保护保护者:调查儿童性虐待材料的英国警官和工作人员的道德伤害、应对方式和心理健康

IF 4.7 2区 医学 Q1 PSYCHIATRY Depression and Anxiety Pub Date : 2024-11-23 DOI:10.1155/da/1854312
Paul Conway, Theresa Redmond, Samantha Lundrigan, Deanna Davy, Simon Bailey, Peter Lee
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引用次数: 0

摘要

调查儿童性虐待材料(CSAM)的警官和工作人员可能会面临更高的心理健康问题风险,而机构和人际因素可能会减轻或加剧这种风险。目前的研究对英国 CSAM 调查人员(N = 661)的心理健康进行了大样本调查。结果表明,抑郁症和焦虑症的发病率大幅上升,但创伤后应激障碍(PTSD)的发病率并没有上升。成功感和被支持感能有效缓冲负面结果,而道德伤害--尤其是机构背叛感--则预示着更糟糕的结果。虽然接触 CSAM 和与受害者接触也会导致不良后果,但这些影响要小得多。在应对方式方面,自责、反刍、灾难化、退缩、忽视和消极的宗教应对方式预示着较差的结果,而积极的重新聚焦、寻求转移注意力和社会支持则是有效的。在控制人口统计学因素的情况下,这些结果仍然有效。这些结果表明,英国 CSAM 警官和工作人员的抑郁和焦虑程度较高,但机构和人际支持可以缓冲结果。
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Protecting the Protectors: Moral Injury, Coping Styles, and Mental Health of UK Police Officers and Staff Investigating Child Sexual Abuse Material

Police officers and staff who investigate child sexual abuse material (CSAM) may be at elevated risk for mental health problems, which may be mitigated or exacerbated by institutional and interpersonal factors. The current work examined mental health in a large sample of UK CSAM investigators (N = 661). Results suggest substantially elevated rates of depression and anxiety but not posttraumatic stress disorder (PTSD). Feeling successful and supported powerfully buffered against negative outcomes, whereas moral injury—particularly feelings of institutional betrayal—predicted worse outcomes. Although exposure to CSAM and contact with victims predicted worse outcomes, these effects were much smaller. Regarding coping styles, self-blame, rumination, catastrophizing, withdrawal, ignoring, and negative religious coping predicted worse outcomes, whereas positive refocusing, seeking distraction, and social support were effective. These results held controlling for demographics. These results suggest that UK CSAM police officers and staff experience elevated depression and anxiety, but institutional and interpersonal support can buffer outcomes.

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来源期刊
Depression and Anxiety
Depression and Anxiety 医学-精神病学
CiteScore
15.00
自引率
1.40%
发文量
81
审稿时长
4-8 weeks
期刊介绍: Depression and Anxiety is a scientific journal that focuses on the study of mood and anxiety disorders, as well as related phenomena in humans. The journal is dedicated to publishing high-quality research and review articles that contribute to the understanding and treatment of these conditions. The journal places a particular emphasis on articles that contribute to the clinical evaluation and care of individuals affected by mood and anxiety disorders. It prioritizes the publication of treatment-related research and review papers, as well as those that present novel findings that can directly impact clinical practice. The journal's goal is to advance the field by disseminating knowledge that can lead to better diagnosis, treatment, and management of these disorders, ultimately improving the quality of life for those who suffer from them.
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