Despite acknowledging the detrimental impact of child sexual abuse material (CSAM) exposure on the mental and physical well-being of investigators and forensic examiners, there is a need for comprehensive exploration into the complex relationship between CSAM exposure, its various dimensions, mental health (i.e., anxiety, depression, and PTSD), and burnout, as well as the presence of positive attitudes towards the job. To understand how CSAM exposure, mental health and burnout interconnect and cluster within distinct networks of police investigators and forensic examiners. Police investigators and forensic examiners from across the United States who were exposed to CSAM as part of their professions ( = 470). Participants, recruited through connections with the National Criminal Justice Training Center, completed an anonymous online survey. The network analysis revealed differences in centrality between investigators and forensic examiners, particularly in their associations with exposure factors and mental health variables. Edges invariance tests showed differences in the strength of these associations, with some factors being more strongly linked to PTSD avoidance symptoms among investigators and others among forensic examiners. Stability analyses suggested potentially greater heterogeneity among investigators, while both groups displayed high stability in other centrality indices. This study contributes to our comprehension of the distinct experiences and challenges faced by CSAM investigators and forensic examiners, and specifically the nuanced disparities between CSAM investigators and forensic examiners in terms of their exposure to CSAM content and the associated mental health factors. These insights highlight the imperative need for tailored support mechanisms and interventions that can effectively address the unique challenges encountered by individuals working tirelessly in this critical field.

中文翻译：

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键盘背后的创伤：探索调查人员和法医检查人员之间儿童性虐待材料暴露和心理健康因素的差异 - 网络分析

尽管承认儿童性虐待材料（CSAM）暴露对调查人员和法医检查人员的精神和身体健康产生不利影响，但仍需要全面探索 CSAM 暴露、其各个维度、心理健康之间的复杂关系。即焦虑、抑郁和创伤后应激障碍（PTSD）、倦怠，以及对工作的积极态度。了解 CSAM 暴露、心理健康和倦怠如何在警察调查员和法医检查员的不同网络中相互关联和聚集。来自美国各地的警察调查员和法医检验员在其职业生涯中接触过 CSAM（= 470）。通过与国家刑事司法培训中心联系招募的参与者完成了一项匿名在线调查。网络分析揭示了调查人员和法医检查人员之间的中心性差异，特别是在它们与暴露因素和心理健康变量的关联方面。边缘不变性测试显示这些关联的强度存在差异，其中一些因素与调查人员和法医检查人员中的 PTSD 回避症状有更密切的联系。稳定性分析表明，研究人员之间可能存在更大的异质性，而两组在其他中心性指标上都表现出较高的稳定性。这项研究有助于我们理解 CSAM 调查员和法医检查员所面临的独特经历和挑战，特别是 CSAM 调查员和法医检查员在接触 CSAM 内容和相关心理健康因素方面的细微差别。这些见解凸显了迫切需要量身定制的支持机制和干预措施，以有效解决在这一关键领域孜孜不倦工作的个人所遇到的独特挑战。