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

 描述(申请人提供)：成功的警务需要快速和不偏不倚的决策，良好的情绪调节技能和心理韧性。然而，执法人员(LEO)经常暴露在与工作相关的高强度压力和创伤中，因此，出现不利心理健康后果的风险增加。这些心理健康问题反过来又是狮子座之间他人和自我导向的暴力行为背后的一些主要机制。狮子座的过度使用武力，包括不正当的枪击，经常成为全国头条，被许多人认为是美国最严重、最具争议性的人权问题之一。以前的研究表明，在使用枪支时做出快速决定时，狮子座人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由于压力等因素而受到损害时，情况尤其如此。同样，狮子座自杀的关键先兆包括慢性压力、暴露在创伤中、酗酒和抑郁。狮子座压力带来的巨大的个人、社会和经济代价，包括无理的枪击和自杀，表明显然需要创新和新颖的预防计划来促进福祉和减少暴力。鉴于其对许多狮子座自我和他人导向的暴力行为的先兆的明显影响，一种可能的方法是专门为狮子座开发的改编的基于正念的压力减轻(MBSR)计划。因此，这项建议的主要目标是：(1)评估招聘的可行性，遵守计划 (2)确定调整后的MBSR计划(基于正念的复原力训练)对他人和自我定向暴力的前兆的影响，以及在促进狮子座人的心理复原力和情绪调节方面的影响。有很有希望的初步证据表明，正念是狮子座人减少压力及其负面结果、增强韧性和情绪调节、最终减少他人和自我定向暴力的有效策略。拟议的项目将使用试点可行性RCT来测试MBRT的影响。这项研究将产生关于招募的可行性、遵守计划干预和遵守评估工具的重要信息。这是我们所知道的第一项将系统地评估基于正念的干预对LEOS的影响的研究，通过拟议的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，以检验MBRT在减少暴力方面的效果。

 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.