Mindfulness-based resilience training to reduce health risk, stress reactivity, and aggression among law enforcement officers: A feasibility and preliminary efficacy trial.

Mindfulness-based resilience training to reduce health risk, stress reactivity, and aggression among law enforcement officers: A feasibility and preliminary efficacy trial.
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DOI:
10.1016/j.psychres.2018.03.059
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发表时间:
2018-06
影响因子:
11.3
通讯作者:
Pruessner JC
Pruessner JC
中科院分区:
医学2区
文献类型:
--
作者:
Christopher MS;Hunsinger M;Goerling LRJ;Bowen S;Rogers BS;Gross CR;Dapolonia E;Pruessner JC

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本研究的主要目的是评估执法人员基于正念的复原力培训(MBRT)的可行性并收集初步结果数据。参与者(n = 61)被随机分配到8周MBRT课程或无干预对照组。在基线、训练后和干预完成后三个月收集自我报告和生理数据。出席率,坚持,培训后参与者的反馈,和干预的忠诚协议都证明了MBRT的执法人员的可行性。与没有干预的对照组相比,MBRT参与者在唾液皮质醇、自我报告的攻击性、组织压力、倦怠、睡眠障碍方面有更大的减少,并且在训练后报告了心理灵活性和非反应性的增加;然而,在三个月的随访中,组间差异没有保持。这项初步随机试验表明MBRT是一种可行的干预措施。结果数据表明,MBRT针对执法人员的关键生理,心理和健康风险因素,与改善官员健康和公共安全的潜力一致。然而,可能需要后续培训或“助推器”会议,以保持培训成果。一个充分的动力纵向随机试验是必要的。
The primary objective of this study was to assess feasibility and gather preliminary outcome data on Mindfulness-Based Resilience Training (MBRT) for law enforcement officers. Participants (n = 61) were randomized to either an 8-week MBRT course or a no intervention control group. Self-report and physiological data were collected at baseline, post-training, and three months following intervention completion. Attendance, adherence, post-training participant feedback, and interventionist fidelity to protocol all demonstrated feasibility of MBRT for law enforcement officers. Compared to no intervention controls, MBRT participants experienced greater reductions in salivary cortisol, self-reported aggression, organizational stress, burnout, sleep disturbance, and reported increases in psychological flexibility and non-reactivity at post-training; however, group differences were not maintained at three-month follow-up. This initial randomized trial suggests MBRT is a feasible intervention. Outcome data suggest MBRT targets key physiological, psychological, and health risk factors in law enforcement officers, consistent with the potential to improve officer health and public safety. However, follow-up training or “booster” sessions may be needed to maintain training gains. A fully powered longitudinal randomized trial is warranted.
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