Associations of symptoms of depression and posttraumatic stress disorder with peritraumatic dissociation, and the role of trauma prior to police work

Details

• Personal Author:
  Andrew M ; Burchfiel C ; McCanlies E ; Sarkisian K ; Violanti J
• Description:
  Objectives: Our objective was to determine if symptoms of depression and posttraumatic stress disorder (PTSD) are associated with peritraumatic dissociation, and if this association is modified by trauma prior to police work. Method: Symptoms of depression, PTSD symptoms, peritraumatic dissociative experience (PDE), and trauma before police work were measured using the Centre for Epidemiologic Studies Depression scale, PTSD Check List-Civilian Version, PDE questionnaire, and the brief trauma questionnaire, respectively in 328 police officers. Separate regression models were used to assess if either symptoms of depression or symptoms of PTSD were associated with PDE stratified by prior trauma. Means were adjusted for race, number of drinks per week, and smoking. Results: PDE was significantly positively associated with symptoms of PTSD and depression (b = 0.642, p = 0.0001 and b = 0.276, p = 0.0002, respectively). PDE was positively associated with symptoms of PTSD regardless of trauma before police work (b = 0.599, p < 0.0001 (without prior trauma), 0.750, p < 0.0001 (with prior trauma). In contrast to PTSD, depression symptoms were significantly associated with PDE scores in individuals with prior trauma (b = 0.466, p = 0.0001), but not in individuals without prior trauma (b = 0.130, p = 0.155). Conclusions: The results indicate that an increase in PDE is associated with an increase in symptoms of depression and PTSD. The results also show that PDE is associated with symptoms of PTSD regardless of prior trauma. In contrast, PDE was associated with depression symptoms only in individuals with prior trauma, indicating prior trauma may modify this relationship. [Description provided by NIOSH]
• Subjects:
  Epidemiology Law Enforcement Men Mental Health Morbidity Mortality Occupational Health Safety Stress, Psychological Women Workplace

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• Keywords:
  Humans Morbidity-rates Mortality-data Police-officers Psychological-factors Psychological-stress Psychology Statistical-analysis Stress Traumatic-injuries Work-environment Workers

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• ISSN:
  1351-0711
• Document Type:
  Text
• Genre:
  Abstract or Summary
• Place as Subject:
  Illinois ; New York ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 5 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  HELD - Health Effects Laboratory Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  71
• NIOSHTIC Number:
  nn:20044613
• Citation:
  Occup Environ Med 2014 Jun; 71(Suppl 1):A67
• Federal Fiscal Year:
  2014
• NORA Priority Area:
  Public Safety
• Peer Reviewed:
  False
• Source Full Name:
  Occupational and Environmental Medicine. Challenges for Occupational Epidemiology in the 21st Century, EPICOH 2014, June 24-27, 2014, Chicago, Illinois
• Supplement:
  1
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:16997f3d6e23b53016e8d5c93e2f5ea048d4eae45ae5a30e75f97959e5e70cbebbe011769e4b9f349fddac6043e19f1246ab14bd1a45bf6afd173612b2e8ee1f
• Download URL:
  https://stacks.cdc.gov/view/cdc/200280/cdc_200280_DS1.pdf
• File Type:
  [PDF - 70.10 KB ]