Department of Psychology, University of Regina, 3737 Wascana Pkwy, Regina, SK S4S 0A2, Canada.
PSPNET, University of Regina, 2 Research Drive, Regina, SK S4T 2P7, Canada.
Int J Environ Res Public Health. 2022 Apr 14;19(8):4744. doi: 10.3390/ijerph19084744.
Internet-delivered cognitive behavioral therapy (ICBT) is effective when tailored to meet the needs of public safety personnel (PSP). Nevertheless, there is limited research on the nature of the occupational stressors faced by PSP who seek ICBT and how PSP use ICBT to address occupational stressors. We provided tailored ICBT to PSP ( = 126; 54% women) and conducted a qualitative content analysis on clinicians' eligibility screening notes, clients' emails, and clients' survey responses to understand the occupational stressors faced by PSP and their use of ICBT to address such stressors. Clients described several occupational stressors, including operational stressors (e.g., potentially psychologically traumatic events and sleep/shiftwork issues) and organizational stressors (e.g., issues with leadership, resources, and workload). More clients shared occupational concerns during the screening process (97%) than during treatment (58%). The most frequently cited occupational stressor was exposure to potentially psychologically traumatic events. Clients reported using course skills (e.g., controlled breathing and graduated exposure) to manage occupational stressors (e.g., responding to calls, workplace conflict, and work-family conflict). Thought challenging was the most frequently reported strategy used to manage occupational stressors. The current results provide insights into the occupational stressors PSP experience and endeavor to manage using ICBT, which can inform further efforts to tailor ICBT for PSP (e.g., adapting course materials and examples to take into account these operational and occupational stressors).
互联网提供的认知行为疗法（ICBT）在针对公共安全人员（PSP）的需求进行定制时是有效的。然而，针对寻求 ICBT 的 PSP 面临的职业压力源的性质以及 PSP 如何使用 ICBT 来应对职业压力源，相关研究有限。我们向 PSP（=126；54%为女性）提供了定制的 ICBT，并对临床医生的资格筛选笔记、客户的电子邮件和客户的调查回复进行了定性内容分析，以了解 PSP 面临的职业压力源及其使用 ICBT 来应对这些压力源的情况。客户描述了几种职业压力源，包括操作压力源（例如，潜在的心理创伤事件和睡眠/轮班问题）和组织压力源（例如，领导、资源和工作量问题）。在筛选过程中（97%）比在治疗过程中（58%）更多的客户分享了职业问题。被引用最多的职业压力源是接触潜在的心理创伤事件。客户报告使用课程技能（例如，控制呼吸和逐步暴露）来管理职业压力源（例如，应对电话、工作场所冲突和工作-家庭冲突）。应对困难是报告最多的用于管理职业压力源的策略。目前的结果提供了 PSP 经历的职业压力源的见解，并努力使用 ICBT 进行管理，这可以为进一步为 PSP 定制 ICBT 提供信息（例如，改编课程材料和示例以考虑这些操作和职业压力源）。
