摘要

目的 通过主客体互倚模型探究非自杀性自伤（Non-suicidal self-injury，NSSI）青少年及其父母的应对方式对自身和对方心理弹性的主体效应和客体效应。

方法 2025年1月～7月，采用便利抽样

方法选取成都市2所三甲医院儿少科383对NSSI青少年及其父母作为研究对象，采用简易应对方式问卷评估积极应对和消极应对方式，采用青少年心理弹性量表和中文版心理弹性量表评估心理弹性，分析NSSI青少年及其父母应对方式与心理弹性的交互关系。

结果 NSSI青少年及其父母积极应对方式均正向预测自身心理弹性（β=0.247，β=0.319，均P<0.001），消极应对方式均负向预测自身心理弹性（β=-0.286，β=-0.270，均P<0.001），即主体效应明显；NSSI青少年积极应对方式正向预测父母心理弹性（β=0.289，P<0.001），父母积极应对方式正向预测NSSI青少年心理弹性（β=0.293，P<0.001）；父母消极应对方式与青少年心理弹性之间存在负向关联（β=-0.259，P<0.001），但NSSI青少年的消极应对方式对父母心理弹性几乎无影响（β=-0.008，P=0.871），客体效应部分显著。

结论 NSSI青少年及其父母的应对方式和心理弹性的关系存在部分交互影响，护理人员今后可从家庭系统视角出发，构建基于家庭的系统干预方案，以改善NSSI青少年及父母的心理健康状况。

关键词：主客体互倚；非自杀性自伤；青少年；父母；应对方式；心理弹性

ABSTRACT

Objective To explore the subjective and object effects of NSSI adolescents and their parents' coping styles on their own and their counterpart's psychological resilience through the subject-object interdependence model.

Methods From January to July 2025, 383 pairs of NSSI adolescents and their parents from the Department of Pediatrics and Adolescents of 2 tertiary hospitals in Chengdu were selected by convenience sampling method, and the positive and negative coping styles were evaluated by the simple coping questionnaire, the adolescent psychological resilience scale and the Chinese version of the psychological resilience scale were used to evaluate psychological resilience, to analyze the interrelationships between coping styles and psychological resilience in NSSI adolescents and their parents.

Results The positive coping styles of NSSI adolescents and their parents positively predicted their psychological resilience （β=0.247，β=0.319，all P<0.001）, and the negative coping styles negatively predicted their psychological resilience（β=-0.286，β=-0.270，all P<0.001）, that is, the subject effect was obvious. The positive coping style of NSSI adolescents positively predicted the psychological resilience of parents（β=0.289，P<0.001）, and the positive coping style of parents positively predicted the psychological resilience of adolescents with NSSI（β=0.293，P<0.001）. There was a negative correlation between the negative coping style of parents and the psychological resilience of adolescents（β=-0.259，P<0.001）, however, the negative coping style of adolescents with NSSI had virtually no influence on their parents' psychological resilience (β=-0.008, P=0.871), the actor effect was partially significant.

Conclusion   A significant interaction was observed between the coping styles and psychological resilience of adolescents with NSSI and their parents, and caregivers can construct a more supportive family system intervention program from the perspective of family system to improve the mental health and family relationship of NSSI adolescents and their parents.

Key words: Actor–Partner Interdependence Model; Non Suicidal Self Injury; Adolescents; Parents; Coping styles; Psychological Resilience