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Association of work-related stress with mental health problems in a special police force unit
Open accessAbstract
OBJECTIVES: Law and order enforcement tasks may expose special force police officers to significant psychosocial risk factors. The aim of this work is to investigate the relationship between job stress and the presence of mental health symptoms while controlling sociodemographical, occupational and personality variables in special force police officers. METHOD: At different time points, 292 of 294 members of the 'VI Reparto Mobile', a special police force engaged exclusively in the enforcement of law and order, responded to our invitation to complete questionnaires for the assessment of personality traits, work-related stress (using the Demand-Control-Support (DCS) and the Effort-Reward-Imbalance (ERI) models) and mental health problems such as depression, anxiety and burnout. RESULTS: Regression analyses showed that lower levels of support and reward and higher levels of effort and overcommitment were associated with higher levels of mental health symptoms. Psychological screening revealed 21 (7.3%) likely cases of mild depression (Beck Depression Inventory, BDI≥10). Officers who had experienced a discrepancy between work effort and rewards showed a marked increase in the risk of depression (OR 7.89, 95% CI 2.32 to 26.82) when compared with their counterparts who did not perceive themselves to be in a condition of distress. CONCLUSIONS: The findings of this study suggest that work-related stress may play a role in the development of mental health problems in police officers. The prevalence of mental health symptoms in the cohort investigated here was low, but not negligible in the case of depression. Since special forces police officers have to perform sensitive tasks for which a healthy psychological functioning is needed, the results of this study suggest that steps should be taken to prevent distress and improve the mental well-being of these workers.
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“On the other hand, having control and autonomy in the management of tasks was found to decrease burnout (Garbarino et al., 2013; Hu et al., 2016; Martinussen et al., 2007; Richardsen et al., 2006; Smoktunowicz et al., 2015).”
From Psychosocial risk and protective factors associated with burnout in police officers: A systematic review (2023) · cites this paper as Garbarino et al., 2013
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“as was overcommitment (Garbarino et al., 2013; Violanti et al., 2018)”
From Psychosocial risk and protective factors associated with burnout in police officers: A systematic review (2023) · cites this paper as Garbarino et al., 2013
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“Increased efforts were associated with higher burnout whilst increased rewards resulted in lower burnout (Garbarino et al., 2013).”
From Psychosocial risk and protective factors associated with burnout in police officers: A systematic review (2023) · cites this paper as Garbarino et al., 2013
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“Neuroticism was found to be a consistent risk factor for burnout (De la Fuente Solana et al., 2013; Farf ´ an et al., 2019; Garbarino et al., 2013; Hills and Norvell, 1991; Medina, 2007; Mostert and Rothmann, 2006).”
From Psychosocial risk and protective factors associated with burnout in police officers: A systematic review (2023) · cites this paper as Garbarino et al., 2013
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“Whereas, four studies reported negative associations between agreeableness, extraversion, conscientiousness, and openness with burnout (De la Fuente Solana et al., 2013; Garbarino et al., 2013; Medina, 2007; Mostert and Roth mann, 2006).”
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“one study that higher ranks were associated with lower exhaustion (Garbarino et al., 2013).”
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“Increased efforts were associated with higher burnout whilst increased rewards resulted in lower burnout (Garbarino et al., 2013).”
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Citations
Cites
The measurement of experienced burnout
Maslach, C., & Jackson, S. E. (1981) · Journal of Organizational Behavior · doi:10.1002/job.4030020205 · Cited by 14,496
Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign
Karasek, R. A. (1979) · Administrative Science Quarterly · doi:10.2307/2392498 · Cited by 12,597
Cognitive Therapy for Depression
(2012) · PsycEXTRA Dataset · doi:10.1037/e675542012-001 · Cited by 9,678
Adverse health effects of high-effort/low-reward conditions.
Siegrist, J. (1996) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.1.1.27 · Cited by 5,713
Stress, adaptation, and disease. Allostasis and allostatic load
McEWEN, B. S. (1998) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1998.tb09546.x · Cited by 5,092
State-Trait Anxiety Inventory for Adults
Spielberger, C. D. (2012) · PsycTESTS Dataset · doi:10.1037/t06496-000 · Cited by 3,479
Maslach, C., & Jackson, S. E. (1979) · PsycTESTS Dataset · doi:10.1037/t55656-000 · Cited by 2,360
Personality and the Prediction of Consequential Outcomes
Ozer, D. J., & Benet‐Martínez, V. (2005) · Annual Review of Psychology · doi:10.1146/annurev.psych.57.102904.190127 · Cited by 2,307
Public health significance of neuroticism
Lahey, B. B. (2009) · American Psychologist · doi:10.1037/a0015309 · Cited by 1,901 · cited 1×
“Emotional stability was a significant predictor for all the measures of mental health problems, which was expected given the large body of research that has shown that this trait is associated with several mental disorders and physical health problems, and that this is not an artefact of the overlapping of some sympto…”
ResultPsychosocial work environment and mental health—a meta-analytic review
Stansfeld, S., & Candy, B. (2006) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.1050 · Cited by 1,875 · cited 1×
“A recent meta-analysis of studies on the association between stress and mental disorders indicated that psychosocial problems in the workplace, reduced control, job strain, low social support and the discrepancy between effort and rewards predict the onset of depression.(54) Another review of 14 longitudinal studies r…”
BackgroundThe ESEMeD/MHEDEA 2000 Investigators, Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., de Girolamo, G., de Graaf, R., Demyttenaere, K., et al. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00327.x · Cited by 1,825
Bonde, J. P. E. (2008) · Occupational and Environmental Medicine · doi:10.1136/oem.2007.038430 · Cited by 919
Psychosocial work environment and stress-related disorders, a systematic review
Nieuwenhuijsen, K., Bruinvels, D., & Frings-Dresen, M. (2010) · Occupational Medicine · doi:10.1093/occmed/kqq081 · Cited by 696
Work stress precipitates depression and anxiety in young, working women and men
MELCHIOR, M., CASPI, A., MILNE, B. J., DANESE, A., POULTON, R., & MOFFITT, T. E. (2007) · Psychological Medicine · doi:10.1017/s0033291707000414 · Cited by 691
Reward and Punishment Processing in Depression
Eshel, N., & Roiser, J. P. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.01.027 · Cited by 575
The “big five questionnaire”: A new questionnaire to assess the five factor model
Caprara, G. V., Barbaranelli, C., Боргогни, Л., & Perugini, M. (1993) · Personality and Individual Differences · doi:10.1016/0191-8869(93)90218-r · Cited by 499
The Relation between Work-related Psychosocial Factors and the Development of Depression
Netterstrom, B., Conrad, N., Bech, P., Fink, P., Olsen, O., Rugulies, R., & Stansfeld, S. (2008) · Epidemiologic Reviews · doi:10.1093/epirev/mxn004 · Cited by 467 · cited 1×
“Another review of 14 longitudinal studies reported that lack of social support enhanced depression.(26) The association we found between low reward and symptoms is in agreement with that suggested by neurobiological studies on depression.”
ResultAllostasis and Allostatic Load
McEwen, B. S., & Wingfield, J. C. (2007) · Elsevier eBooks · doi:10.1016/b978-012373947-6.00025-8 · Cited by 418
Hall, G. B., Dollard, M. F., Tuckey, M. R., Winefield, A. H., & Thompson, B. M. (2009) · Journal of Occupational and Organizational Psychology · doi:10.1348/096317908x401723 · Cited by 259
Sanne, B., Mykletun, A., Dahl, A. A., Moen, B. E., & Tell, G. S. (2005) · Occupational Medicine · doi:10.1093/occmed/kqi071 · Cited by 217
Enhancing Emotion-Regulation Skills in Police Officers: Results of a Pilot Controlled Study
Berking, M., Meier, C., & Wupperman, P. (2010) · Behavior Therapy · doi:10.1016/j.beth.2009.08.001 · Cited by 200
Job Stress, Depression, Work Performance, and Perceptions of Supervisors in Military Personnel
Pflanz, S. E., & Ogle, A. D. (2006) · Military Medicine · doi:10.7205/milmed.171.9.861 · Cited by 190
A prospective study of predictors of depression symptoms in police
Wang, Z., Inslicht, S. S., Metzler, T. J., Henn-Haase, C., McCaslin, S. E., Tong, H., Neylan, T. C., & Marmar, C. R. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2008.11.010 · Cited by 182
Galatzer‐Levy, I. R., Brown, A. D., Henn‐Haase, C., Metzler, T. J., Neylan, T. C., & Marmar, C. R. (2013) · Emotion · doi:10.1037/a0031314 · Cited by 138
Dutch practice guidelines for managing adjustment disorders in occupational and primary health care
van der Klink, J. J., & van Dijk, F. J. H. (2003) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.756 · Cited by 137
Depression and Work Family Conflict Among Corrections Officers
Obidoa, C., Reeves, D. W., Warren, N. D., Reisine, S., & Cherniack, M. G. (2011) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3182307888 · Cited by 122
Bourbonnais, R., Jauvin, N., Dussault, J., & Vézina, M. (2007) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2007.06.008 · Cited by 120
An exploration of job stress and health in the Norwegian police service: a cross sectional study.
Berg, A. T., Hem, E., Lau, B., & Ekeberg, Ø. (2006) · Journal of Occupational Medicine and Toxicology · doi:10.1186/1745-6673-1-26 · Cited by 113
Griffin, J. M., Greiner, B. A., Stansfeld, S. A., & Marmot, M. G. (2007) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.12.4.334 · Cited by 112
Evans, R. C., Pistrang, N., & Billings, J. (2013) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v4i0.19696 · Cited by 110
Yuan, C., Wang, Z., Inslicht, S. S., McCaslin, S. E., Metzler, T. J., Henn‐Haase, C., Apfel, B. A., Tong, H., Neylan, T. C., Fang, Y., et al. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.10.034 · Cited by 110
Preljevic, V., Østhus, T. B. H., Sandvik, L., Opjordsmoen, S., Nordhus, I. H., Os, I., & Dammen, T. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.04.015 · Cited by 106
Stress in the Norwegian police service
Berg, A. M., Hem, E., Lau, B., Haseth, K., & Ekeberg, Ø. (2005) · Occupational Medicine · doi:10.1093/occmed/kqi023 · Cited by 96
Police officers: a high-risk group for the development of mental health disturbances? A cohort study
van der Velden, P. G., Rademaker, A. R., Vermetten, E. H. G. J. M., Portengen, M.-A., Yzermans, J. C., & Grievink, L. (2013) · BMJ Open · doi:10.1136/bmjopen-2012-001720 · Cited by 95
Rugulies, R., & Krause, N. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.11.042 · Cited by 82
Is Absence Related to Work Stress? A Repeated Cross‐ S ectional Study on a Special Police Force
Magnavita, N., & Garbarino, S. (2013) · American Journal of Industrial Medicine · doi:10.1002/ajim.22155 · Cited by 81
Self-citationGarbarino, S., Chiorri, C., & Magnavita, N. (2013) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-013-0861-1 · Cited by 78
Self-citationTaris, T. W., Kompier, M. A. J., Geurts, S. A. E., Houtman, I. L. D., & Heuvel, F. F. M. V. D. (2009) · Journal of Occupational and Organizational Psychology · doi:10.1348/096317909x424583 · Cited by 76
Arial, M., Gonik, V., Wild, P. P., & Danuser, B. (2009) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-009-0500-z · Cited by 72
Fox, J. P., Desai, M. M., Britten, K., Lucas, G. I., Luneau, R., & Rosenthal, M. S. (2012) · PubMed · Cited by 67
Bertolotti, G., Zotti, A. M., Michielin, P., Vidotto, G., & Sanavio, E. (1990) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(90)90045-m · Cited by 67
Caprara, G. V., Barbaranelli, C., Боргогни, Л., & Perugini, M. (1993) · PsycTESTS Dataset · doi:10.1037/t10340-000 · Cited by 65
A new approach to evaluating the well-being of police
Juniper, B. A., White, N., & Bellamy, P. (2010) · Occupational Medicine · doi:10.1093/occmed/kqq130 · Cited by 61
Stress and cardiovascular disease risk in female law enforcement officers
Yoo, H., & Franke, W. D. (2010) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-010-0548-9 · Cited by 56
Validation of Alternative Formulations of Job Strain
Courvoisier, D. S., & Perneger, T. (2010) · Journal of Occupational Health · doi:10.1539/joh.l9084 · Cited by 54
Police job strain during routine activities and a major event
Garbarino, S., Magnavita, N., Elovainio, M. J., Heponiemi, T., Ciprani, F., Cuomo, G., & Bergamaschi, A. (2011) · Occupational Medicine · doi:10.1093/occmed/kqr058 · Cited by 52
Self-citationPer un adattamento italiano del Maslach Burnout inventory (MBI)
Sirigatti, S., Stefanile, C., & Menoni, E. (1988) · Florence Research (University of Florence) · Cited by 49
Personality Profiles of Special Force Police Officers
Garbarino, S., Chiorri, C., Magnavita, N., Piattino, S., & Cuomo, G. (2012) · Journal of Police and Criminal Psychology · doi:10.1007/s11896-011-9099-6 · Cited by 44
Self-citationMilitary hierarchy, job stress and mental health in peacetime
Martins, L., & Lopes, C. D. S. (2012) · Occupational Medicine · doi:10.1093/occmed/kqs006 · Cited by 44
Cherry, N., Chen, Y., & McDonald, J. C. (2006) · Occupational Medicine · doi:10.1093/occmed/kql041 · Cited by 44
Magnavita, N. (2008) · PubMed · Cited by 42
Self-citationMarchand, A., & Blanc, M.-È. (2010) · Journal of Occupational Health · doi:10.1539/joh.l9140 · Cited by 40
Summerfield, D. A. (2011) · BMJ · doi:10.1136/bmj.d2127 · Cited by 37
Stress and cardiovascular disease risk in female law enforcement officers.
Yoo, H., & Franke (2011) · International Archives of Occupational and Environmental Health · Cited by 29
Distress or no distress, that's the question: A cutoff point for distress in a working population
van Rhenen, W., van Dijk, F. J. H., Schaufeli, W. B., & Blonk, R. W. B. (2008) · Journal of Occupational Medicine and Toxicology · doi:10.1186/1745-6673-3-3 · Cited by 26
Bunevičius, A., Staniūtė, M., Brožaitienė, J., Pommer, A. M., Pop, V. J. M., Montgomery, S., & Bunevičius, R. (2012) · International Clinical Psychopharmacology · doi:10.1097/yic.0b013e328357670d · Cited by 25
Garbarino, S., Magnavita, N., Chiorri, C., Brisinda, D., Cuomo, G., Venuti, A., & Fenici, R. (2012) · Journal of Police and Criminal Psychology · doi:10.1007/s11896-012-9104-8 · Cited by 25
Self-citationPsychosoziale Arbeitsbelastungen und muskulo-skeletale Beschwerden bei Spezialeinheiten der Polizei
Knesebeck, O. V. D., David, K., & Siegrist, J. (2005) · Das Gesundheitswesen · doi:10.1055/s-2005-858607 · Cited by 23
Chen, S.-W., Wang, P.-C., Hsin, P.-L., Oates, A., Sun, I.-W., & Liu, S.-I. (2011) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-010-0538-y · Cited by 22
Loss of Productivity due to Depression among Korean Employees
Lee, Y. (2010) · Journal of Occupational Health · doi:10.1539/joh.o9019 · Cited by 22
Effort-Reward Imbalance, Overcommitment, and Psychological Distress in Canadian Police Officers
Janzen, B. L., Muhajarine, N., Zhu, T., & Kelly, I. W. (2007) · Psychological Reports · doi:10.2466/pr0.100.2.525-530 · Cited by 22
Adachi, Y., Aleksić, B., Nobata, R., Suzuki, T., Yoshida, K., Ono, Y., & Ozaki, N. (2012) · BMJ Open · doi:10.1136/bmjopen-2011-000596 · Cited by 20
Police organizational stress: the impact of negative discipline.
Violanti, J. M. (2011) · PubMed · Cited by 12
Magnavita, N., & Garbarino, S. (2013) · Psychiatry Journal · doi:10.1155/2013/701872 · Cited by 12
Self-citationFurther Validation of the Psychological Injury Risk Indicator Scale
Winwood, P. C., Peters, R., Peters, M., & Dollard, M. F. (2012) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e3182479f77 · Cited by 10
Combined effects of work-related stress in Her Majesty's Coastguard (HMCG).
Korzeniewski, K., & Brzozowski, R. (2011) · PubMed · Cited by 9
Combined effects of work-related stress in Her Majesty’s Coastguard (HMCG)
Kingdom, S. E., & Smith, A. P. (2012) · Cited by 7
Violante, S., Benso, P. G., Gerbaudo, L., & Violante, B. (2009) · PubMed · Cited by 5
Mental health epidemiology today: a monitor of distress
Cooper, B. K. (2012) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796012000066 · Cited by 2
Frühwald, S., Entenfellner, A., Grill, W., Korbel, C., & Frottier, P. (2011) · PubMed · Cited by 2
Research works printed but not linked: 2
- Beck AT Rush AJ Shaw BF . Cognitive therapy of depression. New York: Guilford Press, 1979.
- Violante, 2009, Relationship between job satisfaction, and stress, burnout and psychosocial factors among nurses working in different health settings, G Ital Med Lav Ergon, 31, A36
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Bianchi, R., Schonfeld, I. S., & Laurent, E. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.01.004 · Cited by 868
Purba, A., & Demou, E. (2019) · BMC Public Health · doi:10.1186/s12889-019-7609-0 · Cited by 328
Syed, S., Ashwick, R., Schlosser, M., Jones, R., Rowe, S. L., & Billings, J. (2020) · Occupational and Environmental Medicine · doi:10.1136/oemed-2020-106498 · Cited by 354
Queirós, C., Passos, F., Bártolo, A., Marques, A. J., da Silva, C. F., & Pereira, A. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00587 · Cited by 330
Arslan, G., & Allen, K. (2021) · Psychology Health & Medicine · doi:10.1080/13548506.2021.1876892 · Cited by 223
Metadata
- Authors
- Garbarino, S., Cuomo, G., Chiorri, C., & Magnavita, N.
- Affiliations
- Ministry of Interior (IT)
- University of Genoa (IT)
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Magnavita, Nicola
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2013-07
- Volume
- 3
- Issue
- 7
- Pages
- e002791
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC3717472
- OpenAlex
- W2131695063
- Cited by
- 222
- References
- 71
- Citations by year
- 2026: 13 · 2025: 25 · 2024: 18 · 2023: 33 · 2022: 20 · 2021: 18 · 2020: 26 · 2019: 16 · 2018: 18 · 2017: 6 · 2016: 12 · 2015: 10 · 2014: 6
- FWCI
- 16.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- occupational stress, mental health, police mental health, depression, anxiety, burnout, effort-reward imbalance, demand-control-support model, psychosocial risk factors, psychological screening, psychological well-being
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