International Victimology Institute Tilburg, Tilburg University, Tilburg, The Netherlands.
International Victimology Institute Tilburg, Tilburg University, Tilburg, The Netherlands.
Psychiatry Res. 2018 Feb;260:486-494. doi: 10.1016/j.psychres.2017.12.014. Epub 2017 Dec 12.
Psychological resilience is considered an important predictor for mental health disturbances among rescue workers. To what extent resilience predicts mental health disturbances among police officers at different stages while adjusting for existing (mental) health disturbances is unclear. Among 566 police officers resilience was operationalized by the Resilience Scale-nl and the Mental Toughness Questionnaire-48 questionnaires (8 scales in total). Mental health disturbances (such as depression symptoms and PTSD) and other health-related variables were assessed at baseline and follow-ups at three and nine months. Hierarchical logistic regression analyses assessed the predictive values of the 8 resilience scales for mental health disturbances at baseline (n = 566), three months (n = 566) and nine months (n = 364), adjusted for demographics, work circumstances, and health-related factors at baseline. Seven of the eight resilience scales at baseline were cross sectional associated with mental health disturbances at baseline. Only four scales were independent predictors for mental health disturbances at three months. When examining mental health disturbances at nine months, only one resilience scale remained a significant predictor. In sum, psychological resilience has a declining protective capacity for mental health disturbances over a medium time-span, specifically when corrected for baseline mental health disturbances.
心理弹性被认为是救援人员心理健康障碍的重要预测因素。在调整现有（心理）健康障碍的情况下，心理弹性在不同阶段的警察的心理健康障碍中的预测程度尚不清楚。在 566 名警察中，通过韧性量表-nl 和心理韧性问卷-48 问卷（共 8 个量表）来操作韧性。在基线和三个月和九个月的随访中评估心理健康障碍（如抑郁症状和 PTSD）和其他与健康相关的变量。分层逻辑回归分析评估了 8 个韧性量表在基线（n = 566）、三个月（n = 566）和九个月（n = 364）时对心理健康障碍的预测值，调整了基线时的人口统计学、工作环境和与健康相关的因素。基线时的 8 个韧性量表中的 7 个与基线时的心理健康障碍呈横断面相关。只有四个量表是三个月时心理健康障碍的独立预测因子。当检查九个月时的心理健康障碍时，只有一个韧性量表仍然是一个显著的预测因子。总之，心理弹性对心理健康障碍的保护能力随着时间的推移而下降，特别是在纠正基线心理健康障碍时。
