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Potentially Psychologically Traumatic Event Exposure Histories of new Royal Canadian Mounted Police Cadets

  • Katie L. Andrews
  • , Laleh Jamshidi
  • , Jolan Nisbet
  • , Alain Brunet
  • , Tracie O. Afifi
  • , Gordon J.G. Asmundson
  • , Amber J. Fletcher
  • , Kirby Q. Maguire
  • , Taylor A. Teckchandani
  • , Lisa Lix
  • , Shannon Sauer-Zavala
  • , Jitender Sareen
  • , Terence M. Keane
  • , J. Patrick Neary
  • , R. Nicholas Carleton

Producción científica: Articlerevisión exhaustiva

19 Citas (Scopus)

Resumen

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.

Título traducido de la contribuciónPotentially Psychologically Traumatic Event Exposure Histories of new Royal Canadian Mounted Police Cadets
Idioma originalEnglish
Páginas (desde-hasta)663-681
Número de páginas19
PublicaciónCanadian Journal of Psychiatry
Volumen68
N.º9
DOI
EstadoPublished - sept 2023

Nota bibliográfica

Publisher Copyright:
© The Author(s) 2023.

Financiación

The RCMP Study is made possible by a large and diverse team with detailed acknowledgements available online (www.rcmpstudy.ca) and in the study protocol paper. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The RCMP Study is supported by the RCMP, the Government of Canada, and the Ministry of Public Safety and Emergency Preparedness. L. M. Lix is supported by a Tier I Canada Research Chair in Methods for Electronic Health Data Quality. T. O. Afifi is supported by a Tier I Canada Research Chair in Childhood Adversity and Resilience. Asmundson is supported by a University of Regina President's Research Chair. The development, analyses, and distribution of the current article was supported by a generous grant from the Medavie Foundation. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The RCMP Study is supported by the RCMP, the Government of Canada, and the Ministry of Public Safety and Emergency Preparedness. L. M. Lix is supported by a Tier I Canada Research Chair in Methods for Electronic Health Data Quality. T. O. Afifi is supported by a Tier I Canada Research Chair in Childhood Adversity and Resilience. Asmundson is supported by a University of Regina President's Research Chair. The development, analyses, and distribution of the current article was supported by a generous grant from the Medavie Foundation.

Financiadores
Medavie Foundation
Ministry of Public Safety and Emergency Preparedness
University of Regina
Canada Excellence Research Chairs, Government of Canada
Canada Excellence Research Chairs, Government of Canada

    ODS de las Naciones Unidas

    Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

    1. Good health and well being
      Good health and well being

    ASJC Scopus subject areas

    • Psychiatry and Mental health

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