth cohorts.
研究發現孩子的上學回避與分離焦慮行為會預測母親後續憂鬱症狀的增加，但母親憂鬱並不會預測孩子 späteren 回避行為，支持以兒童行為為主的干預模式。
Academic pediatrics · Examining the Association Between School Absences and Unmet Need for Mental Health Care Due to Cost among U.S. Children.
有精神健康服務未met需求（因費用）的兒童，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SDQ後仍顯著。
Cyberpsychology, behavior and social networking · Relationship Between Cyberbullying and Social Anxiety, School Refusal, and Academic Goals in Adolescents.
避免與學校相關的情境是網路霸凌（無論是受害者、加害者或旁觀者）與上學回避的共同預測因，而學術目標則具保護作用。
Preventive medicine reports · Secondhand smoke exposure at home and school absenteeism among children in the United States: national estimates of attributable missed school days.
家中二手菸暴露與兒童缺課增加顯著相關，2024年全國約有26.6萬天缺課可歸因於此，平均每名暴露兒童多缺0.95天。
BMJ open · A randomised, participant- and assessor-blinded, sham-controlled trial investigating acupuncture for disorders of gut-brain interaction in children (P-GAP).
此試驗將評估標準化針灸對8-17歲腸腦互動障礙兒童之腹痛、生活品質及心理福祉的效果，雖未直接測量出缺席，但腸腦症狀常伴隨學校問題。