Resilience Training Program Reduces Physiological and Psychological Stress in Police Officers
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Research suggests that police work is among the most stressful occupations in the world and officers typically suffer a variety of physiological, psychological, and behavioral effects and symptoms. Officers operating under severe or chronic stress are likely to be at greater risk of error, accidents, and overreactions that can compromise their performance, jeopardize public safety, and pose significant liability costs to the organization. Therefore, this study explored the nature and degree of physiological activation typically experienced of officers on the job and the impact of the Coherence Advantage resilience and performance enhancement training on a group of police officers from Santa Clara County, California. Areas assessed included vitality, emotional well-being, stress coping and interpersonal skills, work performance, workplace effectiveness and climate, family relationships, and physiological recalibration following acute stressors. Physiological measurements were obtained to determine the real-time cardiovascular impact of acutely stressful situations encountered in highly realistic simulated police calls used in police training and to identify officers at increased risk of future health challenges. The resilience-building training improved officers’ capacity to recognize and self-regulate their responses to stressors in both work and personal contexts. Officers experienced reductions in stress, negative emotions, depression, and increased peacefulness and vitality as compared to a control group. Improvements in family relationships, more effective communication and cooperation within work teams, and enhanced work performance also were noted. Heart rate and blood pressure measurements taken during simulated police call scenarios showed that acutely stressful circumstances typically encountered on the job result in a tremendous degree of physiological activation, from which it takes a considerable amount of time to recover. Autonomic nervous system assessment based on heart rate variability (HRV) analysis of 24-hour electrocardiogram (ECG) recordings revealed that 11% of the officers were at higher risk for sudden cardiac death and other serious health challenges. This is more than twice the percentage typically found in the general population and is consistent with epidemiological data indicating that police officers have more than twice the average incidence of cardiovascular-related disease. The data suggest that training in resilience building and self-regulation skills could significantly benefit police organizations by improving judgment and decision making and decreasing the frequency of on-the-job driving accidents and the use of excessive force in high-stress situations. Potential outcomes include fewer citizens’ complaints, fewer lawsuits, decreased organizational liabilities, and increased community safety. Finally, this study highlights the value of 24-hour HRV analysis as a useful screening tool to identify officers who are at increased risk, so that efforts can be made to reverse or prevent the onset of disease in these individuals.
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Providing emotional self-regulation skills combined with heart rhythm coherence training results in significant improvements in communication, employee satisfaction, productivity, problem solving, reduced turnover, and a significant return on investment, both financially and socially.
“It has been shown that providing emotional self-regulation skills combined with heart rhythm coherence training results in significant improvements in communication, employee satisfaction, productivity, problem solving, reduced turnover, and a significant return on investment, both financially and socially (15, 67, 73, 86, 90–92).”
From New Frontiers in Heart Rate Variability and Social Coherence Research: Techniques, Technologies, and Implications for Improving Group Dynamics and Outcomes (2017) · cites this paper as [73]
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Experimental — accuracy not yet measuredPolice officers have an increased risk of sudden cardiac death, diabetes, obesity and metabolic syndrome.
“In addition to higher rates of mental health concerns, police officers have an increased risk of sudden cardiac death, diabetes, obesity and metabolic syndrome [9, 10].”
From Study protocol of a multicenter randomized controlled trial of mindfulness training to reduce burnout and promote quality of life in police officers: The POLICE study (2018) · cites this paper as [10]
The Results (Physiological Results; page not provided) report that 11% of the officers tested had low heart-rate variability associated with increased risk of sudden death, more than twice the proportion expected in the general population. The paper also reports elevated cardiovascular disease incidence among police, but the passages do not say that officers have increased risks of diabetes, obesity, or metabolic syndrome. (LLM, conf=0.88)
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Christopher, M. S., Goerling, R. J., Rogers, B. S., Hunsinger, M., Baron, G., Bergman, A. L., & Zava, D. T. (2016) · Journal of Police and Criminal Psychology · doi:10.1007/s11896-015-9161-x · Cited by 170 · see citing works
McCraty, R. (2017) · Frontiers in Public Health · doi:10.3389/fpubh.2017.00267 · Cited by 111 · see citing works
Self-citationJoyce, S., Shand, F., Lal, T. J., Mott, B., Bryant, R. A., & Harvey, S. B. (2019) · Journal of Medical Internet Research · doi:10.2196/12894 · Cited by 101 · see citing works
Building resilience: The conceptual basis and research evidence for resilience training programs
Forbes, S., & Fikretoglu, D. (2018) · Review of General Psychology · doi:10.1037/gpr0000152 · Cited by 99 · see citing works
Joyce, S., Shand, F., Bryant, R. A., Lal, T. J., & Harvey, S. B. (2018) · Journal of Medical Internet Research · doi:10.2196/10326 · Cited by 87 · see citing works
Crane, M. F., Boga, D., Karin, E., Gucciardi, D. F., Rapport, F., Callen, J., & Sinclair, L. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000356 · Cited by 79 · see citing works
Changes in Facets of Mindfulness Predict Stress and Anger Outcomes for Police Officers
Bergman, A. L., Christopher, M. S., & Bowen, S. (2016) · Mindfulness · doi:10.1007/s12671-016-0522-z · Cited by 70 · see citing works
Trombka, M., Demarzo, M., Campos, D., Antonio, S. B., Cicuto, K., Walcher, A. L., García-Campayo, J., Schuman-Olivier, Z., & Rocha, N. S. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.624876 · Cited by 69 · see citing works
ter Harmsel, J. F., Noordzij, M. L., Goudriaan, A. E., Dekker, J. J. M., Swinkels, L. T. A., van der Pol, T. M., & Popma, A. (2021) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2020.11.009 · Cited by 47 · see citing works
Trombka, M., Demarzo, M., Bacas, D. C., Antonio, S. B., Cicuto, K., Salvo, V., Claudino, F. C. A., Ribeiro, L., Christopher, M., Garcia-Campayo, J., et al. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1726-7 · Cited by 41 · see citing works
“In addition to higher rates of mental health concerns, police officers have an increased risk of sudden cardiac death, diabetes, obesity and metabolic syndrome [9, 10].”
BackgroundResilience Interventions Conducted in Western and Eastern Countries—A Systematic Review
Blessin, M., Lehmann, S., Kunzler, A. M., van Dick, R., & Lieb, K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19116913 · Cited by 40 · see citing works
Kaplan, J. B., Christopher, M. S., & Bowen, S. (2018) · Journal of Police and Criminal Psychology · doi:10.1007/s11896-017-9246-9 · Cited by 34 · see citing works
Hendriks, T., Schotanus-Dijkstra, M., Hassankhan, A., Sardjo, W., Graafsma, T., Bohlmeijer, E., & de Jong, J. (2020) · The Journal of Positive Psychology · doi:10.1080/17439760.2019.1590624 · Cited by 30 · see citing works
Testing a Resilience Training Program in Police Recruits: A Pilot Study
Ramey, S. L., Perkhounkova, Y., Hein, M., Bohr, N. L., & Anderson, A. A. (2017) · Biological Research For Nursing · doi:10.1177/1099800417699879 · Cited by 30 · see citing works
Navarrete, J., García-Salvador, M. Á., Cebolla, A., & Baños, R. (2022) · Mindfulness · doi:10.1007/s12671-022-01827-5 · Cited by 29 · see citing works
“However, different mental health interventions for stress prevention in police officers have been tested (e.g., LaMontagne et al., 2016; McCraty & Atkinson, 2012).”
BackgroundInvestigating state and trait aspects of resilience using Generalizability theory
Child, L. E., & Medvedev, O. N. (2024) · Current Psychology · doi:10.1007/s12144-023-05072-4 · Cited by 23 · see citing works
“It is proposed as an effective tool to mitigate the negative effects of stressors leading to anxiety and depression (Dantzer et al., 2018; Sheerin et al., 2018; Stewart & Yuen, 2011; McCraty & Atkinson, 2012).”
- Authors
- Mccraty, R., & Atkinson, M.
- Affiliations
- HeartMath Institute (US)
- Corresponding author
- Mccraty, Rollin
- Venue
- Global Advances in Health and Medicine
- Publisher
- SAGE Publications
- Published
- 2012-11
- Volume
- 1
- Issue
- 5
- Pages
- 44-66
- ISSN
- 2164-9561 (ISSN-L)
- 2164-957X
- PMC
- PMC4890098
- OpenAlex
- W2068814109
- Cited by
- 234
- References
- 94
- Citations by year
- 2026: 17 · 2025: 12 · 2024: 21 · 2023: 26 · 2022: 32 · 2021: 32 · 2020: 28 · 2019: 23 · 2018: 12 · 2017: 9 · 2016: 8 · 2015: 10 · 2014: 4
- FWCI
- 2.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Global Advances in Health and Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- resilience training, police officers, occupational stress, physiological stress, heart rate variability, cardiovascular risk, self-regulation, stress coping, autonomic nervous system, sudden cardiac death risk, employee performance, family relationships, organizational climate, excessive force, cardiovascular disease
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