Addictions and the Criminal Justice System, What Happens on the Other Side? Post-traumatic Stress Symptoms and Cortisol Measures in a Police Cohort
Addictions and the Criminal Justice System, What Happens on the Other Side? Post-traumatic Stress Symptoms and Cortisol Measures in a Police Cohort
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DOI：
10.3109/10884602.2011.645255
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发表时间：
2012-02-01
影响因子：
1.5
通讯作者：
Hartley, Tara A.
中科院分区：
文献类型：
--
作者：
Austin-Ketch, Tammy L.;Violanti, John;Hartley, Tara A.
布法罗代谢性职业警察压力研究是一项对警察进行的职业队列研究，旨在评估高危职业中的生理和压力措施，在高危职业中，职业暴露于困难的犯罪情况可能导致执法人员的生理和心理健康后果。长期遭受人间悲剧可能会使警察面临精神疾病的特殊风险，并有可能滥用酒精或毒品。虽然这项研究没有确定创伤后应激的确切病因，但警察的总体创伤后应激（PTS）患病率为35%，其中10%的人表现出严重的PTS症状。觉醒皮质醇措施往往是较高的人员与更多的PTS神经病学，与一些性别相关的差异。鉴于过去20年来因成瘾相关犯罪而入狱的人数增加，以及人类长期遭受痛苦和悲剧，早期识别PTS症状对于诊断高危职业群体的创伤后应激至关重要。提供早期治疗，随后试图消除或尽量减少创伤后应激反应的长期后果，可以对预防慢性应激反应的长期后遗症产生重大影响，例如使用或滥用药物或酒精。
The Buffalo Cardio-metabolic Occupational Police Stress study, an occupational cohort study of police officers, was conducted to evaluate physiologic and stress measures in a high-risk occupation where occupational exposure to difficult criminal situations can lead to physiologic and psychological health consequences among those who enforce the law. The chronic exposure to human tragedy may place police officers at special risk for mental health disorders and the potential for misuse of alcohol or drugs. While exact etiologies of post-traumatic stress were not determined by this study, overall post-traumatic stress (PTS) prevalence rates among the police officers was 35%, with 10% of individuals demonstrating severe PTS symptomatology. Waking cortisol measures tended to be higher among officers with more PTS symptomatology, with some gender related differences noted. Given the increase in incarcerations for addictions related offenses over the past 20 years and the chronic exposure to human suffering and tragedy, early recognition of PTS symptoms is essential in making the diagnosis of post-traumatic stress in high-risk occupational cohorts. Providing early entry into treatment and subsequently attempting to eliminate or minimize long-term consequences of post-traumatic stress can have a significant impact on the prevention of long term sequelae of chronic stress, such as the use or misuse of drugs or alcohol.