一个城市警察部门中警员的心理健康状况、护理障碍及生产力损失
Mental-health conditions, barriers to care, and productivity loss among officers in an urban police department.
作者信息
Fox Justin, Desai Mayur M, Britten Karissa, Lucas Georgina, Luneau Renee, Rosenthal Marjorie S
机构信息
Yale University School of Medicine, New Haven, USA.
出版信息
Conn Med. 2012 Oct;76(9):525-31.
Abstract
BACKGROUND
Police officers are frequently exposed to situations that can negatively impact their mental health.
METHODS
We conducted this study of an urban police department to determine 1) the prevalence of post-traumatic stress disorder (PTSD), depression, and alcohol abuse; 2) patterns of and barriers to mental-health services utilization; and 3) the impact these conditions have on productivity loss.
RESULTS
Among 150 officers, PTSD (24%), depression (9%), and alcohol abuse (19%) were common. Only46.7% had ever sought mental-health services; the most commonly cited barriers to accessing serviceswere concerns regarding confidentiality and the potential"negative career impact." Officers with mental-health conditions had higher productivity loss (5.9% vs 3.4%, P<0.001) at an annual cost of $4,489 per officer.
CONCLUSION
Mental-health conditions among police officers are common, and costly, yet most officers had never accessed mental-health services; many due to modifiable risk factors.
摘要
背景
警察经常面临可能对其心理健康产生负面影响的情况。
方法
我们对一个城市警察部门进行了这项研究，以确定：1）创伤后应激障碍（PTSD）、抑郁症和酒精滥用的患病率；2）心理健康服务利用的模式和障碍；3）这些状况对生产力损失的影响。
结果
在150名警察中，创伤后应激障碍（24%）、抑郁症（9%）和酒精滥用（19%）很常见。只有46.7%的人曾寻求心理健康服务；最常提到的获得服务的障碍是对保密性和潜在“负面职业影响”的担忧。有心理健康问题的警察生产力损失更高（5.9%对3.4%，P<0.001），每名警察每年的成本为4489美元。
结论
警察中的心理健康问题很常见且代价高昂，但大多数警察从未获得过心理健康服务；许多是由于可改变的风险因素。
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1
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Mayo Clin Proc. 2011 Aug;86(8):792-800. doi: 10.4065/mcp.2011.0076. Epub 2011 Jun 27.
2
Atypical work hours and metabolic syndrome among police officers.警察的非标准工作时间与代谢综合征
Arch Environ Occup Health. 2009 Fall;64(3):194-201. doi: 10.1080/19338240903241259.
3
Predictors of the development of posttraumatic stress disorder among police officers.警察创伤后应激障碍发展的预测因素。
J Trauma Dissociation. 2009;10(4):451-68. doi: 10.1080/15299730903143626.
4
The association between mental disorders and productivity in treated and untreated employees.治疗和未治疗员工的精神障碍与工作效率之间的关联。
J Occup Environ Med. 2009 Sep;51(9):996-1003. doi: 10.1097/JOM.0b013e3181b2ea30.
5
Community-based participatory research from the margin to the mainstream: are researchers prepared?从边缘到主流的基于社区的参与性研究：研究人员准备好了吗？
Circulation. 2009 May 19;119(19):2633-42. doi: 10.1161/CIRCULATIONAHA.107.729863.
6
Trait dissociation predicts posttraumatic stress disorder symptoms in a prospective study of urban police officers.在一项针对城市警察的前瞻性研究中，特质解离可预测创伤后应激障碍症状。
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7
The CAGE questionnaire for detection of alcoholism: a remarkably useful but simple tool.用于检测酒精中毒的CAGE问卷：一个非常有用但简单的工具。
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8
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Am J Ind Med. 2008 Oct;51(10):758-68. doi: 10.1002/ajim.20629.
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