A prospective study of predictors of depression symptoms in police
Open accessAbstract
Police work is one of the most stressful occupations. Previous research has indicated that work stress and trauma exposure may place individuals at heightened risk for the development of depression symptomatology. This prospective longitudinal study was designed to examine predictors of depression symptoms in police service. Participants comprised 119 healthy police recruits from an ongoing prospective study. They completed baseline measures of depression symptoms, childhood trauma exposure, neuroticism, and self-worth during academy training. Follow-up measures of depression symptoms, PTSD symptoms, critical incident exposure, negative life events, and routine work environment stress were assessed after 12 months of police service. Hierarchical linear regression analysis was conducted to examine predictors of current levels of depression symptoms, controlling for baseline depression symptoms and current PTSD symptoms. Greater childhood trauma exposure, lower self-worth during training, and greater perceived work stress in the first year of police service predicted greater depression symptoms at 12 months. Depression symptoms at 1 year of police service were partly independent from PTSD symptoms at 12 months. Greater childhood trauma exposure and lower self-worth during training may be important variables to screen as risk factors for duty-related depression. Strategies to reduce routine work environment stress have the potential to decrease duty-related depression in law enforcement.
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ELS/CT is associated with increased risk for mental disorders such as depression, post-traumatic stress disorder, and schizophrenia, and with their unfavorable outcomes.
“Especially an increased risk for mental disorders (e.g., depression, post-traumatic stress disorder, schizophrenia) and their unfavorable outcomes after ELS/CT experience has been repeatedly reported in several retrospective (5, 22–25) but also prospective studies (26–29).”
From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [27]
The Discussion (page unavailable) reports that childhood trauma predicted higher depression symptoms at 12 months in police officers. It also cites a broad association with psychiatric disorders and suggests worse outcomes based on a reported link with suicide attempts among depressed patients. The study does not establish increased risk of PTSD or schizophrenia, or unfavorable outcomes across those disorders. (LLM, conf=0.85)
Experimental — accuracy not yet measuredPolice officers have elevated rates of burnout, depression, suicide, and anxiety.
“Exposure to acute and chronic stress is reflected in elevated officer rates of burnout [2, 3], depression [4], suicide [5–7], and anxiety [8].”
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- Authors
- Wang, Z., Inslicht, S. S., Metzler, T. J., Henn-Haase, C., McCaslin, S. E., Tong, H., Neylan, T. C., & Marmar, C. R.
- Affiliations
- San Francisco VA Medical Center (US)
- Corresponding author
- Wang, Zhen
- ORCID
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 175
- Issue
- 3
- Pages
- 211-216
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC3974967
- OpenAlex
- W2070588677
- Cited by
- 182
- References
- 39
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 7 · 2023: 10 · 2022: 6 · 2021: 15 · 2020: 36 · 2019: 20 · 2018: 7 · 2017: 8 · 2016: 12 · 2015: 4 · 2014: 14 · 2013: 11 · 2012: 14
- FWCI
- 7.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01 – MH056350-06, R01MH056350)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Political Science and International Relations › Policing Practices and Perceptions
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- depressive symptoms, police officers, occupational stress, childhood trauma exposure, self-worth, neuroticism, post-traumatic stress disorder, negative life events, risk factors, police cadets
- MeSH terms
- Adult, Depression, Female, Humans, Longitudinal Studies, Male, Personality, Predictive Value of Tests, Stress, Psychological, Linear Models, Police, Young Adult
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