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1 – 10 of over 2000The purpose of this research was to examine which factors increase the risk of post-traumatic stress in police officers to assist with identifying strategies that will minimize…
Abstract
Purpose
The purpose of this research was to examine which factors increase the risk of post-traumatic stress in police officers to assist with identifying strategies that will minimize its occurrence.
Design/methodology/approach
This study of constabulary and non-constabulary members of the New Zealand Police has been based on an 80-question electronic survey, which was sent to all serving, resigned and retired members of the New Zealand Police Association, which number approximately 18,000. The survey included a series of questions that measured the post-traumatic stress that participants experienced.
Findings
Variables associated with post-traumatic stress were examined using logistic regression modeling techniques. The study found that post-traumatic stress was prevalent among serving, resigned and retired police members and exposure to trauma, especially prolonged exposure, was significantly associated with post-traumatic stress. More than 49% of participants were found to have some post-traumatic stress symptoms and more than 14% of participants indicated a presumptive clinical diagnosis of post-traumatic stress.
Research limitations/implications
The limitations of the research included not include questions relating to the Social Provisions Scale (SPS) and General Health Questionnaire, nor did it include police officer recruits. A further limitation was that it was a cross-sectional study.
Originality/value
An understanding as to which variables influence or increase post-traumatic stress disorder is important for police officers and the police institution. The findings from this study indicate that exposure to trauma is strongly associated with high levels of post-traumatic stress, while good sleep and relaxation decrease the influence of such variables.
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Irene Brackenridge and Catrin Morrissey
Literature on trauma and post‐traumatic stress disorder (PTSD) has neglected the needs of people with intellectual disability, particularly those in forensic settings. The…
Abstract
Literature on trauma and post‐traumatic stress disorder (PTSD) has neglected the needs of people with intellectual disability, particularly those in forensic settings. The National Centre for High Secure Learning Disability Services at Rampton Hospital conducted a service evaluation on aspects of trauma experience and post‐trauma symptoms in the current population. File information and self‐reports indicated that most individuals had experienced a great deal of lifetime trauma, typically multiple types of abuse. A high rate of potentially trauma‐related symptoms was noted in files. However, file records of potentially traumatic events, including abuse, were often lacking in detail. There was limited information about the events themselves, and there was no information to suggest that any trauma‐specific assessments had been used to measure trauma exposure or symptoms. PTSD as a diagnosis was rarely considered, and there was little consideration of trauma‐specific interventions. While some individuals said that their experiences had resulted in a lot of distress, others could not talk about the past at all. This paper discusses the problem of assessing past trauma and response in a forensic intellectual disability population, and future directions for practice in forensic services. The service under study plans to address the needs of patients who have experienced trauma and abuse by conducting routine structured assessments, offering adapted evidence‐based psychological interventions where appropriate, and providing trauma‐specific education for staff to promote a compassionate approach.
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Matthew R. Leon, Holly K. Osburn and Thomas Bellairs
Post-traumatic stress disorder (PTSD) affects both civilian and military populations following wartime experiences. However, despite an abundance of research investigating…
Abstract
Post-traumatic stress disorder (PTSD) affects both civilian and military populations following wartime experiences. However, despite an abundance of research investigating civilian and military populations separately, much less focus has been given to synthesizing and integrating findings to describe how civilian and military war survivors are comparatively affected by PTSD. This review is broken down into three sections covering (1) risk factors associated with PTSD, (2) relationships between PTSD and mental health outcomes, and (3) protective factors that can attenuate PTSD and its effects. Each section covers findings for civilians and military personnel and highlights similarities and differences between groups.
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Psychological factors such as post-traumatic stress and depression may play an important role in the recovery after whiplash injuries. Difficulties in psychosocial functioning…
Abstract
Psychological factors such as post-traumatic stress and depression may play an important role in the recovery after whiplash injuries. Difficulties in psychosocial functioning with limitations in everyday life may dominate for some time after the injury. Our study therefore investigates the relationships between pain, post-traumatic stress, depression, and community integration. A set of questionnaires was answered by 191 persons (88 men, 103 women) five years after a whiplash injury to assess pain intensity (visual analogue scale, VAS), whiplash-related symptoms, post-traumatic stress (impact of event scale, IES), depression (Beck depression inventory, BDIII), community integration (community integration questionnaire, CIQ), life satisfaction (LiSat-11). One or more depressive symptoms were reported by 74% of persons; 22% reported scores that were classified as mild to severe depression. The presence of at least one post-traumatic symptom was reported by 70% of persons, and 38% reported mild to severe stress. Total scores of community integration for women were statistically significantly higher than for men. The total VAS score was correlated positively to the IES (r=0.456, P<0.456), the BDI (r=0.646, P<0.001), and negatively to the CIQ (r=-0.300, P<0.001). These results highlight the view that a significant proportion of people experience both pain and psychological difficulties for a long time after a whiplash injury. These findings should be taken into consideration in the management of subjects with chronic whiplash symptoms and may support a multi-professional rehabilitation model that integrates physical, psychological, and psychosocial factors.
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David Hill and Walter Busuttil
Combat Stress, a charity that aims to meet the needs of veterans with psychological disability, often related to their service, is seeing growing demand for the care it offers…
Abstract
Combat Stress, a charity that aims to meet the needs of veterans with psychological disability, often related to their service, is seeing growing demand for the care it offers. This paper explores the impact of post‐traumatic stress disorder on veterans. In many cases, this is associated with subsequent substance misuse. In describing Combat Stress's approach to helping these individuals, it argue that mainstream and other non‐statutory service providers should develop their screening and assessment services to help meet veterans' needs.
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Christine Stephens and Ian Miller
Police duties place many officers at risk of traumatic stress and subsequent development of symptoms of post‐traumatic stress disorder (PTSD). A survey of 527 New Zealand Police…
Abstract
Police duties place many officers at risk of traumatic stress and subsequent development of symptoms of post‐traumatic stress disorder (PTSD). A survey of 527 New Zealand Police officers was carried out to investigate the prevalence of PTSD and its relationship with traumatic experiences, both on and off the job. The results showed that the prevalence of PTSD in the New Zealand Police is comparable with that in other civilian populations who have experienced trauma. The number of reported traumatic events was positively correlated with the intensity of PTSD symptoms. Traumatic events experienced while on duty as a police officer were more strongly correlated with PTSD, and chronic experience of the same type of event predicted higher PTSD scores. The results are discussed in terms of implications for police organizations whose members are at risk of multiple traumatic experiences.
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Clare S. Allely and Bob Allely
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…
Abstract
Purpose
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.
Design/methodology/approach
A literature review was carried out exploring studies that have investigated PTSD in incarcerated populations to identify current clinical considerations and recommendations.
Findings
This paper explores the key findings from the literature and highlights the important clinical implications and recommendations.
Originality/value
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.
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Alex Fraess-Phillips, Shannon Wagner and R. Luke Harris
The purpose of this paper is to provide a review of the literature with respect to traumatic stress in a firefighting context. The goal was to provide a clear and concise review…
Abstract
Purpose
The purpose of this paper is to provide a review of the literature with respect to traumatic stress in a firefighting context. The goal was to provide a clear and concise review intended for use by both researchers and practitioners. Firefighters are an under-researched group in the academic literature and updated review articles are necessary to advance this body of work.
Design/methodology/approach
Searches of the English language literature on firefighters and traumatic stress were completed and supplemented with a review of clinical information related to post-traumatic stress disorder (PTSD). The search was comprehensive but was not guided by systematic review guidelines.
Findings
Research regarding firefighters and traumatic stress is limited and inconsistent in outcome. Much of the available literature supports a link between fire service work and increased post-traumatic symptomatology; however, some research has neglected to demonstrate a relationship for these factors. Some efforts such as the training of coping skills and team building may improve firefighters’ resilience to PTSD, while therapeutic and psychopharmacological treatments may be effective in reducing PTSD progression.
Originality/value
To the authors’ knowledge, no previous paper is available that has specifically intended to address firefighters and traumatic stress in a review format for researchers and practitioners. In the authors’ experience, fire service members are eager for literature addressing their profession and presented in a manner accessible for both non-academic and academic audiences.
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Elizabeth Payne, Andrew Watt, Paul Rogers and Mary McMurran
Life‐long trauma histories and PTSD symptoms in 26 life sentence prisoners detained in a British Category B prison were examined. Prisoners were categorised on the basis of…
Abstract
Life‐long trauma histories and PTSD symptoms in 26 life sentence prisoners detained in a British Category B prison were examined. Prisoners were categorised on the basis of whether index offence violence resulted in human fatality, and whether reactive or instrumental violence was used in the index offence. Symptom measures included the Impact of Events Scale ‐ Revised and the Posttraumatic Stress Diagnostic Scale. Eight prisoners (31%) met all DSM‐IV criteria for current PTSD diagnosis. Partial PTSD was common in the remaining prisoners. Number of PTSD symptoms was unrelated to both the act of killing and the nature of violence. The rate of trauma prior to index offences was positively related to intrusive, avoidant and hyperarousal symptoms attributed by the prisoners to their index offence. The results suggest that prior trauma sensitised prisoners' traumatic reactions to their offences.
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Anna Egeressy, Tony Butler and Mick Hunter
Background: Post‐traumatic stress disorder (PTSD) is over represented in the prisoner population and is predictive of violence and suicide. This raises issues in relation to…
Abstract
Background: Post‐traumatic stress disorder (PTSD) is over represented in the prisoner population and is predictive of violence and suicide. This raises issues in relation to prisoner management, as well as theoretical issues such as why there is a range of vulnerability for PTSD. The current study examines the relationship between PTSD and personality profiles of prisoners. Method: Data from 1305 participants in the NSW survey of health in prisoners are examined to identify relationships between personality profiles derived from the Temperament and Character Inventory (TCI) and PTSD. Participants are grouped as experiencing no trauma; with a trauma history but no PTSD; and being diagnosed with PTSD. A logistic regression modelled significant predictors of PTSD. These data indicated that women prisoners report PTSD at twice the rate of males. An increased risk for PTSD is associated with high Harm Avoidance, low Self‐Directedness, high Persistence and high Self‐Transcendence. Conclusions: A combination of both temperament and character traits influences the trajectory towards PTSD development. Targeted treatment of these traits is needed in addressing the problems of prisoners with PTSD and managing the associated risks of violence and suicide.
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