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保护守护者:英国调查儿童性虐待材料的警察和工作人员的道德伤害、应对方式与心理健康

Protecting the Protectors: Moral Injury, Coping Styles, and Mental Health of UK Police Officers and Staff Investigating Child Sexual Abuse Material.

作者信息

Conway Paul, Redmond Theresa, Lundrigan Samantha, Davy Deanna, Bailey Simon, Lee Peter

机构信息

School of Psychology, University of Southampton, Southampton, UK.

School of Criminology and Criminal Justice, University of Portsmouth, Portsmouth, UK.

出版信息

Depress Anxiety. 2024 Nov 23;2024:1854312. doi: 10.1155/da/1854312. eCollection 2024.

Abstract

Police officers and staff who investigate child sexual abuse material (CSAM) may be at elevated risk for mental health problems, which may be mitigated or exacerbated by institutional and interpersonal factors. The current work examined mental health in a large sample of UK CSAM investigators ( = 661). Results suggest substantially elevated rates of depression and anxiety but not posttraumatic stress disorder (PTSD). Feeling successful and supported powerfully buffered against negative outcomes, whereas moral injury-particularly feelings of institutional betrayal-predicted worse outcomes. Although exposure to CSAM and contact with victims predicted worse outcomes, these effects were much smaller. Regarding coping styles, self-blame, rumination, catastrophizing, withdrawal, ignoring, and negative religious coping predicted worse outcomes, whereas positive refocusing, seeking distraction, and social support were effective. These results held controlling for demographics. These results suggest that UK CSAM police officers and staff experience elevated depression and anxiety, but institutional and interpersonal support can buffer outcomes.

摘要

调查儿童性虐待材料(CSAM)的警察和工作人员可能面临更高的心理健康问题风险,而机构和人际因素可能会减轻或加剧这些问题。目前的研究调查了大量英国CSAM调查人员(n = 661)的心理健康状况。结果显示,抑郁和焦虑率大幅上升,但创伤后应激障碍(PTSD)没有上升。感觉成功和得到支持能有力地缓冲负面结果,而道德伤害——尤其是机构背叛感——预示着更糟的结果。尽管接触CSAM和与受害者接触预示着更糟的结果,但这些影响要小得多。关于应对方式,自我责备、沉思、灾难化、退缩、忽视和消极的宗教应对预示着更糟的结果,而积极的重新关注、寻求分心和社会支持则是有效的。在控制了人口统计学因素后,这些结果依然成立。这些结果表明,英国CSAM警察和工作人员经历着更高的抑郁和焦虑,但机构和人际支持可以缓冲结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79b2/11922302/9e00dc4e0a79/DA2024-1854312.001.jpg

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