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Mindfulness-based resilience training to reduce health risk, stress reactivity, and aggression among law enforcement officers: A feasibility and preliminary efficacy trial.

Psychiatry research
June 1, 2018
Michael S Christopher et al. (8 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the feasibility and preliminary outcomes of Mindfulness-Based Resilience Training (MBRT) for law enforcement officers.

Results Summary

MBRT participants showed significant reductions in salivary cortisol, aggression, stress, burnout, and sleep disturbance, along with increased psychological flexibility and non-reactivity post-training, but these benefits were not sustained at three-month follow-up.

Population

Law enforcement officers (n = 61).

Effective Dosage

8-week MBRT course (specific frequency not detailed).

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-Based Resilience Training (MBRT)
neutral
feasibility
law enforcement officers
-
demonstrated feasibility
#1
Mindfulness-Based Resilience Training (MBRT)
decrease
salivary cortisol
law enforcement officers
-
greater reductions
#2
Mindfulness-Based Resilience Training (MBRT)
decrease
self-reported aggression
law enforcement officers
-
greater reductions
#3
Mindfulness-Based Resilience Training (MBRT)
decrease
organizational stress
law enforcement officers
-
greater reductions
#4
Mindfulness-Based Resilience Training (MBRT)
decrease
burnout
law enforcement officers
-
greater reductions
#5
Mindfulness-Based Resilience Training (MBRT)
decrease
sleep disturbance
law enforcement officers
-
greater reductions
#6
Mindfulness-Based Resilience Training (MBRT)
increase
psychological flexibility
law enforcement officers
-
reported increases
#7
Mindfulness-Based Resilience Training (MBRT)
increase
non-reactivity
law enforcement officers
-
reported increases
#8
Mindfulness-Based Resilience Training (MBRT)
no change
group differences
law enforcement officers
-
were not maintained
#9
Mindfulness-Based Resilience Training (MBRT)
neutral
key physiological, psychological, and health risk factors
law enforcement officers
-
targets
#10
Abstract

The primary objective of this study was to assess feasibility and gather preliminary outcome data on Mindfulness-Based Resilience Training (MBRT) for law enforcement officers. Participants (n = 61) were randomized to either an 8-week MBRT course or a no intervention control group. Self-report and physiological data were collected at baseline, post-training, and three months following intervention completion. Attendance, adherence, post-training participant feedback, and interventionist fidelity to protocol all demonstrated feasibility of MBRT for law enforcement officers. Compared to no intervention controls, MBRT participants experienced greater reductions in salivary cortisol, self-reported aggression, organizational stress, burnout, sleep disturbance, and reported increases in psychological flexibility and non-reactivity at post-training; however, group differences were not maintained at three-month follow-up. This initial randomized trial suggests MBRT is a feasible intervention. Outcome data suggest MBRT targets key physiological, psychological, and health risk factors in law enforcement officers, consistent with the potential to improve officer health and public safety. However, follow-up training or "booster" sessions may be needed to maintain training gains. A fully powered longitudinal randomized trial is warranted.

Medical Subject Headings (MeSH)
Adaptation, PsychologicalAdultAggressionBurnout, ProfessionalFeasibility StudiesFemaleHumansHydrocortisoneMaleMindfulnessOccupational DiseasesOccupational StressPoliceResilience, PsychologicalRisk FactorsRisk Reduction BehaviorSalivaSleep Wake DisordersTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations67
Citations/Year9.6
Relative Citation Ratio5.53
NIH Percentile94.1%
Research Impact Scores
APT Score0.95
Weight Score2.41
Normalized Score0.67
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