ObjectivesDispositional mindfulness has been associated with lower posttraumatic stress disorder (PTSD) and other negative health symptoms in the police population. Of the various mindfulness facets (i.e., non-judging, observing, describing, acting with awareness), non-judging has been demonstrated to be the strongest predictor of lower PTSD symptoms in police academy cadets. The mechanisms by which non-judging may lead to enhanced health outcomes in police officers are poorly understood and require further investigation.MethodThe purpose of the current study was to test a model involving a pathway from pre-trauma mindful non-judging to PTSD symptoms and ultimately posttraumatic growth (PTG) that is mediated by worldviews in a sample of police academy cadets (n = 379). Data were collected via a survey packet distributed at a police academy located in a Southern state of the United States. We examined the relationships among demographic factors, adverse child events, negative life events, mindful non-judgment, world assumptions, PTSD, and PTG using path analysis.ResultsThe results indicated that positive worldviews served as a mediator between dispositional mindful non-judging and lower PTSD symptoms, which ultimately led to lower PTG.ConclusionsThese findings have important implications for the selection and training of police academy cadets with the goal of increasing resilience to occupational trauma exposure. Additionally, these results have clinical implications regarding the treatment of officers experiencing symptoms of PTSD.PreregistrationThis study is not preregistered.

Body-worn cameras (BWCs) continue to be adopted by law enforcement agencies around the world, yet how camera monitoring affects performance dimensions of policing in “critical incident” situations has received scant attention. We contribute to filling this gap. Guided by distraction-conflict theory from psychology, we conducted a laboratory experiment and used electrophysiological methods (EEG and ECG) to explore whether officer performance during simulated critical incidents is impaired by camera-induced attentional conflict. Results from a convenience sample of police officers from a medium-sized, Midwestern police department in the USA reveal that camera monitoring had complex, often deleterious, effects on cognitive load, stress arousal, and performance. The current investigation supports a small but growing body of research revealing that BWCs, like any new technology, not only have intended positive consequences, but also potential unintended negative ones that need to be considered from a safety standpoint. A more thorough discussion of policing in the age of BWCs and other forms of camera surveillance is overdue.

Mindfulness-based treatments have been increasingly noted in the professional literature as a possible means to reduce posttraumatic stress disorder (PTSD) symptoms and promote well-being, especially among law enforcement officers. Scant research, however, has been conducted to study dispositional mindfulness and health outcomes in police cadets. The current exploratory study examined the association between the various facets of dispositional mindfulness (i.e., observing, describing, acting with awareness, nonjudging, and nonreactivity) and PTSD symptoms, posttraumatic growth (PTG), and other variables, including world assumptions, in police cadets (N = 379). Consistent with findings from previous studies of experienced officers, the results indicate that (a) mindful nonjudging is a salient trait in police cadets, which uniquely predicted lower PTSD symptoms, β = -.31, p < .001, and was related to lower levels of PTG, r = -.12, p = .025, and (b) mindful observing was related to higher levels of PTSD symptoms, r = .14, p = .009 and higher levels of PTG, r = .26, p < .001, in the present sample. In addition, the findings demonstrate that nonjudging is an important trait in police cadets regarding world assumptions such that nonjudging was a significant, unique predictor of world assumption facets, including controllability of events, β = .15, p = .025, and trustworthiness and goodness of people, β = .18, p = .004. Clinical implications, including the importance of understanding the association between mindful nonjudging and the shattering and rebuilding of worldviews and following trauma reactions, are discussed.

Avoid in the literature exists regarding moral injury and police work. Although knowledge gained from the study of moral injury in the military can help to better understand the experience of police officers, police moral injury differs in nature from that of the military, thus caution is needed when translating knowledge from military to police. Police officers are exposed to various types of traumatic experiences over the course of their careers and experience traumatic events unique to police. In addition to operational stressors, the risk for moral injury can be compounded by organizational stressors. Moral injury is a significant mental health issue. It can shatter an individual's core belief system and lead to feelings of failure, self-blame, guilt, shame and rumination, in turn to lasting emotional and psychological impact. The symptoms related to moral injury can also contribute to maintenance and/or exacerbation of psychological disorders related to Operational Stress Injuries. This chapter provides an opportunity to contrast as well as translate knowledge from military to police moral injury, the operational and organizational stressors related to moral injury, the resulting impact on police health and work and provides guidance to reduce the risk and the harmful impact of moral injury.

Stress and trauma are ubiquitous parameters of law enforcement and it is highly likely that police officers may experience symptoms of burnout and compassion fatigue. In the present chapter, the authors explore the definition and negative impact of compassion fatigue and burnout on police officers' health, wellbeing, and job performance. The overlap in symptomatology and the distinguishing factors between compassion fatigue and posttraumatic stress disorder (PTSD) are also considered. The authors address the stigma associated with an officer's reporting of mental health issues and discuss the maladaptive coping strategies that officers often employ instead of dealing with the experienced issue with adaptive way of coping. While maladaptive coping may suppress issues, those issues remain unresolved and can accumulate over time as officers are continuously exposed to traumatic, critical incidents throughout their careers. Additionally, compassion satisfaction has been reported to decrease amongst officers experiencing high levels of compassion fatigue, whereas burnout has been associated with a decreased sense of personal satisfaction for contributions made in the workplace. The impact of compassion fatigue and burnout are reversible and preventable as long as officers engage in healthy, holistic, and adaptive coping strategies to deal with stressors and traumatic incidents experienced on the job.

Exposure to critical incidents and hence potentially traumatic events is endemic in law enforcement. The study of law enforcement officers' experience of moral injury and their exposure to potentially morally injurious incidents, and research on moral injury's relationship with different forms of traumatization (e.g. compassion fatigue, post-traumatic stress disorder) are in their infancy. The present study aims to build on prior research and explores the role of moral injury in predicting post-traumatic stress disorder (PTSD) and its clusters thereof. To this end, a sample of law enforcement officers (N = 370) from the National Police of Finland was recruited to participate in the current study. Results showed that moral injury significantly predicted PTSD as well as its diagnostic clusters (i.e., avoidance, hyperarousal, re-experiencing). The aforementioned role of moral injury to significantly predict PTSD and its clusters were unequivocal even when compassion fatigue was incorporated into the path model. Clinical, research, and law enforcement practice implications are discussed.

First responders are psychosocially burdened with work-related stressors that occur frequently during required duties. Related mental health difficulties, such as direct and vicarious trauma, depression, and interpersonal problems often affect first responders' ability to perform effectively, and their personal lives may be disrupted. Mindfulness-based interventions have been shown to directly promote first responders' mental and physical health while providing increased resilience when facing work-related stressors. This article summarizes mindfulness-based benefits and empirical research related to first responders, using law enforcement officers as one specific example. Two specific mindfulness-based psychotherapies are introduced, as are generalizable mindfulness techniques useful for first responders. Psychotherapists can use these empirically supported treatment approaches to help first responders understand and incorporate awareness-based, nonjudgmental, and present-centered mindfulness techniques during critical incidents and while off duty as resilience-building mechanisms.

Police officers are frequently exposed to two different types of potentially traumatic events: one dealing with physical threats to self and the other involving the witnessing of harm to others. These different types of traumatic experiences are thought to produce various posttraumatic reactions. Furthermore, sleep problems are also reported as a hallmark of posttraumatic stress disorder. There is evidence, however, that sleep problems may mediate the relationship between posttraumatic stress disorder symptoms and health outcomes, especially physical health and depression. Previous research has shown this to be the case among officers from large urban agencies. The purpose of the present study was to test a model involving a pathway from trauma type and posttraumatic stress disorder symptoms to physical health and depression that is mediated by sleep quality in officers (N = 193) using data from small- to mid-size police agencies. Results revealed that sleep problems served as a mediator between posttraumatic stress disorder hyperarousal and avoidance symptoms and health outcomes, that the trauma types are related to different posttraumatic stress disorder symptoms, and that complicated relationships exist between the study variables. In addition, the results indicated that approximately 25% of our sample displayed probable partial posttraumatic stress disorder or probable full posttraumatic stress disorder, causing substantial functional impairment. Suggestions for improving officer health and performance in the field are provided. Specifically, it appears that interventions designed to address posttraumatic stress disorder hyperarousal symptoms related to personal life threat and the posttraumatic stress disorder avoidance symptoms related to the witnessing of human suffering may maximize officer sleep quality and ultimately overall wellness. In particular, mindfulness-based interventions are well suited for addressing these symptom clusters.

OPINION article Front. Psychol., 15 November 2017Sec. Organizational Psychology Volume 8 - 2017 | https://doi.org/10.3389/fpsyg.2017.01999

Objective: Law enforcement officers tend to be exposed to a high frequency of potentially traumatic incidents. A dichotomous distinction among these events involves the witnessing of threat or harm to others and the experiencing of threat or harm directly to oneself. Past research suggests that different types of trauma exposure produce varying levels of negative posttraumatic responses including posttraumatic stress disorder (PTSD) symptoms and positive outcomes such as posttraumatic growth (PTG). With the goal of better assisting officers experiencing posttraumatic stress, enhanced knowledge regarding this psychological response to the development of PTG is necessary. Method: The purpose of this study was to test a proposed model involving a pathway from type of trauma exposure to PTG that is mediated by PTSD symptoms among law enforcement officers (N = 193). Differences among cognitive PTG and behavioral PTG as our dependent variables, with age, marital status, and relationship stress as control variables, were assessed. Results: Findings indicate that events involving threat to self are more closely related to PTG, via an indirect pathway through PTSD symptoms. Additionally, personal relationship stress was directly associated with PTSD symptoms and behavioral PTG, but not cognitive PTG. Conclusion: Overall, the results of this study provide initial evidence that trauma exposure type (i.e., direct vs. indirect) plays a significant role in the level of PTG. Lastly, the results allow for the possibility of positive changes in behaviors facilitated by cognitive avoidance, in contrast to the common notion that deliberate cognitive engagement is required for growth to occur.

The negative impact of traumatic and other work-related stressors on the health of police officers is well-documented. Spiritual development is also commonly mentioned in the professional literature as an effective means of protecting officers from the ill-effects of policing, reportedly resulting in improved health and wellness outcomes. However, few empirical studies have been conducted to support claims regarding spirituality and police officer health. The present study investigated what types of spiritual practices police officers used, the relationships between spiritual effort and spiritual growth regarding various psychological and stress-related symptomatology, and whether differences in psychological and health outcomes existed between police officers engaging or not engaging in spiritual practice (N = 193). With one exception, the results do not support the notion that enhanced spirituality is associated with lower illness symptoms or perceived stress. Rather, opposing findings were demonstrated involving positive associations between spiritual growth and distress. Spiritual effort, however, was inversely associated with alcohol use, a behavioral-based coping mechanism. Implications of these findings are discussed, and suggestions for reconceptualizing police health and spiritual practices are introduced.

The Critical Incident History Questionnaire (CIHQ) measures, through multiple measurement methods, the severity and frequency of traumatic events experienced by law enforcement officers. We, however, found no studies utilizing the CIHQ to examine posttraumatic growth (PTG) as measured by the Posttraumatic Growth Inventory. The purpose of this brief report was to assess the strength and direction of the relationships between PTG with trauma frequency, trauma severity, and health variables, including subjective traumatic stress, relationship stress, nontraumatic work stress, posttraumatic stress disorder (PTSD) symptoms, depression, and alcohol use among law enforcement officers ( N = 193) from small and midsize agencies. In addition, we sought to explore differences between cognitive and behavioral PTG. Based on results from bivariate and multivariate analyses, we found that an idiosyncratic view of trauma severity shaped by personal experience demonstrated the strongest relationship with PTG among the frequency and severity variables and that increased PTG was not associated with reduced psychological distress. Alcohol use, a variable that is assessed primarily through behaviors compared with cognitions, was not significantly associated with PTG. Overall, the findings of this study demonstrate the importance for future research to consider both the frequency and severity of trauma exposure in the development of PTG and its impact on health outcomes.

Frequency and severity of trauma exposure are thought to influence posttraumatic reactions. Weiss et al.'s Critical Incident History Questionnaire (CIHQ; 2010) measures these variables among law enforcement officers; they reported findings using a sample of officers from large urban departments. We noted the need for replication studies utilizing samples from smaller and rural police agencies. The purpose of this study was to replicate the CIHQ findings from Weiss et al. using a sample (N = 193) of officers from small and midsize police departments and officers whose duties include policing rural and isolated jurisdictions. Frequency and severity findings were similar to those reported by Weiss et al. (). Regarding frequency, the present study found the critical incident exposure mean score was 188.5, compared to 168.5 from Weiss et al. (). Making a mistake that kills or injures a colleague had the highest mean nomothetic severity rating in both studies. Among the various variables examined in this study, PTSD symptoms demonstrated the strongest association with the exposure indices, based on Spearman rank correlations (r = .26-.46).

Law enforcement officers, and the criminal justice system more generally, encounter psychotic individuals at a high rate due to legal infractions committed consciously or resulting from symptoms of the disorder. The purpose of this study was to determine whether a broad range of biopsychosocial symptoms predicted more severe legal problems. In addition, we studied whether a biopsychosocial model could predict the likelihood of demonstrating versus not displaying recent legal problems among psychotic persons (N=170). Although several symptoms were correlated with legal problem severity, multiple regression and logistic regression analyses revealed that family relationship problems were the primary predictor of psychotic individuals' legal problems. Implications for law enforcement and criminal justice are summarized.

Police officers have often been reported to experience high rates of suicide compared to the general population. Suicidal ideation (SI) is considered a strong predictor of suicidal acts. However, few studies have examined SI in U.S. law enforcement officers. This study investigated the prevalence of SI and the association between SI and amount of subjective work-related traumatic stress, personal relationship stress, work-related but non-traumatic stress, age, depression, posttraumatic stress disorder symptoms, alcohol use, and posttraumatic growth among law enforcement officers (N = 193) from a Midwestern state. Multiple regression analysis demonstrated that greater depression symptoms significantly predicted greater SI among officers.

Law enforcement officers are often reported to frequently abuse alcohol due to occupational stress. However, few studies have examined alcohol use among U.S. police officers. This study investigated the prevalence of alcohol use and the relation between alcohol use and amount of subjective work-related traumatic distress, work-related but nontraumatic stress, personal relationship stress, posttraumatic stress disorder (PTSD) symptoms, depression, and age among law enforcement officers (N=193) working in a midwestern state. Multiple regression analyses showed that greater subjective posttraumatic distress and PTSD avoidance symptoms were the most significant predictors of greater alcohol use among officers. Implications for practice are discussed.

Mindfulness-based treatments have been identified as potentially effective for reducing posttraumatic stress symptoms; however, the validity of research has been questioned, especially among first responders, due to ill-defined aspects of mindfulness. This study investigated the relationship between various dimensions of mindfulness (utilizing the Kentucky Inventory of Mindfulness Skills; KIMS) and posttraumatic stress symptoms (utilizing the Impact of Event Scale-Revised; IES-R) among active-duty police officers (N = 183). Multiple regression analyses showed that greater IES-R avoidance and intrusion subscale scores were predicted by lower KIMS accepting without judgment subscale scores. Greater IES-R hyperarousal subscale scores were predicted by lower KIMS accepting without judgment and describing subscale scores. Implications of these findings are discussed.

This study investigated the relation between posttraumatic distress symptoms, relational and spiritual health, and different types of potentially traumatic incidents common among active-duty police officers (N=183). Multiple regression analyses showed that greater hyperarousal trauma symptoms were predicted by less effort toward personal relationships and more on-duty assaults resulting in serious injury. Greater avoidance trauma symptoms were predicted by less effort put toward personal relationships and more on-duty assaults resulting in serious injury. Heightened intrusion trauma symptoms were correlated with more on-duty assaults resulting in serious injury. Implications of these findings are discussed.

Crisis Intervention Teams (CIT) were developed to enable law enforcement officers to effectively and compassionately respond to calls involving people experiencing psychiatric distress. Mental health professionals responsible for training CIT officers are in a unique position to promote the compassionate treatment of those experiencing psychiatric distress as well as the well-being of the police officers themselves. Fostering spiritual connections and a compassionate-warrior mindset may enhance the training of CIT officers. This article includes descriptions of creative interventions including the use of historical compassionate-warrior comparisons, fictitious stories, and spiritual symbols. These techniques are based on warrior codes of groups such as samurai warriors, martial artists such as Shaolin Kung Fu, medieval knights, Native Americans, and the U.S. military.