Journal of Experimental Criminology

, Volume 10, Issue 4, pp 487–513 | Cite as

Stress management interventions for police officers and recruits: a meta-analysis

  • George T. PattersonEmail author
  • Irene W. Chung
  • Philip W. Swan



A systematic review was conducted to examine the effects of stress management interventions on outcomes among police officers and recruits.


The search methods included searching electronic databases, journals, books, conference proceedings, websites and contacting organizations and authors. Inclusion criteria were randomized controlled trials and quasi-experimental studies, and any type of stress management intervention given to police officers, recruits or civilian law enforcement personnel.


The 12 primary studies included in the systematic review were published between 1984 and 2008 and included 8 published studies, 3 unpublished doctoral dissertations, and 1 unpublished report. The sample was comprised of 906 participants, with an average age of 34.48 years, and an average of 10.77 years of police experience. The average duration of the interventions was 10.95 h with a range of 30 min to 24 h. A total of 221 effects were examined in a metaanalysis. Effect sizes were calculated separately for physiological, psychological and behavioral outcomes. The overall mean effect for physiological outcomes was 0.196, 0.038 among psychological outcomes, and −0.176 among behavioral outcomes. These small effect sizes suggest that the interventions were not effective. Moderator analyses results did not show any meaningful differences across the studies.


Further research is needed to develop and implement effective stress management interventions intended for police officers and recruits that address specific field work, organizational and personal stressors, utilize randomized controlled trials, and indicate the primary, secondary or tertiary focus of the intervention.


Stress management interventions Police officers Police recruits Systematic review Meta-analysis 



The authors wish to thank the National Policing Improvement Agency, Campbell Collaboration Crime and Justice Group, and George Mason University for funding this systematic review; David B. Wilson for assistance with data analysis and earlier versions of this paper; Daniel Schmidt for managing the study selection process and references; and Marvie Brooks and John Jay College of Criminal Justice (CUNY) for assisting with the search strategy.


*References included in the systematic review

  1. *Ackerley, D.G. (1986). The effects of a stress management program on police personnel. Dissertation Abstracts International, DAI, 48, no. 05A.Google Scholar
  2. Addis, N., & Stephens, C. (2008). An evaluation of a police debriefing programme: outcomes for police officers five years after a shooting. International Journal of Police Science and Management, 10, 361–373.CrossRefGoogle Scholar
  3. Amaranto, E., Steinberg, J., Castellano, C., & Mitchell, R. (2003). Police stress interventions. Brief Treatment and Crisis Intervention, 3, 47–54.CrossRefGoogle Scholar
  4. Amendola, K. L., Weisburd, D., Hamilton, E., Jones, G., Slipka, M., Heitmann, A., Shane, J., Ortiz, C., & Tarkghen, E. (2011). The impact of shift length in policing on performance, health, quality of life, sleep, fatigue, and extra-duty employment. Washington, DC: Police Foundation.Google Scholar
  5. Anderson, W., Swenson, D., & Clay, D. (1995). Stress management for law enforcement officers. Englewood Cliffs: Prentice Hall.Google Scholar
  6. Anshel, M. H. (2000). A conceptual model and implications for coping with stressful events in police work. Criminal Justice and Behavior, 27, 375–400.CrossRefGoogle Scholar
  7. Biggam, F. H., Power, K. G., & MacDonald, R. R. (1997). Self-perceived occupational stress and distress in a Scottish police force. Work & Stress, 11, 118–133.CrossRefGoogle Scholar
  8. Bisson, J., & Andrew, M. (2009). Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 3.Google Scholar
  9. Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2009a). Introduction to meta-analysis. West Sussex: Wiley.CrossRefGoogle Scholar
  10. Borenstein, M., Hedges, L., Higgins, J., & Rothstein, H. (2009b). Comprehensive meta analysis (version 2.2.050) [Computer software]. Englewood: Biostat.Google Scholar
  11. Brandt, D. E. (1993). Social distress and the police. Journal of Social Distress and the Homeless, 2, 305–313.CrossRefGoogle Scholar
  12. Brown, J. M., & Campbell, E. A. (1994). Stress and policing: Sources and strategies. New York: John Wiley & Sons.Google Scholar
  13. Brown, J. M., Cooper, C. L., & Kirkcaldy, B. (1996). Occupational stress among senior police officers. British Journal of Police Psychology, 87, 31–41.CrossRefGoogle Scholar
  14. Burke, R. J. (1993). Work-family stress, conflict, coping and burnout in police officers. Stress Medicine, 9, 171–180.CrossRefGoogle Scholar
  15. Burke, R. J., & Deszca, E. (1986). Correlates of psychological burnout phases among police officers. Human Relations, 39, 487–502.CrossRefGoogle Scholar
  16. Carlan, P. E., & Nored, L. S. (2008). An examination of officer stress: Should police departments implement mandatory counseling? Journal of Police and Criminal Psychology, 23, 8–15.CrossRefGoogle Scholar
  17. Carlier, I. V. E., Lamberts, R. D., van Uchelen, J. J., & Gersons, B. P. R. (1998). Disaster-related posttraumatic stress in police officers: a field study of the impact of debriefing. Stress Medicine, 14, 143–178.CrossRefGoogle Scholar
  18. Chapin, M., Brannen, S. J., Singer, M. I., & Walker, M. (2008). Training police leadership to recognize and address operational stress. Police Quarterly, 11, 338–352.CrossRefGoogle Scholar
  19. Coman, G. J., & Evans, B. J. (1991). Stressors facing Australian police in the 1990s. Police Studies, 14(4), 153–165.Google Scholar
  20. Cooper, C. L., & Davidson, M. (1987). Sources of stress at work and their relation to stressors in non-working environments. In R. Kalimo, M. A. E. El-Batawi, & C. L. Cooper (Eds.), Psychological factors at work and their relation to health (pp. 99–123). Geneva: World Health Organization.Google Scholar
  21. Cooper, C. L., Davidson, M. J., & Robinson, P. (1982). Stress in police service. Journal of Occupational Medicine, 24, 30–36.CrossRefGoogle Scholar
  22. Cooper, C. L., Dewe, P. J., & O’Driscoll, M. P. (2001). Organizational stress: A review and critique of theory, research, and applications. Thousand Oaks: Sage Publications, Inc.Google Scholar
  23. *Coulson, J.E. (1987). The effectiveness of a stress reduction program for police officers. University of North Texas, 1987.1987.8713941. Retrieved from ProQuest.Google Scholar
  24. Dewe, P., & Cooper, C. L. (2007). Coping research and measurement in the context of work related stress. In G. P. Hodgkinson, J. K. Ford, G. P. Hodgkinson, & J. K. Ford (Eds.), International review of industrial and organizational psychology 2007 (vol 22) (pp. 141–191). New York: John Wiley & Sons Ltd.Google Scholar
  25. *Digliani, J.A. (1994). Stress inoculation training: The police. Dissertation Abstracts International DAI, 56, no. 04BGoogle Scholar
  26. Ellison, K. W., & Genz, J. L. (1983). Stress and the police officer. Springfield: Charles C. Thomas.Google Scholar
  27. Everly, G. S., Flannery, R. B., & Mitchell, J. T. (2000). Critical incident stress management (CISM): a review of the literature. Aggression and Violent Behavior, 5, 23–40.CrossRefGoogle Scholar
  28. Finn, P., & Tomz, J. E. (1997). Developing a law enforcement stress program for officers and their families. Washington, DC: U.S. Department of Justice, Office of Justice Programs, National Institute of Justice.Google Scholar
  29. Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150–170.CrossRefGoogle Scholar
  30. Folkman, S., & Lazarus, R. S. (1991). Coping and emotion. In A. Monat & R. S. Lazarus (Eds.), Stress and coping: An anthology (pp. 207–227). New York: Columbia University Press.Google Scholar
  31. Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. (1986). The dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 571–579.CrossRefGoogle Scholar
  32. Gersons, B. P. R., Carlier, I. V. E., Lamberts, R. D., & van der Kolk, B. A. (2000). Randomized clinical trial of brief eclectic psychotherapy for police officers with posttraumatic stress disorder. International Society for Traumatic Stress Studies, 13(2), 333–347.CrossRefGoogle Scholar
  33. Giga, S. I., Cooper, G. L., & Faragher, B. (2003). The development of a framework for a comprehensive approach to stress management interventions at work. International Journal of Stress Management, 10(4), 280–296.CrossRefGoogle Scholar
  34. Glass, G. V., McGaw, B., & Smith, M. L. (1981). Meta-analysis in social research. Beverly Hills: Sage.Google Scholar
  35. Gudjonsson, G. H., & Adlam, K. R. (1985). Occupational stressors among British police officers. The Police Journal, 58, 73–80.Google Scholar
  36. Hart, P. M., Wearing, A. J., & Headey, B. (1995). Police stress and well-being: integrating personality, coping and daily work experience. Journal of Occupational and Organizational Psychology, 68, 133–156.CrossRefGoogle Scholar
  37. Hurrell, J. J. (1995). Police work, occupational stress and individual coping. Journal of Organizational Behavior, 16, 27–28.CrossRefGoogle Scholar
  38. Hurrell, J. J., & Murphy, L. R. (1996). Occupational stress intervention. American Journal of Industrial Medicine, 29, 338–341.CrossRefGoogle Scholar
  39. *Ireland, M., Malouff, J. M., & Byrne, B. (2007). The efficacy of written emotional expression in the reduction of psychological distress in police officers. International Journal of Police Science & Management, 9(4), 303–311.CrossRefGoogle Scholar
  40. Janik, J., & Kravitz, H. M. (1994). Linking work and domestic problems with police suicide. Suicide & Like-Threatening Behavior, 24, 267–274.Google Scholar
  41. Kalia, M. (2002). Assessing the economic impact of stress: the modern day hidden epidemic. Metabolism, 51(6), 49–53.CrossRefGoogle Scholar
  42. Kirkcaldy, B., Cooper, C. L., & Ruffalo, P. (1995). Work stress and health in a sample of U.S. police. Psychological Reports, 76, 700–702.CrossRefGoogle Scholar
  43. Kirmeyer, S. L., & Diamond, A. (1985). Coping by police officers: a study of role stress and Type A and Type B behavior patterns. Journal of Occupational Behavior, 6, 183–195.CrossRefGoogle Scholar
  44. Lau, B., Hem, E., Berg, A. M., Ekeberg, O., & Torgersen, S. (2006). Personality types, coping, and stress in the Norwegian police service. Personality and Individual Differences, 41(5), 971–982.CrossRefGoogle Scholar
  45. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
  46. Lennings, G. (1995). Suicide ideation and risk factors in police officers and justice students. Police Studies, 15, 146–147.Google Scholar
  47. Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage Publications, Inc.Google Scholar
  48. Lovibond, P.F., & Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335–343.Google Scholar
  49. Manzoni, P., & Eisner, M. (2006). Violence between the police and public: influences of work-related stress, job satisfaction, burnout, and situational factors. Criminal Justice and Behavior, 33(5), 613–645.CrossRefGoogle Scholar
  50. Martelli, T. A., Waters, L. K., & Martelli, J. (1989). The police stress survey: reliability and relation to job satisfaction and organizational commitment. Psychological Reports, 64, 267–273.CrossRefGoogle Scholar
  51. Maxon, R. (1999). Stress in the workplace: A costly epidemic. Retrieved from
  52. *McCraty, R., & Tomasino, D. (1999). Impact of the HeartMath self-management skills program physiological and psychological stress in police officers. Boulder Creek, CA: HeartMath Research Center, Publication No. 99-075.Google Scholar
  53. McCreary, D. R., & Thompson, M. M. (2006). Development of two reliable and valid measures of stressors in policing: the operational and organizational police stress questionnaires. International Journal of Stress Management, 13(4), 494–518.CrossRefGoogle Scholar
  54. Murphy, L. R. (1988). Workplace interventions for stress reduction and prevention. In C. L. Cooper & R. Payne (Eds.), Causes, coping and consequences of stress at work (pp. 301–339). New York: Wiley.Google Scholar
  55. Myers, J. E., & Sweeney, T. J. (2004). The Indivisible Self: An evidence-based model of well-ness. Journal of Individual Psychology, 60, 234–245.Google Scholar
  56. National Institute for Occupational Safety and Health. (1999). Stress at work. Retrieved from
  57. *Norvell, N., & Belles, D. (1993). Psychological and physical benefits of circuit weight training in law enforcement personnel. Journal of Consulting and Clinical Psychology, 61(3), 520–527.CrossRefGoogle Scholar
  58. On the job stress in policing – reducing it, preventing it. (2000). National Institute of Justice Journal, 18–24.Google Scholar
  59. Paton, D., & Violanti, J. M. (1996). Traumatic stress in critical occupations: Recognition, consequences, and treatment. Springfield: Charles C. Thomas.Google Scholar
  60. Patterson, G. T. (2001). Reconceptualizing traumatic incidents experienced by law enforcement personnel. The Australasian Journal of Disaster and Trauma Studies. Retrieved from
  61. Penalba, V., McGuire, H., & Leite, J.R. (2009). Psychosocial interventions for prevention of psychosocial disorders in law enforcement officers. The Cochrane Library, Issue 4. Retrieved
  62. Reese, J. T., Horn, J. M., & Dunning, C. (Eds.). (1991). Critical incident in policing. Washington, DC: Government Printing Office.Google Scholar
  63. Richardson, K. M., & Rothstein, H. R. (2008). Effects of occupational stress management intervention programs: a meta-analysis. Journal of Occupational Health Psychology, 13(1), 69–93.CrossRefGoogle Scholar
  64. Richmond, R. L., Kehoe, L., Hailstone, S., Wodak, A., & Uebel-Yan, M. (1999). Quantitative and qualitative evaluations of brief interventions to change excessive during, smoking and stress in the police force. Addiction, 94(10), 1509–1521.CrossRefGoogle Scholar
  65. Sewell, J. D. (1999). Administrative concerns in law enforcement stress management. In L. Territo & J. D. Sewell (Eds.), Stress management in law enforcement (pp. 361–369). Durham: Carolina Academic Press.Google Scholar
  66. *Shipley, P., & Baranski, J. V. (2002). Police officer performance under stress: a pilot study on the effects of visuo-motor behavior rehearsal. International Journal of Stress Management, 9(2), 71–80.CrossRefGoogle Scholar
  67. Sherman, L. W., Gottfredson, D. C., MacKenzie, D. L., Eck, J., Reuter, P., & Bushway, S. D. (1998). Preventing crime: What works, what doesn’t, what’s promising. Washington, DC: U.S. Department of Justice, Office of Justice Programs, National Institute of Justice.Google Scholar
  68. *Short, M. A., DiCarlo, S., Steffee, W. P., & Pavlou, K. (1984). Effects of physical conditioning on self-concept of adult obese males. Physical Therapy, 62(2), 194–198.Google Scholar
  69. Spielberger, C. D., Westberry, L. G., Grier, K. S., & Greenfield, G. (1981). The Police Stress Survey: Sources of stress in law enforcement. Tampa: University of South Florida, College of Social and Behavioral Sciences.Google Scholar
  70. Stinchcomb, J. B. (2004). Searching for stress in all the wrong places: combating chronic organizational stressors in policing. Police Practice and Research, 5, 259–277.CrossRefGoogle Scholar
  71. *Tanigoshi, H., Kontos, A. P., & Remley, T. P. (2008). The effectiveness of individual wellness counseling on the wellness of law enforcement officers. Journal of Counseling & Development, 86, 64–74.CrossRefGoogle Scholar
  72. Terry, W. C. (1981). Police stress: the empirical evidence. Journal of Police Science and Administration, 9(1), 61–75.Google Scholar
  73. The American Institute of Stress. (n.d.). Workplace stress. Retrieved from
  74. van der Hek, H., & Plomp, H. N. (1997). Occupational stress management programmes: a practical overview of published studies. Occupational Medicine, 47(3), 133–141.CrossRefGoogle Scholar
  75. van Wyk B.E., & Pillay-Van Wyk, V. (2010). Preventive staff-support interventions for health workers. The Cochrane Library, Issue 3. Retrieved from
  76. Violanti, J. M. (1995). Trends in police suicide. Psychological Reports, 77, 688–690.CrossRefGoogle Scholar
  77. Violanti, J. M., & Aron, F. (1994). Ranking police stressors. Psychological Reports, 75, 824–826.CrossRefGoogle Scholar
  78. Violanti, J. M., & Aron, F. (1995). Police stressors: variations in perception among police personnel. Journal of Criminal Justice, 23(3), 287–294.CrossRefGoogle Scholar
  79. Violanti, J. M., Burchfiel, C. M., Hartley, T. A., Mnatsakanova, A., Fekedulegn, D., Andrew, M. E., Charles, L. E., & Vila, B. J. (2009). Atypical work hours and metabolic syndrome among police officers. Archives of Environmental & Occupational Health, 64(3), 194–201.CrossRefGoogle Scholar
  80. Waters, J. A., & Ussery, W. (2007). Police stress: history, contributing factors, symptoms, and interventions. Policing: An International Journal of Police Strategies & Management, 30(2), 169–188.CrossRefGoogle Scholar
  81. Webb, S. D., & Smith, D. L. (1980). Stress prevention and alleviation strategies for the police. Criminal Justice Review, 5, 1–15.CrossRefGoogle Scholar
  82. Webster, J. H. (2013). Police officer perceptions of occupational stress: the state of the art. Policing: An International Journal of Police Strategies & Management, 36(3), 636–652.CrossRefGoogle Scholar
  83. Wexler, J. G., & Logan, D. D. (1983). Sources of stress among women police officers. Journal of Police Science and Administration, 11, 46–53.Google Scholar
  84. Wilson, S. A., Tinker, R. H., Becker, L. A., & Logan, C. R. (2001). Stress management with law enforcement personnel: a controlled outcome study of EMDR versus a traditional stress management program. International Journal of Stress Management, 8(3), 179–200.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  • George T. Patterson
    • 1
    Email author
  • Irene W. Chung
    • 1
  • Philip W. Swan
    • 2
  1. 1.Silberman School of Social Work at Hunter CollegeCity University of New YorkNew YorkUSA
  2. 2.Hunter College LibraraiesNew YorkUSA

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