Huang Chak Hei Ocean, Lau Hiu Lam Natasha, Yuan Guangzhe Frank, Liu Caimeng, Lam Stanley Kam Ki, Fung Hong Wang
Department of Social Work and Social Administration, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Department of Psychology, University of Essex, Colchester CO4 3SQ, UK.
Healthcare (Basel). 2025 Aug 29;13(17):2163. doi: 10.3390/healthcare13172163.
: The demoralization model of depression suggests that PTSD could lead to depressive symptoms. However, not all people with PTSD have co-occurring depressive symptoms. : To examine the moderating role of nonviolent communication (NVC) behaviors in the relationship between PTSD and depressive symptoms. : Longitudinal data were obtained from a sample of young adults ( = 146) online. They completed validated screening measures of PTSD symptoms, depressive symptoms, and NVC behaviors at baseline (T1), and reported their depressive symptoms again after three months (T2). : PTSD symptoms were correlated to depressive symptoms at both T1 ( = 0.53, < 0.001) and T2 ( = 0.37, < 0.001). NVC behaviors were also negatively correlated to depressive symptoms at T1 ( = -0.40, < 0.001) and T2 ( = -0.36, < 0.001). After controlling for demographic variables, childhood trauma, and T1 depressive symptoms, T1 NVC behaviors moderated the effects of T1 PTSD symptoms on T2 depressive symptoms ( = 0.149, = 0.019). T1 PTSD symptoms predicted T2 depressive symptoms only when the levels of NVC behaviors were low (β = -1.149, = 0.001). : The moderating role of NVC behaviors in the longitudinal relationship between PTSD and depressive symptoms was identified. NVC training programs might be beneficial to individuals with PTSD and depressive symptoms. Future studies are needed to evaluate the effectiveness of such programs for trauma survivors.
抑郁症的士气低落模型表明,创伤后应激障碍(PTSD)可能导致抑郁症状。然而,并非所有患有PTSD的人都有并发的抑郁症状。:研究非暴力沟通(NVC)行为在PTSD与抑郁症状关系中的调节作用。:纵向数据来自在线的年轻成年人样本(n = 146)。他们在基线(T1)时完成了PTSD症状、抑郁症状和NVC行为的有效筛查测量,并在三个月后(T2)再次报告了他们的抑郁症状。:PTSD症状在T1(r = 0.53,p < 0.001)和T2(r = 0.37,p < 0.001)时均与抑郁症状相关。NVC行为在T1(r = -0.40,p < 0.001)和T2(r = -0.36,p < 0.001)时也与抑郁症状呈负相关。在控制了人口统计学变量、童年创伤和T1抑郁症状后,T1 NVC行为调节了T1 PTSD症状对T2抑郁症状的影响(β = 0.149,p = 0.019)。只有当NVC行为水平较低时,T1 PTSD症状才预测T2抑郁症状(β = -1.149,p = 0.001)。:确定了NVC行为在PTSD与抑郁症状纵向关系中的调节作用。NVC培训项目可能对患有PTSD和抑郁症状的个体有益。未来需要研究评估此类项目对创伤幸存者的有效性。