Internalized stigma and caregiver burden among caregivers of adolescents with non-suicidal self-injury: a moderated mediation analysis

This study confirms a psychosocial pathway where internalized stigma exacerbates caregiver burden through anxiety-mediated mechanisms, while social support exerts moderated effects by mitigating anxiety's mediating potency. These findings highlight the need for comprehensive strategies to reduce stigma, lower anxiety, and strengthen social support to break the cycle of ongoing stress for caregivers.