Flynn C F, McGlohn S, Miles R E
Armstrong Laboratory, Brooks AFB, TX 78235, USA.
Aviat Space Environ Med. 1996 Jan;67(1):8-13.
To determine if psychiatric hospitalization precluded a return to occupational status in United States Air Force aviators.
A 7-yr retrospective review that joined hospitalization and occupational databases using individual identifiers.
From a population of over 35,000 USAF rated aviation officers present between January 1986 and December 1990, 214 were both psychiatrically hospitalized and on flying status the quarter prior.
Return to flying duties during a minimum follow-up period of 2 yr.
Within 2 yr from psychiatric admission, 138 (64.5%) aviators returned to flying status; 141 (65.9%) returned over 7 yr. In this patient population, an affective disorder diagnosis predicted poor outcome (chi 2 = 12.86; df = 1; p = 0.0003), independent of length of hospitalization.
Psychiatric hospitalization did not prevent a return to flying status for a majority of these high functioning aviators. Although an affective disorder diagnosis negatively affected occupational outcome, it is unclear whether institutional policy or poor prognosis was etiologic.
确定在美国空军飞行员中，精神科住院治疗是否会妨碍其恢复职业状态。
一项为期7年的回顾性研究，使用个人标识符将住院治疗和职业数据库相结合。
从1986年1月至1990年12月期间超过35000名具有美国空军评级的航空军官群体中，选取214名在精神科住院治疗且在之前季度仍处于飞行状态的人员。
在至少2年的随访期内恢复飞行任务。
在精神科入院后的2年内，138名（64.5%）飞行员恢复了飞行状态；141名（65.9%）在7年内恢复。在该患者群体中，情感障碍诊断预示着预后不良（χ² = 12.86；自由度 = 1；p = 0.0003），与住院时间长短无关。
对于大多数这些功能良好的飞行员而言，精神科住院治疗并未妨碍其恢复飞行状态。尽管情感障碍诊断对职业结局有负面影响，但尚不清楚是机构政策还是预后不良是病因。
