加拿大皇家骑警学员训练计划开始时的心理健康状况。
Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program.
机构信息
Anxiety and Illness Behaviours Laboratory, Department of Psychology, University of Regina, Regina, SK, Canada.
Canadian Institute for Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK, Canada.
出版信息
Can J Psychiatry. 2023 Sep;68(9):651-662. doi: 10.1177/07067437221147425. Epub 2023 May 2.
OBJECTIVE
Serving Royal Canadian Mounted Police (RCMP) have screened positive for one or more mental disorders based on self-reported symptoms with substantial prevalence (i.e., 50.2%). Mental health challenges for military and paramilitary populations have historically been attributed to insufficient recruit screening; however, cadet mental health when starting the Cadet Training Program (CTP) was unknown. Our objective was to estimate RCMP Cadet mental health when starting the CTP and test for sociodemographic differences.
METHOD
Cadets starting the CTP completed a survey assessing self-reported mental health symptoms ( = 772, 72.0% male) and a clinical interview ( = 736, 74.4% male) with a clinician or supervised trainee using the Mini-International Neuropsychiatric Interview to assess current and past mental health.
RESULTS
The percentage of participants screening positive for one or more current mental disorders based on self-reported symptoms (15.0%) was higher than the diagnostic prevalence for the general population (10.1%); however, based on clinical interviews, participants were less likely to screen positive for any current mental disorder (6.3%) than the general population. Participants were also less likely to screen positive for any past mental disorder based on self-report (3.9%) and clinical interviews (12.5%) than the general population (33.1%). Females were more likely to score higher than males (all s<.01; Cohen's s .23 to .32) on several self-report mental disorder symptom measures.
CONCLUSIONS
The current results are the first to describe RCMP cadet mental health when starting the CTP. The data evidenced a lower prevalence of anxiety, depressive, and trauma-related mental disorders than the general population based on clinical interviews, contrasting notions that more rigorous mental health screening would reduce the high prevalence of mental disorders among serving RCMP. Instead, protecting RCMP mental health may require ongoing efforts to mitigate operational and organizational stressors.
目的
根据自我报告的症状，有相当比例（即 50.2%）的皇家骑警（RCMP）服务人员被筛查出患有一种或多种精神障碍。军事和准军事人员的心理健康挑战历来归因于招募筛选不足；然而，在开始学员培训计划（CTP）时，学员的心理健康状况尚不清楚。我们的目的是估计 RCMP 学员在开始 CTP 时的心理健康状况，并测试社会人口统计学差异。
方法
开始 CTP 的学员完成了一项调查，评估自我报告的心理健康症状（ = 772，72.0%为男性）和临床访谈（ = 736，74.4%为男性），由临床医生或经过监督的学员使用迷你国际神经精神访谈来评估当前和过去的心理健康状况。
结果
根据自我报告的症状，筛查出一种或多种当前精神障碍的参与者比例（15.0%）高于一般人群的诊断流行率（10.1%）；然而，根据临床访谈，参与者筛查出任何当前精神障碍的可能性低于一般人群（6.3%）。与一般人群（33.1%）相比，参与者自我报告（3.9%）和临床访谈（12.5%）筛查出任何过去精神障碍的可能性也较低。女性在几项自我报告的精神障碍症状测量中比男性更有可能得分更高（所有 s<.01；Cohen's s.23 至.32）。
结论
目前的结果是首次描述 RCMP 学员在开始 CTP 时的心理健康状况。数据表明，根据临床访谈，焦虑、抑郁和创伤相关精神障碍的患病率低于一般人群，这与更严格的心理健康筛查将降低现役 RCMP 中精神障碍高患病率的观点形成对比。相反，保护 RCMP 的心理健康可能需要持续努力减轻业务和组织压力源。
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