青少年非自杀性自我伤害披露的动态发展过程:一种定性研究
Zikang Liu1,2, Ruofei Wang1,2, Xingxue Li1,2
1Department of Psychology, Chengde Medical University, Chengde, China.
Frontiers in psychiatry
|November 17, 2025
概括
青少年 青少年 青少年
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 青少年心理学 青少年心理学
- 行为科学 行为科学
背景情况:
- 非自杀性自我伤害 (NSSI) 是青少年心理健康的重大威胁.
- 缺乏公众对青少年如何表达NSSI的理解.
- 未表达的NSSI可能导致心理健康恶化.
研究的目的:
- 构建一个青少年非自杀性自我伤害披露行为的理论模型.
- 了解青少年NSSI披露的动态发展过程.
主要方法:
- 基于理论的方法,利用深度采访.
- 强度采样 (雪球,推,机会) 选择信息丰富的案例.
- 从精神病诊所招募了17名符合DSM-5标准的NSSI青少年.
主要成果:
- 在NSSI披露的动态过程中确定了7个核心类别.
- 在NSSI披露中构建了一个动态适应的四阶段理论模型.
- 模型细节阶段:情境触发,披露决策,披露行动和调整/适应.
结论:
- 该四阶段模型突出了NSSI披露的阶段特定,周期性和反驱动的特征.
- 揭示了青少年对羞耻的导航,触发因素,动机和情绪在披露中.
- 模型有助于设计个性化干预措施,以减少青少年自伤风险.
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