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航空公司飞行员的轻度抑郁症状与执行功能受损有关。

Mild Depressive Symptoms in Airline Pilots Associated With Impaired Executive Functions.

作者信息

Minoretti Piercarlo, Santiago Sáez Andrés S, García Martín Ángel F, Liaño Riera Miryam, Gómez Serrano Manuel, Emanuele Enzo

机构信息

General Direction, Studio Minoretti, Oggiono, ITA.

Legal Medicine, Psychiatry, and Pathology, Complutense University of Madrid, Madrid, ESP.

出版信息

Cureus. 2023 Jul 10;15(7):e41616. doi: 10.7759/cureus.41616. eCollection 2023 Jul.

Abstract

INTRODUCTION

While significant efforts have been made to understand the influence of depression-related impairments on executive functioning within the general population, the specific impact on airline pilots remains largely unexplored. Considering the crucial role that cognitive abilities play in the realm of aircraft piloting, it is imperative to probe into the potential repercussions of depressive symptoms on executive functions (EFs) among this professional cohort.

OBJECTIVES

This study aims to explore the associations between depressive symptoms and EFs in a convenience sample of airline pilots.

METHODS

Male airline pilots (n = 100) underwent the Beck Depression Inventory II (BDI-II) to gauge both the presence and intensity of depressive symptoms. The Stroop Color and Word Test (SCWT), the Digit Span Task (DST), and the Wisconsin Card Sorting Test (WCST) were used to assess EFs.

RESULTS

Of the entire sample of pilots, 88% (n = 88) demonstrated minimal depressive symptoms with a BDI-II score ranging from 0 to 13. The remaining 12% (n = 12) exhibited mild depression, with scores between 14 and 19. Pilots suffering from mild depression demonstrated prolonged color and word times and a higher time interference (TI) score on the SCWT. Moreover, these individuals exhibited lower scores on the DST across both the forward digit span (FDS) and backward digit span (BDS) subtests. Finally, the presence of mild depression correlated with an increased number of total errors, encompassing both perseverative and non-perseverative errors, in the WCST. After adjusting for potential confounding variables, we found an independent association between BDI-II scores and total errors in the WCST.

CONCLUSION

Our research points to substantial differences in EFs between airline pilots demonstrating mild depression and those exhibiting minimal depressive symptoms. This information can catalyze heightened consciousness about the psychological welfare of pilots.

摘要

引言

尽管已经做出了巨大努力来了解抑郁症相关损伤对普通人群执行功能的影响,但对航空公司飞行员的具体影响在很大程度上仍未得到探索。鉴于认知能力在飞机驾驶领域所起的关键作用,探究抑郁症状对这一职业群体执行功能(EFs)的潜在影响势在必行。

目的

本研究旨在探讨航空公司飞行员便利样本中抑郁症状与执行功能之间的关联。

方法

男性航空公司飞行员(n = 100)接受了贝克抑郁量表第二版(BDI-II)测试,以评估抑郁症状的存在和严重程度。使用斯特鲁普颜色和文字测试(SCWT)、数字广度任务(DST)和威斯康星卡片分类测试(WCST)来评估执行功能。

结果

在整个飞行员样本中,88%(n = 88)表现出轻微抑郁症状,BDI-II得分在0至13之间。其余12%(n = 12)表现出轻度抑郁,得分在14至19之间。患有轻度抑郁的飞行员在SCWT上表现出颜色和文字反应时间延长以及更高的时间干扰(TI)得分。此外,这些个体在DST的顺背数字广度(FDS)和倒背数字广度(BDS)子测试中的得分较低。最后,轻度抑郁与WCST中包括持续性和非持续性错误在内的总错误数量增加相关。在调整潜在混杂变量后,我们发现BDI-II得分与WCST中的总错误之间存在独立关联。

结论

我们的研究指出,表现出轻度抑郁的航空公司飞行员与表现出轻微抑郁症状的飞行员在执行功能方面存在显著差异。这些信息可以提高对飞行员心理健康的认识。

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