Background Police are frequently exposed to occupational trauma, making them vulnerable to post-traumatic stress disorder (PTSD) and other mental health conditions. Through personal and occupational trauma police are also at risk of developing Complex PTSD (CPTSD), associated with prolonged and repetitive trauma. Police Occupational Health Services require effective interventions to treat officers experiencing mental health conditions, including CPTSD. However, there is a lack of guidance for the treatment of occupational trauma. Aims To explore differences in demographics and trauma exposure between police with CPTSD and PTSD and compare the effectiveness of brief trauma-focused therapy between these diagnostic groups. Methods Observational cohort study using clinical data from the Trauma Support Service, providing brief trauma-focused therapy for PTSD (cognitive behavioural therapy/eye movement desensitization and reprocessing) to UK police officers. Demographics, trauma exposure, baseline symptom severity and treatment effectiveness were compared between police with PTSD and CPTSD. Changes in PTSD, depression and anxiety symptoms were used to measure treatment effectiveness. Results Brief trauma therapy reduced symptoms of PTSD, depression and anxiety. Treatment effectiveness did not differ between CPTSD and PTSD groups. Police with CPTSD exposed to both primary and secondary occupational trauma had poorer treatment outcomes than those exposed to a single occupational trauma type. Conclusions Brief trauma-focused interventions are potentially effective in reducing symptoms of PTSD, depression and anxiety in police with CPTSD and PTSD. Further research is needed to establish whether additional CPTSD symptoms (affect dysregulation, self-perception and relational difficulties) are also reduced.

中文翻译：

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英国警察职业创伤相关 PTSD/CPTSD 的短期创伤治疗

背景 警察经常遭受职业创伤，使他们容易患上创伤后应激障碍（PTSD）和其他心理健康问题。由于个人和职业创伤，警察也面临着患上复杂创伤后应激障碍 (CPTSD) 的风险，这种创伤与长期和重复性创伤有关。警察职业健康服务需要有效的干预措施来治疗患有心理健康问题（包括 CPTSD）的警官。然而，目前缺乏职业创伤治疗的指导。目的 探讨患有 CPTSD 和 PTSD 的警察在人口统计学和创伤暴露方面的差异，并比较这些诊断组之间短期创伤重点治疗的有效性。方法 使用来自创伤支持服务的临床数据进行观察性队列研究，为英国警察提供针对 PTSD 的简短创伤聚焦治疗（认知行为疗法/眼动脱敏和再处理）。对患有 PTSD 和 CPTSD 的警察的人口统计、创伤暴露、基线症状严重程度和治疗效果进行了比较。创伤后应激障碍（PTSD）、抑郁和焦虑症状的变化被用来衡量治疗效果。结果短暂的创伤治疗减轻了创伤后应激障碍、抑郁和焦虑的症状。CPTSD 组和 PTSD 组之间的治疗效果没有差异。遭受原发性和继发性职业创伤的 CPTSD 警察的治疗结果比遭受单一职业创伤类型的警察要差。结论 针对患有 CPTSD 和 PTSD 的警察，针对创伤的简短干预措施可能有效减轻 PTSD、抑郁和焦虑症状。需要进一步的研究来确定其他 CPTSD 症状（影响失调、自我感知和关系困难）是否也有所减少。