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Association Between Insomnia and Depressive Symptoms Among Law Enforcement Personnel: The Moderating Role of Resilience

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Abstract

Law enforcement personnel work in environments in which exposure to stressors can lead to increased risk for mental health conditions such as depression. Symptoms of these conditions often include sleep disturbance. However, officers are also more likely to experience sleep disturbance because of occupational demands such as shift work, which further increases the risk for depression. There is a lack of research focused on the relationships between sleep quality, mental health, and the role that adaptive coping styles may have in mitigating adverse outcomes in these domains among law enforcement personnel. Therefore, we examined the extent to which insomnia was associated with depression among law enforcement personnel and the degree to which resilience moderates this association after accounting for posttraumatic stress disorder (PTSD, also prevalent in this population and also associated with insomnia) symptom severity as well as age, gender, and racial and ethnic identity. Participants were 246 law enforcement personnel (Mage = 44.20, SD = 11.75; 76% identified as male) from a large urban agency. Results indicated that insomnia significantly relates to depression beyond levels of PTSD symptomatology. In addition, we found that resilience significantly moderates, or attenuates, the association between insomnia and depressive symptom severity. Our findings highlight the potential value of mental health and wellness programs emphasizing the development of resilience among law enforcement personnel.

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Data Availability

The data supporting this study’s findings are available from the corresponding author, A. A. V. upon reasonable request.

References

  • Agrawal M, Singh R (2020) Factors associated with police depression: a systematic review. Int J Crim Justice Sci 15(1):34–50

    Google Scholar 

  • Bailey RK, Mokonogho J, Kumar A (2019) Racial and ethnic differences in depression: current perspectives. Neuropsychiatr Dis Treat 603–609. https://doi.org/10.2147/NDT.S128584

  • Bastien CH, Vallières A, Morin CM (2001) Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2(4):297–307. https://doi.org/10.1016/S1389-9457(00)00065-4

    Article  PubMed  Google Scholar 

  • Bentley KH, Gallagher MW, Carl JR, Barlow DH (2014) Development and validation of the Overall Depression Severity and Impairment Scale. Psychol Assess 26(3):815–830. https://doi.org/10.1037/a0036216

    Article  PubMed  Google Scholar 

  • Bovin MJ, Kimerling R, Weathers FW, Prins A, Marx BP, Post EP, Schnurr PP (2021) Diagnostic accuracy and acceptability of the Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) among US Veterans (PDF). JAMA Network Open 4(2):e2036733. https://doi.org/10.1001/jamanetworkopen.2020.36733

  • Capaldi V, Guerrero M, Killgore WD (2011) Sleep disruptions among returning combat veterans from Iraq and Afghanistan. Mil Med 176:879–888. https://doi.org/10.7205/MILMED-D-10-00440

    Article  PubMed  Google Scholar 

  • Chopko BA, Palmieri PCA, Adams RE (2021) Trauma-related sleep problems and associated health outcomes in police officers: a path analysis. J Interpers Violence 36(5–6):NP2725–NP2748

  • Chopko BA, Schwartz RC (2012) Correlates of career traumatization and symptomology among active-duty police officers. Crim Justice Stud 25:83–95

    Article  Google Scholar 

  • Christopher MS, Hunsinger M, Goerling LRJ, Bowen S, Rogers BS, Gross CR, ... Pruessner JC (2018) Mindfulness-based resilience training to reduce health risk, stress reactivity, and aggression among law enforcement officers: a feasibility and preliminary efficacy trial. Psychiat Res 264:104–115

  • Dixon SS (2021) Law enforcement suicide: the depth of the problem and best practices for suicide prevention strategies. Aggress Violent Behav 61. https://doi.org/10.1016/j.avb.2021.101649

  • Eddy A, Bergman AL, Kaplan J, Goerling RJ, Christopher MS (2021) A qualitative investigation of the experience of mindfulness training among police officers. J Police Crim Psychol 36(1):63–71. https://doi-org.uhd.idm.oclc.org/https://doi.org/10.1007/s11896-019-09340-7

  • Edward Karen-leigh (2005) Resilience: a protector from depression. American Psychiatric Nurse Association

  • Everding B, Hallam JE, Kohut ML, Lee D, Anderson AA, Franke WD (2016) Association of sleep quality with cardiovascular disease risk and mental health in law enforcement officers. J Occup Environ Med 58(8):e281–e286. https://www.jstor.org/stable/48500999

  • Hartley TA, Violanti JM, Sarkisian K, Fekedulegn D, Mnatsakanova A, Andrew ME, Burchfiel CM (2014) Association between police-specific stressors and sleep quality: influence of coping and depressive symptoms. Journal of Law Enforcement Leadership Ethics 1(1):31–48

    PubMed  Google Scholar 

  • Hughes JM, Ulmer CS, Hastings SN, Gierisch JM, Mid-Atlantic VAMIRECC, Workgroup Howard MO (2018) Sleep, resilience, and psychological distress in United States military Veterans. Mil Psychol 30(5):404–414. https://doi.org/10.1080/08995605.2018.1478551

    Article  PubMed  Google Scholar 

  • Husain W (2020) Depression, anxiety, and stress among urban and rural police officers. J Police Crim Psychol 35(4):443–447. https://doi.org/10.1007/s11896-019-09358-x

    Article  Google Scholar 

  • Ito M, Bentley KH, Oe Y, Nakajima S, Fujisato H, Kato N, ... Barlow DH (2015) Assessing depression related severity and functional impairment: the overall depression severity and impairment scale (ODSIS). PLoS One 10(4). https://doi.org/10.1371/journal.pone.0122969

  • Jetelina KK, Molsberry RJ, Gonzalez JR, Beauchamp AM, Hall T (2020) Prevalence of mental illness and mental health care use among police officers. JAMA Network Open 3(10).https://doi.org/10.1001/jamanetworkopen.2020.19658

  • Pigeon WR, Campbell CE, Possemato K, Ouimette P (2013) Longitudinal relationships of insomnia, nightmares, and PTSD severity in recent combat veterans. J Psychosom Res 75(6):546–550. https://doi.org/10.1016/j.jpsychores.2013.09.004

    Article  PubMed  Google Scholar 

  • Plumb TR, Peachey JT, Zelman DC (2014) Sleep disturbance is common among servicemembers and veterans of operations enduring freedom and Iraqi freedom. Psychol Serv 11:209–219

    Article  PubMed  Google Scholar 

  • Prins A, Bovin MJ, Smolenski DJ, Mark BP, Kimerling R, Jenkins‐Guarnieri MA, … Tiet QQ (2016) The Primary Care PTSD Screen for DSM‐5 (PC‐PTSD‐5): development and evaluation within a veteran primary care sample. J Gen Intern Med 31:1206–1211. https://doi.org/10.1007/s11606-016-3703-5

  • Rajaratnam SMW, Barger LK, Lockley SW et al (2011) Sleep disorders, health, and safety in police officers. JAMA 306(23):2567–2578. https://doi.org/10.1001/jama.2011.1851

    Article  PubMed  Google Scholar 

  • Riemann D, Krone LB, Wulff K et al (2020) Sleep, insomnia, and depression. Neuropsychopharmacology 45:74–89. https://doi.org/10.1038/s41386-0411-y

    Article  PubMed  Google Scholar 

  • Rodríguez-Rey R, Alonso-Tapia J, Hernansaiz-Garrido H (2016) Reliability and validity of the Brief Resilience Scale (BRS) Spanish version. Psychol Assess 28(5):e101–e110. https://doi.org/10.1037/pas0000191

    Article  PubMed  Google Scholar 

  • Savard MH, Savard J, Simard S, Ivers H (2005) Empirical validation of the Insomnia Severity Index in cancer patients. Psycho-Oncol J Psychol Social Behav Dimen Cancer 14(6):429–441. https://doi.org/10.1002/pon.860

    Article  Google Scholar 

  • Serrano DM, Rufino KA, Tran JK, Vujanovic AA (2020) Association between sleep disturbances and suicide risk among firefighters: the moderating role of mindfulness. Mindfulness 11:2793–2803

    Article  Google Scholar 

  • Slaven JE, Mnatsakanova A, Burchfiel CM, Smith LM, Charles LE, Andrew ME, Gu JK, Ma C, Fekedulegn D, Violanti JM (2011) Association of sleep quality with depression in police officers. Int J Emerg Ment Health 13:267–277

    PubMed  Google Scholar 

  • Slavish DC, Briggs M, Fentem A, Messman BA, Contractor AA (2022) Bidirectional associations between daily PTSD symptoms and sleep disturbances: a systematic review. Sleep Med Rev 63:101623. https://doi.org/10.1016/j.smrv.2022.101623

    Article  PubMed  Google Scholar 

  • Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J (2008) The brief resilience scale: assessing the ability to bounce back. Int J Behav Med 15(3):194–200. https://doi.org/10.1080/10705500802222972

    Article  PubMed  Google Scholar 

  • Syed S, Ashwick R, Schlosser M, Jones R, Rowe S, Billings J (2020) Global prevalence and risk factors for mental health problems in police personnel: a systematic review and meta-analysis. Occup Environ Med 77(11):737–747

    Article  PubMed  Google Scholar 

  • Taylor MA (2022) Building resilience in law enforcement through a mental wellness program. J Police Crim Psychol 37(1):155–161

    Article  Google Scholar 

  • US Bureau of Labor Statistics (2016) Adrenaline jobs: high-intensity careers. Retrieved December 2022 from https://www.bls.gov/careeroutlook/2016/article/adrenaline-jobs.htm

  • Weiss DS, Brunet A, Best SR, Metzler TJ, Liberman A, Pole N, Fagan JA, Marmar CR (2010) Frequency and severity approaches to indexing exposure to trauma: the Critical Incident History Questionnaire for police officers. J Trauma Stress 23(6):734–743

    Article  PubMed  PubMed Central  Google Scholar 

  • Wright KM, Britt TW, Bliese PD, Adler AB, Picchioni D, Moore D (2011) Insomnia as predictor versus outcome of PTSD and depression among Iraq combat veterans. J Clin Psychol 67:1240–1258. https://doi.org/10.1002/jclp.20845

    Article  PubMed  Google Scholar 

  • Zhai L, Zhang H, Zhang D (2015) Sleep duration and depression among adults: a meta-analysis of prospective studies. Depress Anxiety 32:664–670

    Article  PubMed  Google Scholar 

Download references

Funding

Research reported in this publication was supported, in part, by the National Institute on Minority Health and Health Disparities of the National Institutes of Health to the University of Houston (Vujanovic; U54MD015946).

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Authors and Affiliations

  1. Department of Social Sciences, University of Houston-Downtown, One Main St., Houston, TX, 77002, USA

    Danya M. Serrano & Katrina A. Rufino

  2. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, USA

    Thomas D. McNeese & Robert W. Seals

  3. Department of Psychology, Trauma and Stress Studies Center, University of Houston, 3695 Cullen Boulevard, 126 Heyne Building, Houston, TX, 77204, USA

    Anka A. Vujanovic

  4. HEALTH Research Institute, University of Houston, Houston, TX, USA

    Anka A. Vujanovic

  5. Trauma and Stress Studies Center, Department of Psychological and Brain Sciences, Texas A&M University, Milner Hall: 425 Ross Street, College Station, TX, USA

    Anka A. Vujanovic

Authors
  1. Danya M. Serrano
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  2. Katrina A. Rufino
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  3. Thomas D. McNeese
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  4. Robert W. Seals
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  5. Anka A. Vujanovic
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Corresponding authors

Correspondence to Danya M. Serrano or Anka A. Vujanovic.

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Serrano, D.M., Rufino, K.A., McNeese, T.D. et al. Association Between Insomnia and Depressive Symptoms Among Law Enforcement Personnel: The Moderating Role of Resilience. J Police Crim Psych (2024). https://doi.org/10.1007/s11896-024-09663-0

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