加拿大皇家骑警学员培训项目开始时的心理健康状况。

IF 3.3 3区 医学 Q2 PSYCHIATRY
R Nicholas Carleton, Laleh Jamshidi, Kirby Q Maguire, Lisa M Lix, Sherry H Stewart, Tracie O Afifi, Jitender Sareen, Katie L Andrews, Nicholas A Jones, Jolan Nisbet, Shannon Sauer-Zavala, J Patrick Neary, Alain Brunet, Gregory P Krätzig, Amber J Fletcher, Taylor A Teckchandani, Terence M Keane, Gordon J G Asmundson
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引用次数: 4

摘要

目的:加拿大皇家骑警(RCMP)根据自我报告的症状,对一种或多种精神障碍进行了阳性筛查,其患病率相当高(即50.2%)。军事和准军事人员的心理健康挑战历来被归因于新兵筛查不足;然而,学员在开始学员培训计划(CTP)时的心理健康状况尚不清楚。我们的目标是在开始CTP时评估加拿大皇家骑警学员的心理健康状况,并测试社会人口统计学差异。方法:开始CTP的学员完成了一项评估自我报告的心理健康症状的调查(n = 77272.0%男性)和临床访谈(n = 736,74.4%男性)与临床医生或受监督的受训人员进行迷你国际神经心理访谈以评估当前和过去的心理健康。结果:根据自我报告的症状筛查出一种或多种当前精神障碍阳性的参与者百分比(15.0%)高于普通人群的诊断患病率(10.1%);然而,根据临床访谈,与普通人群相比,参与者对当前任何精神障碍的筛查呈阳性的可能性较小(6.3%)。与普通人群(33.1%)相比,参与者根据自我报告(3.9%)和临床访谈(12.5%)对过去任何精神障碍进行阳性筛查的可能性较小。女性在一些自我报告的精神障碍症状测量中的得分更可能高于男性(所有psd均为.23至.32)。结论:目前的结果首次描述了加拿大皇家骑警学员在开始CTP时的心理健康状况。根据临床访谈,数据证明焦虑、抑郁和创伤相关精神障碍的患病率低于普通人群,这与更严格的心理健康筛查将降低在职加拿大皇家骑警中精神障碍的高患病率的观点形成了鲜明对比。相反,保护加拿大皇家骑警的心理健康可能需要持续努力,以减轻运营和组织压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program.

Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program.

Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program.

Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program.

Objective: Serving Royal Canadian Mounted Police (RCMP) have screened positive for one or more mental disorders based on self-reported symptoms with substantial prevalence (i.e., 50.2%). Mental health challenges for military and paramilitary populations have historically been attributed to insufficient recruit screening; however, cadet mental health when starting the Cadet Training Program (CTP) was unknown. Our objective was to estimate RCMP Cadet mental health when starting the CTP and test for sociodemographic differences.

Method: Cadets starting the CTP completed a survey assessing self-reported mental health symptoms (n = 772, 72.0% male) and a clinical interview (n = 736, 74.4% male) with a clinician or supervised trainee using the Mini-International Neuropsychiatric Interview to assess current and past mental health.

Results: The percentage of participants screening positive for one or more current mental disorders based on self-reported symptoms (15.0%) was higher than the diagnostic prevalence for the general population (10.1%); however, based on clinical interviews, participants were less likely to screen positive for any current mental disorder (6.3%) than the general population. Participants were also less likely to screen positive for any past mental disorder based on self-report (3.9%) and clinical interviews (12.5%) than the general population (33.1%). Females were more likely to score higher than males (all ps<.01; Cohen's ds .23 to .32) on several self-report mental disorder symptom measures.

Conclusions: The current results are the first to describe RCMP cadet mental health when starting the CTP. The data evidenced a lower prevalence of anxiety, depressive, and trauma-related mental disorders than the general population based on clinical interviews, contrasting notions that more rigorous mental health screening would reduce the high prevalence of mental disorders among serving RCMP. Instead, protecting RCMP mental health may require ongoing efforts to mitigate operational and organizational stressors.

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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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