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Table 5 Multivariate relationships between personal characteristics, agency characteristics, and harm reduction strategies with mental health and well-being

From: The mental health of officials who regularly examine child sexual abuse material: strategies for harm mitigation

Construct

Depression/

anxiety

PTSS

Well-being

β

P value

β

P value

β

P value

CSAM work

      

 Control over work assigned to you

-0.10

0.02

-0.06

0.21

0.10

0.02

 Frequency of knowing final case resolution

-0.06

0.16

-0.09

0.04

0.09

0.04

 Preparation before CSAM exposure

-0.05

0.28

---

---

0.04

0.38

 Attended training program related to CSAM

---

---

---

---

0.07

0.12

 Exposure to CSAM that includes violence

---

---

0.10

0.02

---

---

Agency characteristics

      

 Staff meetings where reactions to work-related CSAM is discussed

0.02

0.70

-0.05

0.28

0.01

0.74

 Group or individual sessions with mental health professional

---

---

-0.005

0.92

0.02

0.70

 Individual case reviews

-0.04

0.39

-0.003

0.94

0.06

0.21

 Amount of respect given to CSAM personnel

-0.07

0.13

-0.12

0.01

0.09

0.05

 Officer Wellness Program

-0.16

< 0.001

-0.09

0.04

0.09

0.04

 Agency offers ample vacation/personal time off

-0.02

0.62

-0.02

0.62

0.10

0.03

 Agency provides daily opportunities for CSAM investigators to debrief

0.001

0.98

-0.09

0.07

− 0.05

0.29

 Agency provides regular admin updates about positive outcomes from CSAM cases

-0.06

0.17

0.03

0.57

0.04

0.42

 Agency allow you to tend to personal obligations during work hours using own time

---

---

---

---

0.02

0.68

CSAM harm reduction strategies

      

 Take breaks from the material I am reviewing

---

---

-0.09

0.05

− 0.03

0.54

 Listen to music while working

---

---

---

---

0.07

0.12

 Turn my mind to pleasant thoughts

---

---

---

---

0.09

0.08

 Talk with someone about what I am viewing

-0.07

0.14

---

---

0.13

0.009

 Remind myself of the importance of my work

---

---

---

---

0.01

0.77

 Take breaks to meditate or clear my mind

---

---

---

---

0.09

0.07

 Imagine the successful outcome of the case

0.04

0.40

---

---

0.02

0.71

 Have an alcoholic drink after work a

---

---

0.13

0.002

− 0.17

< 0.001

 Talk to the other officers investigating the case

-0.02

0.73

-0.03

0.56

0.004

0.93

 Focus my attention on the task

---

---

---

---

0.14

0.002

 Tell myself to try to ignore the harm

0.06

0.17

0.05

0.21

---

---

 Try not to focus on any image or video for too long

---

---

---

---

− 0.06

0.26

 Eat sugary snacks or drinks

0.15

< 0.001

0.12

0.01

− 0.09

0.03

 Reduce the size of the image

---

---

0.10

0.02

---

---

 Focus on the factors and not the activity in the image

-0.08

0.08

---

---

0.03

0.61

 Turn audio down or off

---

---

---

---

0.08

0.11

Demographic characteristics

      

 Female

0.01

0.73

-0.03

0.45

0.07

0.11

 Have children or grandchildren

0.06

0.17

-0.02

0.68

− 0.04

0.41

 White race

0.05

0.23

-0.04

0.36

− 0.04

0.35

 Married

-0.08

0.10

-0.05

0.28

0.15

0.002

 Number of years in police work

-0.02

0.63

-0.02

0.64

0.04

0.40