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Associations Between Police Work Stressors and Posttraumatic Stress Disorder Symptoms: Examining the Moderating Effects of Coping
Authors:John M Violanti  Claudia C Ma  Anna Mnatsakanova  Desta Fekedulegn  Tara A Hartley  Ja Kook Gu  Michael E Andrew
Institution:1.Department of Epidemiology and Environmental Health, School of Public Health and Health Professions,University at Buffalo, The State University of New York,Buffalo,USA;2.Biostatistics and Epidemiology Branch, Health Effects Laboratory Division,National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention,Morgantown,USA
Abstract:The role of coping in the association between stress and posttraumatic stress disorder (PTSD) is not clear. We investigated the effects of active and passive coping strategies on the associations between police stress (administrative and organization pressure, physical and psychological threats, and lack of support) and PTSD symptoms in 342 police officers. Linear regression model was used in the analyses. The association between physical and psychological stress and PTSD symptoms was stronger in officers who used lower active coping (B?=?4.34, p?<?0.001) compared to those who utilized higher active coping (p-interaction?=?0.027) (B?=?1.79, p?≤?0.003). A similar result was found between lack of support and PTSD symptoms (p-interaction?=?0.016) (lower active coping, B?=?5.70, p?<?0.001; higher active coping, B?=?3.33, p?<?0.001), but was not significantly different comparing the two groups regarding the association between administrative and organizational pressure and PTSD symptoms (p-interaction?=?0.376). Associations of total stress, administrative and organizational pressure, and physical and psychological stressors with PTSD symptoms were significantly stronger in officers who utilized higher passive coping (p-interaction?=?0.011, 0.030, and 0.023, respectively). In conclusion, low active or high passive coping methods may exacerbate the effect of work stress on PTSD symptoms.
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