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Potentially Psychologically Traumatic Event Exposure Histories of new Royal Canadian Mounted Police Cadets.
Andrews, Katie L; Jamshidi, Laleh; Nisbet, Jolan; Brunet, Alain; Afifi, Tracie O; Asmundson, Gordon J G; Fletcher, Amber J; Maguire, Kirby Q; Teckchandani, Taylor A; Lix, Lisa; Sauer-Zavala, Shannon; Sareen, Jitender; Keane, Terence M; Patrick Neary, J; Nicholas Carleton, R.
Afiliação
  • Andrews KL; Canadian Institute of Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK, Canada.
  • Jamshidi L; Canadian Institute of Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK, Canada.
  • Nisbet J; Canadian Institute of Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK, Canada.
  • Brunet A; McGill's Psychiatry Department, Douglas Institute Research Center, Montreal, QC, Canada.
  • Afifi TO; Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
  • Asmundson GJG; Anxiety and Illness Behaviours Laboratory, Department of Psychology, University of Regina, Regina, SK, Canada.
  • Fletcher AJ; Department of Sociology and Social Studies, University of Regina, Regina, SK, Canada.
  • Maguire KQ; Canadian Institute of Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK, Canada.
  • Teckchandani TA; Faculty of Kinesiology and Health Studies, University of Regina, Regina, SK, Canada.
  • Lix L; Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
  • Sauer-Zavala S; Treatment Innovation for Psychological Services Research Program, Department of Psychology, University of Kentucky, Lexington, Kentucky, USA.
  • Sareen J; Department of Psychiatry, Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
  • Keane TM; National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System & Boston University School of Medicine, Boston, Massachusetts, USA.
  • Patrick Neary J; Faculty of Kinesiology and Health Studies, University of Regina, Regina, SK, Canada.
  • Nicholas Carleton R; Anxiety and Illness Behaviours Laboratory, Department of Psychology, University of Regina, Regina, SK, Canada.
Can J Psychiatry ; 68(9): 663-681, 2023 09.
Article em En | MEDLINE | ID: mdl-36740849
OBJECTIVE: Royal Canadian Mounted Police (RCMP) report extremely frequent and varied exposures to potentially psychologically traumatic events (PPTEs). While occupational exposures to PPTEs may be one explanation for the symptoms of mental disorders prevalent among serving RCMP, exposures occurring prior to service may also play a role. The objective of the current study was to provide estimates of lifetime PPTE exposures among RCMP cadets in training and assess for associations with mental disorders or sociodemographic variables. METHODS: RCMP cadets (n = 772; 72.0% male) beginning the Cadet Training Program (CTP) completed a survey assessing self-reported PPTE exposures as measured by the Life Events Checklist for the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition-Extended. Binomial tests were conducted to compare the current results to previously collected data from the general population, a diverse sample of public safety personnel (PSP) and serving RCMP. RESULTS: Cadets reported statistically significantly fewer PPTE exposures for all PPTE types than serving RCMP (all p's < 0.001) and PSP (all p's < 0.001) but more PPTE exposures for all PPTE types than the general population (all p's < 0.001). Cadets also endorsed fewer PPTE types (6.00 ± 4.47) than serving RCMP (11.64 ± 3.40; p < 0.001) and other PSP (11.08 ± 3.23) but more types than the general population (2.31 ± 2.33; p < 0.001). Participants who reported being exposed to any PPTE type reported the exposures occurred 1-5 times (29.1% of participants), 6-10 times (18.3%) or 10 + times (43.1%) before starting the CTP. Several PPTE types were associated with positive screens for one or more mental disorders. There were associations between PPTE types and increased odds of screening positive for post-traumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD) and social anxiety disorder (SAD) (all p's < 0.05). Serious transport accident (11.1%), physical assault (9.5%) and sudden accidental death (8.4%) were the PPTEs most identified as the worst event, and all were associated with positive screens for one or more mental disorders. CONCLUSION: The current results provide the first information describing PPTE histories of cadets, evidencing exposure frequencies and types much higher than the general population. PPTE exposures may have contributed to the cadet's vocational choices. The current results support the growing evidence that PPTEs can be associated with diverse mental disorders; however, the results also suggest cadets may be uncommonly resilient, based on how few screened positive for mental disorders, despite reporting higher frequencies of PPTE exposures prior to CTP than the general population.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Transtorno Depressivo Maior País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Canadá

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos de Estresse Pós-Traumáticos / Transtorno Depressivo Maior País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Canadá