Brief trauma therapy for occupational trauma-related PTSD/CPTSD in UK police.
Complex PTSD
PTSD
occupational trauma
police officers
trauma therapy
Journal
Occupational medicine (Oxford, England)
ISSN: 1471-8405
Titre abrégé: Occup Med (Lond)
Pays: England
ID NLM: 9205857
Informations de publication
Date de publication:
20 08 2021
20 08 2021
Historique:
pubmed:
18
7
2021
medline:
7
10
2021
entrez:
17
7
2021
Statut:
ppublish
Résumé
Police are frequently exposed to occupational trauma, making them vulnerable to post-traumatic stress disorder (PTSD) and other mental health conditions. Through personal and occupational trauma police are also at risk of developing Complex PTSD (CPTSD), associated with prolonged and repetitive trauma. Police Occupational Health Services require effective interventions to treat officers experiencing mental health conditions, including CPTSD. However, there is a lack of guidance for the treatment of occupational trauma. To explore differences in demographics and trauma exposure between police with CPTSD and PTSD and compare the effectiveness of brief trauma-focused therapy between these diagnostic groups. Observational cohort study using clinical data from the Trauma Support Service, providing brief trauma-focused therapy for PTSD (cognitive behavioural therapy/eye movement desensitization and reprocessing) to UK police officers. Demographics, trauma exposure, baseline symptom severity and treatment effectiveness were compared between police with PTSD and CPTSD. Changes in PTSD, depression and anxiety symptoms were used to measure treatment effectiveness. Brief trauma therapy reduced symptoms of PTSD, depression and anxiety. Treatment effectiveness did not differ between CPTSD and PTSD groups. Police with CPTSD exposed to both primary and secondary occupational trauma had poorer treatment outcomes than those exposed to a single occupational trauma type. Brief trauma-focused interventions are potentially effective in reducing symptoms of PTSD, depression and anxiety in police with CPTSD and PTSD. Further research is needed to establish whether additional CPTSD symptoms (affect dysregulation, self-perception and relational difficulties) are also reduced.
Sections du résumé
BACKGROUND
Police are frequently exposed to occupational trauma, making them vulnerable to post-traumatic stress disorder (PTSD) and other mental health conditions. Through personal and occupational trauma police are also at risk of developing Complex PTSD (CPTSD), associated with prolonged and repetitive trauma. Police Occupational Health Services require effective interventions to treat officers experiencing mental health conditions, including CPTSD. However, there is a lack of guidance for the treatment of occupational trauma.
AIMS
To explore differences in demographics and trauma exposure between police with CPTSD and PTSD and compare the effectiveness of brief trauma-focused therapy between these diagnostic groups.
METHODS
Observational cohort study using clinical data from the Trauma Support Service, providing brief trauma-focused therapy for PTSD (cognitive behavioural therapy/eye movement desensitization and reprocessing) to UK police officers. Demographics, trauma exposure, baseline symptom severity and treatment effectiveness were compared between police with PTSD and CPTSD. Changes in PTSD, depression and anxiety symptoms were used to measure treatment effectiveness.
RESULTS
Brief trauma therapy reduced symptoms of PTSD, depression and anxiety. Treatment effectiveness did not differ between CPTSD and PTSD groups. Police with CPTSD exposed to both primary and secondary occupational trauma had poorer treatment outcomes than those exposed to a single occupational trauma type.
CONCLUSIONS
Brief trauma-focused interventions are potentially effective in reducing symptoms of PTSD, depression and anxiety in police with CPTSD and PTSD. Further research is needed to establish whether additional CPTSD symptoms (affect dysregulation, self-perception and relational difficulties) are also reduced.
Identifiants
pubmed: 34273165
pii: 6323349
doi: 10.1093/occmed/kqab075
pmc: PMC8378775
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
180-188Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the Society of Occupational Medicine.
Références
Eur J Psychotraumatol. 2013 May 15;4:
pubmed: 23687563
J Trauma Stress. 2011 Dec;24(6):615-27
pubmed: 22147449
Psychol Med. 2022 May;52(7):1287-1295
pubmed: 32892759
Eur J Psychotraumatol. 2020 Feb 24;11(1):1724417
pubmed: 32166007
Occup Environ Med. 2020 Nov;77(11):737-747
pubmed: 32439827
Psychol Med. 2019 Aug;49(11):1761-1775
pubmed: 30857567
Behav Res Ther. 2009 Feb;47(2):119-27
pubmed: 19036354
Depress Anxiety. 2016 May;33(5):359-69
pubmed: 26840244
Lancet Psychiatry. 2018 Aug;5(8):620
pubmed: 30060871
Clin Psychol Rev. 2017 Dec;58:1-15
pubmed: 29029837
Eur J Psychotraumatol. 2020 Jul 23;11(1):1783955
pubmed: 33029323
Soc Sci Med. 1993 Mar;36(6):725-33
pubmed: 8480217
Rand Health Q. 2015 Nov 30;5(2):13
pubmed: 28083389
Occup Med (Lond). 2019 Dec 31;69(8-9):559-565
pubmed: 31375822
J Epidemiol Community Health. 2005 Jun;59(6):460-6
pubmed: 15911640
Acta Psychiatr Scand. 2018 Dec;138(6):536-546
pubmed: 30178492
Occup Med (Lond). 2018 May 17;68(3):165-170
pubmed: 29546431
Mil Med. 2008 Oct;173(10):935-40
pubmed: 19160608
BMJ. 1988 Oct 8;297(6653):897-9
pubmed: 3140969