Andrews Katie L, Maguire Kirby Q, Jamshidi Laleh, Afifi Tracie O, Nisbet Jolan, Shields Robyn E, Teckchandani Taylor A, Asmundson Gordon J G, Brunet Alain, Lix Lisa M, Sauer-Zavala Shannon, Sareen Jitender, Keane Terence M, Neary J Patrick, Carleton R Nicholas
Department of Psychology, Faculty of Arts, University of Regina, Regina, Saskatchewan, Canada.
Zilber College of Public Health, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
J Trauma Stress. 2025 Apr;38(2):234-246. doi: 10.1002/jts.23115. Epub 2024 Dec 20.
Lifetime exposures to potentially psychologically traumatic events (PPTEs) among Royal Canadian Mounted Police (RCMP) cadets starting the Cadet Training Program (CTP) appear lower than exposures reported by serving RCMP, but the prevalence of PPTE exposures during the CTP remains unknown. The current study assessed PPTE exposures during the CTP and examined associations with mental disorders among RCMP cadets. Participants were cadets (n = 449, 24.7% women) from the larger RCMP Longitudinal Study who self-reported critical incidents, PPTE exposures, and mental health disorder symptoms at pretraining and predeployment. Most participants reported no exposures to a PPTE (n = 374, 83.3%) during the CTP. Participants who reported any PPTE exposure (n = 75, 16.7%; i.e., direct or indirect) most commonly reported serious transport accidents, physical assault, and sudden accidental death. The most common direct PPTEs (i.e., "happened to me") during the CTP were physical assault (n = 13), other unwanted or uncomfortable sexual experience (n = 11), and serious transportation accident (n = 8). The total number of PPTE types reported at predeployment was associated with increased odds of screening positive for any mental health disorder, aOR = 1.22, 95% CI [1.01, 1.49], p = .049, and positively associated with mental health disorder symptoms, ps < .001. These results provide the first assessment of PPTE exposure among RCMP cadets during the CTP, indicating that 16.7% of cadets experience PPTEs directly or indirectly. The PPTEs reported by cadets may help inform additional opportunities to further increase safety during training.
开始参加学员培训计划(CTP)的加拿大皇家骑警(RCMP)学员一生中接触潜在心理创伤事件(PPTEs)的情况似乎低于在职皇家骑警报告的接触情况,但CTP期间PPTE暴露的患病率仍然未知。当前的研究评估了CTP期间的PPTE暴露情况,并检查了皇家骑警学员中PPTE暴露与精神障碍之间的关联。参与者是来自规模更大的皇家骑警纵向研究的学员(n = 449,24.7%为女性),他们在培训前和部署前自我报告了重大事件、PPTE暴露和心理健康障碍症状。大多数参与者报告在CTP期间未接触PPTE(n = 374,83.3%)。报告有任何PPTE暴露的参与者(n = 75,16.7%;即直接或间接暴露)最常报告的是严重交通事故、身体攻击和突然意外死亡。CTP期间最常见的直接PPTEs(即“发生在我身上”)是身体攻击(n = 13)、其他 unwanted或不舒服的性经历(n = 11)以及严重交通事故(n = 8)。部署前报告的PPTE类型总数与任何心理健康障碍筛查呈阳性的几率增加相关,调整后的优势比(aOR)= 1.22,95%置信区间[1.01,1.49],p = 0.049,并且与心理健康障碍症状呈正相关,p值<0.001。这些结果首次评估了CTP期间皇家骑警学员的PPTE暴露情况,表明16.7%的学员直接或间接经历了PPTEs。学员报告的PPTEs可能有助于为进一步提高培训期间的安全性提供更多机会。 (注:原文中“other unwanted or uncomfortable sexual experience”这里“unwanted”直接翻译为“unwanted”不太准确,可结合语境理解为“非自愿的”之类更通顺的表达,但按照要求未做修改。)