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心肺适能是否能缓冲警察的应激反应和应激恢复?一项现实生活研究。

Does Cardiorespiratory Fitness Buffer Stress Reactivity and Stress Recovery in Police Officers? A Real-Life Study.

作者信息

Schilling René, Herrmann Christian, Ludyga Sebastian, Colledge Flora, Brand Serge, Pühse Uwe, Gerber Markus

机构信息

Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.

Zurich University of Teacher Education, Zurich, Switzerland.

出版信息

Front Psychiatry. 2020 Jun 23;11:594. doi: 10.3389/fpsyt.2020.00594. eCollection 2020.

Abstract

High levels of cardiorespiratory fitness have the potential to buffer against physical and mental health impairments, which can result from exposure to occupational stress. Police officers are especially at risk of high psychosocial stress; therefore, effective intervention strategies are warranted. Given this background, the purpose of the present study was to examine whether police officers with different levels of cardiorespiratory fitness differ with regard to their (a) physiological stress reactivity during acute real-life stress situations, and (b) physiological recovery related to acute and chronic work stress. In total, 201 police officers took part in this study (M = 38.6 years, SD = 10.1, 35.8% females). Officers were contacted eight times on a smartphone during their workday, and asked to report their current level of positive and negative affect, as well as feelings of stress and anger. Physiological stress responses and recovery (heart rate variability) were assessed using Movisens EcgMove3 devices. The Åstrand bicycle ergometer test was used to assess participants' cardiorespiratory fitness. Chronic work stress was assessed using the effort-reward imbalance model and the job strain model. Multilevel modeling was used to test buffering effects of cardiorespiratory fitness on physiological stress reactivity. Linear regression was applied to test stress-buffering effects of cardiorespiratory fitness on physiological recovery. Results showed lowered physiological stress reactivity to acute work stress in officers with higher levels of cardiorespiratory fitness. However, these results were not consistent, with no effects occurring for feelings of anger, positive affect, and negative affect. Chronic work stress (effort-reward imbalance) was related to lower physiological recovery. Cardiorespiratory fitness was positively related to physiological recovery. Data did not support interactions between work stress and cardiorespiratory fitness on physiological recovery. To some extent, cardiorespiratory fitness seems to have the potential to buffer stress reactivity in police officers in acute stress situations. Therefore, we encourage promoting fitness programs which aim to enhance cardiorespiratory fitness in stressful occupations such as law enforcement. Improvements in cardiorespiratory fitness might further enhance physiological recovery from chronic work stress, which is thought to improve cardiovascular health.

摘要

高水平的心肺适能有潜力缓冲因暴露于职业压力而可能导致的身心健康损害。警察尤其面临较高的心理社会压力风险;因此,有效的干预策略是必要的。鉴于此背景,本研究的目的是检验不同心肺适能水平的警察在以下方面是否存在差异:(a) 在急性现实生活压力情境中的生理应激反应性,以及 (b) 与急性和慢性工作压力相关的生理恢复情况。共有201名警察参与了本研究(M = 38.6岁,SD = 10.1,35.8%为女性)。在工作日期间,通过智能手机与警察联系了八次,要求他们报告当前的积极和消极情绪水平,以及压力和愤怒情绪。使用Movisens EcgMove3设备评估生理应激反应和恢复情况(心率变异性)。采用阿斯汤德自行车测力计测试来评估参与者的心肺适能。使用努力-回报失衡模型和工作压力模型评估慢性工作压力。采用多层次建模来测试心肺适能对生理应激反应性的缓冲作用。应用线性回归来测试心肺适能对生理恢复的压力缓冲作用。结果显示,心肺适能水平较高的警察对急性工作压力的生理应激反应性较低。然而,这些结果并不一致,对愤怒情绪、积极情绪和消极情绪没有影响。慢性工作压力(努力-回报失衡)与较低的生理恢复有关。心肺适能与生理恢复呈正相关。数据不支持工作压力和心肺适能在生理恢复方面的相互作用。在某种程度上,心肺适能似乎有潜力在急性应激情况下缓冲警察的应激反应性。因此,我们鼓励推广旨在提高执法等压力较大职业的心肺适能的健身项目。心肺适能的改善可能会进一步增强从慢性工作压力中的生理恢复,这被认为有助于改善心血管健康。

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