Common mental disorders among US army aviation personnel: Prevalence and return to duty

J Clin Psychol. 2018 Dec;74(12):2173-2186. doi: 10.1002/jclp.22688. Epub 2018 Aug 8.

Abstract

Objectives: Assess the prevalence of US Army aviation personnel with common mental disorders, the percentage that return to duty following mental health treatment, and predictors of return to duty.

Methods: Examined the prevalence over a 5-year period. The percentage of personnel who were granted a waiver to return to flying duty following treatment was also determined.

Results: The results revealed a 5-year prevalence of 0.036 (95% CI = 0.034-0.038) for personnel experiencing one or more of the mental disorders (N = 1,155). Prevalence was highest for adjustment disorders and for nonpilot participants. Overall, personnel were granted a waiver 55.3% of the time and suspended or disqualified 44.7% of the time. Waivers were more likely to be granted for an adjustment disorder and for pilots.

Conclusions: Discussion focuses on the importance of aviation personnel receiving mental health treatment when problems are not severe to maximize the likelihood of returning to duty.

Keywords: mental disorder; military; return to duty; stigma; treatment.

MeSH terms

  • Adjustment Disorders / epidemiology
  • Adjustment Disorders / therapy
  • Adult
  • Aviation / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / therapy
  • Military Personnel / statistics & numerical data*
  • Pilots / statistics & numerical data*
  • Prevalence
  • Return to Work / statistics & numerical data*
  • United States / epidemiology