Diagnosis and treatment of psychotic disorders in aircrews and aeromedical assessment

中华航空航天医学杂志 Pub Date : 2016-06-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2016.02.005

Xiaoguang Lang

{"title":"Diagnosis and treatment of psychotic disorders in aircrews and aeromedical assessment","authors":"Xiaoguang Lang","doi":"10.3760/CMA.J.ISSN.1007-6239.2016.02.005","DOIUrl":null,"url":null,"abstract":"Objective \nTo provide reference for the diagnosis, treatment and medical assessment of psychotic disorders in aircrews by summarizing the clinical data of psychotic disorders in aircrews. \n \n \nMethods \nRetrospective analysis of the clinical data of 126 cases of the aircrews with psychotic disorders and relevant literature review were done. The disorders were classified by the third edition Chinese Classification and Diagnostic Criteria of Mental Disorders. The medical identification was made in accordance with the Physical Examination Standards of Air Force Flight Personnel (1996), and referred to the relevant standards of the United States. \n \n \nResults \nIn 126 aircrew cases with psychotic disorders, there were 63 cases with hysteria, stress-related disorders, and neurosis. There were 54 cases with mood disorders. There were 9 cases with the insomnia due to physiological disorders related psychological factors. The conclusion of medical assessment: 18 cases were qualified, 29 cases were temporary grounding, and 79 cases were disqualified. \n \n \nConclusions \nThere are many kinds of psychotic disorders in aircrews. Diagnosis and treatment have certain particularities. The medical identification should be in accordance with the physical examination standard of Air Force flight personnel and take the waiver standards of foreign flight personnel identification as reference. Moreover, the type of aircraft, post of flight, flight experience and personal intention, as well as the needs of army are suggested to be the concerns in medical identification. \n \n \nKey words: \nMental disorders; Eligibility determination; Retrospective studies; Aircrews","PeriodicalId":9904,"journal":{"name":"中华航空航天医学杂志","volume":"9 1","pages":"102-106"},"PeriodicalIF":0.0000,"publicationDate":"2016-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华航空航天医学杂志","FirstCategoryId":"1087","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2016.02.005","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To provide reference for the diagnosis, treatment and medical assessment of psychotic disorders in aircrews by summarizing the clinical data of psychotic disorders in aircrews. Methods Retrospective analysis of the clinical data of 126 cases of the aircrews with psychotic disorders and relevant literature review were done. The disorders were classified by the third edition Chinese Classification and Diagnostic Criteria of Mental Disorders. The medical identification was made in accordance with the Physical Examination Standards of Air Force Flight Personnel (1996), and referred to the relevant standards of the United States. Results In 126 aircrew cases with psychotic disorders, there were 63 cases with hysteria, stress-related disorders, and neurosis. There were 54 cases with mood disorders. There were 9 cases with the insomnia due to physiological disorders related psychological factors. The conclusion of medical assessment: 18 cases were qualified, 29 cases were temporary grounding, and 79 cases were disqualified. Conclusions There are many kinds of psychotic disorders in aircrews. Diagnosis and treatment have certain particularities. The medical identification should be in accordance with the physical examination standard of Air Force flight personnel and take the waiver standards of foreign flight personnel identification as reference. Moreover, the type of aircraft, post of flight, flight experience and personal intention, as well as the needs of army are suggested to be the concerns in medical identification. Key words: Mental disorders; Eligibility determination; Retrospective studies; Aircrews

查看原文本刊更多论文

机组人员精神障碍的诊断和治疗及航空医学评估

目的总结空勤人员精神障碍的临床资料，为空勤人员精神障碍的诊断、治疗和医学评价提供参考。方法对126例机组人员精神障碍患者的临床资料进行回顾性分析，并复习相关文献。按照第三版《中国精神障碍分类与诊断标准》进行分类。医疗鉴定是按照《空军飞行人员体格检查标准》(1996年)进行的，并参考了美国的有关标准。结果126例机组精神障碍患者中，有癔症、应激相关障碍、神经症63例。有心境障碍54例。9例因生理障碍引起的失眠与心理因素有关。医学评估结论:合格18例，临时禁足29例，不合格79例。结论机组人员存在多种类型的精神障碍。诊断和治疗有一定的特殊性。医学鉴定按照空军飞行人员体检标准执行，并参照国外飞行人员鉴定豁免标准。此外，建议在医疗鉴定中考虑飞机类型、飞行岗位、飞行经验和个人意图以及部队的需要。关键词:精神障碍;资格审定;回顾性研究;机组人员

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华航空航天医学杂志航空航天医学

自引率

0.00%

发文量

2962

期刊介绍： The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties. Topics of interest for Chinese Journal of Aerospace Medicine include: -The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc. -Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal. -The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote. -The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.