非自杀性自伤青少年父母连带内在病耻感的质性研究
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Qualitative research on the affiliate stigma experienced by parents of adolescents with nonsuicidal selfinjury
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    摘要:

    目的 探讨非自杀性自伤青少年父母连带内在病耻感的状况,为改善其心理健康提供参考。方法 采取解释性现象学研究方法,于2024年10-12月选取18名非自杀性自伤青少年父母进行半结构式访谈,运用Colaizzi 7步法对访谈资料进行分析。结果 确定3个主题和10个亚主题,即初期认知冲突(不理解、震惊、愧疚感和自责);连带内在病耻感的表现(习得性无助、情绪耗竭、过度警觉、羞耻感内化);连带内在病耻感的消极应对(被动接纳、隐瞒与保密、社交退缩)。结论 非自杀性自伤青少年父母存在复杂的连带内在病耻感体验,医护人员需帮助父母提高认知水平、心理弹性和积极应对能力,并呼吁全社会正视青少年非自杀性自伤行为,有助于减轻父母的内在病耻感,积极应对污名化,从而为非自杀性自伤青少年心理康复提供更好的家庭支持。

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    Objective To conduct an in-depth exploration of the status of affiliate stigma among parents of adolescents with non-suicidal self-injury (NSSI), providing a reference for improving parents′ mental health.Methods An interpretative phenomenological research approach was adopted.Eighteen parents of adolescents with NSSI were recruited for semi-structured interviews between October and December 2024.Interview data were analyzed using Colaizzi′s 7-step method.Results Three main themes and ten sub-themes were identified:initial cognitive dissonance (lack of understanding, shock, guilt and self-blame), manifestations of affiliate stigma (learned helplessness, emotional exhaustion, hypervigilance, internalized shame), negative coping with affiliate stigma (passive acceptance, concealment and secrecy, social withdrawal).Conclusion Parents of adolescents with NSSI experience complex affiliate stigma.Healthcare professionals need to help parents improve their cognitive level, psychological resilience, and positive coping abilities.There is also a need to call on society to acknowledge adolescent NSSI behavior seriously.These measures can help alleviate parents′ affiliate stigma, enable them to cope positively with stigmatization, and thereby provide better family support for the psychological rehabilitation of adolescents with NSSI.

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李培清,缪群芳,周海芳,宁函艺,徐鑫雨.非自杀性自伤青少年父母连带内在病耻感的质性研究[J].护理学杂志,2025,(17):77-81

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  • 收稿日期:2025-04-09
  • 最后修改日期:2025-06-20
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  • 在线发布日期: 2025-10-10