Trauma-Informed Neurofeedback for Law Enforcement Occupational and Organizational Stress
DOI:
https://doi.org/10.15540/nr.11.1.81Keywords:
law enforcement, occupational stress, organizational stress, neurofeedbackAbstract
Occupational and organizational stressors impact workplace performance and contribute to mental health concerns among law enforcement officers. Although literature focuses on identifying the degree of relationship that these two factors have within this specific profession, studies offer limited solutions for decreasing associated symptoms relating to stressors. Implementing an intervention that acknowledges law enforcement factors such as psychological and physiological concerns, workplace culture, and mental health stereotypes could significantly impact both those that serve within this career as well as the community. In this article, we explore the use of trauma-informed neurofeedback a therapeutic intervention for the treatment of occupational and organizational stressors commonly experienced by law enforcement officers. We also present recommendations for clinical practice and research.
References
Anderson, W., Swenson, D., & Clay, D. (1995). Stress management for law enforcement officers. Prentice Hall.
Arnetz, B. B., Nevedal, D. C., Lumley, M. A., Backman, L., & Lublin, A. (2009). Trauma resilience training for police: Psychophysiological and performance effects. Journal of Police and Criminal Psychology, 24(1), 1–9. https://doi.org/10.1007/s11896-008-9030-y
Arnsten, A. F., Raskind, M. A., Taylor, F. B., & Connor, D. F. (2015). The effects of stress exposure on prefrontal cortex: Translating basic research into successful treatments for post-traumatic stress disorder. Neurobiology of Stress, 1, 89–99. https://doi.org/10.1016/j.ynstr.2014.10.002
Association for Applied Psychophysiology and Biofeedback [AAPB]. (2008). https://aapb.org/
Balconi, F., Fronda, G., & Crivelli, D. (2018). Effects of technology-mediated mindfulness practice on stress: psychophysiological and self-report measures. Stress, 22(2), 200–209. https://doi.org/10.1080/10253890.2018.1531845
Baldaçara, L., Araújo, C., Assunção, I., Da Silva, I., & Jackowski, A. P. (2017). Reduction of prefrontal thickness in military police officers with post-traumatic stress disorder. Archives of Clinical Psychiatry, 44(4), 94–98. https://doi.org/10.1590/0101-60830000000128
Bing, X., Ming-Guo, Q., Ye, Z., Jing-Na, Z., Min, L., Han, C., Yu, Z., Jia-jia, Z., Jian, W. Wei, C., Han-jian, D., & Shao-xiang, Z. (2013). Alterations in the cortical thickness and the amplitude of low-frequency fluctuation in patients with post-traumatic stress disorder. Brain Research, 1490, 225–232. https://doi.org/10.1016/j.brainres.2012.10.048
Bishopp, S. A., Piquero, N. L., Worrall, J. L., & Piquero, A. R. (2019). Negative affective responses to stress among urban police officers: A general strain theory approach. Deviant Behavior, 40(6), 635–654. https://doi.org/10.1080/01639625.2018.1436568
Bishopp, S. A., Worrall, J., & Piquero, N. L. (2016). General strain and police misconduct: The role of organizational influence. Policing: An International Journal of Police Strategies & Management, 39(4), 635–651. https://doi.org/10.1108/PIJPSM-10-2015-0122
Brammer, J. C., van Peer, J. M., Michela, A., van Rooij, M. M. J. W., Oostenveld, R., Klumpers, F., Dorrestijn, W., Granic, I., & Roelofs, K. (2021). Breathing biofeedback for police officers in a stressful virtual environment: Challenges and opportunities. Frontiers in Psychology, 12, Article 586553. https://doi.org/10.3389/fpsyg.2021.586553
Bremner, J. D. (2006). Traumatic stress: Effects on the brain. Dialogues in Clinical Neuroscience, 8(4), 445–461. https://doi.org/10.31887/DCNS.2006.8.4/jbremner
Burke, R. J. (2017). Burnout in police work. In R. J. Burke (Ed.), Stress in policing: Sources, consequences, and interventions (pp. 154–169). Routledge.
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(1), 8–15. https://doi.org/10.1007/s11896-008-9015-x
Choi, S. W., Chi, S. E., Chung, S. Y., Kim, J. W., Ahn, C. Y., & Kim, H. T. (2010). Is alpha wave neurofeedback effective with randomized clinical trials in depression? A pilot study. Neuropsychobiology, 63(1), 43–51. https://doi.org/10.1159/000322290
Christopher, M. S., Goerling, R. J., Rogers, B. S., Hunsinger, M., Baron, G., Bergman, A. L., & Zava, D. T. (2016). A pilot study evaluating the effectiveness of a mindfulness-based intervention on cortisol awakening response and health outcomes among law enforcement officers. Journal of Police and Criminal Psychology, 31(1), 15–28. https://doi.org/10.1007/s11896-015-9161-x
Clancy, K. J., Andrzejewski, J. A., Simon, J., Ding, M., Schmidt, N. B., & Li, W. (2020). Posttraumatic stress disorder is associated with α dysrhythmia across the visual cortex and the default mode network. ENeuro, 7(4). https://doi.org/10.1523/ENEURO.0053-20.2020
Dabney, D. A., Copes, H., Tewksbury, R., & Hawk-Tourtelot, S. R. (2013). A qualitative assessment of stress perceptions among members of a homicide unit. Justice Quarterly, 30(5), 811–836. https://doi.org/10.1080/07418825.2011.633542
Davidson, R. J. (1992). Anterior cerebral asymmetry and the nature of emotion. Brain and Cognition, 20(1), 125–151. https://doi.org/10.1016/0278-2626(92)90065-t
Demos, J. N. (2019). Getting started with EEG neurofeedback. W. W. Norton & Company.
Eddy, A., Bergman, A. L., Kaplan, J., Goerling, R. J., & Christopher, M. S. (2021). A qualitative investigation of the experience of mindfulness training among police officers. Journal of Police and Criminal Psychology, 36(1), 63–71. https://doi.org/10.1007/s11896-019-09340-7
Erk, R. R. (2000). Five frameworks for increasing understanding and effective treatment of attention-deficit/hyperactivity disorder: Predominately inattentive type. Journal of Counseling & Development, 78(4), 389–399. https://doi.org/10.1002/j.1556-6676.2000.tb01922.x
Fragedakis, T. M., & Toriello, P. (2014). The development and experience of combat-related PTSD: A demand for neurofeedback as an effective form of treatment. Journal of Counseling & Development, 92(4), 481–488. https://doi.org/10.1002/j.1556-6676.2014.00174.x
Geuze, E., Westenberg, H. G., Heinecke, A., de Kloet, C. S., Goebel, R., & Vermetten, E. (2008). Thinner prefrontal cortex in veterans with posttraumatic stress disorder. NeuroImage, 41(3), 675–681. https://doi.org/10.1016/j.neuroimage.2008.03.007
Gong, A., Nan, W., Yin, E., Jiang, C., & Fu, Y. (2020). Efficacy, trainability, and neuroplasticity of SMR vs. alpha rhythm shooting performance neurofeedback training. Frontiers in Human Neuroscience, 14, Article 94. https://doi.org/10.3389/fnhum.2020.00094
Gregory, J. C., Romero, D. E., & Jones, M. S. (2020). Predictors of neurofeedback outcomes following qEEG individualized protocols for anxiety. NeuroRegulation, 7(1), 18–25. https://doi.org/10.15540/nr.7.1.18
Gregory, J. C., Romero, D., & Jones, M. (2023). Exploring single-case research design with individualized anxiety-based neurofeedback protocols and session data. NeuroRegulation, 10(3), 159–169. https://doi.org/10.15540/nr.10.3.159
Griffin, J. D., & Sun, I. Y. (2018). Do work-family conflict and resiliency mediate police stress and burnout: A study of state police officers. American Journal of Criminal Justice, 43(2), 354–370. https://doi.org/10.1007/s12103-017-9401-y
Grupe, D. W., McGehee, C., Smith, C., Francis, A. D., Mumford, J. A., & Davidson, R. J. (2021). Mindfulness training reduces PTSD symptoms and improves stress-related health outcomes in police officers. Journal of Police and Criminal Psychology, 36, 72–85. https://doi.org/10.1007/s11896-019-09351-4
Hafeez, A. (2019). Investigating neurofeedback protocols for stress mitigation: A comparative analysis of different stimulus contents. IEEE Access, 7, 141021–141035. https://doi.org/10.1109/access.2019.2944202
Hakik, L. & Langlois, K. (2020). “To serve and protect their mental health”: The effects of police occupational culture on police officers mental health. Salus Journal, 8(2), 117–151.
Hammond, D. C. (2007). What is neurofeedback? Journal of Neurotherapy, 10(4), 25–26. https://doi.org/10.1300/J184v10n04_04
Harnett, N. G., Goodman, A. M., & Knight, D. C. (2020). PTSD-related neuroimaging abnormalities in brain function, structure, and biochemistry. Experimental Neurology, 330, 113331. https://doi.org/10.1016/j.expneurol.2020.113331
Hohner, C. (2017). 'The environment says it's okay': The tension between peer support and police culture [Doctoral dissertation, The University of Western Ontario (Canada)]. Electronic Thesis and Dissertation Repository.
Hopper, E., Bassuk, E., & Olivet, J. (2010). Shelter from the storm: trauma-informed care in homelessness services settings. The Open Health Services and Policy Journal, 3, 80–100. https://doi.org/10.2174/1874924001003020080
Husain, W. (2020). Depression, anxiety, and stress among urban and rural police officers. Journal of Police and Criminal Psychology, 35, 443–447. https://doi.org/10.1007/s11896-019-09358-x
Jann, K., Dierks, T., Boesch, C., Kottlow, M., Strik, W., & Koenig, T. (2009). BOLD correlates of EEG alpha phase-locking and the fMRI default mode network. NeuroImage, 45(3), 903–916. https://doi.org/10.1016/j.neuroimage.2009.01.001
Jetelina, K. K., Molsberry, R. J., Gonzalez, J. R., Beauchamp, A. M., & Hall, T. (2020). Prevalence of mental illness and mental health care use among police officers. JAMA Network Open, 3(10), Article e2019658. https://doi.org/10.1001/jamanetworkopen.2020.19658
Kaldewaij, R., Koch, S. B. J., Hashemi, M. M., Zhang, W., Klumpers, F., & Roelofs, K. (2021). Anterior prefrontal brain activity during emotion control predicts resilience to post-traumatic stress symptoms. Nature Human Behaviour, 5, 1055–1064. https://doi.org/10.1038/s41562-021-01055-2
Karaffa, K. M., & Koch, J. M. (2016). Stigma, pluralistic ignorance, and attitudes toward seeking mental health services among police officers. Criminal Justice and Behavior, 43(6), 759–777. https://doi.org/10.1177/0093854815613103
Karl, A., Schaefer, M., Malta, L. S., Dörfel, D., Rohleder, N., & Werner, A. (2006). A meta-analysis of structural brain abnormalities in PTSD. Neuroscience & Biobehavioral Reviews, 30(7), 1004–1031. https://doi.org/10.1016/j.neubiorev.2006.03.004
Keynan, J. N., Cohen, A., Jackont, G., Green, N., Goldway, N., Davidov, A., Meir-Hasson, Y., Raz, G., Intrator, N., Fruchter, E., Ginat, K., Laska, E., Cavazza, M., & Hendler, T. (2019). Electrical fingerprint of the amygdala guides neurofeedback training for stress resilience. Nature Human Behaviour, 3(1), 63–73. https://doi.org/10.1038/s41562-018-0484-3
Kohan, A. & Mazmanian, D. (2003). Police work, burnout, and pro-organizational behavior: A consideration of daily work experiences. Criminal Justice and Behavior, 30(5), 559–583. https://doi.org/10.1177/0093854803254432
Lathan, E., Langhinrichsen‐Rohling, J., Duncan, J., & Stefurak, J. “Tres.” (2019). The promise initiative: Promoting a trauma‐informed police response to sexual assault in a mid‐size southern community. Journal of Community Psychology, 47(7), 1733–1749. https://doi.org/10.1002/jcop.22223
Law Enforcement Mental Health and Wellness Act, S 867, 115th Cong., 163 Cong. Rec. 2955 (2018) (enacted). https://www.congress.gov/congressional-record/volume-163/issue-84/senate-section/article/S2955-2
Lawson, S. G., Wolfe, S. E., Rojek, J. & Alpert, G. P. (2022). Occupational stress and attitudes toward misconduct in law enforcement: The moderating role of organizational justice, Police Practice and Research, 23(1), 95–110, https://doi.org/10.1080/15614263.2021.1946395
Lindauer, J. L. R., Vliegler, E.-J., Jalink, M., Carlier, I. V. E., Majoie, C. B. L. M., den Heetan, G. J., & Gersons, B. (2004). Smaller hippocampal volume in Dutch police officers with posttraumatic stress disorder. Biological Psychiatry, 56, 356–363. https://doi.org/10.1016/j.biopsych.2004.05.021
Loftus, B. (2010). Police occupational culture: Classic themes, altered times. Policing and Society, 20(1), 1–20. https://doi.org/10.1080/10439460903281547
Lyoo, I. K., Kim, J. E., Yoon, S. J., Hwang, J., Bae, S., & Kim, D. J. (2011). The neurobiological role of the dorsolateral prefrontal cortex in recovery from trauma: Longitudinal brain imaging study among survivors of the South Korean subway disaster. Archives of General Psychiatry, 68(7), 701–713. https://doi.org/10.1001/archgenpsychiatry.2011.70
Maguen, S., Metzler, T. J., McCaslin, S. E., Inslicht, S. S., Henn-Haase, C., Neylan, T. C., & Marmar, C. R. (2009). Routine work environment stress and PTSD symptoms in police officers. The Journal of Nervous and Mental Disease, 197(10), 754–760. https://doi.org/10.1097/NMD.0b013e3181b975f8
Marmar, C. R., McCaslin, S. E., Metzler, T. J., Best, S., Weiss, D. S., Fagan, J., Liberman, A., Pole, N., Otte, C., Yehuda, R., Mohr, D., & Neylan, T. (2006). Predictors of posttraumatic stress in police and other first responders. Annals of the New York Academy of Sciences, 1071(1), 1–18. https://doi.org/10.1196/annals.1364.001
Martinussen, M., Richardsen, A. M., & Burke, R. J. (2007). Job demands, job resources, and burnout among police officers. Journal of Criminal Justice, 35(3), 239–249. https://doi.org/10.1016/j.jcrimjus.2007.03.001
Mennella, R., Patron, E., & Palomba, D. (2017). Frontal alpha asymmetry neurofeedback for the reduction of negative affect and anxiety. Behaviour Research and Therapy, 92, 32–40. https://doi.org/10.1016/j.brat.2017.02.002
Molnar, B. E., Sprang, G., Killian, K. D., Gottfried, R., Emery, V., & Bride, B. E. (2017). Advancing science and practice for vicarious traumatization/secondary traumatic stress: A research agenda. Traumatology, 23(2), 129–142. https://doi.org/10.1037/trm0000122
Nicholson, A. A., Harricharan, S., Densmore, M., Neufeld, R. W. J., Ros, T., McKinnon, M. C., Frewen, P. A., Théberge, J., Jetly, R., Pedlar, D., & Lanius, R. A. (2020). Classifying heterogeneous presentations of PTSD via the default mode, central executive, and salience networks with machine learning. NeuroImage: Clinical, 27, 102262. https://doi.org/10.1016/j.nicl.2020.102262
Nieuwenhuys, A., Savelsbergh, G. J. P., & Oudejans, R. R. D. (2012). Shoot or don’t shoot? Why police officers are more inclined to shoot when they are anxious. Emotion, 12(4), 827–833. https://doi.org/10.1037/a0025699
Othmer, S., & Othmer, S. F. (2009). Post traumatic stress disorder—The neurofeedback remedy. Biofeedback, 37(1), 24–31. https://doi.org/10.5298/1081-5937-37.1.24
Padilla, K. E. (2020). Sources and severity of stress in a Southwestern police department. Occupational Medicine, 70(2), 131–134. https://doi.org/10.1093/occmed/kqaa018
Peeters, F., Oehlen, M., Ronner, J., van Os, J., & Lousberg, R. (2014). Neurofeedback as a treatment for major depressive disorder–a pilot study. PLoS ONE, 9(3), Article e91837. https://doi.org/10.1371/journal.pone.0091837
Police Executive Research Forum. (2021). PERF special report. https://www.policeforum.org/workforcesurveyjune2021
Rauch, S. L., Shin, L. M., & Phelps, E. A. (2006). Neurocircuitry models of posttraumatic stress disorder and extinction: Human neuroimaging research—past, present, and future. Biological Psychiatry, 60(4), 376–382. https://doi.org/10.1016/j.biopsych.2006.06.004
Raver, J., & McElheran, M. (2022). A trauma-informed approach is needed to reduce police misconduct. Industrial and Organizational Psychology, 15(4), 583–587. https://doi.org/10.1017/iop.2022.82
Reynolds, P. D., Fitzgerald, B. A., & Hicks, J. (2018). The expendables: A qualitative study of police officers’ response to organizational injustice. Police Quarterly, 21(1), 3–29. https://doi.org/10.1177/1098611117731558
Rich, K. (2019). Trauma-informed police responses to rape victims. Journal of Aggression, Maltreatment & Trauma, 28(4), 463–480. https://doi.org/10.1080/10926771.2018.1540448
Romero, D. E., Anderson, A., Gregory, J. C., Potts, C. A., Jackson, A., Spears, J. R., Jones, M. S., & Speedlin, S. (2020). Using neurofeedback to lower PTSD symptoms. NeuroRegulation, 7(3), 99–106. https://doi.org/10.15540/nr.7.3.99
Russell-Chapin, L. A. (2016). Integrating neurocounseling into the counseling profession: An introduction. Journal of Mental Health Counseling, 38(2), 93–102. https://doi.org/10.17744/mehc.38.2.01
Setroikromo, S. N. W., Bauduin, S. E. E. C., Reesen, J. E., van der Werff, S. J. A., Smit, A. S., Vermetten, E., & van der Wee, N. J. A. (2020). Cortical thickness in Dutch police officers: An examination of factors associated with resilience. Journal of Traumatic Stress, 33(2), 181–189. https://doi.org/10.1002/jts.22494
Shane, J. W. (2010). Organizational stressors and police performance. Journal of Criminal Justice, 38(4), 807–818. https://doi.org/10.1016/j.jcrimjus.2010.05.008
Shucard, J. L., Cox, J., Shucard, D. W., Fetter, H., Chung, C., Ramasamy, D., & Violanti, J. (2012). Symptoms of posttraumatic stress disorder and exposure to traumatic stressors are related to brain structural volumes and behavioral measures of affective stimulus processing in police officers. Psychiatry Research: Neuroimaging, 204(1), 25–31. https://doi.org/10.1016/j.pscychresns.2012.04.006
Soomro, S. & Yanos, P. T. (2019). Predictors of mental health stigma among police officers: The role of trauma and PTSD. Journal of Police and Criminal Psychology, 34(2), 175–183. https://doi.org/10.1007/s11896-018-9285-x
Starcevic, A., Postic, S., Radojicic, Z., Starcevic, B., Milovanovic, S., Ilankovic, A., Dimitrijevic, I., Damjanovic, A., Aksić, M., & Radonjic, V. (2014). Volumetric analysis of amygdala, hippocampus, and prefrontal cortex in therapy-naïve PTSD participants. BioMed Research International, 2014, Article 968495. http://dx.doi.org/10.1155/2014/968495
Stogner, J., Miller, B. L., & McLean, K. (2020). Police stress, mental health, and resiliency during the COVID-19 Pandemic. American Journal of Criminal Justice, 45, 718–730. https://doi.org/10.1007/s12103-020-09548-y
Substance Abuse and Mental Health Services Administration [SAMHSA]. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. HHS Publication No. (SMA) 14-4884. Substance Abuse and Mental Health Services Administration.
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. Occupational & Environmental Medicine, 77, 737–747. https://doi.org/10.1136/oemed-2020-106498
Takamura, M., Okamoto, Y., Shibasaki, C., Yoshino, A., Okada, G., Ichikawa, N., & Yamawaki, S. (2020). Antidepressive effect of left dorsolateral prefrontal cortex neurofeedback in patients with major depressive disorder: A preliminary report. Journal of Affective Disorders, 271, 224–227. https://doi.org/10.1016/j.jad.2020.03.080
Tovar, L. A. (2011). Vicarious traumatization and spirituality in law enforcement. FBI Law Enforcement Bulletin, 80(7), 16–21.
Trombka, M., Demarzo, M., Campos, D., Antonio, S. B., Cicuto, K., Walcher, A. L., García-Campayo, J., Schuman-Olivier, Z., & Rocha, N. S. (2021). Mindfulness training improves quality of life and reduces depression and anxiety symptoms among police officers: Results from the POLICE study—a multicenter randomized controlled trial. Frontiers in Psychiatry, 12, Article 624876. https://doi.org/10.3389/fpsyt.2021.624876
Van der Kolk, B. A., Hodgdon, H., Gapen, M., Musicaro, R., Suvak, M. K., Hamlin, E., & Spinazzola, J. (2016). A randomized controlled study of neurofeedback for chronic PTSD. PLoS ONE, 11(12), Article e0166752. https://doi.org/10.1371%2Fjournal.pone.0166752
Violanti, J. (2021). Occupation under Siege: Resolving Mental Health Crises in Police Work. Charles C. Thomas Publisher.
Wang, S.-Y., Lin, I.-M, Fan, S.-Y., Tsai, Y.-C., Yen, C.-F., Yeh, Y.-C., Huang, M.-F., Lee, Y., Chiu, N.-M., Hung, C.-F., Wang, P.-W., Liu, T.-L., & Lin, H.-C. (2019). The effects of alpha asymmetry and high-beta down-training neurofeedback for patients with the major depressive disorder and anxiety symptoms. Journal of Active Disorders, 257, 287–296. https://doi.org/10.1016/j.jad.2019.07.026
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.
Wester, S. R., Arndt, D., Sedivy, S. K., & Arndt, L. (2010). Male police officers and stigma associated with counseling: The role of anticipated risks, anticipated benefits and gender role conflict. Psychology of Men & Masculinity, 11(4), 286–302. https://doi.org/10.1037/a0019108
Wigton, N. L., & Krigbaum, G. (2015). A review of qEEG-guided neurofeedback. NeuroRegulation, 2(3), 149–155. https://doi.org/10.15540/nr.2.3.149
Wolfe, S. E., & Nix, J. (2017). Police officers’ trust in their agency: Does self-legitimacy protect against supervisor procedural injustice? Criminal Justice and Behavior, 44(5), 717–732. https://doi.org/10.1177/0093854816671753
Xiao, S., Yang, Z., Su, T., Gong, J., Huang, L., & Wang, Y. (2022). Functional and structural brain abnormalities in posttraumatic stress disorder: A multimodal meta-analysis of neuroimaging studies. Journal of Psychiatric Research, 155, 153–162. https://doi.org/10.1016/j.jpsychires.2022.08.010
Yu, L., Long, Q., Tang, Y., Yin, S., Chen, Z., Zhu, C., & Chen, A. (2021). Improving emotion regulation through real-time neurofeedback training on the right dorsolateral prefrontal cortex: Evidence from behavioral and brain network analyses. Frontiers in Human Neuroscience, 15, Article 620342. https://doi.org/10.3389/fnhum.2021.620342
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