Papazoglou Konstantinos, Blumberg Daniel M, Chiongbian Victoria Briones, Tuttle Brooke McQuerrey, Kamkar Katy, Chopko Brian, Milliard Beth, Aukhojee Prashant, Koskelainen Mari
Yale School of Medicine, New Haven, CT, United States.
California School of Professional Psychology, Alliant International University, San Diego, CA, United States.
Front Psychol. 2020 Mar 4;11:310. doi: 10.3389/fpsyg.2020.00310. eCollection 2020.
Exposure to critical incidents and hence potentially traumatic events is endemic in law enforcement. The study of law enforcement officers' experience of moral injury and their exposure to potentially morally injurious incidents, and research on moral injury's relationship with different forms of traumatization (e.g. compassion fatigue, post-traumatic stress disorder) are in their infancy. The present study aims to build on prior research and explores the role of moral injury in predicting post-traumatic stress disorder (PTSD) and its clusters thereof. To this end, a sample of law enforcement officers ( = 370) from the National Police of Finland was recruited to participate in the current study. Results showed that moral injury significantly predicted PTSD as well as its diagnostic clusters (i.e., avoidance, hyperarousal, re-experiencing). The aforementioned role of moral injury to significantly predict PTSD and its clusters were unequivocal even when compassion fatigue was incorporated into the path model. Clinical, research, and law enforcement practice implications are discussed.
在执法部门中，接触关键事件以及由此可能遭遇创伤性事件的情况很普遍。对执法人员道德伤害经历及其接触潜在道德伤害事件的研究，以及对道德伤害与不同形式创伤（如同情疲劳、创伤后应激障碍）关系的研究尚处于起步阶段。本研究旨在基于先前的研究，探讨道德伤害在预测创伤后应激障碍（PTSD）及其集群方面的作用。为此，招募了来自芬兰国家警察的370名执法人员作为样本参与本研究。结果表明，道德伤害能显著预测创伤后应激障碍及其诊断集群（即回避、过度警觉、重新体验）。即使将同情疲劳纳入路径模型，道德伤害显著预测创伤后应激障碍及其集群的上述作用依然明确。文中还讨论了临床、研究及执法实践方面的意义。
