King R E, Flynn C F
Armstrong Laboratory (AFMC), Brooks AFB, TX, USA.
Aviat Space Environ Med. 1995 Oct;66(10):951-6.
United States Air Force (USAF) commanders wish to make better pilot-selection and cockpit-assignment decisions. Also, some pilots will sustain head injuries that will affect their flying careers. The complex and unforgiving nature of aviation demands a conservative approach to occupational return after neurological insult. Therefore, a neuropsychological assessment is required to return to flying. The lack of pre-injury neuropsychological data, however, hinders accurate assessment of post-injury functioning.
a) Psychological data may improve the pilot selection and assignment processes as military resources dwindle; and b) baseline intellectual/cognitive data may support the scientific basis of aeromedical decision-making.
Neuropsychiatrically Enhanced Flight Screening (N-EFS) attempts to validate the Multidimensional Aptitude Battery (MAB), CogScreen, Revised NEO-PI (NEO-PI-R), and Personal Characteristics Inventory (PCI) for pilot selection and cockpit assignment. N-EFS also measures baseline intelligence (using the MAB) and cognitive functioning (using the CogScreen) for comparison purposes if a future medical flying waiver is needed after neurological insult. These assessments will compare the aviator's postinjury functioning to a personal intellectual functioning baseline captured at entry into aviation training.
N-EFS students are scoring from below average to very superior in intellectual assessment. Very preliminary personality testing results suggest few significant differences between male and female student pilots, with high extraversion being the most striking personality characteristic.
The wide range of intellectual functioning in pilot candidates argues for baseline data collection to improve future aeromedical decisions.
美国空军（USAF）指挥官希望做出更优的飞行员选拔和驾驶舱分配决策。此外，一些飞行员会遭受头部损伤，这将影响他们的飞行生涯。航空领域复杂且要求苛刻的性质决定了在神经损伤后职业恢复需采取保守方法。因此，需要进行神经心理学评估才能重返飞行岗位。然而，缺乏伤前神经心理学数据阻碍了对伤后功能的准确评估。
a）随着军事资源的减少，心理数据可能会改善飞行员选拔和分配流程；b）基线智力/认知数据可能支持航空医学决策的科学依据。
神经精神病学强化飞行筛查（N-EFS）试图验证用于飞行员选拔和驾驶舱分配的多维能力测验（MAB）、认知筛查（CogScreen）、修订版大五人格量表（NEO-PI-R）和个人特征量表（PCI）。N-EFS还测量基线智力（使用MAB）和认知功能（使用CogScreen），以便在神经损伤后未来需要医疗飞行豁免时进行比较。这些评估将把飞行员伤后的功能与进入航空训练时获取的个人智力功能基线进行比较。
N-EFS学员在智力评估中的得分从低于平均水平到非常优秀不等。非常初步的人格测试结果表明，男女学员飞行员之间几乎没有显著差异，外向性高是最突出的人格特征。
飞行员候选人智力功能范围广泛，这表明需要收集基线数据以改善未来的航空医学决策。
