Predictors of Outcome and Residual Symptoms Following Trauma-Focused Psychotherapy in Police Officers With Posttraumatic Stress Disorder

Autor:	Mirjam J. Nijdam, Christianne A. I. van der Meer, Miranda Olff, Geert E. Smid
Přispěvatelé:	Adult Psychiatry, Graduate School, ANS - Mood, Anxiety, Psychosis, Stress & Sleep, APH - Mental Health, APH - Global Health
Jazyk:	angličtina
Rok vydání:	2018
Předmět:	Adult Male 050103 clinical psychology Psychotherapist media_common.quotation_subject Logistic regression Severity of Illness Index behavioral disciplines and activities Structural equation modeling Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Severity of illness Humans Medicine 0501 psychology and cognitive sciences Netherlands media_common Police psychology business.industry 05 social sciences Bayes Theorem Middle Aged Eclectic psychotherapy Police Latent class model 030227 psychiatry Occupational Diseases Psychotherapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Latent Class Analysis Female Observational study Grief business
Zdroj:	Journal of traumatic stress, 31(5), 764-774. Wiley-Blackwell
ISSN:	0894-9867
DOI:	10.1002/jts.22328
Popis:	Police officers exposed to potentially traumatic events (PTE) are at a heightened risk of developing posttraumatic stress disorder (PTSD). Little is known about trauma-focused psychotherapy outcomes in the police. In this naturalistic study, we evaluated whether PTE exposure and baseline clinical characteristics predicted PTSD symptom reduction during treatment and residual PTSD symptoms posttreatment. In consecutive referrals to a specialized mental health service for police officers (N = 665), PTSD was measured pre- and posttreatment using structured clinical interviews. Treatment consisted of brief eclectic psychotherapy for PTSD. We grouped PTE as follows: injury/maltreatment, loss (colleague or private), other job-related, other private traumatic events. Data were analyzed multivariably using structural equation modeling and logistic regression. Treatment effect size was large, d = 3.6, 95% CI [3.4, 3.8]. Police officers who reported more injury/maltreatment or private traumatic had more baseline PTSD symptoms as well as larger symptom reduction during treatment; police officers who reported more losses of loved ones showed smaller PTSD symptom reduction. Concentration problems persisted in 17.7% of police officers posttreatment, and these were predicted by baseline PTSD symptoms and loss of loved ones. Proportions of variance explained by the multivariable models ranged from 0.08 to 0.14. Our findings increase insight into the type of PTE and clinical characteristics of police officers with PTSD who benefit most from trauma-focused treatment. Because loss of loved ones can be presumed to have a profound impact on social and interpersonal functioning, a more specific treatment focus on grief processes may further enhance efficacy.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::feaba7f93688405a13c94d3e77623a16 https://doi.org/10.1002/jts.22328 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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