A Pilot Trial of Mindfulness-Based Resilience Training among Police Officers

警务人员基于正念的复原力训练试点试验

• 批准号: 9116086
• 负责人: MICHAEL CHRISTOPHER
• 金额: $ 17.25万
• 依托单位: PACIFIC UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2018-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9116086
• 关键词: Adherence; Aggressive behavior; Anger; Anxiety; Assessment tool; Chronic stress; Clinical Trials; Cognitive; Communities; Control Groups; Data; Decision Making; Effectiveness; Emotional; Emotional Intelligence; Exposure to; Family; Fatigue; Feeling suicidal; Firearms; Foundations; General Population; Health; Human Rights; Hydrocortisone; Intervention; Law Enforcement Officers; Link; Measures; Mental Depression; Mental Health; Outcome; Pain interference; Participant; Patient Self-Report; Personal Satisfaction; Physiological; Pilot Projects; Play; Police; Police officer; Preparation; Prevention program; Process; Protocols documentation; Recruitment Activity; Research; Resources; Risk; Role; Safety; Salivary; Sleep disturbances; Stereotyping; Stress; Suicide; Testing; Time; Training; Trauma; Unconscious State; United States; Violence; Work; alcohol misuse; base; burnout; cognitive control; contextual factors; coping; cost effective; economic cost; emotion regulation; experience; improved; innovation; intervention program; mindfulness; mindfulness intervention; mindfulness-based stress reduction; negative affect; novel; physical conditioning; pilot trial; post-traumatic stress; programs; psychologic; resilience; response; retention rate; simulation; skills; social; social group; stressor; suicide rate; therapy design

 DESCRIPTION (provided by applicant): Successful policing requires rapid and unbiased decision-making, well-developed emotion regulation skills, and psychological resilience. However, law enforcement officers (LEOs) are frequently exposed to intensive work-related stress and trauma, and consequently, are at elevated risk of adverse mental health outcomes. These mental health issues in turn are some of the primary mechanisms underlying other- and self-directed violence among LEOs. The excessive use of force by LEOs, including unjustified shootings, frequently captures national headlines and is considered by many to be one of the most serious and divisive human rights issues in the United States. Previous research suggests that LEOs can be impacted by various factors when making rapid decisions while using firearms, including a lack of careful consideration of contextual factors and unconscious racial stereotypes. This is especially true when their cognitive and emotional resources are compromised due to factors such as stress. Similarly, key precursors to suicide among LEOs include chronic stress, exposure to trauma, alcohol misuse, and depression. The substantial personal, social, and economic costs of LEO stress, including unjustified shootings and suicide, suggest a clear need for innovative and novel prevention programs to promote well-being and reduce violence. Given its demonstrated impact on many of the precursors to self- and other-directed violence among LEOs, one possible approach is an adapted Mindfulness-Based Stress-Reduction (MBSR) program, developed specifically for LEOs. Therefore, the primary objectives of this proposal are to: (1) assess the feasibility of recruitment, adherence to program intervention, and compliance with assessment instruments, and (2) determine the impact of an adapted MBSR program (Mindfulness-Based Resilience Training) on precursors to other- and self-directed violence, and in promoting psychological resilience and emotion regulation among LEOs. There is promising preliminary evidence suggesting that mindfulness is an effective strategy for LEOs to decrease stress and its negative outcomes, enhance resilience and emotion regulation, and ultimately reduce other- and self-directed violence. The proposed project will test the impact of MBRT using a pilot feasibility RCT. This research will generate important information on the feasibility of recruitment, adherence to program intervention, and compliance with assessment instruments. This is the first research that we are aware of that will systematically evaluate the impact of a mindfulness-based intervention on LEOs, and data obtained through the proposed study will build on our existing work to provide support for a larger RCT examining the efficacy of MBRT in reducing violence.

 描述（由申请人提供）：成功的警务需要快速和公正的决策、发达的情绪调节技能和心理弹性。然而，执法人员（LEO）经常暴露在密集的工作相关的压力和创伤，因此，在不利的心理健康结果的风险增加。这些心理健康问题反过来又是低地球轨道国家之间其他和自我导向的暴力的一些主要机制。低地球轨道物体过度使用武力，包括不合理的枪击事件，经常成为全国性的头条新闻，许多人认为这是美国最严重和最具分裂性的人权问题之一。先前的研究表明，低地球轨道交通在使用枪支时做出快速决策时可能会受到各种因素的影响，包括缺乏对背景因素的仔细考虑和无意识的种族刻板印象。当他们的认知和情感资源因压力等因素而受到损害时，尤其如此。同样，低收入人群自杀的关键前兆包括慢性压力、创伤、酒精滥用和抑郁。狮子座压力的巨大的个人，社会和经济成本，包括不合理的枪击和自杀，表明显然需要创新和新颖的预防计划，以促进福祉和减少暴力。鉴于它对低地球轨道上的自我和他人暴力的许多前兆的影响，一种可能的方法是一个适应的正念减压（MBSR）计划，专门为低地球轨道上的人开发。因此，本提案的主要目标是：（1）评估招聘的可行性， 干预，并遵守评估工具，（2）确定适应MBSR计划（正念为基础的复原力训练）对其他和自我导向的暴力前兆的影响，并促进心理弹性和情绪调节之间的LEO。有初步证据表明，正念是一种有效的策略，可以减少压力及其负面结果，增强弹性和情绪调节，并最终减少其他和自我导向的暴力。拟议项目将使用试点可行性随机对照试验测试MBRT的影响。这项研究将产生重要的信息，招聘的可行性，坚持程序干预，并遵守评估工具。据我们所知，这是第一项系统评估基于正念的干预对低地球轨道生物的影响的研究，通过拟议研究获得的数据将建立在我们现有工作的基础上，为更大规模的随机对照试验提供支持，以检查MBRT在减少暴力方面的功效。

项目成果

Mindfulness Training, Implicit Bias, and Force Response Decision-making.

• DOI: 10.1007/s12671-019-01213-8
• 发表时间: 2019-12
• 期刊: Mindfulness
• 影响因子: 3.6
• 作者: Hunsinger M;Christopher M;Schmidt AM
• 通讯作者: Schmidt AM

ROLE OF RESILIENCE IN MINDFULNESS TRAINING FOR FIRST RESPONDERS.

• DOI: 10.1007/s12671-017-0713-2
• 发表时间: 2017-10
• 期刊: Mindfulness
• 影响因子: 3.6
• 作者: Kaplan JB;Bergman AL;Christopher M;Bowen S;Hunsinger M
• 通讯作者: Hunsinger M

Differential impact of mindfulness practices on aggression among law enforcement officers.

• DOI: 10.1007/s12671-019-01289-2
• 发表时间: 2020-03
• 期刊: Mindfulness
• 影响因子: 3.6
• 作者: Ribeiro L;Colgan DD;Hoke CK;Hunsinger M;Bowen S;Oken BS;Christopher MS
• 通讯作者: Christopher MS

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

• DOI: 10.1016/j.psychres.2018.03.059
• 发表时间: 2018-06
• 期刊: Psychiatry research
• 影响因子: 11.3
• 作者: Christopher MS;Hunsinger M;Goerling LRJ;Bowen S;Rogers BS;Gross CR;Dapolonia E;Pruessner JC
• 通讯作者: Pruessner JC

A Qualitative Investigation of the Experience of Mindfulness Training among Police Officers.

• DOI: 10.1007/s11896-019-09340-7
• 发表时间: 2021-03
• 期刊: Journal of police and criminal psychology
• 影响因子: 1.6
• 作者: Eddy A;Bergman AL;Kaplan J;Goerling RJ;Christopher MS
• 通讯作者: Christopher MS