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Research Library

Building Resilience in an Urban Police Department

    • Published: 2016
    • Sandra L. Ramey, Ph.D., R.N., Yelena Perkhounkova, Ph.D., Maria Hein, M.S.W., Sophia Chung, Ph.D., R.N., Warren D. Franke, Ph.D., and Amanda A. Anderson, M.S.
    • American College of Occupational; Environmental Medicine. 2016.
    • Download the complete paper, click here.



The aim of this study is to examine a resilience training intervention that impacts autonomic responses to stress and improves cardiovascular risk, psychological, and physiological outcomes in police.


Officers [(n = 38) 22 to 54 years] modified emotional and physical responses to stress using self-regulation. Measurements include psychological and physiological measures [eg, heart rate variability (HRV),blood pressure, C-reactive protein)] obtained at three time intervals.


Age was significantly (P < 0.05) associated with changes on several measures of psychological stress (eg, critical incident stress,emotional vitality, and depression). Associations were found between coherence and improved HbA1c (r = -0.66, P < 0.001) and stress due to organizational pressures (r = -0.44, P = 0.03). Improvements in sympathetic and parasympathetic contributors of HRV were significant (P < 0.03).


A stress-resilience intervention improves certain responses to job stress with greater benefits for younger participants.