Mindfulness Training Reduces PTSD Symptoms and Improves Stress-Related Health Outcomes in Police Officers


Law enforcement officers are regularly exposed directly and indirectly to a wide variety of traumatic stressors, which take place against a backdrop of high levels of organizational stressors. Consequently, this group is at elevated risk for posttraumatic stress disorder (PTSD) and other negative physical and mental health outcomes, yet there are few empirically supported interventions to proactively mitigate the effects of occupational stress for this population. Recent studies suggest that training in mindfulness meditation may reduce perceived stress and improve related physical and mental health outcomes in this group. We sought to demonstrate feasibility, acceptability, and adherence for an 8-week mindfulness training program in 30 officers from a mid-sized, Midwestern US police department, replicate findings of improved stress-related health outcomes, and provide novel evidence for reduced PTSD symptoms. All 30 officers completed the training, with high rates of class attendance, substantial out-of-class practice time, and good acceptability of the training and teachers. We replicated findings of reduced post-training perceived stress, sleep disturbances, anxiety, and burnout. We also identified novel evidence for reduced PTSD symptoms that persisted at a 5-month follow-up assessment. These results indicate key targets for future investigation in larger, mechanistic, randomized controlled trials of mindfulness training in police officers.

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  1. Berking M, Meier C, Wupperman P (2010) Enhancing emotion-regulation skills in police officers: results of a pilot controlled Study. Behav Ther 41(3):329–339. https://doi.org/10.1016/j.beth.2009.08.001

    Article  PubMed  Google Scholar 

  2. Black DS, Slavich GM (2016) Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Ann N Y Acad Sci. https://doi.org/10.1111/nyas.12998

  3. Black, D. S., Reilly, G. A. O., Olmstead, R., Breen, E. C., Irwin, M. R., O’Reilly, G. A., … Irwin, M. R. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern Med, 175(4), 494–501. https://doi.org/10.1001/jamainternmed.2014.8081

  4. Brown J, Campbell E (1990) Sources of occupational stress in the police. Work & Stress 4(4):305–318. https://doi.org/10.1080/02678379008256993

    Article  Google Scholar 

  5. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213. https://doi.org/10.1016/0165-1781(89)90047-4

    Article  PubMed  PubMed Central  Google Scholar 

  6. Chopko BA, Schwartz RC (2013) The relation between mindfulness and posttraumatic stress symptoms among police officers. J Loss Trauma 18(1):1–9. https://doi.org/10.1080/15325024.2012.674442

    Article  Google Scholar 

  7. Chopko, B. A., Palmieri, P. A., & Adams, R. E. (2018). Trauma-related sleep problems and associated health outcomes in police officers: a path analysis. Journal of Interpersonal Violence, 088626051876791. https://doi.org/10.1177/0886260518767912

  8. Christopher MS, Goerling RJ, Rogers BS, Hunsinger M, Baron G, Bergman AL, Zava DT (2016) A pilot study evaluating the effectiveness of a mindfulness-based intervention on cortisol awakening response and health outcomes among law enforcement officers. J Police Crim Psychol 31(1):15–28. https://doi.org/10.1007/s11896-015-9161-x

    Article  Google Scholar 

  9. Christopher, M. S., Hunsinger, M., Goerling, R. J., Bowen, S., Rogers, B. S., Gross, C. R., … Pruessner, J. C. (2018). Mindfulness-based resilience training to reduce health risk, stress reactivity, and aggression among law enforcement officers: a feasibility and preliminary efficacy trial. Psychiatry Res, 264, 104–115. https://doi.org/10.1016/j.psychres.2018.03.059

  10. Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. The Social Psychology of Health https://doi.org/10.1111/j.1559-1816.1983.tb02325.x

  11. Dickstein, B. D., Weathers, F. W., Angkaw, A. C., Nievergelt, C. M., Yurgil, K., Nash, W. P., … Study, R. (2015). Diagnostic utility of the posttraumatic stress disorder (PTSD) checklist for identifying full and partial PTSD in active-duty military. https://doi.org/10.1177/1073191114548683

  12. Fox J, Desai MM, Britten K, Lucas G, Luneau R, Rosenthal MS (2012) Mental-health conditions, barriers to care, and productivity loss among officers in an urban police department. Conn Med 76(9):525–531

    PubMed  PubMed Central  Google Scholar 

  13. Galatzer-Levy IR, Brown AD, Henn-Haase C, Metzler TJ, Neylan TC, Marmar CR (2013) Positive and negative emotion prospectively predict trajectories of resilience and distress among high-exposure police officers. Emotion 13(3):545–553. https://doi.org/10.1037/a0031314

    Article  PubMed  PubMed Central  Google Scholar 

  14. Goerling RJ (2012) Police officer resilience and community building. Proceedings of ASBBS 19(1):394–397

    Google Scholar 

  15. Goyal, M., Singh, S., Sibinga, E. M. S., Gould, N. F., Rowland-Seymour, A., Sharma, R., … Haythornthwaite, J. A. (2014). Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med, 174(3), 357–368. https://doi.org/10.1001/jamainternmed.2013.13018

  16. Halbesleben JRB, Demerouti E (2005) The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg Burnout Inventory. Work & Stress 19(3):208–220. https://doi.org/10.1080/02678370500340728

    Article  Google Scholar 

  17. Hare TA, Tottenham N, Davidson MC, Glover GH, Casey BJ (2005) Contributions of amygdala and striatal activity in emotion regulation. Biol Psychiatry 57(6):624–632. https://doi.org/10.1016/j.biopsych.2004.12.038

  18. Hartley TA, Burchfiel CM, Fekedulegn D, Andrew ME, Violanti JM (2012) Health disparities in police officers: comparisons to the U.S. general populations. International Journal of Emergency Mental Health 13(3):211–220

    Google Scholar 

  19. Hartley TA, Mnatsakanova A, Burchfiel CM, Violanti JM (2014) Stressors and associated health effects for women police officers. In: Violanti JM (ed) Dying for the job: police work exposure and health. Charles C. Thomas Publisher, Ltd., Springfield

    Google Scholar 

  20. Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., … Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clin Psychol Rev, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005

  21. Lerner D, Amick B, Rogers W, Malspeis S, Bungay K, Cynn D, Amick (2002) The work limitations questionnaire 1. Med Care 39(1):72–85. https://doi.org/10.1097/00005650-200101000-00009

    Article  Google Scholar 

  22. Levinson DB, Stoll EL, Kindy SD, Merry HL, Davidson RJ (2014) A mind you can count on: validating breath counting as a behavioral measure of mindfulness. Front Physiol 5. https://doi.org/10.3389/fpsyg.2014.01202

  23. Liberman AM, Best SR, Metzler TJ, Fagan JA, Weiss DS (2002) Routine occupational stress and psychological distress in police. Policing: An International Journal of Police Strategies & Management 25(2):421–441. https://doi.org/10.1108/13639510210429437

    Article  Google Scholar 

  24. Maguen S, Metzler TJ, McCaslin SE, Inslicht SS, Henn-Haase C, Neylan TC, Marmar CR (2009) Routine work environment stress and PTSD symptoms in police officers. J Nerv Ment Dis 197(10):754–760. https://doi.org/10.1097/NMD.0b013e3181b975f8

    Article  PubMed  PubMed Central  Google Scholar 

  25. McCreary DR, Thompson MM (2006) Development of two reliable and valid measures of stressors in policing: the operational and organizational police stress questionnaires. Int J Stress Manag 13(4):494–518. https://doi.org/10.1037/1072-5245.13.4.494

    Article  Google Scholar 

  26. Neylan, T. C., Metzler, T. J., Best, S. R., Weiss, D. S., Fagan, J. A., Liberman, A. M., … Marmar, C. R. (2002). Critical incident exposure and sleep quality in police officers. Psychosom Med, 64(2), 345–352. https://doi.org/10.1097/00006842-200203000-00019

  27. Patterson GT, Chung IW, Swan PG (2012) The effects of stress management interventions among police officers and recruits. Campbell Syst Rev 7. https://doi.org/10.4073/csr.2012.7

  28. Pogrebin MR, Poole ED (1995) Emotion management: a study of police response to tragic events. - PsycNET. Social Perspectives on Emotion 3:149–168 Retrieved from https://psycnet.apa.org/record/1997-36435-007

    Google Scholar 

  29. Polusny MA, Erbes CR, Thuras P, Moran A, Lamberty GJ, Collins RC et al (2015) Mindfulness-based stress reduction for posttraumatic stress disorder among veterans a randomized clinical trial. JAMA - Journal of the American Medical Association 314(5):456–465. https://doi.org/10.1001/jama.2015.8361

    Article  PubMed  Google Scholar 

  30. Rajaratnam SMW, Barger LK, Lockley SW, Shea SA, Wang W, Landrigan CP 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 

  31. Ramey SL, Downing NR, Franke WD (2009) Milwaukee police department retirees: cardiovascular disease risk and morbidity among aging law enforcement officers. AAOHN J 57(11):448–453. https://doi.org/10.3928/08910162-20091019-02

    Article  PubMed  Google Scholar 

  32. Ryff CD, Keyes CL (1995) The structure of psychological well-being revisited. Journal of Personality and Social Psychology 69(4):719–727 Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7473027

    Article  Google Scholar 

  33. Shrout PE, Stadler G, Lane SP, McClure MJ, Jackson G, Clavel F et al (2017) Initial elevation bias in subjective reports. Proc Natl Acad Sci. https://doi.org/10.1073/pnas.1712277115

  34. Violanti JM, Burchfiel CM, Miller DB, Andrew ME, Dorn J, Wactawski-Wende J et al (2006) The Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) Pilot Study: methods and participant characteristics. Ann Epidemiol 16(2):148–156. https://doi.org/10.1016/j.annepidem.2005.07.054

    Article  PubMed  Google Scholar 

  35. Watson D, Clark LA, Tellegen A (1988) Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 54(6):1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063

    Article  PubMed  Google Scholar 

  36. Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993). The PTSD checklist (PCL): reliability, validity, and diagnostic utility. In The annual convention of the international society for traumatic stress studies. San Antonio, TX

  37. Weiss DS, Brunet A, Best SR, Metzler TJ, 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. https://doi.org/10.1002/jts

    Article  PubMed  PubMed Central  Google Scholar 

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The authors thank Robin Goldman, John Koger, Mara Beebe, DK Jang, Cara Knoeppel, and the staff of the UW Hospital Clinical Research Unit for contributing to study design and data collection; Lori Gustafson for conducting focus groups; Sophia Diamantis for conducting interviews; Mike Christopher, Lt. Rich Goerling, and Brant Rodgers for providing consultation on the intervention; and members of the Madison Police Department for contributing to this project, including Ofc. Sue Carnell (ret.), Chief Kristen Roman (University of Wisconsin-Madison Police Department), Capt. Tim Patton, Capt. Tom Snyder (ret.), Capt. Mary Schauf (ret.), Capt. Brian Austin, Ofc. Dan Frei, Chief Mike Koval (ret.), and all of the study participants.


This project was supported by the NIH (CTSA at UW-Madison grant UL1TR000427; NIMH grant K01MH117222) and by the University of Wisconsin-Madison School of Medicine and Public Health’s Wisconsin Partnership Program, WPP-ICTR grant #3086.

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Correspondence to Daniel W. Grupe.

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Dr. Richard J. Davidson is the founder and president of, and serves on the board of directors for, the non-profit organization, Healthy Minds Innovations, Inc. The other authors report no conflicts of interest.

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All procedures performed in this study were in accordance with the ethical standards of the institutional research committee (University of Wisconsin-Madison Health Sciences IRB #2016-0675) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Intervention Summary: First Responder Resilience and Mindfulness training

Overview of 8-week curriculum developed between July 2016 and June 2017. This curriculum was inspired by the Mindfulness-Based Resilience Training curriculum created by Mike Christopher, Rich Goerling, and Brant Rogers at Pacific University. We are deeply grateful to them for sharing their wisdom and experience with us.

Week 1: Introduction to resilience and mindfulness.

Content: Introduction of course/instructors/volunteer/participants. Definition of mindfulness, neuroplasticity and how we can foster greater resilience. Creation of community agreements and discussion of culture. Movement and body scan practices. Debriefing of session 1 practices.

Homework: Explanation of practice log. Formal practice: 9-min movement/9-min body scan 6 out of 7 days. Informal practice: “Dropping in” and 3 good breaths.

Week 2: Settling into resilience and mindfulness.

Content: Normalizing mind wandering and addressing other (mis)conceptions about doing the practices “correctly.” Movement, body scan, and debrief. Introduce walking practice.

Homework: Practice log. Formal practice: alternate 9-min movement/9-min body scan 6 out of 7 days. 5 min of walking practice 3 times. Informal practice: “Dropping in” and 3 good breaths.

Week 3: Meeting our experiences through resilience and mindfulness.

Content: Movement, exploration of physical posture, introduction to breath awareness practice, and debrief. Reading/video to reconnect to inspiration/motivation.

Homework: Practice log. Formal practice: alternate 9 min of movement/5 min of awareness of breath practice 6 out of 7 days a week. Informal practice: pleasant events calendar, integrated walking practice, and 3 good breaths.

Week 4: Meeting stress with resilience and mindfulness.

Content: Movement, breath awareness practice and debrief. Introduction of mindful eating.

Homework: Practice log. Formal practice: alternate 15 min of movement with 15 min of a breath awareness practice. Informal practice: integrated walking practice, unpleasant events calendar, and 3 good breaths.

Week 5: Reactivity, resilience, and mindfulness.

Content: Movement, breath awareness, and debrief. Reflection of practice and course at halfway point and resetting of intentions for the remaining 4 weeks. Introduction to compassion practice.

Homework: Practice log. Alternate movement/breath awareness practice with compassion practice 6 days out of 7. Informal practice: walking practice (1× per week) and 3 good breaths.

Week 6: Response, resilience, and mindfulness.

Content: Movement, awareness of breath practice, compassion practices, and debriefing.

Discussion and preparation for the day of extended practice.

Homework: Practice log. Alternate between 15 min of awareness of breath and compassion practice. Informal practice: walking practice (1× per week), and 3 good breaths.

Week 7: Extended practice session (4 h).

Content: This session includes all of the previous practices of mMBRT along with mountain meditation and a period of silence.

Homework: Practice log. Participant decides his/her practice.

Week 8: Resilience and mindfulness: beginning again.

Content: Movement, breath awareness practice, and debriefing. Debriefing about course.

Implementation exercise. Review of resources and support for participants.

Homework: Practice log. Participant decides her/his practice.

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Grupe, D.W., McGehee, C., Smith, C. et al. Mindfulness Training Reduces PTSD Symptoms and Improves Stress-Related Health Outcomes in Police Officers. J Police Crim Psych 36, 72–85 (2021). https://doi.org/10.1007/s11896-019-09351-4

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  • Mindfulness
  • Police
  • Perceived stress
  • Posttraumatic stress disorder (PTSD)
  • Sleep