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Predictors of Posttraumatic Stress in Police and Other First Responders

dc.contributor.authorMarmar, Charles R.en_US
dc.contributor.authorMcCaslin, Shannon E.en_US
dc.contributor.authorMetzler, Thomas J.en_US
dc.contributor.authorBest, Suzanneen_US
dc.contributor.authorWeiss, Daniel S.en_US
dc.contributor.authorFagan, Jefferyen_US
dc.contributor.authorLiberman, Akivaen_US
dc.contributor.authorPole, Nnamdien_US
dc.contributor.authorOtte, Christianen_US
dc.contributor.authorYehuda, Rachelen_US
dc.contributor.authorMohr, Daviden_US
dc.contributor.authorNeylan, Thomasen_US
dc.date.accessioned2010-06-01T21:25:32Z
dc.date.available2010-06-01T21:25:32Z
dc.date.issued2006-07en_US
dc.identifier.citationMARMAR, CHARLES R . ; McCASLIN, SHANNON E . ; METZLER, THOMAS J . ; BEST, SUZANNE; WEISS, DANIEL S . ; FAGAN, JEFFERY; LIBERMAN, AKIVA; POLE, NNAMDI; OTTE, CHRISTIAN; YEHUDA, RACHEL; MOHR, DAVID; NEYLAN, THOMAS (2006). "Predictors of Posttraumatic Stress in Police and Other First Responders." Annals of the New York Academy of Sciences 1071(1 Psychobiology of Posttraumatic Stress Disorder: A Decade of Progress ): 1-18. <http://hdl.handle.net/2027.42/74485>en_US
dc.identifier.issn0077-8923en_US
dc.identifier.issn1749-6632en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/74485
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=16891557&dopt=citationen_US
dc.description.abstractWe provide an overview of previous research conducted by our group on risk and resilience factors for PTSD symptoms in police and other first responders. Based on our work, the findings of other investigators on individual differences in risk for PTSD, and drawing on preclinical studies fear conditioning and extinction, we propose a conceptual model for the development of PTSD symptoms emphasizing the role of vulnerability and resilience to peritraumatic panic reactions. We tested this conceptual model in a cross-sectional sample of police officers ( n = 715). Utilizing an hierarchical linear regression model we were able to explain 39.7% of the variance in PTSD symptoms. Five variables remained significant in the final model; greater peritraumatic distress (Β= 0.240, P < .001), greater peritraumatic dissociation (Β= 0.174, P < .001), greater problem-solving coping (Β= 0.103, P < .01), greater routine work environment stress (Β= 0.182, P < .001), and lower levels of social support (Β=−0.246, P < .001). These results were largely consistent with the proposed conceptual model. Next steps in this line of research will be to test this model prospectively in a sample of 400 police academy recruits assessed during training and currently being followed for the first 2 years of police service.en_US
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dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Publishing Incen_US
dc.rights2006 New York Academy of Sciencesen_US
dc.subject.otherPTSDen_US
dc.subject.otherRisken_US
dc.subject.otherPoliceen_US
dc.subject.otherFirst Respondersen_US
dc.subject.otherPeritraumaticen_US
dc.titlePredictors of Posttraumatic Stress in Police and Other First Respondersen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelScience (General)en_US
dc.subject.hlbtoplevelScienceen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan, Ann Arbor, Michigan 48109-1043, USAen_US
dc.contributor.affiliationotherVeterans Affairs Medical Center, San Francisco, California 94121, USAen_US
dc.contributor.affiliationotherUniversity of California, San Francisco, California 94121, USAen_US
dc.contributor.affiliationotherColumbia University, New York, New York 10027, USAen_US
dc.contributor.affiliationotherNational Institute of Justice, Washington, D.C. 20531, USAen_US
dc.contributor.affiliationotherUniversity Hospital Hamburg-Eppendorf, Hamburg 20246, Germanyen_US
dc.contributor.affiliationotherDivision of Traumatic Stress Studies, Mount Sinai School of Medicine and Bronx Veterans Affairs Medical Center, Bronx, New York 10468, USAen_US
dc.identifier.pmid16891557en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/74485/1/annals.1364.001.pdf
dc.identifier.doi10.1196/annals.1364.001en_US
dc.identifier.sourceAnnals of the New York Academy of Sciencesen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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