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The purpose of the present study is to examine associations between post‐traumatic stress disorder (PTSD) symptoms and salivary cortisol parameters.

PTSD symptoms and cortisol responses were measured in a random sample of 100 police officers. The impact of event scale (IES) categorized into subclinical, mild, moderate and severe levels was employed to measure PTSD symptoms. Cortisol was analyzed from saliva samples over a period of three days and included an awakening response, high protein lunch challenge, whole day (diurnal), and a dexamethasone suppression test (DST).

Officers in moderate and severe PTSD symptom categories had higher mean awakening cortisol values. A significant sample‐time by PTSD interaction (p=0.008) was found for awakening cortisol responses. Officers in the severe PTSD symptom category showed a blunted response to the cortisol protein meal challenge compared to those in lower PTSD categories. Diurnal cortisol levels suggested an increasing trend across subclinical to severe PTSD categories respectively (p=0.15 test for trend). DST ratios were lower in moderate and severe PTSD symptom categories (6.86 and 8.03 respectively) than in the subclinical and mild categories (9.32 and 10.43 respectively).

The sample was not representative of all police in the USA. These results suggest that associations between psychological trauma symptoms and dysregulation of cortisol patterns may exist and could possibly affect future health outcomes in police officers.

Exposure to trauma and disaster events emphasizes the need to further investigate the health impact of PTSD on police personnel as well as other first responder groups.

This article will not only be of interest to those in the police service but to the general public. The present study may serve to provide a guide for larger police population investigations on PTSD and physiological impact.

Post-traumatic stress disorder (PTSD) may have a detrimental impact on the individual’s ability to benefit from rehabilitative prison-based programmes, and studies have also found that there is an association between PTSD and higher rates of re-offending. Studies have also found that a significant number of cases of trauma and PTSD go undetected and therefore untreated in individuals who are incarcerated.

A literature review was carried out exploring studies that have investigated PTSD in incarcerated populations to identify current clinical considerations and recommendations.

This paper explores the key findings from the literature and highlights the important clinical implications and recommendations.

To the authors’ knowledge, this is the first paper focusing specifically on how the findings from the literature can inform clinical practice and also what factors need to be given greater consideration, going beyond the current systematic and literature reviews in the field.

The female jail population is steadily growing in rural jails across the country. Detainees have high rates of mental health and substance use disorders, some of which are linked to violent offenses. These conditions include post-traumatic stress disorder (PTSD), panic disorder (PD) and alcohol use disorder (AUD). This study aims to examine the associations between these disorders among females charged with violent offenses.

The sample consists of 167 female detainees from local rural jails in the USA. To assess participants’ behavioral health, the Comprehensive Addictions and Psychological Evaluation – 5 (CAAPE-5) was administered. The associations between PTSD, PD, AUD and violent offenses were investigated using bivariate statistics and multivariate logistic regression.

Over half of the female detainees in the sample met criteria individually for PTSD, PD or AUD, substantiating previous work on prevalence rate. Of the sample, only 10% were charged with violent offenses, from which the predominant condition reported was PTSD. Among detainees arrested for violent offenses, 69% also met criteria for PTSD, 56% for AUD and 44% for PD. Multivariate results indicate AUD was the only significant predictor for violent offenses.

Female detainees experience trauma and mental health conditions at high rates. Research-informed mental health care may result in increased treatment efficacy. Provided the links between PTSD, PD and AUD, special considerations for this population should address interpersonal factors in treatment that may relate to violent offenses.

Little research exists examining female jail detainees and the implications of AUD, PTSD and PD on violent offending. To the authors' knowledge, this is the first study to examine the relationship between AUD, PTSD and PD in female jail detainees with violent offenses.

The purpose of this paper is to investigate the moderating role of psychopathy facets on the relationship between traumatic exposure and posttraumatic stress disorder (PTSD) symptomology.

Participants were male prisoners incarcerated in the UK.

The analysis revealed differential associations between the two facets of psychopathy, with potentially traumatic events and symptoms of PTSD. Specifically, neither primary psychopathy nor trauma exposure were significantly related to PTSD, while secondary psychopathy was positively and significantly related with PTSD symptoms. Furthermore, the effect of trauma exposure on PTSD was found to depend on the level of secondary psychopathy. More specifically, trauma exposure was strongly and positively associated with PTSD symptoms for low levels of secondary psychopathy and negatively associated with PTSD symptomology for individuals with high levels of secondary psychopathy.

The findings clarify linkages among psychopathy facets, trauma, and PTSD, and extend the understanding of the presentation of PTSD in male prisoners.

The purpose of this paper is to describe and discuss assessment of post-traumatic stress disorder (PTSD) in adults with intellectual disabilities. Existing research in this area encompasses case studies, and includes, for the most part, persons with mild intellectual disabilities.

The aim of this study is to investigate symptom presentation and subsequent identification of PTSD in persons with more severe intellectual disabilities; i.e. persons with moderate or severe intellectual disabilities. Five patients in a specialised psychiatric inpatient unit for patients with intellectual disabilities were included. Information about the patients was collected through case files and interviews with key informants: family, milieu therapists, and caregivers in community settings, and observations through inpatient admission. The authors of this paper followed a training programme for trauma therapists in addition to the inpatient treatment of the five patients. The five patients all met criteria for PTSD according to the Diagnostic Manual – Intellectual Disability.

Previously, it was not suspected that the five patients suffered from PTSD, although they had experienced terrifying incidents. All patients displayed severe changes in behaviour, which may have overshadowed symptoms of PTSD. PTSD in persons with more severe intellectual disabilities may be interpreted as challenging behaviour, or other psychiatric disorders such as psychosis.

The limitation of the study is the small number of participants.

Practical implication is linked to clinical practice related to identification of PTSD in persons with intellectual disabilities.

The paper may encourage more research into how PTSD can be identified in persons with moderate and severe intellectual disabilities. The case reports may help clinicians to look for traumatic experiences in persons with intellectual disabilities who have experienced terrifying incidents.

Given the amount of research examining the association between trauma and post-traumatic stress disorder (PTSD) with aggression and violence, few studies have focussed on a UK prison population. Additionally, few have examined the relationship between PTSD symptoms, aggression and violence perpetrated in custody. The purpose of this paper is to explore the association between PTSD and violence against the person in prison, and the association between PTSD and having a conviction for violence against the person.

The sample consisted of 110 participants from a male prison in England (young offenders and adult prisoners). They were assessed for PTSD symptoms using the Detailed Assessment of Posttraumatic Stress (DAPS; Briere, 2001), their criminal history and custodial behaviour was analysed.

The findings revealed that symptoms of PTSD were significantly associated with violence in prison, however, symptoms of PTSD were not found to be significantly associated with having a violent conviction. Further analysis using logistic regression found having a violent conviction, age and PTSD symptoms were significant predictors of violence in prison.

The limitations of this study are the reliance on a self-report measure to assess symptoms of PTSD, the small sample size and the absence of a control group.

The results highlighted the need for staff training and the availability of a service to assess and treat PTSD. This would increase the well-being of offenders and support the current HM Prison Service violence reduction strategies.

This study provides new research into the UK prison population.

Unaccompanied refugee minors (URMs) are known to be subjected to several potentially traumatic life events, risking more mental health problems than other populations of same age. Evidence concerning the mental health of Eritrean URMs in Ethiopia is scarce. This paper aims to present an estimate of probable posttraumatic stress disorder (PTSD) within this group and describes its associations with traumatic life events and participants’ characteristics.

This cross-sectional quantitative study surveyed a random sample of 384 Eritrean URMs, aged 12–17 years, in the Shimelba refugee camp. The Stressful Life Events (SLE) questionnaire and the Reactions of Adolescents to Traumatic Stress (RATS) questionnaire were used to assess traumatic events and PTSD symptoms, respectively. Descriptive statistics, the chi-square test with the odds-ratio and stepwise regression were used to analyze data.

Large proportions of the URMs had experienced traumatic events including physical abuse (261, 68%), separation from family against will (240, 62.5%), a stressful life event in which they were in danger (198, 51.6%), and important changes in family life (196, 51%). About 38% of the URMs met the criteria for classifying probable PTSD diagnosis, suggesting that they are likely to have PTSD. The odds-ratio statistic revealed that girls and the oldest age group (15–17 years) were at a greater risk for PTSD. The total score on the SLE appeared to be the robust predictor, explaining 28% of the variance in RATS total scores.

Self-report questionnaires used in this study yield less diagnostic information than extensive interviews. Additional information should be collected from the viewpoint of significant adults (caregivers/ teachers). Such information would be crucial in assessing the degree of impairment in daily functioning and the severity of the symptoms.

Awareness of the stressful experiences and the mental health status of the URMs has implications for taking preventive and curative measures to provide a broad range of intervention programs and psychosocial support.

Three main objectives of this study were as follows: (1) To estimate the prevalence rate of post-traumatic stress disordered (PTSD) symptoms among Saudi paramedics, (2) To investigate which types of coping strategies were associated with PTSD symptoms among Saudi paramedics, (3) To explore which sources of social support were associated with PTSD symptoms among Saudi paramedics.

Data were collected from 217 paramedics working in the Saudi Red Crescent Authority from September to December 2019. Participants completed questionnaires measuring PTSD symptoms (the Screen of Post-Traumatic Stress Disorders; SPTSD), passive and active coping strategies (Brief COPE Scale; BC), and three forms of social support: support from friends, family and organizational support. Associations between coping strategies, social support and PTSD symptoms were investigated using correlational analyses, hierarchical linear regression and binary logistic regression.

46% of participants experienced one or more PTSD symptom, 28.6% scored above the cut-off for partial PTSD and 17.5% scored above the cut-off for full PTSD. PTSD symptoms were significantly positively correlated with passive coping and negatively associated with both family and friends support. Passive coping was positively associated with a greater risk of meeting criteria for PTSD.

The current findings suggest that interventions to help reduce PTSD in Saudi paramedics should include strategies to reduce passive coping. Future research is urgently required to help understand the psychological, social and work-related factors that contribute to these high levels of PTSD.

The purpose of this paper is to examine the relationship between posttraumatic stress disorder (PTSD) symptoms and poor general health reported by female victims of intimate partner stalking (IPS) and victims’ forgiveness or lack of forgiveness towards their perpetrators, controlling for escalation of stalking, age of victims and dispositional forgiveness.

A total of 120 Italian female victims of IPS, who had obtained an administrative protective order (PO) issued by police in stalking cases (Ammonimento), took part in a retrospective study that examined the relationship between the presence or absence of victims’ forgiveness of perpetrators and victims’ PTSD symptoms and general well-being. Interviews took place after one, two or three years following the PO.

All participants reported some level of direct or indirect stalking, and up to 98 per cent had suffered both. In half of all cases, a PO had been breached within a year of its issuance. Positive forgiveness was not associated with lower PTSD symptoms and was marginally associated with well-being. Negative forgiveness (e.g. holding a grudge, desiring revenge) was associated with greater PTSD symptoms; holding a grudge was significantly associated with poorer general health.

Victims of IPS experience a state of fear and anxiety due to the constant risk of being attacked, followed and controlled. Compared to studies about the protective role of forgiveness in community couples, this study found that among couples where stalking is present not only positive forgiveness does not take place at the same rate, but it is also not associated with the increased well-being. On the contrary, lack of forgiveness by stalked victims was related to PTSD symptoms and poorer health. Harbouring negative feelings, such a desire for revenge and holding a grudge towards a perpetrator, worsened woman’s mental health. These findings are novel and may assist the criminal justice system, law enforcement and service providers in their efforts to help women who are victims of IPS.

This study addresses the relationship between forgiveness and lack of forgiveness among victims of IPS and PTSD symptoms and victims’ poor health. Although longitudinal studies are needed to establish any causal relationship between stalking and mental health and the possibly mediating effects of forgiveness, this study is a first contribution to this important field of inquiry.

This study aims to investigate the effects of resilience and social support on post-traumatic stress disorder (PTSD) in a sample of 121 veterans (n = 56) and civilians (n = 65).

Gender, age and marital status were collected, along with occupation for civilians and the unit served with, rank, length of time deployed, overall months active and location for veterans. The trauma experiences scale for civilians, the PTSD checklist for civilian and military, Resilience Research Centre’s Adult Resilience Measure-28, Multidimensional Scale of Perceived Social Support and the Deployment Risk and Resiliency Inventory-2 scales were used.

The results revealed for both samples, resilience and social support (except unit support for veterans) impacted PTSD symptoms. However, social support did not mediate the relationship between resilience and PTSD.

Implications for policy and practice were discussed.

The originality of this research stems from the incorporation of both a civilian and military sample by comparing their levels of PTSD, resilience and social support.