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警察的压力与抑郁症状:应对方式和心理韧性的作用。

Police stress and depressive symptoms: role of coping and hardiness.

作者信息

Allison Penelope, Mnatsakanova Anna, McCanlies Erin, Fekedulegn Desta, Hartley Tara A, Andrew Michael E, Violanti John M

机构信息

Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA.

Department of Social and Preventive Medicine, State University of NY at Buffalo, Buffalo, New York, USA.

出版信息

Policing. 2019 Nov 22;43(2):247-261. doi: 10.1108/pijpsm-04-2019-0055.

Abstract

PURPOSE –: Chronic exposure to occupational stress may lead to depressive symptoms in police officers. The association between police stress and depressive symptoms and the potential influences of coping and hardiness were evaluated. The paper aims to discuss this issue.

DESIGN/METHODOLOGY/APPROACH –: Stress level was assessed in the Buffalo Cardio-Metabolic Occupational Police Stress Study (2004-2009) with the Spielberger Police Stress Survey. The frequency and severity of events at work were used to calculate stress indices for the past year. The Center for Epidemiologic Studies Depression (CES-D) Scale was used to measure depressive symptoms during the past week. Linear regression was used to evaluate the association between the stress indices and depressive symptom scores. Models were adjusted for age, sex, race, smoking status and alcohol intake, and stratified by median values for coping (passive, active and support seeking) and hardiness (control, commitment and challenge) to assess effect modification.

FINDINGS –: Among the 388 officers (73.2 percent men), a significant positive association was observed between total stress and the CES-D score ( = 1.98 (SE = 0.36); < 0.001). Lower CES-D scores were observed for officers who reported lower passive coping ( = 0.94 (SE = 0.45); = 0.038) and higher active coping ( = 1.41 (SE = 0.44); = 0.002), compared with their counterparts. Officers higher in hardiness had lower CES-D scores, particularly for commitment ( = 0.86 (SE = 0.35); = 0.016) and control ( = 1.58 (SE = 0.34); < 0.001).

ORIGINALITY/VALUE –: Results indicate that high active coping and hardiness modify the effect of work stress in law enforcement, acting to reduce depressive symptoms.

摘要

目的

长期暴露于职业压力下可能导致警察出现抑郁症状。本研究评估了警察压力与抑郁症状之间的关联以及应对方式和心理韧性的潜在影响。本文旨在探讨这一问题。

设计/方法/途径:在布法罗心血管代谢职业警察压力研究(2004 - 2009年)中,使用斯皮尔伯格警察压力调查问卷评估压力水平。利用过去一年工作中事件的频率和严重程度来计算压力指数。采用流行病学研究中心抑郁量表(CES - D)来测量过去一周的抑郁症状。使用线性回归来评估压力指数与抑郁症状评分之间的关联。模型针对年龄、性别、种族、吸烟状况和酒精摄入量进行了调整,并按应对方式(消极应对、积极应对和寻求支持)和心理韧性(控制、奉献和挑战)中位数进行分层,以评估效应修正。

研究结果

在388名警察(73.2%为男性)中,观察到总压力与CES - D评分之间存在显著正相关(β = 1.98(标准误 = 0.36);p < 0.001)。与同行相比,报告消极应对较少(β = 0.94(标准误 = 0.45);p = 0.038)和积极应对较多(β = 1.41(标准误 = 0.44);p = 0.002)的警察CES - D评分较低。心理韧性较高的警察CES - D评分较低,尤其是在奉献方面(β = 0.86(标准误 = 0.35);p = 0.016)和控制方面(β = 1.58(标准误 = 0.34);p < 0.001)。

原创性/价值:结果表明,积极应对和心理韧性可改变执法工作压力的影响,起到减轻抑郁症状的作用。

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