Profiling Police Forces against Stress: Risk and Protective Factors for Post-Traumatic Stress Disorder and Burnout in Police Officers
Abstract
:1. Introduction
2. Methods
2.1. Participants
2.2. Materials and Design
2.2.1. Primary Outcomes
2.2.2. Secondary Outcomes
2.3. Data Pre-Processing and Statistical Analysis Approach
3. Results
3.1. Participants
3.2. Clinical Symptoms
3.3. Variables Associated with a Lower Clinical Symptoms
3.4. Predicting Post-Traumatic Stress Disorder (IES-R)
3.5. Predicting Burnout (MBI)
3.6. Psychological Profiles of Police Officers
4. Discussion
4.1. Identification of Risk and Protective Factors for PTSD and BO through Integrative Analyses
4.2. Identification of Police Profiles at Risk Versus Resilient to PTSD and Burnout
4.3. Relationship of Findings to Non-Police Populations
4.4. Meaning of the Study and Possible Implications
4.5. Strengths, Limitations and Future Work
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Collins, P.A.; Gibbs, A.C.C. Stress in Police Officers: A Study of the Origins, Prevalence and Severity of Stress-Related Symptoms within a County Police Force. Occup. Med. 2003, 53, 256–264. [Google Scholar]
- Deschamps, F.; Paganon-Badinier, I.; Marchand, A.-C.; Merle, C. Sources and Assessment of Occupational Stress in the Police. J. Occup. Health 2003, 45, 358–364. [Google Scholar] [CrossRef] [Green Version]
- Violanti, J.M.; Fekedulegn, D.; Hartley, T.A.; Charles, L.E.; Andrew, M.E.; Ma, C.C.; Burchfiel, C.M. Highly Rated and Most Frequent Stressors among Police Officers: Gender Differences. Am. J. Crim. Justice 2016, 41, 645–662. [Google Scholar] [CrossRef] [Green Version]
- Soltes, V.; Kubas, J.; Velas, A.; Michalík, D. Occupational Safety of Municipal Police Officers: Assessing the Vulnerability and Riskiness of Police Officers’ Work. Int. J. Environ. Res. Public Health 2021, 18, 5605. [Google Scholar] [CrossRef]
- Acquadro Maran, D.; Magnavita, N.; Garbarino, S. Identifying Organizational Stressors That Could Be a Source of Discomfort in Police Officers: A Thematic Review. Int. J. Environ. Res. Public Health 2022, 19, 3720. [Google Scholar] [CrossRef]
- McCreary, D.R.; Thompson, M.M. Development of Two Reliable and Valid Measures of Stressors in Policing: The Operational and Organizational Police Stress Questionnaires. Int. J. Stress Manag. 2006, 13, 494–518. [Google Scholar] [CrossRef]
- Anderson, G.S.; Litzenberger, R.; Plecas, D. Physical Evidence of Police Officer Stress. Policing 2002, 25, 399–420. [Google Scholar] [CrossRef] [Green Version]
- Deschênes, A.-A.; Desjardins, C.; Dussault, M. Psychosocial Factors Linked to the Occupational Psychological Health of Police Officers: Preliminary Study. Cogent Psychol. 2018, 5, 1426271. [Google Scholar] [CrossRef]
- Garbarino, S.; Cuomo, G.; Chiorri, C.; Magnavita, N. Association of Work-Related Stress with Mental Health Problems in a Special Police Force Unit. BMJ Open 2013, 3, e002791. [Google Scholar] [CrossRef] [Green Version]
- Lucas, T.; Weidner, N.; Janisse, J. Where Does Work Stress Come from? A Generalizability Analysis of Stress in Police Officers. Psychol. Health 2012, 27, 1426–1447. [Google Scholar] [CrossRef]
- Magnavita, N.; Garbarino, S.; Siegrist, J. Evaluation Methods in the Work/Stress Correlations in Law Enforcement. G. Ital. Med. Lav. Ergon. 2014, 36, 400–404. [Google Scholar]
- Chopko, B.A.; Palmieri, P.A.; Facemire, V.C. Prevalence and Predictors of Suicidal Ideation among U.S. Law Enforcement Officers. J. Police Crim. Psychol. 2013, 29, 1–9. [Google Scholar] [CrossRef]
- American Psychiatric Association. DSM-V: Manuel Diagnostique et Statistique Des Troubles Mentaux, 5th ed.; Guelfi, J.-D.; Crocq, M.-A., Translators; Masson: Paris, France, 2015.
- Civilotti, C.; Di Fini, G.; Acquadro Maran, D. Trauma and Coping Strategies in Police Officers: A Quantitative-Qualitative Pilot Study. Int. J. Environ. Res. Public Health 2021, 18, 982. [Google Scholar] [CrossRef]
- Habersaat, S.A.; Geiger, A.M.; Abdellaoui, S.; Wolf, J.M. Health in Police Officers: Role of Risk Factor Clusters and Police Divisions. Soc. Sci. Med. 2015, 143, 213–222. [Google Scholar] [CrossRef] [Green Version]
- Arial, M.; Gonik, V.; Wild, P.; Danuser, B. Association of Work Related Chronic Stressors and Psychiatric Symptoms in a Swiss Sample of Police Officers; a Cross Sectional Questionnaire Study. Int. Arch. Occup. Environ. Health 2010, 83, 323–331. [Google Scholar] [CrossRef] [Green Version]
- Gershon, R.R.M.; Barocas, B.; Canton, A.N.; Xianbin, L.; Vlahov, D. Mental, Physical, and Behavioral Outcomes Associated with Perceived Work Stress in Police Officers. Crim. Justice Behav. 2009, 36, 275–289. [Google Scholar] [CrossRef]
- Kilpatrick, D.G.; Resnick, H.S.; Milanak, M.E.; Miller, M.W.; Keyes, K.M.; Friedman, M.J. National Estimates of Exposure to Traumatic Events and PTSD Prevalence Using DSM-IV and DSM-5 Criteria. J. Trauma. Stress 2013, 26, 537–547. [Google Scholar] [CrossRef]
- Soravia, L.M.; Schwab, S.; Walther, S.; Müller, T. Rescuers at Risk: Posttraumatic Stress Symptoms Among Police Officers, Fire Fighters, Ambulance Personnel, and Emergency and Psychiatric Nurses. Front. Psychiatry 2021, 11, 602064. [Google Scholar] [CrossRef]
- Maia, D.B.; Marmar, C.R.; Metzler, T.J.; Nóbrega, A.; Berger, W.; Mendlowicz, M.V.; Coutinho, E.S.F.; Figueira, I. Post-Traumatic Stress Symptoms in an Elite Unit of Brazilian Police Officers: Prevalence and Impact on Psychosocial Functioning and on Physical and Mental Health. J. Affect. Disord. 2007, 97, 241–245. [Google Scholar] [CrossRef]
- Maslach, C.; Leiter, M.P. Understanding the Burnout Experience: Recent Research and Its Implications for Psychiatry. World Psychiatry 2016, 15, 103–111. [Google Scholar] [CrossRef] [Green Version]
- Maslach, C.; Leiter, M.P. Early Predictors of Job Burnout and Engagement. J. Appl. Psychol. 2008, 93, 498–512. [Google Scholar] [CrossRef] [Green Version]
- De la Fuente Solana, E.I.; Aguayo, R.; Vargas, C.; De la Fuente, G.R. Prevalence and Risk Factors of Burnout Syndrome among Spanish Police Officers. Psicothema 2013, 25, 488–493. [Google Scholar] [CrossRef]
- Hawkins, H.C. Police Officer Burnout: A Partial Replication of Maslach’s Burnout Inventory. Police Q. 2001, 4, 343–360. [Google Scholar] [CrossRef]
- Boudoukha, A.H.; Altintas, E.; Rusinek, S.; Fantini-Hauwel, C.; Hautekeete, M. Inmates-to-Staff Assaults, PTSD and Burnout: Profiles of Risk and Vulnerability. J. Interpers. Violence 2013, 28, 2332–2350. [Google Scholar] [CrossRef] [Green Version]
- Jo, I.; Lee, S.; Sung, G.; Kim, M.; Lee, S.; Park, J.; Lee, K. Relationship between Burnout and PTSD Symptoms in Firefighters: The Moderating Effects of a Sense of Calling to Firefighting. Int. Arch. Occup. Environ. Health 2017, 91, 117–123. [Google Scholar] [CrossRef]
- Kaur, R.; Chodagiri, V.K.; Reddi, N.K. A Psychological Study of Stress, Personality and Coping in Police Personnel. Indian J. Psychol. Med. 2013, 35, 141–147. [Google Scholar] [CrossRef] [Green Version]
- Madamet, A.; Potard, C.; Huart, I.; El-Hage, W.; Courtois, R. Relationship between the Big Five Personality Traits and PTSD among French Police Officers. Eur. J. Trauma Dissociation 2017, 2, 83–89. [Google Scholar] [CrossRef]
- Costa, P.T.; McCrae, R.R. The NEO Personality Inventory Manual; Psychological Assessment Resources: Odessa, FL, USA, 1985. [Google Scholar]
- John, O.P.; Donahue, E.M.; Kentle, R.L. The Big Five Inventory—Versions 4a and 54; University of California, Institute of Personality and Social Research: Berkeley, CA, USA, 1991. [Google Scholar]
- Caska, C.M.; Renshaw, K.D. Personality Traits as Moderators of the Associations between Deployment Experiences and PTSD Symptoms in OEF/OIF Service Members. Anxiety Stress Coping Int. J. 2013, 26, 36–51. [Google Scholar] [CrossRef]
- Folkman, S.; Lazarus, R.S. Coping and Emotion. In Stress and Coping: An Anthology; Monat, A., Lazarus, R.S., Eds.; Columbia University Press: New York, NY, USA, 1991; pp. 207–227. [Google Scholar]
- Carver, C.S.; Scheier, M.F. Assessing Coping Strategies: A Theoretically Based Approach. J. Pers. Soc. Psychol. 1989, 56, 267–283. [Google Scholar]
- Queirós, C.; Passos, F.; Bártolo, A.; Faria, S.; Fonseca Monteiro, S.; Marques, A.J.; Silva, C.F.; Pereira, A. Job Stress, Burnout and Coping in Police Officers: Relationships and Psychometric Properties of the Organizational Police Stress Questionnaire. Int. J. Environ. Res. Public Health 2020, 17, 6718. [Google Scholar] [CrossRef]
- Lau, B.; Hem, E.; Berg, A.M.; Ekeberg, O.; Torgersen, S. Personality Types, Coping, and Stress in the Norwegian Police Service. Pers. Individ. Differ. 2006, 41, 971–982. [Google Scholar] [CrossRef]
- Carver, C.S.; Connor-Smith, J. Personality and Coping. Annu. Rev. Psychol. 2010, 61, 679–704. [Google Scholar] [CrossRef] [Green Version]
- Ogińska-Bulik, N.; Juczyński, Z. Burnout and Posttraumatic Stress Symptoms in Police Officers Exposed to Traumatic Events: The Mediating Role of Ruminations. Int. Arch. Occup. Environ. Health 2021, 94, 1201–1209. [Google Scholar] [CrossRef]
- Weiss, D.S.; Marmar, C.R. The Impact of Event Scale—Revised. In Assessing Psychological Trauma and PTSD; Wilson, J., Keane, T.M., Eds.; Guilford: New York, NY, USA, 1996; pp. 399–411. [Google Scholar]
- Brunet, A.; St-Hilaire, A.; Jehel, L.; King, S. Validation of a French Version of the Impact of Event Scale-Revised. Can. J. Psychiatry 2003, 48, 56–61. [Google Scholar]
- Dion, G.; Tessier, R. Validation de La Traduction de l’Inventaire d’épuisement Professionnel de Maslach et Jackson. Rev. Can. Sci. Comport. 1994, 26, 210–227. [Google Scholar] [CrossRef] [Green Version]
- Plaisant, O.; Courtois, R.; Réveillère, C.; Mendelsohn, G.A.; John, O.P. Validation Par Analyse Factorielle Du Big Five Inventory Français (BFI-Fr): Analyse Convergente Avec Le NEO-PI-R. Ann. Méd. Psychol. Rev. Psychiatr. 2010, 168, 97–106. [Google Scholar] [CrossRef] [Green Version]
- Carver, C.S. You Want to Measure Coping but Your Protocol’s Too Long: Consider the Brief COPE. Int. J. Behav. Med. 1997, 4, 92–100. [Google Scholar] [CrossRef]
- Muller, L.; Spitz, E. Évaluation Multidimensionnelle Du Coping: Validation Du Brief COPE Sur Une Population Française. Encephale 2003, 29, 507–518. [Google Scholar]
- Snaith, R.P.; Zigmond, A.S. The Hospital Anxiety and Depression Scale. Acta Psychiatr. Scand. 1986, 67, 361–370. [Google Scholar] [CrossRef]
- Lépine, J.-P.; Godchau, M.; Brun, P.; Lempérière, T. Evaluation de l’anxiété et de La Dépression Chez des Patients Hospitalisés Dans Un Service de Médecine Interne. Ann. Med. Psychol. 1985, 143, 175–189. [Google Scholar]
- Beck, A.T.; Steer, R.A.; Brown, G.K. Beck Depression Inventory (BDI-II); Pearson: London, UK, 1996; Volume 10. [Google Scholar]
- Creamer, M.; Bell, R.; Failla, S. Psychometric Properties of the Impact of Event Scale—Revised. Behav. Res. Ther. 2003, 41, 1489–1496. [Google Scholar] [CrossRef]
- Asukai, N.; Kato, H.; Kawamura, N.; Kim, Y.; Yamamoto, K.; Kishimoto, J.; Miyake, Y.; Nishizono-Maher, A. Reliability and Validity of the Japanese-Language Version of the Impact of Event Scale-Revised (IES-R-J): Four Studies of Different Traumatic Events. J. Nerv. Ment. Dis. 2002, 190, 175–182. [Google Scholar]
- Kawamura, N.; Kim, Y.; Asukai, N. Suppression of Cellular Immunity in Men with a Past History of Posttraumatic Stress Disorder. Am. J. Psychiatry 2001, 158, 484–486. [Google Scholar]
- Maslach, C.; Schaufeli, W.B.; Leiter, M.P. Job Burnout. Annu. Rev. Psychol. 2001, 52, 397–422. [Google Scholar] [CrossRef] [Green Version]
- Violanti, J.M.; Aron, F. Ranking Police Stressors. Psychol. Rep. 1994, 75, 824–826. [Google Scholar] [CrossRef]
- Ziegler, M.; Kemper, C.J.; Kruyen, P. Short Scales—Five Misunderstandings and Ways to Overcome Them. J. Individ. Differ. 2014, 35, 185–189. [Google Scholar] [CrossRef]
- Brito-Costa, S.; Moisão, A.; De Almeida, H.; Castro, F.V. Psychometric Properties of Ten Item Personality Inventory (TIPI). Int. J. Dev. Educ. Psychol. 2015, 1, 115–121. [Google Scholar]
- Gosling, S.D.; Rentfrow, P.J.; Swann, W.B. A Very Brief Measure of the Big Five Personality Domains. Journal of Research in Personality. J. Res. Pers. 2003, 37, 504–528. [Google Scholar]
- Nunes, A.; Limpo, T.; Lima, C.F.; Castro, S.L. Short Scales for the Assessment of Personality Traits: Development and Validation of the Portuguese Ten-Item Personality Inventory (TIPI). Front. Psychol. 2018, 9, 461. [Google Scholar]
- Bjelland, I.; Dahl, A.A.; Tangen Haug, T.; Neckelmann, D. The Validity of the Hospital Anxiety and Depression Scale an Updated Literature Review. J. Psychosom. Res. 2002, 52, 69–77. [Google Scholar]
- Green, K.L.; Brown, G.K.; Jager-Hyman, S.; Cha, J.; Steer, R.A.; Beck, A.T. The Predictive Validity of the Beck Depression Inventory Suicide Item. J. Clin. Psychiatry 2015, 76, 1683–1686. [Google Scholar]
- Anders, R.; Lecuelle, F.; Perrin, C.; Ruyter, S.; Franco, P.; Huguelet, S.; Putois, B. The Interaction between Lockdown-Specific Conditions and Family-Specific Variables Explains the Presence of Child Insomnia during Covid-19: A Key Response to the Current Debate. Int. J. Environ. Res. Public Health 2021, 18, 12503. [Google Scholar] [CrossRef]
- Yeo, I.; Johnson, A.R. A New Family of Power Transformations to Improve Normality or Symmetry. Biometrika 2000, 87, 954–959. [Google Scholar]
- Holm, S. A Simple Sequentially Rejective Multiple Test Procedure. Scand. J. Stat. 1979, 6, 65–70. [Google Scholar]
- Pinho, L.G.B.; Nobre, J.S.; Singer, J.M. Cook’s Distance for Generalized Linear Mixed Models. Comput. Stat. Data Anal. 2015, 82, 126–136. [Google Scholar] [CrossRef]
- Chatterjee, S.; Hadi, A.S. Influential Observations, High Leverage Points, and Outliers in Linear Regression. Stat. Sci. 1986, 1, 379–393. [Google Scholar]
- Kannan, K.S.; Manoj, K. Outlier Detection in Multivariate Data. Appl. Math. Sci. 2015, 47, 2317–2324. [Google Scholar]
- Hassani, R.; Mahmoudvand, R.; Yarmohammadi, M. Filtering and Denoising in Linear Regression Analysis. Fluct. Noise Lett. 2010, 9, 343–358. [Google Scholar]
- Oyeyemi, G.M.; Bukoye, A.; Akeyede, I. Comparison of Outlier Detection Procedures in Multiple Linear Regressions. Am. J. Math. Stat. 2015, 5, 37–41. [Google Scholar]
- Cavanaugh, J.E.; Neath, A.A. The Akaike Information Criterion: Background, Derivation, Properties, Application, Interpretation, and Refinements. Wiley Interdiscip. Rev. Comput. Stat. 2019, 11, e1460. [Google Scholar] [CrossRef]
- Chae, S.S.; Warde, W.D. Effect of Using Principal Coordinates and Principal Components on Retrieval of Clusters. Comput. Stat. Data Anal. 2006, 50, 1407–1417. [Google Scholar] [CrossRef]
- Von Luxburg, U. A Tutorial on Spectral Clustering. Stat. Comput. 2007, 17, 395–416. [Google Scholar] [CrossRef]
- Yan, X.; Su, X.G. Linear Regression Analysis: Theory and Computing; World Scientific: Hackensack, NJ, USA, 2009. [Google Scholar]
- Fox, J. Regression Diagnostics: An Introduction, 2nd ed.; SAGE Publications: Thousand Oaks, CA, USA, 2019. [Google Scholar]
- Peng, C.Y.J.; Lee, K.L.; Ingersoll, G.M. An Introduction to Logistic Regression Analysis and Reporting. J. Educ. Res. 2002, 96, 3–14. [Google Scholar] [CrossRef]
- Burnham, K.; Anderson, D. Model Selection and Multi-Model Inference, 2nd ed.; Springer: New York, NY, USA, 2004. [Google Scholar]
- Walker, D.A.; Smith, T.J. Nine Pseudo R2 Indices for Binary Logistic Regression Models. J. Mod. Appl. Stat. Methods 2016, 15, 848–854. [Google Scholar]
- Nam, B.-H.; D’Agostino, R.B. Discrimination Index, the Area under the ROC Curve. In Goodness-of-Fit Tests and Model Validity; Huber-Carol, C., Balakrishnan, N., Nikulin, M.S., Mesbah, M., Eds.; Birkhäuser: Basel, Switzerland, 2002; pp. 267–279. ISBN 978-1-4612-0103-8. [Google Scholar]
- Wagner, S.L.; White, N.; Fyfe, T.; Matthews, L.R.; Randall, C.; Regehr, C.; Alden, L.E.; Buys, N.; Carey, M.G.; Corneil, W.; et al. Systematic Review of Posttraumatic Stress Disorder in Police Officers Following Routine Work-related Critical Incident Exposure. Am. J. Ind. Med. 2020, 63, 600–615. [Google Scholar]
- Wagner, S.; White, N.; Matthews, L.R.; Randall, C.; Regehr, C.; White, M.; Fleischmann, M.H. Depression and Anxiety in Policework: A Systematic Review. Polic. Int. J. 2019, 43, 417–434. [Google Scholar]
- Guerrero-Barona, E.; Guerrero-Molina, M.; Chambel, M.J.; Moreno-Manso, J.M.; Bueso-Izquierdo, N.; Barbosa-Torres, C. Suicidal Ideation and Mental Health: The Moderating Effect of Coping Strategies in the Police Force. Int. J. Environ. Res. Public Health 2021, 18, 8149. [Google Scholar]
- Nock, M.K.; Borges, G.; Bromet, E.J.; Alonso, J.; Angermeyer, M.; Beautrais, A.; Bruffaerts, R. Cross-National Prevalence and Risk Factors for Suicidal Ideation, Plans, and Attempts. Br. J. Psychiatry 2008, 192, 98–105. [Google Scholar]
- Garbarino, S.; Chiorri, C.; Magnavita, N. Personality Traits of the Five-Factor Model Are Associated with Work-Related Stress in Special Force Police Officers. Int. Arch. Occup. Environ. Health 2013, 87, 295–306. [Google Scholar] [CrossRef]
- Wirkus, Ł.; Babicka-Wirkus, A.; Opora, R.; Stasiak, K. Burnout among Probation Officers in Poland and the Role of Preferred Styles of Coping with Stress. Int. J. Environ. Res. Public Health 2021, 18, 355. [Google Scholar] [CrossRef]
- Queirós, C.; Passos, F.; Bártolo, A.; Marques, A.J.; Fernandes, C.; Pereira, A.; Thornton, A.R. Burnout and Stress Measurement in Police Officers: Literature Review and a Study With the Operational Police Stress Questionnaire. Front. Psychol. 2020, 11, 587. [Google Scholar] [CrossRef]
- Finney, C.; Stergiopoulos, E.; Hensel, J.; Bonato, S.; Dewa, C.S. Organizational Stressors Associated with Job Stress and Burnout in Correctional Officers: A Systematic Review. BMC Public Health 2013, 13, 82. [Google Scholar] [CrossRef] [Green Version]
- De Carvalho, T.G.S.; Araújo, L.F.; Lima, E.P.; de Andrade, A.L.A.; Bastos, M.L.A.; Lacerda, E.M.; Ferreira, M.J.M. Burden and Protection: Heterogeneous Effects of Occupational and Operational Stressors on Burnout Dimensions Among Firefighters. J. Occup. Environ. Med. 2021, 63, e899–e904. [Google Scholar] [CrossRef]
- Scherer, K.R.; Schorr, A.; Johnstone, T. Appraisal Processes in Emotion: Theory, Methods, Research; Oxford University Press: Oxford, UK, 2001. [Google Scholar]
- Lazarus, R.S. Progress on a Cognitive-Motivational-Relational Theory of Emotion. Am. Psychol. 1991, 46, 819–834. [Google Scholar] [CrossRef]
- Jenkins, E.N.; Allison, P.; Innes, K.; Violanti, J.M.; Andrew, M.E. Depressive Symptoms among Police Officers: Associations with Personality and Psychosocial Factors. J. Police Crim. Psychol. 2019, 34, 67–77. [Google Scholar]
- McCanlies, E.C.; Gu, J.K.; Andrew, M.E.; Violanti, J.M. The Effect of Social Support, Gratitude, Resilience and Satisfaction with Life on Depressive Symptoms among Police Officers Following Hurricane Katrina. Int. J. Soc. Psychiatry 2018, 64, 63–72. [Google Scholar]
- Papazoglou, K.; Andersen, J.P. A Guide to Utilizing Police Training as a Tool to Promote Resilience and Improve Health Outcomes among Police Officers. Traumatol. Int. J. 2014, 20, 103. [Google Scholar]
- Papazoglou, K. Conceptualizing Police Complex Spiral Trauma and Its Applications in the Police Field. Traumatology 2013, 19, 196–209. [Google Scholar]
- Kotov, R.; Gamez, W.; Schmidt, F.; Watson, D. Linking “Big” Personality Traits to Anxiety, Depressive, and Substance Use Disorders: A Meta-Analysis. Psychol. Bull. 2010, 136, 768–821. [Google Scholar] [CrossRef]
- Bienvenu, O.J.; Samuels, J.F.; Costa, P.T.; Reti, I.M.; Eaton, W.W.; Nestadt, G. Anxiety and Depressive Disorders and the Five-factor Model of Personality: A Higher-and Lower-order Personality Trait Investigation in a Community Sample. Depress. Anxiety 2004, 20, 92–97. [Google Scholar]
- Harkness, K.L.; Michael Bagby, R.; Joffe, R.T.; Levitt, A. Major Depression, Chronic Minor Depression, and the Five-factor Model of Personality. Eur. J. Pers. 2002, 16, 271–281. [Google Scholar]
- Baertschi, M.; Costanza, A.; Canuto, A.; Weber, K. The Function of Personality in Suicidal Ideation from the Perspective of the Interpersonal-Psychological Theory of Suicide. Int. J. Environ. Res. Public Health 2018, 15, 636. [Google Scholar] [CrossRef] [Green Version]
- Pienaar, J.; Rothmann, S.; Van de Vijver, F.J.R. Occupational Stress, Personality Traits, Coping Strategies, and Suicide Ideation in the South African Police Service. Crim. Justice Behav. 2007, 34, 246–258. [Google Scholar] [CrossRef]
- Violanti, J.M.; Owens, S.L.; McCanlies, E.; Fekedulegn, D.; Andrew, M.E. Law Enforcement Suicide: A Review. Polic. Int. J. 2019, 42, 141–164. [Google Scholar] [CrossRef]
- Kyron, M.J.; Rikkers, W.; Page, A.C.; O’Brien, P.; Bartlett, J.; LaMontagne, A.; Lawrence, D. Prevalence and Predictors of Suicidal Thoughts and Behaviours among Australian Police and Emergency Services Employees. Aust. N. Zeal. J. Psychiatry 2021, 55, 180–195. [Google Scholar] [CrossRef]
- Del Mar Pecino-Latorre, M.; del Carmen Pérez-Fuentes, M.; Patró-Hernández, R.M. Homicide Profiles Based on Crime Scene and Victim Characteristics. Int. J. Environ. Res. Public Health 2019, 16, 3629. [Google Scholar]
- Shoman, Y.; El May, E.; Marca, S.C.; Wild, P.; Bianchi, R.; Bugge, M.D.; Caglayan, C.; Cheptea, D.; Gnesi, M.; Godderis, L.; et al. Predictors of Occupational Burnout: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 9188. [Google Scholar] [CrossRef]
- Kupcewicz, E.; Jozwik, M. Positive Orientation and Strategies for Coping with Stress as Predictors of Professional Burnout among Polish Nurses. Int. J. Environ. Res. Public Health 2019, 16, 4264. [Google Scholar]
- Sattar, K.; Yusoff, M.S.B.; Arifin, N.W.; Yasin, M.A.M.; Nor, M.Z.M. Effective Coping Strategies Utilised by Medical Students for Mental Health Disorders during Undergraduate Medical Education-a Scoping Review. BMC Med. Educ. 2022, 22, 164. [Google Scholar] [CrossRef]
- Ehlers, A.; Clark, D.M. A Cognitive Model of Posttraumatic Stress Disorder. Behav. Res. Ther. 2000, 38, 319–345. [Google Scholar] [CrossRef]
- Littleton, H.; Horsley, S.; John, S.; Nelson, D.V. Trauma Coping Strategies and Psychological Distress: A Meta-Analysis. J. Trauma. Stress 2007, 20, 977–988. [Google Scholar] [CrossRef] [PubMed]
- Prati, G.; Pietrantoni, L. Optimism, Social Support, and Coping Strategies as Factors Contributing to Posttraumatic Growth: A Meta-Analysis. J. Loss Trauma 2009, 14, 364–388. [Google Scholar] [CrossRef] [Green Version]
- Atilola, O.; Stevanovic, D.; Moreira, P.; Dodig-Ćurković, K.; Franic, T.; Djoric, A.; Davidovic, N.; Avicenna, M.; Multazam Noor, I.; Luis Monteiro, A.; et al. External Locus-of-Control Partially Mediates the Association between Cumulative Trauma Exposure and Posttraumatic Stress Symptoms among Adolescents from Diverse Background. Anxiety Stress Coping 2021, 34, 626–644. [Google Scholar]
- Chung, M.C.; Reed, J. Posttraumatic Stress Disorder Following Stillbirth: Trauma Characteristics, Locus of Control, Posttraumatic Cognitions. Psychiatr. Q. 2017, 88, 307–321. [Google Scholar]
- Gross, J.J. Emotion Regulation: Current Status and Future Prospects. Psychol. Inq. 2015, 26, 1–26. [Google Scholar] [CrossRef]
- Larsen, R.J.; Prizmic, Z. Affect Regulation. In Handbook of Self-Regulation: Research, Theory, and Applications; Baumeister, R.F., Vohs, K.D., Eds.; Guilford Press: New York, NY, USA, 2004; pp. 40–61. [Google Scholar]
- Feder, A.; Mota, N.; Salim, R.; Rodriguez, J.; Singh, R.; Schaffer, J.; Schechter, C.B.; Cancelmo, L.M.; Bromet, E.J.; Katz, C.L.; et al. Risk, Coping and PTSD Symptom Trajectories in World Trade Center Responders; Elsevier Ltd.: Amsterdam, The Netherlands, 2016; Volume 82, ISBN 2002011419. [Google Scholar]
- Manzella, C.; Papazoglou, K. Training Police Trainees about Ways to Manage Trauma and Loss. Int. J. Ment. Health Promot. 2014, 16, 103–116. [Google Scholar] [CrossRef]
- Andersen, J.P.; Papazoglou, K.; Arnetz, B.B.; Collins, P.I. Mental Preparedness as a Pathway to Police Resilience and Optimal Functioning in the Line of Duty. Int. J. Emerg. Ment. Health Hum. Resil. 2015, 17, 624–627. [Google Scholar]
- Berking, M.; Meier, C. Enhancing Emotion-Regulation Skills in Police Officers: Results of a Pilot Controlled Study. Behav. Ther. 2010, 41, 329–339. [Google Scholar] [CrossRef]
- Charuvastra, A.; Cloitre, M. Social Bonds and Posttraumatic Stress Disorder. Annu. Rev. Psychol. 2008, 59, 301–328. [Google Scholar] [CrossRef] [Green Version]
- Evans, R.; Pistrang, N.; Billings, J. Police Officers’ Experiences of Supportive and Unsupportive Social Interactions Following Traumatic Incidents. Eur. J. Psychotraumatol. 2013, 4, 19696. [Google Scholar] [CrossRef]
- Olff, M. Bonding after Trauma: On the Role of Social Support and the Oxytocin System in Traumatic Stress. Eur. J. Psychotraumatol. 2012, 3, 18597. [Google Scholar] [CrossRef]
- Saxon, L.; Makhashvili, N.; Chikovani, I.; Seguin, M.; McKee, M.; Patel, V.; Bisson, J.; Roberts, B. Coping Strategies and Mental Health Outcomes of Conflict-Affected Persons in the Republic of Georgia. Epidemiol. Psychiatr. Sci. 2017, 26, 276–286. [Google Scholar] [CrossRef] [Green Version]
- Gupta, R.; Sood, S.; Bakhshi, A. Relationship between Resilience, Personality and Burnout in Police Personnel. Int. J. Manag. Sci. 2012, 1, 1–5. [Google Scholar]
- Lemaire, J.B.; Wallace, J.E. Not All Coping Strategies Are Created Equal: A Mixed Methods Study Exploring Physicians’ Self Reported Coping Strategies. BMC Health Serv. Res. 2010, 10, 208. [Google Scholar] [CrossRef] [Green Version]
- Meldrum, H. Exemplary Physicians’ Strategies for Avoiding Burnout. Health Care Manag. 2010, 29, 324–331. [Google Scholar] [CrossRef]
- Hofmann, S.G.; Smits, J.A.J. Cognitive-Behavioral Therapy for Adult Anxiety Disorders: A Meta-Analysis of Randomized Placebo-Controlled Trials. J. Clin. Psychiatry 2008, 69, 621–632. [Google Scholar] [CrossRef]
- Ciharova, M.; Furukawa, T.A.; Efthimiou, O.; Karyotaki, E.; Miguel, C.; Noma, H.; Cipriani, A.; Riper, H.; Cuijpers, P. Cognitive Restructuring, Behavioral Activation and Cognitive-Behavioral Therapy in the Treatment of Adult Depression: A Network Meta-Analysis. J. Consult. Clin. Psychol. 2021, 89, 563–574. [Google Scholar]
- Bryant, R.A.; Moulds, M.; Guthrie, R.M. Cognitive Strategies and the Resolution of Acute Stress Disorder. J. Trauma. Stress 2001, 14, 213–219. [Google Scholar] [CrossRef]
- Bryant, R.A.; Moulds, M.L.; Guthrie, R.M.; Dang, S.T.; Mastrodomenico, J.; Nixon, R.D.V.; Felmingham, K.L.; Hopwood, S.; Creamer, M. A Randomized Controlled Trial of Exposure Therapy and Cognitive Restructuring for Posttraumatic Stress Disorder. J. Consult. Clin. Psychol. 2008, 76, 695–703. [Google Scholar] [CrossRef]
- Towey-Swift, K.D.; Lauvrud, C.; Whittington, R. Acceptance and Commitment Therapy (ACT) for Professional Staff Burnout: A Systematic Review and Narrative Synthesis of Controlled Trials. J. Ment. Health 2022, 2, 1–13. [Google Scholar] [CrossRef]
- Phillips, M.A.; Chase, T.; Bautista, C.; Tang, A.; Teng, E.J. Using Acceptance and Commitment Therapy Techniques to Enhance Treatment Engagement in Veterans with Posttraumatic Stress Disorder. Bull. Menn. Clin. 2020, 84, 264–277. [Google Scholar] [CrossRef]
- Meyer, E.C.; Walser, R.; Hermann, B.; La Bash, H.; DeBeer, B.B.; Morissette, S.B.; Kimbrel, N.A.; Kwok, O.-M.; Batten, S.V.; Schnurr, P.P. Acceptance and Commitment Therapy for Co-Occurring Posttraumatic Stress Disorder and Alcohol Use Disorders in Veterans: Pilot Treatment Outcomes. J. Trauma. Stress 2018, 31, 781–789. [Google Scholar] [CrossRef]
- Walser, R.D.; Garvert, D.W.; Karlin, B.E.; Trockel, M.; Ryu, D.M.; Taylor, C.B. Effectiveness of Acceptance and Commitment Therapy in Treating Depression and Suicidal Ideation in Veterans. Behav. Res. Ther. 2015, 74, 25–31. [Google Scholar] [CrossRef]
- Schaible, L.M.; Gecas, V. The Impact of Emotional Labor and Value Dissonance on Burnout Among Police Officers. Police Q. 2010, 13, 316–341. [Google Scholar] [CrossRef]
- Kenworthy, J.; Fay, C.; Frame, M.; Petree, R. A Meta-Analytic Review of the Relationship between Emotional Dissonance and Emotional Exhaustion. J. Appl. Soc. Psychol. 2014, 44, 94–105. [Google Scholar] [CrossRef]
- Lu, L.; Liu, L.; Sui, G.; Wang, L. The Associations of Job Stress and Organizational Identification with Job Satisfaction among Chinese Police Officers: The Mediating Role of Psychological Capital. Int. J. Environ. Res. Public Health 2015, 12, 15088–15099. [Google Scholar] [CrossRef] [Green Version]
- Hooper, L.M.; Stockton, P.; Krupnick, J.L.; Green, B.L. Development, Use, and Psychometric Properties of the Trauma History Questionnaire. J. Loss Trauma 2011, 16, 258–283. [Google Scholar] [CrossRef] [Green Version]
- Holmes, T.H.; Rahe, R.H. The Social Readjustment Rating Scale. J. Psychosom. Res. 1967, 11, 213–218. [Google Scholar]
- Aguayo, R.; Vargas, C.; De la Fuente Solana, E.I.; Lozano, L.M. A Meta-Analytic Reliability Generalization Study of the Maslach Burnout Inventory. Int. J. Clin. Health Psychol. 2011, 11, 343–361. [Google Scholar]
- Bakker, A.B.; Demerouti, E. Job Demands-Resources Theory: Taking Stock and Looking Forward. J. Occup. Health Psychol. 2016, 22, 273–285. [Google Scholar]
- Schaufeli, W.B.; Desart, S.; De Witte, H. Burnout Assessment Tool (Bat)—Development, Validity, and Reliability. Int. J. Environ. Res. Public Health 2020, 17, 9495. [Google Scholar] [CrossRef]
- Bakker, A.B.; Demerouti, E.; Verbeke, W. Using the Job Demands-Resources Model to Predict Burnout and Performance. Hum. Resour. Manag. 2004, 43, 83–104. [Google Scholar] [CrossRef] [Green Version]
- Martin, R.A.; Puhlik-Doris, P.; Larsen, G.; Gray, J.; Weir, K. Individual Differences in Uses of Humor and Their Relation to Psychological Well-Being: Development of the Humor Styles Questionnaire. J. Res. Pers. 2003, 37, 48–75. [Google Scholar] [CrossRef]
- Ruch, W.; Heintz, S.; Platt, T.; Wagner, L.; Proyer, R.T. Broadening Humor: Comic Styles Differentially Tap into Temperament, Character, and Ability. Front. Psychol. 2018, 9, 6. [Google Scholar] [CrossRef] [Green Version]
- Blake, D.D.; Weathers, F.W.; Nagy, L.M.; Kaloupek, D.G.; Gusman, F.D.; Charney, D.S.; Keane, T.M. The Development of a Clinician-Administered PTSD Scale. J. Trauma. Stress 1995, 8, 75–90. [Google Scholar]
- Lacassagne, A. Des Transformations Du Droit Pénal et Les Progrès de La Médecine Légale de 1810 à 1912. In Archives D’anthropologie Criminelle de Médecine Légale et de Psychologie Normale et Pathologique; Rey, A., Ed.; Masson & Cie: Lyon, France, 1913; p. 364. [Google Scholar]
- Blumberg, D.M.; Schlosser, M.D.; Papazoglou, K.; Creighton, S.; Kaye, C.C. New Directions in Police Academy Training: A Call to Action. Int. J. Environ. Res. Public Health 2019, 16, 4941. [Google Scholar] [CrossRef] [Green Version]
- DeVylder, J.; Lalane, M.; Fedina, L. The Association Between Abusive Policing and PTSD Symptoms Among U.S. Police Officers. J. Soc. Soc. Work Res. 2019, 10, 261–273. [Google Scholar] [CrossRef]
- Queirós, C.; Kaiseler, M.; Da Silva, A.L. Burnout as Predictor of Aggressivity among Police Officers. Eur. J. Polic. Stud. 2013, 1, 110–134. [Google Scholar]
- Kop, N.; Euwema, M.; Schaufeli, W.B. Burnout, Job Stress and Violent Behaviour among Dutch Police Officers. Work Stress Int. J. Work Health Organ. 1999, 13, 326–340. [Google Scholar] [CrossRef]
IES-R PTSD | MBI Burnout | MBI Emotional Exhaustion | HADS Anxiety | HADS Depression | BDI-II Suicidal Ideation | |
---|---|---|---|---|---|---|
Mean (SD) | 12.0 (13.4) | Multi-scale | 12.9 (9.0) | 5.6 (3.3) | 3.2 (3.0) | 0.14 (0.37) |
IQR | 2–17 | - | 17–50 | 3–7 | 1–5 | 0–0 |
Max | 76 | - | 50 | 21 | 18 | 3 |
Threshold≥ | 24|33 | Multi-scale | 18 | 8 | 8 | 1 |
% Positive | 16|9 | 16 | 25 | 25 | 9 | 14 |
IES-R PTSD | MBI Burnout | HADS Anxiety | HADS Depression | BDI-II Suicidal Ideation | |
---|---|---|---|---|---|
% Positive | 9% | 16% | 25% | 9% | 14% |
BCope Reinterpretation Positive | −3.04 * | −7.34 *** | −7.44 *** | −6.57 *** | −4.63 *** |
B5 Agreableness | −2.57 | −7.76 *** | −4.52 *** | −4.37 *** | −4.17 *** |
BCope Humour | −3.68 ** | −3.08 * | −6.18 *** | −4.88 *** | −1.25 |
B5 Conscientiousness | −1.10 | −4.88 *** | −3.05 * | −3.26 * | −1.49 |
B5 Extraversion | −0.85 | −3.86 ** | −2.43 | −4.38 *** | −1.72 |
BCope Acceptance | −0.56 | −4.82 *** | −3.57 ** | −2.28 | −1.57 |
BCope Active Coping | 0.88 | −4.21 *** | −0.70 | −3.36 * | 0.08 |
BCope Emotional Expression | 1.09 | −2.30 | 0.29 | −3.00 * | −0.46 |
B5 Neuroticism | 6.74 *** | 11.11 *** | 19.66 *** | 8.30 *** | 7.34 *** |
PSQ Stress Organisational | 4.98 *** | 13.62 *** | 10.09 *** | 8.58 *** | 5.14 *** |
PSQ Life Imbalance | 6.22 *** | 8.72 *** | 6.63 *** | 8.67 *** | 4.08 ** |
BCope Behavior Withdrawal | 6.66 *** | 7.08 *** | 7.96 *** | 7.07 *** | 5.03 *** |
BCope Blame | 5.51 *** | 5.23 *** | 8.55 *** | 6.50 *** | 6.56 *** |
BCope Substance Use | 4.08 ** | 5.60 *** | 6.14 *** | 4.12 ** | 4.40 *** |
BCope Denial | 6.09 *** | 3.93 ** | 5.70 *** | 3.88 ** | 4.44 *** |
PSQ Stress Operational | 5.36 *** | 5.94 *** | 4.60 *** | 4.16* * | 2.24 |
BCope Distraction | 7.91 *** | 1.93 | 4.25 *** | 0.07 | 1.89 |
BCope Religion | 3.78 ** | 1.28 | 3.82 ** | 1.39 | 4.17 *** |
Years of Service | 1.59 | 0.79 | 2.57 | 2.50 | 6.24 *** |
Age | 1.82 | 0.48 | 1.98 | 1.39 | 5.36 *** |
BCope Emotional Support | 4.23 *** | −0.74 | 3.18 * | −1.02 | 0.76 |
Gender | 0.11 | 0.33 | −3.15 * | 1.07 | 5.05 *** |
Variable | B | CI | t | p |
---|---|---|---|---|
B5 Openness | −0.12 | [−0.17, −0.07] | −4.9 | <0.001 |
BCope Humour | −0.09 | [−0.14, −0.04] | −3.36 | 0.001 |
BCope Active Coping | −0.08 | [−0.15, −0.01] | −2.33 | 0.02 |
PSQ Stress Operational | 0.17 | [0.12, 0.22] | 6.38 | <0.001 |
BCope Substance Use | 0.14 | [0.09, 0.19] | 5.74 | <0.001 |
BCope Behavior Withdrawal | 0.14 | [0.09, 0.19] | 5.32 | <0.001 |
BCope Distraction | 0.14 | [0.09, 0.19] | 5.23 | <0.001 |
BCope Religion | 0.11 | [0.06, 0.16] | 4.47 | <0.001 |
BCope Emotional Support | 0.17 | [0.10, 0.25] | 4.44 | <0.001 |
B5 Neuroticism | 0.12 | [0.07, 0.18] | 4.38 | <0.001 |
BCope Denial | 0.10 | [0.05, 0.15] | 3.9 | <0.001 |
BCope Emotional Expression | 0.12 | [0.05, 0.18] | 3.52 | <0.001 |
BCope Acceptance | 0.08 | [0.02, 0.13] | 2.85 | 0.004 |
Variable | B | CI | t | p |
---|---|---|---|---|
BCope Active Coping | −0.88 | [−1.31, −0.45] | −4.03 | <0.001 |
B5 Agreableness | −0.51 | [−0.79, −0.24] | −3.72 | <0.001 |
B5 Conscientiousness | −0.48 | [−0.76, −0.2] | −3.4 | 0.001 |
Bcope Reinterpretation Positive | −0.6 | [−1.0, −0.2] | −2.96 | 0.003 |
Bcope Acceptance | −0.38 | [−0.69, −0.08] | −2.44 | 0.02 |
PSQ Stress Organizational | 2.15 | [1.74, 2.55] | 10.3 | <0.001 |
B5 Neuroticism | 1.55 | [1.2, 1.91] | 8.57 | <0.001 |
PSQ Life Imbalance | 0.82 | [0.5, 1.13] | 5.08 | <0.001 |
Bcope Behavior Withdrawal | 0.46 | [0.23, 0.68] | 3.9 | <0.001 |
Bcope Distraction | 0.42 | [0.07, 0.77] | 2.36 | 0.02 |
Bcope Substance Use | 0.23 | [0.0, 0.46] | 2 | 0.04 |
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Anders, R.; Willemin-Petignat, L.; Rolli Salathé, C.; Samson, A.C.; Putois, B. Profiling Police Forces against Stress: Risk and Protective Factors for Post-Traumatic Stress Disorder and Burnout in Police Officers. Int. J. Environ. Res. Public Health 2022, 19, 9218. https://doi.org/10.3390/ijerph19159218
Anders R, Willemin-Petignat L, Rolli Salathé C, Samson AC, Putois B. Profiling Police Forces against Stress: Risk and Protective Factors for Post-Traumatic Stress Disorder and Burnout in Police Officers. International Journal of Environmental Research and Public Health. 2022; 19(15):9218. https://doi.org/10.3390/ijerph19159218
Chicago/Turabian StyleAnders, Royce, Lauriane Willemin-Petignat, Cornelia Rolli Salathé, Andrea C. Samson, and Benjamin Putois. 2022. "Profiling Police Forces against Stress: Risk and Protective Factors for Post-Traumatic Stress Disorder and Burnout in Police Officers" International Journal of Environmental Research and Public Health 19, no. 15: 9218. https://doi.org/10.3390/ijerph19159218