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一项关于执法工作场所中干预焦虑、创伤后应激障碍、嗜睡和疲劳的现有证据的系统回顾。

A systematic review of the current evidence regarding interventions for anxiety, PTSD, sleepiness and fatigue in the law enforcement workplace.

机构信息

Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Australia.

School of Life Sciences, University of Technology Sydney, Australia.

出版信息

Ind Health. 2019 Nov 29;57(6):655-667. doi: 10.2486/indhealth.2018-0088. Epub 2019 Feb 13.

DOI:10.2486/indhealth.2018-0088
PMID:30760652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6885597/
Abstract

Law enforcement is inherently stressful, and police officers are particularly vulnerable to mental and physical disorders. As such, researchers are currently assessing intervention strategies that may combat or manage these psychological, physical and mental issues. To review most recent information regarding anxiety, PTSD, and sleepiness and fatigue and identify the interventions and treatments proposed to overcome work related stressors and associated mental illnesses inflicting law enforcement officers. The EMBASE, OVID MEDLINE and PsycINFO databases were canvassed for articles investigating anxiety, post-traumatic stress disorder, sleepiness, and fatigue. Initial article selections were made based on title, whilst final inclusion was informed by a full critical appraisal with respect to the primary and secondary effects. The systematic search returned 363 records, of which 183 were unique. Following screening, 43 records were included in the final review. The included literature assessed the efficacy of several interventions, and provided a number of recommendations regarding interventions, and policy. Moreover, literature indicates that police officers benefit from interventions targeting work-related stress and potential psychological disorders, if these interventions are continuous. Furthermore, larger controlled studies are required to further elucidate the benefits of psychosocial intervention in law enforcement.

摘要

执法工作本身压力很大,警察尤其容易出现心理和身体障碍。因此,研究人员目前正在评估干预策略,以对抗或管理这些心理、身体和精神问题。本研究旨在综述与焦虑、创伤后应激障碍、嗜睡和疲劳相关的最新信息,并确定为克服执法人员相关工作压力源和相关精神疾病而提出的干预措施和治疗方法。使用 EMBASE、OVID MEDLINE 和 PsycINFO 数据库调查了焦虑、创伤后应激障碍、嗜睡和疲劳的相关文章。最初根据标题进行文章选择,最终的纳入标准是根据主要和次要效果进行全面的批判性评估。系统检索共返回 363 条记录,其中 183 条是唯一的。经过筛选,有 43 篇记录被纳入最终综述。纳入的文献评估了多种干预措施的疗效,并就干预措施和政策提出了一些建议。此外,如果这些干预措施是持续的,那么有证据表明警察从针对工作相关压力和潜在心理障碍的干预中受益。此外,还需要更大规模的对照研究来进一步阐明心理社会干预在执法中的益处。

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