American Journal of Industrial Medicine,
Год журнала:
2021,
Номер
64(7), С. 593 - 601
Опубликована: Май 4, 2021
Abstract
Introduction
Little
is
known
about
the
effectiveness
of
ongoing
mental
health
support
in
reducing
impacts
a
traumatic
deployment.
Methods
A
cohort
firefighters
was
established
among
those
deployed
to
devastating
wildfire
Alberta,
Canada
May
2016.
Firefighters
completed
three
questionnaires:
at
recruitment
giving
details
exposures,
first
follow‐up
reporting
supports
before,
during,
and
after
fire
second
follow‐up,
least
30
months
fire,
with
screening
questionnaires
for
anxiety,
depression,
posttraumatic
stress
disorder
(PTSD).
Fire
chiefs
were
interviewed
provisions.
The
impact
on
ill
estimated,
adjusting
clustering
within
service
potential
confounders.
Results
Of
1234
cohort,
840
questionnaire
supports.
In
total,
78
82
interviewed.
Analysis
included
745
from
67
services.
Only
45.8%
reports
peer
concordant
between
chiefs.
After
confounding,
odds
ratios
(OR)
reported
by
both
chief
firefighter
depressive
disorder:
OR
=
0.22,
95%
confidence
interval
(CI),
0.08–0.61;
anxiety
0.45,
CI,
0.24–0.82;
PTSD:
0.62,
0.37–1.02.
Symptoms
depression
but
not
PTSD
reduced
resiliency
training
before
offered
48
h
return
Conclusion
results
suggest
protective
its
availability
poorly
recognized.
somewhat
less
responsive,
perhaps
reflecting
cumulative
effects
previous
exposures.
Psychoneuroendocrinology,
Год журнала:
2021,
Номер
134, С. 105449 - 105449
Опубликована: Окт. 16, 2021
Several
studies
have
found
evidence
of
altered
cortisol
levels
in
patients
with
posttraumatic
stress
disorder
(PTSD).
Based
on
these
findings,
it
is
assumed
that
may
show
signs
dysregulation
after
trauma.
Posttrauma
are
thus
considered
a
potential
biomarker
PTSD.
However,
longitudinal
using
indicators
long-term
secretion
such
as
hair
concentrations
(HCC)
scarce.
The
current
study
investigated
prospective
associations
between
HCC
and
PTSD
symptoms
sample
Dutch
firefighters
taking
into
account
varying
work-related
trauma
severity.
In
addition,
we
assessed
sleep
disturbances
secondary
outcome
measure
to
investigate
whether
effects
generalize
this
frequent
comorbidity
Three
hundred
seventy-one
mean
14.01
years
work
experience
were
included
the
analyses.
Baseline
assessment
collection
samples
measurement
severity,
symptoms,
disturbances.
disturbance
re-assessed
six
twelve
months.
Multilevel
analyses
indicate
significant
positive
correlation
baseline
those
average
or
above-average
A
similar
pattern
was
evident
for
at
baseline.
Moreover,
higher
predicted
more
6
months
participants
No
other
emerged
As
such,
our
supports
existence
cross-sectional
association
which
vary
different
subjective
stability
should
be
reinvestigated
by
future
research.
Gun
violence
is
a
leading
cause
of
premature
death
and
driver
racial
disparities
in
life
expectancy
the
United
States.
Community-based
interventions
are
foremost
policy
strategy
for
reducing
gun
without
exacerbating
harm
associated
with
criminal
justice
approaches.
However,
little
known
about
interventionist
workforce.
In
2021,
we
used
researcher-guided
survey
to
obtain
near-census
Chicago
interventionists
(n
=
181,
93%
response
rate).
Workers
were
mostly
male
(84%)
Black
(80.9%),
mean
age
43.6
years.
Interventionists
commonly
experienced
work-related
exposure
direct
victimization.
A
total
59.4%
witnessed
someone
being
shot
at,
whereas
32.4%
victim
struck
by
gunfire.
During
work
hours,
19.6%
while
2.2%
nonfatally
shot.
Single-year
rates
victimization
exceeded
those
police.
Results
suggest
that
investment
community
intervention
should
prioritize
improving
worker
safety
developing
support
vulnerable
frontline
practitioners.
Journal of Police and Criminal Psychology,
Год журнала:
2023,
Номер
38(4), С. 1025 - 1043
Опубликована: Окт. 4, 2023
Abstract
Being
a
police
officer
is
very
stressful
job,
characterized
by
occupational
stressors
that
impact
mental
health
and
increasing
work-family
balance.
Quantitative
research
unable
to
clarify
how
officers
cope
with
the
of
work
challenges
on
This
study
aims
understand
narrate
their
family
experiences.
Nineteen
semi-structured
interviews
were
conducted
Portuguese
military
civilian
service
forces
working
in
Northern
region
Portugal.
The
transcribed
analyzed
according
principles
thematic
analysis.
main
themes
indicate
participants
are
concerned
about
conflict.
Both
common
unique
officers’
perceptions
professional
balance
emerged
among
both
groups.
Common
for
included
negative
dynamics
sharing
experiences
family,
but
also
recognized
positive
impacts
profession
family.
For
officers,
making
decisions
regarding
career
advancement
specific
challenge.
enables
clinicians
other
groups,
such
as
commanders
politicians,
further
develop
deeper
understanding
these
different
levels
impact.
It
allows
development
targeted
strategies
aligned
needs
professionals.
RAND Corporation eBooks,
Год журнала:
2019,
Номер
unknown
Опубликована: Янв. 1, 2019
An
expert
panel
of
law
enforcement
leaders
identified
promising
efforts
to
combat
the
opioid
crisis,
including
connecting
people
with
use
disorder
medication-assisted
treatment;
building
lasting
partnerships
achieve
community
buy-in,
enable
information
sharing,
and
effectively
tackle
challenges;
addressing
other
stakeholder
concerns
before
high-priority
harm-reduction
approaches
can
be
pursued.
American Journal of Industrial Medicine,
Год журнала:
2021,
Номер
64(7), С. 593 - 601
Опубликована: Май 4, 2021
Abstract
Introduction
Little
is
known
about
the
effectiveness
of
ongoing
mental
health
support
in
reducing
impacts
a
traumatic
deployment.
Methods
A
cohort
firefighters
was
established
among
those
deployed
to
devastating
wildfire
Alberta,
Canada
May
2016.
Firefighters
completed
three
questionnaires:
at
recruitment
giving
details
exposures,
first
follow‐up
reporting
supports
before,
during,
and
after
fire
second
follow‐up,
least
30
months
fire,
with
screening
questionnaires
for
anxiety,
depression,
posttraumatic
stress
disorder
(PTSD).
Fire
chiefs
were
interviewed
provisions.
The
impact
on
ill
estimated,
adjusting
clustering
within
service
potential
confounders.
Results
Of
1234
cohort,
840
questionnaire
supports.
In
total,
78
82
interviewed.
Analysis
included
745
from
67
services.
Only
45.8%
reports
peer
concordant
between
chiefs.
After
confounding,
odds
ratios
(OR)
reported
by
both
chief
firefighter
depressive
disorder:
OR
=
0.22,
95%
confidence
interval
(CI),
0.08–0.61;
anxiety
0.45,
CI,
0.24–0.82;
PTSD:
0.62,
0.37–1.02.
Symptoms
depression
but
not
PTSD
reduced
resiliency
training
before
offered
48
h
return
Conclusion
results
suggest
protective
its
availability
poorly
recognized.
somewhat
less
responsive,
perhaps
reflecting
cumulative
effects
previous
exposures.
