Longitudinal studies of trauma in police officers

Background : Results will be presented on a prospective longitudinal study of risk and resilience for post-traumatic stress disorder (PTSD) symptoms in 400 police academy recruits, assessed during academy training and followed during the first 7 years of police service. Methods : Utilizing Latent Gr...

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Main Author: Charles Marmar
Format: Article
Language:English
Published: Taylor & Francis Group 2012-09-01
Series:European Journal of Psychotraumatology
Subjects:
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author Charles Marmar
author_facet Charles Marmar
author_sort Charles Marmar
collection DOAJ
description Background : Results will be presented on a prospective longitudinal study of risk and resilience for post-traumatic stress disorder (PTSD) symptoms in 400 police academy recruits, assessed during academy training and followed during the first 7 years of police service. Methods : Utilizing Latent Growth Mixture Modeling (LGMM) we have established three symptom trajectories, highly resilient, initially distressed with gradual improvement, and increasing distress. Results : We will present findings on the relations of the following predictors ascertained during academy training to the three PTSD symptom trajectories: I.Q., family histories of anxiety, depression, alcohol and drug abuse, neuroticism, personal histories of childhood or adolescent traumatic exposure, levels of awakening cortisol, fear-potentiated acoustic startle, MHPG and cortisol responses to a critical incident video challenge, sleep quality as measured by actigraphy, and candidate polymorphisms including serotonin transporter (SLC6A4), adrenergic pathway genes, ADRB1, ADRB2, ADRA2C, brain derived neurotrophic factor gene (BDNF), genes for several critical components of the hypothalamic–pituitary–adrenal (HPA) axis such as the glucocorticoid receptor (NR3C1), CRH receptor 1 (CRHR1), and FK506 binding protein 5 (FKBP5) and Catechol-O-methyltransferase (COMT). Conclusion : Mulivariate models of risk and resilience will be presented utilizing a multinomial logistic regression nested in the unconditional LGMM.
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spelling doaj.art-76dc88b824044e0cb2ff66b22cbdca292022-12-21T20:29:26ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662012-09-01301110.3402/ejpt.v3i0.19602Longitudinal studies of trauma in police officersCharles MarmarBackground : Results will be presented on a prospective longitudinal study of risk and resilience for post-traumatic stress disorder (PTSD) symptoms in 400 police academy recruits, assessed during academy training and followed during the first 7 years of police service. Methods : Utilizing Latent Growth Mixture Modeling (LGMM) we have established three symptom trajectories, highly resilient, initially distressed with gradual improvement, and increasing distress. Results : We will present findings on the relations of the following predictors ascertained during academy training to the three PTSD symptom trajectories: I.Q., family histories of anxiety, depression, alcohol and drug abuse, neuroticism, personal histories of childhood or adolescent traumatic exposure, levels of awakening cortisol, fear-potentiated acoustic startle, MHPG and cortisol responses to a critical incident video challenge, sleep quality as measured by actigraphy, and candidate polymorphisms including serotonin transporter (SLC6A4), adrenergic pathway genes, ADRB1, ADRB2, ADRA2C, brain derived neurotrophic factor gene (BDNF), genes for several critical components of the hypothalamic–pituitary–adrenal (HPA) axis such as the glucocorticoid receptor (NR3C1), CRH receptor 1 (CRHR1), and FK506 binding protein 5 (FKBP5) and Catechol-O-methyltransferase (COMT). Conclusion : Mulivariate models of risk and resilience will be presented utilizing a multinomial logistic regression nested in the unconditional LGMM.stressresiliencePTSDcortisolstartleMHPGFKBP-5
spellingShingle Charles Marmar
Longitudinal studies of trauma in police officers
European Journal of Psychotraumatology
stress
resilience
PTSD
cortisol
startle
MHPG
FKBP-5
title Longitudinal studies of trauma in police officers
title_full Longitudinal studies of trauma in police officers
title_fullStr Longitudinal studies of trauma in police officers
title_full_unstemmed Longitudinal studies of trauma in police officers
title_short Longitudinal studies of trauma in police officers
title_sort longitudinal studies of trauma in police officers
topic stress
resilience
PTSD
cortisol
startle
MHPG
FKBP-5
work_keys_str_mv AT charlesmarmar longitudinalstudiesoftraumainpoliceofficers