Bohnker B, McEwen G, Blanco J, Feeks E
Medical Department, USS FORRESTAL AVT 59, FPO AA 34080-2730.
Aviat Space Environ Med. 1992 Nov;63(11):1015-8.
A descriptive study was conducted for 150 consecutive patients with a psychiatric diagnosis evaluated over 11 months by the medical staff onboard an aircraft carrier. Patients with sole diagnosis of alcohol abuse or dependence were excluded. Axis II diagnoses, or personality disorders, were more common (N = 120) than Axis I diagnoses (N = 46). The most common Axis I diagnoses were adjustment disorder and major depression. Axis II diagnoses were significantly more likely (OR = 7.33, 95% CI 4.45-12.16, p = 0.000) in sailors less than 23 years of age compared to ship's population. Suicide behavior was demonstrated in 68% (102/150) of the patient population. This study emphasized the requirement for extensive psychiatric training for the clinical aerospace medicine specialists providing operational support to aircraft carrier crews.
对一艘航空母舰上的医务人员在11个月内评估的150例连续的有精神科诊断的患者进行了一项描述性研究。仅诊断为酒精滥用或依赖的患者被排除。与轴I诊断（N = 46）相比，轴II诊断或人格障碍更为常见（N = 120）。最常见的轴I诊断是适应障碍和重度抑郁症。与舰上全体人员相比，23岁以下的水手出现轴II诊断的可能性显著更高（OR = 7.33，95% CI 4.45 - 12.16，p = 0.000）。68%（102/150）的患者群体表现出自杀行为。这项研究强调了为向航母船员提供作战支持的临床航空航天医学专家进行广泛精神科培训的必要性。
