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aviation mental health

Maurice L Sipos, Paul Y Kim, Stephen J Thomas, Amy B Adler
Introduction: In the fall of 2014, the United States and other nations responded to the worst outbreak of the Ebola virus disease in history. As part of this effort, U.S. service members deployed to West Africa to support a spectrum of activities that did not involve direct patient care. Although previous studies identified the psychological impact of responding to an outbreak, these studies were limited to retrospective data, small sample sizes, and medical personnel. The goals of the present study were to (a) document the mental health and well-being of troops deploying in response to an infectious disease outbreak; (b) identify their stressors, attitudes toward deployment, and health risk concerns; and (c) understand the role of combat experience in adjusting to these types of missions...
March 1, 2018: Military Medicine
Jeum-Nam Kim, Byung-Mu Lee
Frequent air travelers and airplane pilots may develop various types of illnesses. The environmental risk factors associated with air travel syndromes (ATS) or air travel-related adverse health outcomes raised concerns and need to be assessed in the context of risk management and public health. Accordingly, the aim of the present review was to determine ATS, risk factors, and mechanisms underlying ATS using scientific data and information obtained from Medline, Toxline, and regulatory agencies. Additional information was also extracted from websites of organizations, such as the International Air Transport Association (IATA), International Association for Medical Assistance to Travelers (IAMAT), and International Civil Aviation Organization (ICAO)...
January 17, 2018: Journal of Toxicology and Environmental Health. Part B, Critical Reviews
Sanne Mulder, Diederik de Rooy
BACKGROUND: In the last 35 yr, 17 commercial aviation accidents and incidents, with 576 fatalities, could likely have been attributed to mental disease of a pilot. Screening tools for mental health risks in airline pilots are needed. There is growing interest in pilot peer-support programs and how to incorporate them in a just culture, meaning that pilots can report mental health complaints without a risk of job or income loss. We combined findings from aviation accidents and incidents with a search of scientific literature to provide data-based recommendations for screening, peer-support, and a just culture approach to mental health problems...
January 1, 2018: Aerospace Medicine and Human Performance
Alexander C Wu, Deborah Donnelly-McLay, Marc G Weisskopf, Eileen McNeely, Theresa S Betancourt, Joseph G Allen
BACKGROUND: The Germanwings Flight 9525 crash has brought the sensitive subject of airline pilot mental health to the forefront in aviation. Globally, 350 million people suffer from depression-a common mental disorder. This study provides further information on this important topic regarding mental health especially among female airline pilots. This is the first study to describe airline pilot mental health-with a focus on depression and suicidal thoughts-outside of the information derived from aircraft accident investigations, regulated health examinations, or identifiable self-reports, which are records protected by civil aviation authorities and airline companies...
December 15, 2016: Environmental Health: a Global Access Science Source
Anna Donnla O'Hagan, Johann Issartel, Alan Nevill, Giles Warrington
A growing body of evidence suggests long work hours adversely affect mental health across a variety of domains. Mental health issues have been found to negatively affect work performance. This finding was highlighted in the aviation industry by the 2015 Germanwings incident in which 150 people died. Further investigation into work hours and their associated factors (e.g., demographic characteristics and experiences of sleep and fatigue in the cockpit) contributing to mental health issues among pilots is warranted...
March 2017: Workplace Health & Safety
Catherine Abbo, Elialilia S Okello, Wilson Muhwezi, Grace Akello, Emilio Ovuga
AIMS: 1) To determine the nature and extent of alcohol and substance use and 2) To describe the relationship between alcohol use and psychosocial competence among secondary school youths in Northern and Central Uganda. STUDY DESIGN: This was a cross-sectional study. PLACE AND DURATION OF STUDY: Departments of Mental Health, Gulu University (Northern Uganda) and Department of Psychiatry, Makerere University College of Health Sciences (Central Uganda) between September 2011 and April 2012...
2016: International Neuropsychiatric Disease Journal
(no author information available yet)
In September 2012, the Aerospace Medical Association published and distributed recommendations from its Pilot Mental Health Working Group to improve awareness and identification of pilot mental health issues during the aeromedical assessment of pilots. Following the crash of Germanwings Flight 9525 in March 2015 with pilot suicide as the probable cause, the Pilot Mental Health Working Group reconvened to review their recommendations. As a result, the working group revised the recommendations which are provided here and which were distributed worldwide...
May 2016: Aerospace Medicine and Human Performance
Bastien Boussat, Thierry Bougerol, Olivier Detante, Arnaud Seigneurin, Patrice François
BACKGROUND: A management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments. The purpose of this study was to analyse the functioning of an Experience Feedback Committee in a psychiatric department and to explore its contribution to the particular issues of patient safety in mental health. METHODS: We conducted a descriptive study based on all the written documents produced by the Experience Feedback Committee between March 2010 and January 2013...
2015: Annals of General Psychiatry
Daniel Danczyk, Steven I Altchuler, Lawrence Steinkraus
The recent crash of an airliner in the French Alps drew attention to the critical importance of the mental health of pilots and the key role physicians play in determining whether a pilot is fit to fly. This article reviews Federal Aviation Administration regulations and guidelines for making that determination and discusses the role of both the aviation medical examiner and the community physician in caring for pilots. It also offers community physicians tips for building solid relationships with pilot-patients so as to ensure they receive the best care possible...
June 2015: Minnesota Medicine
Lisa Lewandowski-Romps, Christopher Peterson, Patricia A Berglund, Stacey Collins, Kenneth Cox, Keith Hauret, Bruce Jones, Ronald C Kessler, Colter Mitchell, Nansook Park, Michael Schoenbaum, Murray B Stein, Robert J Ursano, Steven G Heeringa
BACKGROUND: Accidents are one of the leading causes of death among U.S. active-duty Army soldiers. Evidence-based approaches to injury prevention could be strengthened by adding person-level characteristics (e.g., demographics) to risk models tested on diverse soldier samples studied over time. PURPOSE: To identify person-level risk indicators of accident deaths in Regular Army soldiers during a time frame of intense military operations, and to discriminate risk of not-line-of-duty from line-of-duty accident deaths...
December 2014: American Journal of Preventive Medicine
Anthony P Tvaryanas, Genny M Maupin
BACKGROUND: This study investigated whether Critical Care Air Transport Team (CCATT) members are at increased risk for incident post-deployment mental health conditions. METHODS: We conducted a retrospective cohort study of 604 U.S. Air Force medical personnel without preexisting mental health conditions who had at least one deployment as a CCATT member during 2003-2012 as compared to a control group of 604 medical personnel, frequency matched based on job role, with at least one deployment during the same period, but without CCATT experience...
January 2014: Aviation, Space, and Environmental Medicine
(no author information available yet)
Following a March 27, 2012, incident in which a pilot of a major commercial airline experienced a serious disturbance in his mental health, the Aerospace Medical Association formed an Ad Hoc Working Group on Pilot Mental Health. The working group met several times and analyzed current medical standards for evaluating pilot mental health. The result of the working group was a letter sent to the FAA and other organizations worldwide interested in medical standards. The Committee found that it is neither productive nor cost effective to perform extensive psychiatric evaluations as part of the routine pilot aeromedical assessment...
December 2012: Aviation, Space, and Environmental Medicine
Robin F Griffiths, David M C Powell
In order to perform safety-critical roles in emergency situations, flight attendants should meet minimum health standards and not be impaired by factors such as fatigue. In addition, the unique occupational and environmental characteristics of flight attendant employment may have consequential occupational health and safety implications, including radiation exposure, cancer, mental ill-health, musculoskeletal injury, reproductive disorders, and symptoms from cabin air contamination. The respective roles of governments and employers in managing these are controversial...
May 2012: Aviation, Space, and Environmental Medicine
Denise Feijó, Ronir Raggio Luiz, Volney Magalhães Camara
INTRODUCTION: The purpose of this study was to estimate the prevalence of suspected cases of common mental disorders (CMD) on Brazilian civil aviation pilots and to investigate associations between CMD, demographics, and labor variables. METHODS: A quantitative cross-sectional study was conducted on 807 working pilots between October 2009 and October 2010 using a self-administered questionnaire to obtain sociodemographic data and information about workload. CMD prevalence was estimated with the Self-Reporting Questionnaire-20 items (SRQ-20)...
May 2012: Aviation, Space, and Environmental Medicine
P J Pisula, C H Lewis, R S Bridger
Methods and results are reported from a study of ships companies' exposure to low-frequency motions on three vessels of the Royal Navy. The aim of the study was to investigate relationships between deck accelerations and the incidence of problems such as difficulties with physical tasks, cognitive activities, motion sickness, and work effort. Ship motions were recorded continuously during sea patrols of 10-14 days. The data collected from the three vessels comprised 105 days of ship motions over 12 patrols, with 779 associated daily diaries from 78 participants...
2012: Ergonomics
Edgard Martins, Marcelo Soares, Lia Augusto, Laura Laura
The creation of meaning in communication is a trading activity, resulting from the construction that is born of the interaction between subjects. That is, the meaning is not inherent to the relationship between words, signs and symbols that arise from negotiating a necessary and unavoidable. As the concepts of sense as discrete and static representations imply a notion of classical computing and design of a cognitive system corresponding conceptions of meaning construction as located and shared among agents implies notions of different computing and cognition...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
Sally Evans, Sally-Ann Radcliffe
INTRODUCTION: Scant data are available on the annual incapacitation rate of aircrew. This study analyzes all incapacitations occurring among UK commercial pilots, in flight and off duty, in 2004 to derive a baseline minimum annual incapacitation rate for the UK commercial pilot population. METHOD: The study cohort was all professional pilots holding a valid UK/JAR (Joint Aviation Requirements) Class 1 medical certificate and license in 2004. Three data sources were used to identify episodes of incapacitation: the statutory notification of prolonged illness, personal injury, or pregnancy to the UK Civil Aviation Authority; Mandatory Occurrence Reports (MORs) for in-flight medical incidents; and death certificates...
January 2012: Aviation, Space, and Environmental Medicine
Alexander R Carbo, Anjala V Tess, Christopher Roy, Saul N Weingart
OBJECTIVES: Effective teamwork and communication can prevent error and mitigate harm. High-performance team training was developed in the aviation industry for flight crews and is being incorporated in health care settings, such as emergency departments, operating rooms, and labor and delivery suites. We translated and adapted high-performance teamwork and communication principles from other industries and other disciplines to an inpatient internal medicine environment. METHODS: We selected key principles from aviation and anesthesia crew training programs in 2004 and organized them into the ABC'S of teamwork...
June 2011: Journal of Patient Safety
Bradford D Winters, Monica S Aswani, Peter J Pronovost
Diagnostic errors are a widespread problem, although the true magnitude is unknown because they cannot currently be measured validly. These errors have received relatively little attention despite alarming estimates of associated harm and death. One promising intervention to reduce preventable harm is the checklist. This intervention has proven successful in aviation, in which situations are linear and deterministic (one alarm goes off and a checklist guides the flight crew to evaluate the cause). In health care, problems are multifactorial and complex...
March 2011: Academic Medicine: Journal of the Association of American Medical Colleges
Gregory G Homish, Bonita S Frazer, Daniel P McCartan, Anthony J Billittier
Emergency mental health (EMH), a field that is often not well represented when considering emergency preparedness, is nonetheless a vital component to any disaster response. Emergency mental health issues must be considered not only for victims of disasters and their families, friends, and coworkers but also for both on-scene and off-scene responders and members of the community who may have witnessed the disaster. This article describes the EMH preparation for and response to the crash of Continental Airlines flight 3407 in western New York on February 12, 2009, killing all 49 crew and passengers on board and 1 person on the ground...
December 2010: Disaster Medicine and Public Health Preparedness
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