@article{pmid41894191,

title = {Behind the Mask: The Buffering Role of Self-efficacy on COVID-related Trauma-related and Stressor-related Symptoms Among Mental Health Workers},

author = {Connie Guo and Marjolaine Rivest-Beauregard and Justine Fortin and Adam D Brown and Michelle Lonergan and Alain Brunet},

doi = {10.1097/PRA.0000000000000919},

issn = {1538-1145},

year  = {2026},

date = {2026-03-01},

journal = {J Psychiatr Pract},

volume = {32},

number = {2},

pages = {79--85},

abstract = {BACKGROUND: The COVID-19 pandemic has challenged everyone's adaptive resources. However, a limited number of studies have examined its effects on mental health workers, a population at increased risk for vicarious traumatization.nnMETHODS: A mediation model was tested using longitudinal self-report data (N=1597). The association among occupation, severity of trauma-related and stressor-related (TSR) symptoms during the first wave of the COVID-19 pandemic, and self-efficacy was explored.nnRESULTS: Mental health workers reported greater self-efficacy than other survey participants (health care workers, general population) (unstandardized β=1.53, P<0.001), and greater self-efficacy was associated with lower TSR symptoms (-0.09, P<0.001). Hence, mental health workers reported lower TSR symptoms through both direct (-0.80, P=0.005) and indirect associations (-0.94, P<0.001), with higher self-efficacy compared with other survey participants.nnCONCLUSIONS: Despite being at greater risk for vicarious traumatization, mental health workers fared well during the first wave of COVID-19. Increasing self-efficacy in high-risk populations in the context of stressful/traumatic events may have some value, an avenue requiring further investigation.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid41595724,

title = {Impact of Post-Traumatic Stress Disorder Management Through Reconsolidation Therapy on Fibromyalgia Syndrome: A Pilot Study},

author = {Ghina Harika Germaneau and Delphine Rannou and Elodie Charrier and Yassir El Fairouqi and Alain Brunet and Damien Doolub and Nicolas Langbour and Isabelle Raviart and Issa Wassouf and Nemat Jaafari},

doi = {10.3390/biomedicines14010190},

issn = {2227-9059},

year  = {2026},

date = {2026-01-01},

journal = {Biomedicines},

volume = {14},

number = {1},

abstract = {: Fibromyalgia syndrome (FMS) and post-traumatic stress disorder (PTSD) may co-occur and are associated with increased symptom burden, functional impairment, and reduced quality of life. Accumulating evidence suggests shared neurobiological mechanisms. Trauma-focused interventions targeting maladaptive memory processes may therefore represent a relevant therapeutic approach in this population. : To evaluate the feasibility, tolerability, and preliminary clinical associations of a brief reconsolidation-based therapy in women with comorbid FMS and PTSD. : This multicenter pilot study included adult women diagnosed with FMS and PTSD who underwent six sessions of reconsolidation therapy combining traumatic memory reactivation with propranolol administration. Clinical outcomes were assessed at baseline and at 3-month follow-up using the Fibromyalgia Impact Questionnaire (FIQ), the Impact of Event Scale-Revised (IES-R), the Montgomery-Åsberg Depression Rating Scale (MADRS), the Beck Depression Inventory (BDI), the Rosenberg Self-Esteem Scale (RSES), and the SF-36. Changes over time were analyzed using paired statistical tests and linear mixed-effects models. : Fourteen participants completed the intervention and follow-up assessments. The intervention was feasible and well tolerated. Changes over time were observed in fibromyalgia-related quality of life (FIQ scores), PTSD symptom severity (IES-R), and depressive symptoms (MADRS, BDI), as well as in selected SF-36 domains, including vitality, social functioning, and mental health. A progressive decrease in IES-R scores was observed across treatment sessions. : This pilot study suggests that reconsolidation-based therapy is feasible in women with comorbid FMS and PTSD and was associated with changes in PTSD symptoms and fibromyalgia-related functional impact. Given the exploratory design and absence of a control group, these findings should be interpreted cautiously and warrant confirmation in larger, controlled trials.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid41122899,

title = {Feasibility and acceptability of remote technologies for the treatment of trauma- and stressor-related disorders in adults: mixed-methods systematic review},

author = {Marjolaine Rivest-Beauregard and Justine Fortin and Élyse Gauthier and Michelle Lonergan and Alain Brunet and Manuela Ferrari},

doi = {10.1192/bjo.2025.10832},

issn = {2056-4724},

year  = {2025},

date = {2025-10-01},

journal = {BJPsych Open},

volume = {11},

number = {6},

pages = {e247},

abstract = {BACKGROUND: Trauma- and stressor-related disorders (TSRD) are debilitating mental health conditions. Given the barriers to traditional services, remote and online technologies are increasingly used in treating TSRD.nnAIMS: This mixed-methods systematic review aimed to identify remote technologies and assessed their feasibility and acceptability in treating adults with post-traumatic stress disorder (PTSD), acute stress disorder and adjustment disorder (AjD).nnMETHOD: The databases MEDLINE, CINAHL, Embase, PsycInfo, PubMed and the Cochrane Library were screened to identify studies investigating the feasibility and acceptability of remote interventions for PTSD, acute stress disorder and AjD in adults. Studies that obtained poor-quality ratings on critical appraisal tools were excluded. Results were synthesised using a narrative review approach.nnRESULTS: In total, there were 74 studies evaluating 27 remote interventions for TSRD: online interventions ( = 47, 63.51%), mobile applications ( = 17, 22.97%), video conferencing ( = 9, 12.16%) and message-based systems  = 1, 1.35%). Findings from the review showed higher feasibility and acceptability for interventions with an interactive clinician-patient component. Among self-directed interventions, only two applications and eight online interventions provided a clinician component. Most studies targeted PTSD, with few targeting other diagnoses.nnCONCLUSIONS: Recommendations related to remote interventions for TSRDs should be broadened to include AjD and other underrepresented diagnoses, and tailored to individual patients' profiles, including their ability to sustain engagement and clinical needs, using a stepped-care approach.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid39526850,

title = {Putative risk and resiliency factors after an augmented training program for preventing posttraumatic stress injuries among public safety personnel from diverse sectors},

author = {Juliana M B Khoury and Taylor A Teckchandani and Jolan Nisbet and Sherry H Stewart and Gordon J G Asmundson and Tracie O Afifi and Michelle C E McCarron and Gregory P Kratzig and Shannon Sauer-Zavala and J Patrick Neary and Renée S MacPhee and Alain Brunet and Terence M Keane and R Nicholas Carleton},

doi = {10.1080/16506073.2024.2420636},

issn = {1651-2316},

year  = {2025},

date = {2025-07-01},

journal = {Cogn Behav Ther},

volume = {54},

number = {4},

pages = {457--476},

abstract = {Mental health disorders are particularly prevalent among public safety personnel (PSP). Emotional Resilience Skills Training (ERST) is a cognitive behavioural training program for PSP based on the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (i.e. Unified Protocol). The current study was designed to assess whether ERST is associated with reduced putative risk factors for mental disorders and increased individual resilience. The PSP-PTSI Study used a longitudinal prospective sequential experimental cohort design that engaged each participant for approximately 16 months. PSP from diverse sectors (i.e. firefighters, municipal police, paramedics, public safety communicators) completed self-report measures of several putative risk variables (i.e. anxiety sensitivity, fear of negative evaluation, pain anxiety, illness and injury sensitivity, intolerance of uncertainty, state anger) and resilience at three time points: pre-training ( = 191), post-training ( = 103), and 1-year follow-up ( = 41). Participant scores were statistically compared across time points. Participants reported statistically significantly lower scores on all putative risk variables except pain anxiety, and statistically significantly higher resilience from pre- to post-training. Changes were sustained at 1-year follow-up. The results indicate that ERST is associated with reductions in several putative risk variables and improvement in resilience among PSP.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid39705013,

title = {Royal Canadian Mounted Police cadets' exposure to potentially psychologically traumatic events during the Cadet Training Program},

author = {Katie L Andrews and Kirby Q Maguire and Laleh Jamshidi and Tracie O Afifi and Jolan Nisbet and Robyn E Shields and Taylor A Teckchandani and Gordon J G Asmundson and Alain Brunet and Lisa M Lix and Shannon Sauer-Zavala and Jitender Sareen and Terence M Keane and J Patrick Neary and R Nicholas Carleton},

doi = {10.1002/jts.23115},

issn = {1573-6598},

year  = {2024},

date = {2024-12-01},

journal = {J Trauma Stress},

abstract = {Lifetime exposures to potentially psychologically traumatic events (PPTEs) among Royal Canadian Mounted Police (RCMP) cadets starting the Cadet Training Program (CTP) appear lower than exposures reported by serving RCMP, but the prevalence of PPTE exposures during the CTP remains unknown. The current study assessed PPTE exposures during the CTP and examined associations with mental disorders among RCMP cadets. Participants were cadets (n = 449, 24.7% women) from the larger RCMP Longitudinal Study who self-reported critical incidents, PPTE exposures, and mental health disorder symptoms at pretraining and predeployment. Most participants reported no exposures to a PPTE (n = 374, 83.3%) during the CTP. Participants who reported any PPTE exposure (n = 75, 16.7%; i.e., direct or indirect) most commonly reported serious transport accidents, physical assault, and sudden accidental death. The most common direct PPTEs (i.e., "happened to me") during the CTP were physical assault (n = 13), other unwanted or uncomfortable sexual experience (n = 11), and serious transportation accident (n = 8). The total number of PPTE types reported at predeployment was associated with increased odds of screening positive for any mental health disorder, aOR = 1.22, 95% CI [1.01, 1.49], p = .049, and positively associated with mental health disorder symptoms, ps < .001. These results provide the first assessment of PPTE exposure among RCMP cadets during the CTP, indicating that 16.7% of cadets experience PPTEs directly or indirectly. The PPTEs reported by cadets may help inform additional opportunities to further increase safety during training.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid39580147,

title = {Understanding mental health in breast cancer from screening to Survivorship: an integrative phasic Model and tool},

author = {Justine Fortin and Émilie Rudd and Claudia Trudel-Fitzgerald and Matthew J Cordova and Marie-France Marin and Alain Brunet},

doi = {10.1080/13548506.2024.2430796},

issn = {1465-3966},

year  = {2024},

date = {2024-11-01},

journal = {Psychol Health Med},

pages = {1--23},

abstract = {Integrative models of mental illness and health in psycho-oncology are aimed at all types of cancer, although the patients' experiences and issues may vary. This review summarizes the different theories and models of mental illness and health pertaining to the breast cancer experience and proposes an integrative phasic model applicable to the breast cancer trajectory. Five databases were searched for studies related to breast cancer mental health and illness theories and models. The PRISMA checklist form was used to extract the essential information from the included studies. Eleven theories and models on the experience of breast cancer were found. The integrative model based on these theories and models illustrates that the breast cancer experience is conceptualized as a trajectory with seven landmark '', each associated with a pathogenic '' leading to six possible '', 1) psychological distress with anxious features, 2) psychological distress with depressive features, 3) non-specific distress 4) psychological distress with trauma-related features 5) low health-related quality of life, and 6) fear of recurrence. The Breast Cancer Psychological Integrative Phasic Model is supported by a simple clinical tool (BreastCancerPsych - Integrative Clinical Tool) that serves as a valuable resource throughout the care trajectory. These integrative phasic model and clinical tool are designed to help mental health clinicians formulate treatments that are tailored to the needs of their patients, especially for trajectories that are not marked by resilience.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid37609854,

title = {Body image interventions within breast cancer care: A systematic review and concept analysis},

author = {Lunie Anne Thamar Louis and Justine Fortin and Carol-Anne Roy and Alain Brunet and Annie Aimé},

doi = {10.1080/07347332.2023.2249879},

issn = {1540-7586},

year  = {2023},

date = {2023-08-01},

journal = {J Psychosoc Oncol},

pages = {1--21},

abstract = {There needs to be a consensus regarding the definition of body image in oncology the literature. This lack of agreement leads to conflicting results in psychosocial interventions aimed to improve body image among breast cancer patients. Through an instrumentalist approach, this systematic review aims to analyze how body image as a concept is described and operationalized in breast cancer studies with the focus to enhance body image through psychosocial interventions. Databases were searched in October 2022 and updated in February 2023 to find empirical studies reporting psychosocial intervention targeting body image efficacy. The results from 24 studies show many similarities and differences between the definitions (e.g. characteristics) and questionnaires (e.g. Cronbach's alpha coefficient) used to evaluate this concept. Most definitions include thoughts, feelings, and behaviors related to body image. Finally, the psychosocial implications are discussed. This systematic review is registered on the International Prospective Register of Systematic Reviews (PROSPERO; CRD42022326393).},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid37131322,

title = {Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program},

author = {R Nicholas Carleton and Laleh Jamshidi and Kirby Q Maguire and Lisa M Lix and Sherry H Stewart and Tracie O Afifi and Jitender Sareen and Katie L Andrews and Nicholas A Jones and Jolan Nisbet and Shannon Sauer-Zavala and J Patrick Neary and Alain Brunet and Gregory P Krätzig and Amber J Fletcher and Taylor A Teckchandani and Terence M Keane and Gordon J G Asmundson},

doi = {10.1177/07067437221147425},

issn = {1497-0015},

year  = {2023},

date = {2023-05-01},

journal = {Can J Psychiatry},

pages = {7067437221147425},

abstract = {OBJECTIVE: Serving Royal Canadian Mounted Police (RCMP) have screened positive for one or more mental disorders based on self-reported symptoms with substantial prevalence (i.e., 50.2%). Mental health challenges for military and paramilitary populations have historically been attributed to insufficient recruit screening; however, cadet mental health when starting the Cadet Training Program (CTP) was unknown. Our objective was to estimate RCMP Cadet mental health when starting the CTP and test for sociodemographic differences.nnMETHOD: Cadets starting the CTP completed a survey assessing self-reported mental health symptoms ( = 772, 72.0% male) and a clinical interview ( = 736, 74.4% male) with a clinician or supervised trainee using the Mini-International Neuropsychiatric Interview to assess current and past mental health.nnRESULTS: The percentage of participants screening positive for one or more current mental disorders based on self-reported symptoms (15.0%) was higher than the diagnostic prevalence for the general population (10.1%); however, based on clinical interviews, participants were less likely to screen positive for any current mental disorder (6.3%) than the general population. Participants were also less likely to screen positive for any past mental disorder based on self-report (3.9%) and clinical interviews (12.5%) than the general population (33.1%). Females were more likely to score higher than males (all s<.01; Cohen's s .23 to .32) on several self-report mental disorder symptom measures.nnCONCLUSIONS: The current results are the first to describe RCMP cadet mental health when starting the CTP. The data evidenced a lower prevalence of anxiety, depressive, and trauma-related mental disorders than the general population based on clinical interviews, contrasting notions that more rigorous mental health screening would reduce the high prevalence of mental disorders among serving RCMP. Instead, protecting RCMP mental health may require ongoing efforts to mitigate operational and organizational stressors.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid35686574,

title = {Peritraumatic distress across the lifespan: Clinical implications of age differences during the COVID-19 pandemic},

author = {Romain Hassan Omar and Justine Fortin and Marjolaine Rivest-Beauregard and Michelle Lonergan and Alain Brunet},

doi = {10.1002/smi.3172},

issn = {1532-2998},

year  = {2023},

date = {2023-02-01},

journal = {Stress Health},

volume = {39},

number = {1},

pages = {226--231},

abstract = {The Peritraumatic Distress Inventory (PDI) is a well-known self-report questionnaire indexing the distress experienced during and shortly after a most stressful or traumatic event. Although sociodemographic factors contributing to peritraumatic distress have been previously investigated, no research has examined the nature and severity of peritraumatic distress reactions in a non-clinical, community sample as a function of age. An international sample of 5621 adult participants were grouped according the World Health Organization's age stratification protocol. Mean scores and item endorsement on the PDI were compared across groups with respect to their worst experience of the COVID-19 pandemic. A significant between-group difference was found, F(55,615) = 30.74, p < 0.001, n  = 0.027 whereby participants aged 18-39 years old reported the highest levels of peritraumatic distress. This group also endorsed a higher proportion of items on the PDI's two main factors (emotional distress and physical reactions), and were more likely to endorse feelings of helplessness, than older participants. It appears that severity of peritraumatic distress during the pandemic has affected younger people the most. Results are discussed in light of clinical implications.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36734146,

title = {Suicidal Ideation, Planning, and Attempts Among new Royal Canadian Mounted Police Cadets},

author = {Jolan Nisbet and Laleh Jamshidi and Kirby Q Maguire and Tracie O Afifi and Alain Brunet and Amber J Fletcher and Gordon J G Asmundson and Jitender Sareen and Robyn E Shields and Katie L Andrews and Shannon Sauer-Zavala and J Patrick Neary and Lisa Lix and Sherry H Stewart and Gregory P Krätzig and R Nicholas Carleton},

doi = {10.1177/07067437221149469},

issn = {1497-0015},

year  = {2023},

date = {2023-02-01},

journal = {Can J Psychiatry},

pages = {7067437221149469},

abstract = {BACKGROUND: Royal Canadian Mounted Police (RCMP) report diverse occupational stressors and repeated exposures to potentially psychologically traumatic events, which may increase the odds of screening positive for a mental disorder, and increase the risk of death by suicide. The current study was designed to provide prevalence information regarding suicidal behaviours (i.e., ideation, planning, attempts) and assess for sociodemographic differences among cadets at the start of the RCMP Cadet Training Program (CTP).nnMETHOD: Cadets ( = 736, 74.0% male) were administered the structured Mini International Neuropsychiatric Interview by a mental health clinician or a supervised clinical psychologist trainee. The interview includes an assessment of past month suicidal ideation, planning, attempts and lifetime suicide attempts.nnRESULTS: Within 1 month of starting the CTP, a small percentage of cadets reported past month suicidal ideation (1.6%) and no cadets reported any suicidal planning (0%) or attempts (0%). Lifetime suicide attempts were reported by (1.5%) of cadets.nnCONCLUSIONS: The current results provide the first information describing the prevalence of suicidal ideation, planning, and attempts among RCMP cadets starting the CTP. The estimates of suicidal behaviours appear lower than the general population and lower than reports from serving RCMP. Higher prevalence estimates of suicidal behaviours reported by serving RCMP, relative to lower estimates among cadets starting the CTP in the current study, may be related to age, cumulative experiences or protracted exposures to operational and organizational stressors, rather than insufficient screening of recruits.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36740849,

title = {Potentially Psychologically Traumatic Event Exposure Histories of new Royal Canadian Mounted Police Cadets},

author = {Katie L Andrews and Laleh Jamshidi and Jolan Nisbet and Alain Brunet and Tracie O Afifi and Gordon J G Asmundson and Amber J Fletcher and Kirby Q Maguire and Taylor A Teckchandani and Lisa Lix and Shannon Sauer-Zavala and Jitender Sareen and Terence M Keane and J Patrick Neary and R Nicholas Carleton},

doi = {10.1177/07067437221149467},

issn = {1497-0015},

year  = {2023},

date = {2023-02-01},

journal = {Can J Psychiatry},

pages = {7067437221149467},

abstract = {OBJECTIVE: Royal Canadian Mounted Police (RCMP) report extremely frequent and varied exposures to potentially psychologically traumatic events (PPTEs). While occupational exposures to PPTEs may be one explanation for the symptoms of mental disorders prevalent among serving RCMP, exposures occurring prior to service may also play a role. The objective of the current study was to provide estimates of lifetime PPTE exposures among RCMP cadets in training and assess for associations with mental disorders or sociodemographic variables.nnMETHODS: RCMP cadets (  =  772; 72.0% male) beginning the Cadet Training Program (CTP) completed a survey assessing self-reported PPTE exposures as measured by the Life Events Checklist for the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition-Extended. Binomial tests were conducted to compare the current results to previously collected data from the general population, a diverse sample of public safety personnel (PSP) and serving RCMP.nnRESULTS: Cadets reported statistically significantly fewer PPTE exposures for all PPTE types than serving RCMP (all s < 0.001) and PSP (all s < 0.001) but more PPTE exposures for all PPTE types than the general population (all s < 0.001). Cadets also endorsed fewer PPTE types (6.00  ±  4.47) than serving RCMP (11.64  ±  3.40;  < 0.001) and other PSP (11.08  ±  3.23) but more types than the general population (2.31  ±  2.33;  < 0.001). Participants who reported being exposed to any PPTE type reported the exposures occurred 1-5 times (29.1% of participants), 6-10 times (18.3%) or 10  +  times (43.1%) before starting the CTP. Several PPTE types were associated with positive screens for one or more mental disorders. There were associations between PPTE types and increased odds of screening positive for post-traumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD) and social anxiety disorder (SAD) (all  < 0.05). Serious transport accident (11.1%), physical assault (9.5%) and sudden accidental death (8.4%) were the PPTEs most identified as the worst event, and all were associated with positive screens for one or more mental disorders.nnCONCLUSION: The current results provide the first information describing PPTE histories of cadets, evidencing exposure frequencies and types much higher than the general population. PPTE exposures may have contributed to the cadet's vocational choices. The current results support the growing evidence that PPTEs can be associated with diverse mental disorders; however, the results also suggest cadets may be uncommonly resilient, based on how few screened positive for mental disorders, despite reporting higher frequencies of PPTE exposures prior to CTP than the general population.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36789523,

title = {Letter to the editor: the longitudinal effect of antipsychotic burden on psychosocial functioning in first-episode psychosis patients: the role of verbal memory},

author = {Agnès Belkacem and Michelle Lonergan and Samira Feizi and Alain Brunet},

doi = {10.1017/S0033291723000065},

issn = {1469-8978},

year  = {2023},

date = {2023-02-01},

journal = {Psychol Med},

pages = {1--2},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid37205089,

title = {Examining mental health knowledge, stigma, and service use intentions among Royal Canadian Mounted Police cadets},

author = {Katie L Andrews and Laleh Jamshidi and Robyn E Shields and Taylor A Teckchandani and Tracie O Afifi and Amber J Fletcher and Shannon Sauer-Zavala and Alain Brunet and Gregory P Krätzig and R Nicholas Carleton},

doi = {10.3389/fpsyg.2023.1123361},

issn = {1664-1078},

year  = {2023},

date = {2023-01-01},

journal = {Front Psychol},

volume = {14},

pages = {1123361},

abstract = {BACKGROUND: Royal Canadian Mounted Police (RCMP) officers experience an elevated risk for mental health disorders due to inherent work-related exposures to potentially psychologically traumatic events and occupational stressors. RCMP officers also report high levels of stigma and low levels of intentions to seek mental health services. In contrast, very little is known about the levels of mental health knowledge and stigma of RCMP cadets starting the Cadet Training Program (CTP). The current study was designed to: (1) obtain baseline levels of mental health knowledge, stigma against peers in the workplace, and service use intentions in RCMP cadets; (2) determine the relationship among mental health knowledge, stigma against peers in the workplace, and service use intentions among RCMP cadets; (3) examine differences across sociodemographic characteristics; and (4) compare cadets to a sample of previously surveyed serving RCMP.nnMETHODS: Participants were RCMP cadets ( = 772) starting the 26-week CTP. Cadets completed questionnaires assessing mental health knowledge, stigma against coworkers with mental health challenges, and mental health service use intentions.nnRESULTS: RCMP cadets reported statistically significantly lower levels of mental health knowledge ( = 0.233) and stigma ( = 0.127), and higher service use intentions ( = 0.148) than serving RCMP (all s < 0.001). Female cadets reported statistically significantly higher scores on mental health knowledge and service use and lower scores on stigma compared to male cadets. Mental health knowledge and service use intentions were statistically significantly positively associated. For the total sample, stigma was inversely statistically significantly associated with mental health knowledge and service use intentions.nnCONCLUSION: The current results indicate that higher levels of mental health knowledge were associated with lower stigma and higher intention to use professional mental health services. Differences between cadets and serving RCMP highlight the need for regular ongoing training starting from the CTP, designed to reduce stigma and increase mental health knowledge. Differences between male and female cadets suggest differential barriers to help-seeking behaviors. The current results provide a baseline to monitor cadet mental health knowledge and service use intentions and stigma as they progress throughout their careers.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid37599763,

title = {Daily survey participation and positive changes in mental health symptom scores among Royal Canadian Mounted Police Cadets},

author = {Robyn E Shields and Taylor A Teckchandani and Gordon J G Asmundson and Jolan Nisbet and Rachel L Krakauer and Katie L Andrews and Kirby Q Maguire and Laleh Jamshidi and Tracie O Afifi and Lisa M Lix and Alain Brunet and Shannon Sauer-Zavala and Gregory P Krätzig and J Patrick Neary and Jitender Sareen and R Nicholas Carleton},

doi = {10.3389/fpsyg.2023.1145194},

issn = {1664-1078},

year  = {2023},

date = {2023-01-01},

journal = {Front Psychol},

volume = {14},

pages = {1145194},

abstract = {INTRODUCTION: Royal Canadian Mounted Police (RCMP) officers self-report high levels of mental health disorder symptoms, such as alcohol use disorder, generalized anxiety disorder, major depressive disorder, panic disorder, and posttraumatic stress disorder. Participation in regular mental health monitoring has been associated with improved mental health disorder symptom reporting and may provide an accessible tool to support RCMP mental health. The current study assessed relationships between self-reported mental health disorder symptoms and the completion of daily surveys (i.e., daily mental health disorder symptom monitoring) by RCMP cadets during the Cadet Training Program (CTP).nnMETHODS: Participants were RCMP cadets ( = 394; 76.1% men) in the Standard Training Program who completed the 26-week CTP and daily self-monitoring surveys, as well as full mental health assessments at pre-training (i.e., starting the CTP) and pre-deployment (i.e., ~2 weeks prior to deployment to the field). Symptoms of alcohol use disorder, generalized anxiety disorder, major depressive disorder, panic disorder, and posttraumatic stress disorder were assessed. Changes in mental health disorder symptom reporting from pre-training to pre-deployment were calculated. Spearman's rank correlations were estimated for number of daily surveys completed and change in mental health disorder symptom scores between pre-training and pre-deployment.nnRESULTS: There were statistically significant inverse relationships between number of daily surveys completed and number of mental health disorder symptoms reported; specifically, cadets who completed more daily surveys during CTP reported fewer symptoms of alcohol use disorder, generalized anxiety disorder, major depressive disorder, panic disorder, and posttraumatic stress disorder.nnCONCLUSION: An inverse correlation between number of daily surveys completed and mental health disorder symptom scores indicated that participation in daily mental health monitoring was associated with improvements in self-reported mental health disorder symptoms between pre-training and pre-deployment. Regular self-monitoring of mental health disorder symptoms may help to mitigate mental health challenges among RCMP cadets and officers.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36494748,

title = {Assessing the impact of the Royal Canadian Mounted Police (RCMP) protocol and Emotional Resilience Skills Training (ERST) among diverse public safety personnel},

author = {R Nicholas Carleton and Michelle McCarron and Gregory P Krätzig and Shannon Sauer-Zavala and J Patrick Neary and Lisa M Lix and Amber J Fletcher and Ronald D Camp and Robyn E Shields and Laleh Jamshidi and Jolan Nisbet and Kirby Q Maguire and Renée S MacPhee and Tracie O Afifi and Nicholas A Jones and Ronald R Martin and Jitender Sareen and Alain Brunet and Shadi Beshai and Gregory S Anderson and Heidi Cramm and Joy C MacDermid and Rosemary Ricciardelli and Rasheda Rabbani and Taylor A Teckchandani and Gordon J G Asmundson},

doi = {10.1186/s40359-022-00989-0},

issn = {2050-7283},

year  = {2022},

date = {2022-12-01},

journal = {BMC Psychol},

volume = {10},

number = {1},

pages = {295},

abstract = {BACKGROUND: Public safety personnel (PSP; e.g., border services personnel, correctional workers, firefighters, paramedics, police, public safety communicators) are frequently exposed to potentially psychologically traumatic events. Such events contribute to substantial and growing challenges from posttraumatic stress injuries (PTSIs), including but not limited to posttraumatic stress disorder.nnMETHODS: The current protocol paper describes the PSP PTSI Study (i.e., design, measures, materials, hypotheses, planned analyses, expected implications, and limitations), which was originally designed to evaluate an evidence-informed, proactive system of mental health assessment and training among Royal Canadian Mounted Police for delivery among diverse PSP (i.e., firefighters, municipal police, paramedics, public safety communicators). Specifically, the PSP PTSI Study will: (1) adapt, implement, and assess the impact of a system for ongoing (i.e., annual, monthly, daily) evidence-based assessments; (2) evaluate associations between demographic variables and PTSI; (3) longitudinally assess individual differences associated with PTSI; and, (4) assess the impact of providing diverse PSP with a tailored version of the Emotional Resilience Skills Training originally developed for the Royal Canadian Mounted Police in mitigating PTSIs based on the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders. Participants are assessed pre- and post-training, and then at a follow-up 1-year after training. The assessments include clinical interviews, self-report surveys including brief daily and monthly assessments, and daily biometric data. The current protocol paper also describes participant recruitment and developments to date.nnDISCUSSION: The PSP PTSI Study is an opportunity to implement, test, and improve a set of evidence-based tools and training as part of an evidence-informed solution to protect PSP mental health. The current protocol paper provides details to inform and support translation of the PSP PTSI Study results as well as informing and supporting replication efforts by other researchers.nnTRIAL REGISTRATION: Hypotheses Registration: aspredicted.org, #90136. Registered 7 March 2022-Prospectively registered.nnTRIAL REGISTRATION: ClinicalTrials.gov, NCT05530642. Registered 1 September 2022-Retrospectively registered. The subsequent PSP PTSI Study results are expected to benefit the mental health of all participants and, ultimately, all PSP.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid36031005,

title = {Treatment of adjustment disorder stemming from romantic betrayal using memory reactivation under propranolol: A open-label interrupted time series trial},

author = {Michelle Lonergan and Daniel Saumier and Sereena Pigeon and Pierre E Etienne and Alain Brunet},

doi = {10.1016/j.jad.2022.08.082},

issn = {1573-2517},

year  = {2022},

date = {2022-11-01},

journal = {J Affect Disord},

volume = {317},

pages = {98--106},

abstract = {OBJECTIVES: In a sustained relationship, romantic betrayal is a catastrophic event that can precipitate an adjustment disorder (AD). Surprisingly, there exists no empirically validated treatment for AD, despite its high prevalence in clinical practice. Considering the promise of memory reactivation under propranolol (i.e., reconsolidation interference) for treating posttraumatic stress disorder, we sought to extend this finding to AD, given that in both disorders, symptoms stem from an identified stressor.nnMETHOD: A single-blind interrupted time series design was used to examine the efficacy of memory reactivation under propranolol to alleviate symptoms of AD. After being placed on a 4-week waitlist, sixty-one participants received 5 weekly 25-min treatments during which they recalled the betrayal event, 1 h after having orally ingested the beta-blocker propranolol.nnRESULTS: Segmented regression analyses on the intent-to-treat sample revealed that AD symptoms significantly decreased during the treatment phase (pre/post Cohen's d = 1.44), compared to the waitlist phase (d = 0.01). Significant pre/post reductions in anxio-depressive symptomatology were also found. Improvement was maintained at the 4-month follow-up on all outcomes.nnCONCLUSION: Memory reactivation under propranolol shows promise in reducing symptoms of AD. This study provides the theoretical framework and necessary effect sizes to inform larger, double-blind, placebo-controlled clinical trials.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{pmid35993603,

title = {The Royal Canadian Mounted Police (RCMP) Study: protocol for a prospective investigation of mental health risk and resilience factors},

author = {R Nicholas Carleton and Gregory P Krätzig and Shannon Sauer-Zavala and J Patrick Neary and Lisa M Lix and Amber J Fletcher and Tracie O Afifi and Alain Brunet and Ron Martin and Karen S Hamelin and Taylor A Teckchandani and Laleh Jamshidi and Kirby Q Maguire and David Gerhard and Michelle McCarron and Orland Hoeber and Nicholas A Jones and Sherry H Stewart and Terence M Keane and Jitender Sareen and Keith Dobson and Gordon J G Asmundson},

doi = {10.24095/hpcdp.42.8.02},

issn = {2368-738X},

year  = {2022},

date = {2022-08-01},

journal = {Health Promot Chronic Dis Prev Can},

volume = {42},

number = {8},

pages = {319--333},

abstract = {The Royal Canadian Mounted Police (RCMP), like all public safety personnel (PSP), are frequently exposed to potentially psychologically traumatic events that contribute to posttraumatic stress injuries (PTSI). Addressing PTSI is impeded by the limited available research. In this protocol paper, we describe the RCMP Study, part of the concerted efforts by the RCMP to reduce PTSI by improving access to evidence-based assessments, treatments and training as well as participant recruitment and RCMP Study developments to date. The RCMP Study has been designed to (1) develop, deploy and assess the impact of a system for ongoing annual, monthly and daily evidence-based assessments; (2) evaluate associations between demographic variables and PTSI; (3) longitudinally assess individual differences associated with PTSI; (4) augment the RCMP Cadet Training Program with skills to proactively mitigate PTSI; and (5) assess the impact of the augmented training condition (ATC) versus the standard training condition (STC). Participants in the STC (n = 480) and ATC (n = 480) are assessed before and after training and annually for 5 years on their deployment date; they also complete brief monthly and daily surveys. The RCMP Study results are expected to benefit the mental health of all participants, RCMP and PSP by reducing PTSI among all who serve.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}