POSTTRAUMATIC STRESS IN POLICE OFFICERS

说明(摘自申请者摘要)：建议的研究目标 增加有关心理、行为和心理的科学知识， 和警察对创伤应激的社会反应，包括 暴露于暴力，以及与暴露于更常规的 行政、管理和社区关系的压力源。两个小组 横断面调查和临床访谈亚样本(CIS)设计为 建议。试验组将由700名被抽调的警察组成 来自三个主要城市部门：纽约警察局，奥克兰 警察局和圣何塞警察局。对照组 包括350个病例对照，人口统计匹配，同行提名 公民，不在警察或紧急服务专业工作。这个 警方样本将包括350名巡逻人员，350名侦探，140名女性 军官，140名非裔美国军官和140名西班牙裔军官。两者都有 小组将完成一份两小时的自我报告问卷，以评估 生活和工作相关的创伤应激源暴露、日常工作压力 暴露、创伤后应激症状、一般精神症状、工作 和人际功能，身体健康，和选定的风险 保护性因素。独联体将由200名警察组成，平均分为 四组：高暴露/高PTSD症状反应；高暴露/低暴露 创伤后应激障碍症状反应；低暴露/高创伤后应激障碍症状反应； 暴露/低创伤后应激障碍症状反应。独联体将接受采访， CAPS、SCID和DSM-IV现场试验创伤史访谈，并将 完成风险和保护因素的其他措施。这个 调查人员将检查创伤暴露和反应的模式，以及 它们与工作环境、军官和控制员之间的关系。在……里面 受访官员我们将比较调查和面试评估， 确定诊断状态，并检查风险和依赖关系，强调 一生暴露在创伤、个性、信仰和反应中的作用， 一般的分离倾向，以及肿瘤周围的分离。

DESCRIPTION (Adapted from applicant's abstract): The proposed research aims to increase scientific knowledge concerning the psychological, behavioral, and social responses of police officers to traumatic stress, including exposure to violence, along and in combination with exposure to more routine administrative, managerial, and community relations stressors. A two-group cross-sectional survey and a Clinical Interview Subsample (CIS) design is proposed. The experimental group will consist of 700 police officers drawn from three major urban departments: New York Police Department, Oakland Police Department, and San Jose Police Department. The control group consists of 350 case-control, demographically matched, peer-nominated citizens, not working in police or emergency services professions. The police sample will include 350 patrol officers, 350 detectives, 140 women officers, 140 African American officers, and 140 Hispanic officers. Both groups will complete a two hour self-report questionnaire package to assess lifetime and work-related traumatic stressor exposure, routine work stress exposure, posttraumatic stress symptoms, general psychiatric symptoms, work and interpersonal functioning, physical health, and selected risk and protective factors. The CIS will comprise 200 police equally divided into four groups: high exposure/high PTSD symptom response; high exposure/low PTSD symptom response; low exposure/high PTSD symptom response; and low exposure/low PTSD symptom response. The CIS will be interviewed with the CAPS, the SCID and the DSM-IV field trial trauma history interview, and will complete additional measures of risk and protective factors. The investigators will examine patterns of trauma exposure and response, and their relation to the work environment, in officers and controls. In interviewed officers we will compare survey and interview assessments, determine diagnostic status, and examine risk and reliance, highlighting the roles of lifetime exposure to trauma, personality, beliefs and reactions, general dissociative tendencies, and peritraumatic dissociation.