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Published in: International Archives of Occupational and Environmental Health 1/2013

01-01-2013 | Original Article

Assessment of a prevention program for work-related stress among urban police officers

Authors: Bengt B. Arnetz, Eamonn Arble, Lena Backman, Adam Lynch, Ake Lublin

Published in: International Archives of Occupational and Environmental Health | Issue 1/2013

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Abstract

Objective

To determine the efficacy of a primary prevention program designed to improve psychobiological responses to stress among urban police officers.

Methods

A random sample of 37 police cadets received complementary training in psychological and technical techniques to reduce anxiety and enhance performance when facing a series of police critical incidents. Training was done by Special Forces officers, trained by the authors in imaging. A random sample of 38 cadets, receiving training as usual, was followed in parallel. Assessment of somatic and psychological health, and stress biomarkers, was done at baseline, immediately following training, and after 18 months as regular police officers. Comparison was done using two-way repeated analysis of variance (ANOVA) and logistic regression.

Results

The intervention group improved their general health and problem-based coping as compared to the control group. They also demonstrated lower levels of stomach problems, sleep difficulties, and exhaustion. Training was associated with an OR of 4.1 (95% CI, 1.3–13.7; p < 0.05) for improved GHQ scores during the study as compared to no changes or worsening score.

Conclusions

This first primary prevention study of high-risk professions demonstrates the validity and functional utility of the intervention. Beneficial effects lasted at least during the first 2 years on the police force. It is suggested that preventive imagery training in first responders might contribute to enhanced resiliency.
Literature
go back to reference Åkerstedt T, Hume K, Minors D, Waterhouse J (1994) The meaning of good sleep: a longitudinal study of polysomnography and subjective sleep quality. J Sleep Res 3:152–158CrossRef Åkerstedt T, Hume K, Minors D, Waterhouse J (1994) The meaning of good sleep: a longitudinal study of polysomnography and subjective sleep quality. J Sleep Res 3:152–158CrossRef
go back to reference Anshel MH (2000) A conceptual model and implications for coping with stressful events in police work. Crim Justice Behav 27(3):375–400 Anshel MH (2000) A conceptual model and implications for coping with stressful events in police work. Crim Justice Behav 27(3):375–400
go back to reference Appels A, Hoppener P, Mulder P (1987) A questionnaire to assess preliminary symptoms of myocardial infarction. Int J Cardiol 17:15–24CrossRef Appels A, Hoppener P, Mulder P (1987) A questionnaire to assess preliminary symptoms of myocardial infarction. Int J Cardiol 17:15–24CrossRef
go back to reference Armario A, Marti O, Molina T, de Pablo J, Valdes M (1996) Acute stress markers in humans: responses of plasma glucose, cortisol and prolactin to two examinations differing in the anxiety they provoke. Psychoneuroendocrinology 21(1):17–24 Armario A, Marti O, Molina T, de Pablo J, Valdes M (1996) Acute stress markers in humans: responses of plasma glucose, cortisol and prolactin to two examinations differing in the anxiety they provoke. Psychoneuroendocrinology 21(1):17–24
go back to reference Arnetz BB (1996) Techno-stress: a prospective psychophysiological study of the impact of a controlled stress-reduction program in advanced telecommunication systems design work. J Occup Environ Med 38(1):53–65 Arnetz BB (1996) Techno-stress: a prospective psychophysiological study of the impact of a controlled stress-reduction program in advanced telecommunication systems design work. J Occup Environ Med 38(1):53–65
go back to reference Arnetz BB, Kallner A (1994) Epidemiological assessment of hyperlipidaemia management in primary health care. Eur J Publ Health 4:38–45CrossRef Arnetz BB, Kallner A (1994) Epidemiological assessment of hyperlipidaemia management in primary health care. Eur J Publ Health 4:38–45CrossRef
go back to reference Arnetz BB, Nevedal DC, Lumley MA, Backman L, Lublin A (2009) Trauma resilience training for police: psychophysiological and performance effects. J Police Crim Psych 24:1–9CrossRef Arnetz BB, Nevedal DC, Lumley MA, Backman L, Lublin A (2009) Trauma resilience training for police: psychophysiological and performance effects. J Police Crim Psych 24:1–9CrossRef
go back to reference Banks MH, Clegg CW, Jackson PR, Kemp NJ, Stafford EM, Wall TD (1980) The use of the General Health Questionnaire as an indicator of mental health in occupational studies. J Occup Psychol 53:187–194CrossRef Banks MH, Clegg CW, Jackson PR, Kemp NJ, Stafford EM, Wall TD (1980) The use of the General Health Questionnaire as an indicator of mental health in occupational studies. J Occup Psychol 53:187–194CrossRef
go back to reference Becker CB, Meyer G, Price JS, Graham MM, Arsena A, Armstrong DA et al (2009) Law enforcement preferences for PTSD treatment and crisis management alternatives. Behav Res Therapy 47:245–253CrossRef Becker CB, Meyer G, Price JS, Graham MM, Arsena A, Armstrong DA et al (2009) Law enforcement preferences for PTSD treatment and crisis management alternatives. Behav Res Therapy 47:245–253CrossRef
go back to reference Biggam FH, Power KG, MacDonald RR (1997) Self-perceived occupational stress and distress in a Scottish police force. Work Stress 11:118–133CrossRef Biggam FH, Power KG, MacDonald RR (1997) Self-perceived occupational stress and distress in a Scottish police force. Work Stress 11:118–133CrossRef
go back to reference Brown J, Cooper CL, Kirkcaldy B (1996) Occupational stress among senior police officers. Br J Psychol 87:31–45CrossRef Brown J, Cooper CL, Kirkcaldy B (1996) Occupational stress among senior police officers. Br J Psychol 87:31–45CrossRef
go back to reference Buchanan G, Stephens C, Long N (2001) Traumatic events of new recruits and serving police. Aust J Disaster Trauma Stud 5(2) Buchanan G, Stephens C, Long N (2001) Traumatic events of new recruits and serving police. Aust J Disaster Trauma Stud 5(2)
go back to reference Carroll BJ, Cassidy F, Naftolowitz D, Tatham NE, Wilson WH, Iranmanesh A et al (2007) Pathophysiology of hypercortisolism in depression. Acta Psychiatr Scand Suppl 433:90–103CrossRef Carroll BJ, Cassidy F, Naftolowitz D, Tatham NE, Wilson WH, Iranmanesh A et al (2007) Pathophysiology of hypercortisolism in depression. Acta Psychiatr Scand Suppl 433:90–103CrossRef
go back to reference Dowling FG, Moynihan G, Genet B, Lewis J (2006) A peer-based assistance program for officers with the New York City Police Department: report of the effects Sept. 11, 2001. Am J Psychiatry 163:151–153CrossRef Dowling FG, Moynihan G, Genet B, Lewis J (2006) A peer-based assistance program for officers with the New York City Police Department: report of the effects Sept. 11, 2001. Am J Psychiatry 163:151–153CrossRef
go back to reference Goldberg D (1980) Manuals of the General Health Questionnaire. NFER-Nelson, Windsor Goldberg D (1980) Manuals of the General Health Questionnaire. NFER-Nelson, Windsor
go back to reference Gross RAZ, Neria Y, Tao X, Massa J, Ashwekk L, Davis K, Geyh A (2006) Posttraumatic stress disorder and other psychological sequelae among World Trade Center clean up and recovery workers. Ann NY Acad Sci 1071(1):495–499CrossRef Gross RAZ, Neria Y, Tao X, Massa J, Ashwekk L, Davis K, Geyh A (2006) Posttraumatic stress disorder and other psychological sequelae among World Trade Center clean up and recovery workers. Ann NY Acad Sci 1071(1):495–499CrossRef
go back to reference Haglund ME, Nestadt PS, Cooper NS, Southwick SM, Charney DS (2007) Psychobiological mechanisms of resilience: relevance to prevention and treatment of stress-related psychopathology. J Dev Psychopathol 19:889–920CrossRef Haglund ME, Nestadt PS, Cooper NS, Southwick SM, Charney DS (2007) Psychobiological mechanisms of resilience: relevance to prevention and treatment of stress-related psychopathology. J Dev Psychopathol 19:889–920CrossRef
go back to reference Jacobson E (1938) Progressive relaxation, 2nd edn. University of Chicago Press, Chicago Jacobson E (1938) Progressive relaxation, 2nd edn. University of Chicago Press, Chicago
go back to reference Kales JD, Kales A, Bixler EO, Soldatos CR, Cadieux RJ, Kashurba GJ et al (1984) Biopsychobehavioral correlates on insomnia, V: clinical characteristics and behavioral correlates. Am J Psychiatry 141:1371–1376 Kales JD, Kales A, Bixler EO, Soldatos CR, Cadieux RJ, Kashurba GJ et al (1984) Biopsychobehavioral correlates on insomnia, V: clinical characteristics and behavioral correlates. Am J Psychiatry 141:1371–1376
go back to reference Kecklund G, Akerstedt T (1992) The psychometric properties of the Karolinska Sleep Questionnaire. J Sleep Res 1:1CrossRef Kecklund G, Akerstedt T (1992) The psychometric properties of the Karolinska Sleep Questionnaire. J Sleep Res 1:1CrossRef
go back to reference Kirschbaum C, Pirke KM, Hellhammer DH (1993) The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology 28(1–2):76–81CrossRef Kirschbaum C, Pirke KM, Hellhammer DH (1993) The ‘Trier Social Stress Test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology 28(1–2):76–81CrossRef
go back to reference Kop N, Euwema M, Schaufeli W (1999) Burnout, job stress, and violent behaviour among Dutch police officers. Work Stress 13:326–340CrossRef Kop N, Euwema M, Schaufeli W (1999) Burnout, job stress, and violent behaviour among Dutch police officers. Work Stress 13:326–340CrossRef
go back to reference Laufesweiler-Dwyer DL, Dwyer GR (2000) Profiling those impacted by organizational stressors at the macro, intermediate, and micro levels of several police agencies. Justice Prof 12:443–469CrossRef Laufesweiler-Dwyer DL, Dwyer GR (2000) Profiling those impacted by organizational stressors at the macro, intermediate, and micro levels of several police agencies. Justice Prof 12:443–469CrossRef
go back to reference LeBlanc VR, Regehr C, Jelley RB, Barath I (2008) The relationship between coping styles, performance, and response to stressful scenarios in police recruits. Int J Stress Manag 15(1):76–93CrossRef LeBlanc VR, Regehr C, Jelley RB, Barath I (2008) The relationship between coping styles, performance, and response to stressful scenarios in police recruits. Int J Stress Manag 15(1):76–93CrossRef
go back to reference Liberman AM, Best SR, Metzler TJ, Fagan JA, Weiss DS, Marmar R (2002) Routine occupational stress and psychological distress in police. Polic Int J Police Strateg Manag 25(2):421–439CrossRef Liberman AM, Best SR, Metzler TJ, Fagan JA, Weiss DS, Marmar R (2002) Routine occupational stress and psychological distress in police. Polic Int J Police Strateg Manag 25(2):421–439CrossRef
go back to reference Lord VB (1996) An impact of community policing: reported stressors, social support, and strain among police officers in a changing police department. J Crim Justice 24:503–522CrossRef Lord VB (1996) An impact of community policing: reported stressors, social support, and strain among police officers in a changing police department. J Crim Justice 24:503–522CrossRef
go back to reference Marmar CR, McCaslin SE, Metzler TJ, Best S, Weiss DS, Fagan J et al (2006) Predictors of posttraumatic stress in police and other first responders. Ann NY Acad Sci 1071(1):1CrossRef Marmar CR, McCaslin SE, Metzler TJ, Best S, Weiss DS, Fagan J et al (2006) Predictors of posttraumatic stress in police and other first responders. Ann NY Acad Sci 1071(1):1CrossRef
go back to reference Miller L (2006) Practical police psychology: stress management and crisis intervention for law enforcement. Charles C. Thomas, Springfield Miller L (2006) Practical police psychology: stress management and crisis intervention for law enforcement. Charles C. Thomas, Springfield
go back to reference Mohr DC, Vedantham K, Neylan TC, Metzler TJ, Best S, Marmar CR (2003) The mediation effects of sleep in the relationship between traumatic stress and health symptoms in urban police officers. Psychosom Med 65:485–489CrossRef Mohr DC, Vedantham K, Neylan TC, Metzler TJ, Best S, Marmar CR (2003) The mediation effects of sleep in the relationship between traumatic stress and health symptoms in urban police officers. Psychosom Med 65:485–489CrossRef
go back to reference Morash M, Haarr R, Kwak D-H (2006) Multilevel influences on police stress. J Contemp Crim Justice 22(1):26–43 Morash M, Haarr R, Kwak D-H (2006) Multilevel influences on police stress. J Contemp Crim Justice 22(1):26–43
go back to reference Morgan CA, Southwick S, Hazlett G, Rasmusson A, Hoyt G, Zimolo Z et al (2005) Relationships among plasma dehydroepiandrosterone sulfate and cortisol levels, symptoms of dissociation, and objective performance in humans exposed to acute stress. Arch Gen Psychiatry 61:819–825CrossRef Morgan CA, Southwick S, Hazlett G, Rasmusson A, Hoyt G, Zimolo Z et al (2005) Relationships among plasma dehydroepiandrosterone sulfate and cortisol levels, symptoms of dissociation, and objective performance in humans exposed to acute stress. Arch Gen Psychiatry 61:819–825CrossRef
go back to reference Norvell N, Belles D, Hills H (1998) Perceived stress levels and physical symptoms in supervisory law enforcement personnel. J Police Sci Adm 16:75–79 Norvell N, Belles D, Hills H (1998) Perceived stress levels and physical symptoms in supervisory law enforcement personnel. J Police Sci Adm 16:75–79
go back to reference Otte C, Neylan T, Pole N, Metzler T, Best S, Henn-Haase C et al (2005) Association between childhood trauma and catecholamine response to psychological; stress in police academy recruits. Biol Psychiatry 57:27–32CrossRef Otte C, Neylan T, Pole N, Metzler T, Best S, Henn-Haase C et al (2005) Association between childhood trauma and catecholamine response to psychological; stress in police academy recruits. Biol Psychiatry 57:27–32CrossRef
go back to reference Paton D, Violanti J (1997) Long term exposure to traumatic demands in police officers: behavioural addiction and its management. In: Habermann G (ed) Looking back, moving forward: fifty years of New Zealand psychology. Psychological Society, Wellington, pp 194–201 Paton D, Violanti J (1997) Long term exposure to traumatic demands in police officers: behavioural addiction and its management. In: Habermann G (ed) Looking back, moving forward: fifty years of New Zealand psychology. Psychological Society, Wellington, pp 194–201
go back to reference Petterson I-L, Arnetz BB (1998) Psychosocial stressors and well-being in health care workers: the impact of an intervention program. Soc Sci Med 47(11):1763–1772CrossRef Petterson I-L, Arnetz BB (1998) Psychosocial stressors and well-being in health care workers: the impact of an intervention program. Soc Sci Med 47(11):1763–1772CrossRef
go back to reference Petterson I-L, Arnetz BB, Arnetz JE, Horte L-G (1995) Work environment, skills utilization and health of Swedish nurses—results from a National Questionnaire Study. Psychother Psychosom 64:20–31CrossRef Petterson I-L, Arnetz BB, Arnetz JE, Horte L-G (1995) Work environment, skills utilization and health of Swedish nurses—results from a National Questionnaire Study. Psychother Psychosom 64:20–31CrossRef
go back to reference Philips B, Magan L, Cerhardstein C, Cecil B (1991) Shift work, sleep quality, and worker health: a study of police officers. South Med J 84:1176–1184CrossRef Philips B, Magan L, Cerhardstein C, Cecil B (1991) Shift work, sleep quality, and worker health: a study of police officers. South Med J 84:1176–1184CrossRef
go back to reference Raikkonen K, Lassila R, Keltikangas-Jarvinen L, Hautanen A (1996) Association of chronic stress with plasminogen activator inhibitor-1 in healthy middle-aged men. Arterioscler Thromb Vase Biol 16:363–367CrossRef Raikkonen K, Lassila R, Keltikangas-Jarvinen L, Hautanen A (1996) Association of chronic stress with plasminogen activator inhibitor-1 in healthy middle-aged men. Arterioscler Thromb Vase Biol 16:363–367CrossRef
go back to reference Schultheis K, Peterson L, Selby V (1987) Preparation for stressful medical procedures and person × treatment interaction. Clin Psychol Rev 7(3):329–352CrossRef Schultheis K, Peterson L, Selby V (1987) Preparation for stressful medical procedures and person × treatment interaction. Clin Psychol Rev 7(3):329–352CrossRef
go back to reference Sheehan DC, Van Hasselt VB (2003) Identifying law enforcement stress reactions early. FBI Law Enforc Bull 73:1–13 Sheehan DC, Van Hasselt VB (2003) Identifying law enforcement stress reactions early. FBI Law Enforc Bull 73:1–13
go back to reference Sobrinho LG (2003) Prlactin, psychological stress and environment in humans: adaptation and maladaptation. Pituitary 6:35–39CrossRef Sobrinho LG (2003) Prlactin, psychological stress and environment in humans: adaptation and maladaptation. Pituitary 6:35–39CrossRef
go back to reference Sommer I, Ehlert U (2004) Adjustment to trauma exposure: prevalence and predictors and predictors of posttraumatic stress disorder symptoms in mountain guides. J Psychosom Res 57:329–335 Sommer I, Ehlert U (2004) Adjustment to trauma exposure: prevalence and predictors and predictors of posttraumatic stress disorder symptoms in mountain guides. J Psychosom Res 57:329–335
go back to reference van Hasselt VB, Sheehan DC, Malcolm AS, Sellers AH, Baker MT, Couwels J (2008) The Law Enforcement Officer Stress Survey (LEOSS), evaluation of psychometric properties. Behav Modif 32(1):133–151CrossRef van Hasselt VB, Sheehan DC, Malcolm AS, Sellers AH, Baker MT, Couwels J (2008) The Law Enforcement Officer Stress Survey (LEOSS), evaluation of psychometric properties. Behav Modif 32(1):133–151CrossRef
go back to reference Walker M (1997) Conceptual and methodological issues in the investigation of occupational stress: a case study of police officers deployed on body recovery duty. Polic Soc 7:1–17CrossRef Walker M (1997) Conceptual and methodological issues in the investigation of occupational stress: a case study of police officers deployed on body recovery duty. Polic Soc 7:1–17CrossRef
go back to reference Werneke U, Goldberg DP, Yalcin I, Ustun T (2000) The stability of the factor structure of the General Health Questionnaire. Psychol Med 30:823–829CrossRef Werneke U, Goldberg DP, Yalcin I, Ustun T (2000) The stability of the factor structure of the General Health Questionnaire. Psychol Med 30:823–829CrossRef
go back to reference Whitworth JA, Williamson PM, Mangos G, Kelly JJ (2005) Cardiovascular consequences of cortisol excess. Vasc Health Risk Manag 1:291–299CrossRef Whitworth JA, Williamson PM, Mangos G, Kelly JJ (2005) Cardiovascular consequences of cortisol excess. Vasc Health Risk Manag 1:291–299CrossRef
go back to reference Wright KN, Saylor WG (1991) Male and female employees’ perceptions of prison work: is there a difference? Justice Q 8:508–524 Wright KN, Saylor WG (1991) Male and female employees’ perceptions of prison work: is there a difference? Justice Q 8:508–524
go back to reference Yehuda R, Brand SR, Goleir JA, Yang RK (2002) Current status of cortisol findings in post-traumatic stress disorder. Psychiatr Clin N Am 25(2):341–368CrossRef Yehuda R, Brand SR, Goleir JA, Yang RK (2002) Current status of cortisol findings in post-traumatic stress disorder. Psychiatr Clin N Am 25(2):341–368CrossRef
go back to reference Yehuda R, Brand SR, Goleir JA, Yang RK (2006) Clinical correlates of DHEA associated with post-traumatic stress disorder. Acta Psychiatr Scand Suppl 114:187–193CrossRef Yehuda R, Brand SR, Goleir JA, Yang RK (2006) Clinical correlates of DHEA associated with post-traumatic stress disorder. Acta Psychiatr Scand Suppl 114:187–193CrossRef
Metadata
Title
Assessment of a prevention program for work-related stress among urban police officers
Authors
Bengt B. Arnetz
Eamonn Arble
Lena Backman
Adam Lynch
Ake Lublin
Publication date
01-01-2013
Publisher
Springer-Verlag
Published in
International Archives of Occupational and Environmental Health / Issue 1/2013
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-012-0748-6

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