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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.

The purpose of this paper is to highlight the stressors involved in an occupation at potential risk – the profession of law enforcement.

The paper reviews the history of police stress studies. It describes prevention and treatment programs that have unfortunately not been sufficiently utilized because of the police culture.

The documented symptoms of stress include digestive orders, cardiovascular diseas, alcoholism, domestic violence, post‐traumatic stress disorder, depression and suicide. While some police officers start their careers in excellent physical health, some retire early or even die from job‐related stress disorders if the cumulative impact of stress exacts its toll.

The paper offers a description of COP.2.COP a confidential hotline for officers and their families staffed by retired officers and licensed professionals.

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.

The purpose of this paper is to examine the extent to which negative online risk experiences (information breaches, explicit content exposure, cyberbullying and sexual solicitations) cause post-traumatic stress disorder (PTSD) symptoms in adolescents. The study also explores whether teens’ short-term coping responses serve to mitigate PTSD or, instead, act as a response to stress from online events.

The study utilized a web-based diary design over the course of two months. Data were analyzed using hierarchical linear modeling with repeated measures.

The study confirmed that explicit content exposure, cyberbullying and sexual solicitations (but not information breaches) evoke symptoms of PTSD. Analyses also indicated that teens engage in active and communicative coping after they experience post-traumatic stress, regardless of risk type or frequency.

The authors found that teens took active measures to cope with online risks soon after they felt threatened (within a week). Actively coping with stressful situations has been shown to enhance adolescent resilience and reduce long-term negative effects of risk exposure. If these early coping behaviors can be detected, social media platforms may be able to embed effective interventions to support healthy coping processes that can further protect teens against long-term harm from exposure to online risks.

This is the first study to examine situational PTSD symptoms related to four types of adolescent online risk exposure within the week exposure occurred. By applying two competing theoretical frameworks (the adolescent resilience framework and transactional theory of stress), the authors show empirical evidence that suggests short-term coping responses are likely a stress reaction to PTSD, not a protective factor against it.

There are ongoing concerns that asylum seekers who have been tortured and who suffer trauma‐related mental disorders are being refused protection by countries in which they seek asylum. The study described here assessed a consecutive sample of recently arrived asylum seekers attending immigration agents in Sydney, Australia, using a series of structured measures. Participants were followed up to assess the outcomes of their refugee applications. The 73 participants, who had resided in Australia for an average of 4.3 months, reported high rates of torture (51%), and that group was at highest risk of suffering a combination of post‐traumatic stress disorder (PTSD) and major depression, a response pattern associated with substantial levels of psychosocial disability. Neither past torture nor current psychiatric disorder influenced the outcomes of refugee applications. The study raises further concerns that tortured asylum seekers and others with trauma‐related mental disorder may be at risk of repatriation to their countries of origin.

Veterans with post-traumatic stress disorder (PTSD) have high lifetime rates of smoking and often have substantial difficulty quitting. However, relatively little research has focussed on the use of Veterans Health Administration (VHA) intensive tobacco cessation counseling services by veterans with PTSD and the characteristics of veterans with PTSD who do and do not use these services. The paper aims to discuss these issues.

The present study is an analysis of national VHA administrative data fiscal year 2012 that identified utilization rates of VHA intensive tobacco cessation counseling among veterans with diagnoses of both PTSD and tobacco use disorder (TUD) (N=144,990) and the correlates of tobacco cessation counseling use.

Altogether, 7,921 veterans with PTSD diagnosed with TUD used VHA tobacco cessation services (5.5 percent). Veterans with PTSD who used tobacco cessation counseling services were more likely to have been homeless, to have a comorbid drug use disorder, and had used other VHA services more frequently than their counterparts who did not access tobacco cessation counseling. The use of outpatient mental health and substance use services was the strongest correlate of tobacco cessation counseling use by veterans in this sample. Notably, veterans with PTSD, TUD and HIV were more likely to engage in tobacco cessation services.

This study demonstrates that future efforts should focus on increasing provider and veteran awareness of and accessibility to VHA intensive tobacco cessation counseling for veterans with PTSD.

This paper investigates the nature of vicarious or secondary post‐traumatic stress disorder in relation to six Dutch organisations and their personnel working in Rwanda, a country heavily affected by genocide and war. Drawing from the literature and empirical research it is argued that a systematic approach can strongly contribute to a more coherent human resource management/human resource development cycle of environmental analysis; identification of job descriptions and person specifications; relationship of jobs, persons and teams; recruitment, selection and contracting; induction and training; deployment and management of individuals and teams; and finally, debriefing and counselling. In this way, there is greater potential for the organisation to achieve objectives and enable its expatriate workforce to handle the stressful conditions in which they may find themselves.

Post-traumatic stress disorder (PTSD) is associated with risk of suicide and chronic psychological impairment. The continued exposure to stress suffered by health-care workers (HCWs) during the COVID-19 pandemic can be considered a mass traumatic event and contribute to higher rates of PTSD in this population. The purpose of this research is to find out the prevalence and factors associated with PTSD among HCW in a general hospital.

The authors devised a survey to assess the prevalence of PTSD among HCWs in a general hospital and its relationship with sex, social support, profession, work experience in health care, time spent caring for COVID-19 patients and place in which the COVID-19-related activities were carried out. PTSD symptoms were assessed using the PCL-5, Portuguese version.

A total of 226 HCWs were included in the study. Provisional diagnosis of PTSD was made based on the PCL-5 responses, considering DSM-5 criteria and the cutoff score of 33. In total, 79 (35.0%) HCWs had a provisional diagnosis of PTSD, and a significant association was found between PTSD and time spent working with COVID-19 patients and between PTSD and place of work, namely, the COVID-19 emergency room and intensive care unit.

The results highlight the need for a reflection on the importance of mental health promotion among HCWs, specially in adverse conditions such as the current pandemic.

This study is to establish the validity and reliability of Malay version of Post-traumatic Check List-5 (MPCL-5) among the fire and rescue officers in the state of Selangor, Malaysia.

A cross-sectional study was conducted, which involved 100 firefighters from the state of Selangor, Malaysia. Construct validity, internal consistency, and concurrent validity were performed and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Concurrent validity was tested with validated Malay version of Trauma Screen Questionnaire (TSQ-M).

Overall internal consistency reliability was a 0.960 and individual construct Cronbach's alpha ranged from 0.827 to 0.926. The model, which consists of four constructs with 20 items, demonstrated the presence of acceptable loading factors. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) are 0.81, 0.65, 0.31 and 0.95 respectively at an optimum cut-off score of 35.

The Post Traumatic Check List 5 (PCL-5) is the latest tool based on DSM-5 developed recently and still having limited studies on the psychometric properties of the tool in local population and the findings produced are comparable with the results from validation from previous studies. The study limitations are population samples used are considering the minimum numbers of sample for each item for factor analysis and the concurrent validation was tested with the TSQ-M instead of the Clinician Administered PTSD Scale for DSM-5 (CAPS-5).

The study suggested that MPCL-5 is acceptable to be used to measure post-traumatic stress disorder in local populations.

There are limited known validation studies for PCL-5 in local populations and this is the first study done among fire and rescue officers in Malaysia. The results are comparable with findings from previous studies and therefore MPCL-5 are valid and reliable for PTSD screening.

The purpose of this paper is to assess the reliability and validity of the Spanish version of the Davidson trauma scale (DTS-S) and to determine the prevalence and correlates of post-traumatic stress disorder (PTSD) symptoms in a non-clinical random sample of prison inmates.

Probabilistic samples of 1,179 inmates from 26 penal institutions in Puerto Rico were selected using a multistage sampling design. Population estimates and correlations were obtained for PTSD, generalized anxiety and depression. The reliability, factor structure, and convergent validity of the DTS-S were assessed. Cross-validation was employed to confirm the results of the factor analyses.

Using the cut-offs adopted by the scale's author, 136 (13.4 percent) of the inmates are likely to have current PTSD and 117 (11.6 percent) reach the cut-off for sub-threshold PTSD. Confirmatory factor analysis generated two factors explaining 53 percent of the variance. High reliabilities were obtained for the total scale (α=0.95) and for the frequency and severity scales (α=0.90 and 0.91). Significantly higher DTS-S scores were found for females (t=2.26, p<0.025), for inmates diagnosed with depression or anxiety (t=2.02, p<0.05), and those reporting suicide attempts (t=4.47, p<0.0001).

Findings support that the DTS-S is a reliable and valid measure to assess PTSD symptoms in Latino inmate populations and to identify individuals at risk for the disorder that require confirmatory diagnosis and clinical interventions.