Police officers: a high risk group for the development of mental health disturbances? A cohort study

P.G. van der Velden, A.R. Rademakers, E. Vermetten, M.A. Portengen, L. Grievink

    Research output: Contribution to journalArticleScientificpeer-review

    Abstract

    ABSTRACT
    Objectives: Policing is generally considered a highrisk
    profession for the development of mental health
    problems, but this assumption lacks empirical
    evidence. Research question of the present study is to
    what extent mental health disturbances, such as (very)
    severe symptoms of anxiety, depression and hostility
    are more prevalent among police officers than among
    other occupational groups.
    Design: Multicomparative cross-sectional study using
    the data of several cross-sectional and longitudinal
    studies in the Netherlands.
    Participants: Two samples of police officers (N=144
    and 503), employees of banks (N=1113) and
    employees of banks who were robbed (N=144);
    employees of supermarkets (N=335), and a psychiatric
    hospital (N=219), employees of a governmental social
    welfare organisation (N=76), employees who followed a
    training based on rational-motive therapy to strengthen
    their assertiveness (N=710), soldiers before
    deployment (N=278) and before redeployment (N=236)
    and firefighters (N=123). The numbers refer to
    respondents with complete data.
    Primary outcomes: Prevalence of severe (subclinical
    level) and very severe symptoms (clinical level) were
    computed using the Dutch norm tables (80th percentile
    and 95th percentile, respectively) of the Symptom
    Check List Revised (SCL-90-R). All comparisons were
    controlled for age, gender and education.
    Results: Multivariate logistic regression and analyses
    showed that the prevalence of clinical and subclinical
    levels of symptoms of anxiety, depression and hostility
    among police officers were not significantly higher than
    among comparison groups. The same pattern was
    found for the other SCL-90-R subscales.
    Conclusions: We found no indications that selfreported
    mental health disturbances were more
    prevalent among police officers than among groups of
    employees that are not considered high-risk groups,
    such as employees of banks, supermarkets, psychiatric
    hospital and soldiers before deployment.
    Original languageEnglish
    Article numberhttp://dx.doi.org/10.1136/ bmjopen-2012-001720)
    Pages (from-to)1-10
    Number of pages10
    JournalBritish Medical Journal - Open
    Publication statusPublished - 28 Jan 2013

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