Health challenges including behavioral problems in long-duration spaceflight

@article{Doarn2019HealthCI,
  title={Health challenges including behavioral problems in long-duration spaceflight},
  author={Charles R. Doarn and James D. Polk and Marc A. Shepanek},
  journal={Neurology India},
  year={2019},
  volume={67},
  pages={190 - 195}
}
Over the past 60 years, our ability to live and work in space has evolved. From short sojourns in small spacecraft to landing on the moon and residing in an orbiting international space station, we have learned to adapt to an extreme environment and safely return home. Human missions to the Moon, Mars, and exploration of deep space are different. This paper summarizes the challenges of providing medical care, specifically mental health care during long-duration flights. Considerable information… 

Figures from this paper

AI’s role in deep space

The objective of this review is to present a summary of derangements that occur outside of LEO by physiologic system and review current and future AI solutions to help bridge the gap between the unknown and long-term space flight.

Deep-space applications for point-of-care technologies

Sixty Years of Manned Spaceflight—Incidents and Accidents Involving Astronauts between Launch and Landing

Introduction: Since Gagarin became the first human to travel into space and complete one orbit around the Earth, on 12 April 1961, the number of manned spaceflights has increased significantly.

Neuropsychiatric aspects of the space missions: scientific overview of the last 15 years

The study identifies performance differences related to gender of astronauts during space missions due to the rigid process of psychological screening and astronauts' selection.

Basic principles and concept design of a real-time clinical decision support system for autonomous medical care on missions to Mars based on adaptive deep learning

The deployment of MEDEA on-board of future missions to Mars will facilitate the deployment of a comprehensive preventive medical strategy, future quantitative medicine on Earth and on the expansion of humans throughout the solar system.

Space Medicine: The Ultimate in Remote Healthcare

The ultimate in providing RHC would be to continuously monitor in almost real time, various health parameters of those in outer space, staying in Low Earth Orbit at present and eventually this would extend to  the lunar surface, deep space and one day perhaps even on the red planet Mars.

Personality, Coping Strategies, and Mental Health in High-Performance Athletes During Confinement Derived From the COVID-19 Pandemic

The results show that maladaptive perfectionism was related to all the indicators of athletes' mental health, however, athletes' levels of anxiety, stress, and depressive symptoms are relatively low, and the use of coping strategies such as cognitive restructuring and emotional calm was associated with lower levels of negative emotional states.

Psychological Distress and Psychosocial Factors in the Non-Formal Context of Basketball Coaches in Times of the COVID-19 Pandemic

The results show that the youngest, those with the least experience and level 1 and level 2 coaches show the highest levels of stress, and it is important to work with a group of coaches who are in the psychosocial risk zone and with high levels of psychological discomfort in order to avoid mental, emotional and physical stress.

Ingen måneferd uten romfartsmedisin

Etter Apollo-programmet og månelandingen har det kun vært ubemannede fartøy på månen, men det har likevel aldri vært større aktivitet innen menneskelig romfart enn i dag. Den internasjonale

References

SHOWING 1-10 OF 53 REFERENCES

Human health and performance for long-duration spaceflight.

The medical care system on a future Mars expedition will need to be autonomous and self-sufficient due to the extremely long separation from definitive medical care, and could be expanded by the presence of a physician in the crew and including simple, low-technology surgical capability.

The biomedical challenges of space flight.

Data from this study support the evidence-based approach to space medicine, incorporating past studies of microgravity-related conditions and their terrestrial counterparts, and enable safe and effective exploration beyond low Earth orbit.

An operational approach to long-duration mission behavioral health and performance factors.

  • C. Flynn
  • Medicine
    Aviation, space, and environmental medicine
  • 2005
The JSC-BHPG has focused on four key factors that can reduce the astronaut's behavioral health and performance: sleep and circadian factors; behavioral health factors; psychological adaptation factors; and human-to-system interface (the interface between the astronaut and the mission workplace) factors.

Psychological and behavioral health issues of long-duration space missions.

  • D. Eksuzian
  • Psychology
    Life support & biosphere science : international journal of earth space
  • 1999
Critical questions pertaining to long-duration space crew behavioral health, psychological adaptation, human factors and habitability, and sleep and circadian rhythms are identified.

Principles of Crew Health Monitoring and Care

The crew selection process from the earliest missions through the International Space Station Program is described and the evolution of medical standards for crew selection in the U.S. with concomitant comparison to those of the Russian Space Program is summarized.

A Year on the International Space Station: Implementing a Long-Duration Biomedical Research Mission.

The Kelly-Kornienko 1-yr mission demonstrated the importance of continuing joint investigations with the adoption of standard measures for rigorous comparisons across disparate populations and identified improvements to collaborative processes across national and international scientific research programs.

Psychiatric issues affecting long duration space missions.

  • N. Kanas
  • Psychology, Medicine
    Aviation, space, and environmental medicine
  • 1998
Although much is known about psychiatric issues related to long duration manned space travel, more empirical work needs to be done during actual space missions.

Psychosocial issues in space: future challenges.

  • G. Sandal
  • Psychology
    Gravitational and space biology bulletin : publication of the American Society for Gravitational and Space Biology
  • 2001
Recommendations for research include the effects of multi-nationality on crew interaction, development of tension within crews and between Mission Control, and prediction of critical phases in adaptation over time.

Living and Working in Space: An Overview of Physiological Adaptation, Performance, and Health Risks

Over the course of 60 years, our understanding of how humans fit into an “engineered” environment has expanded significantly. Successful residence beyond the confines of the Earth’s biosphere,

Behavioral health in Antarctica: implications for long-duration space missions.

  • D. Lugg
  • Psychology
    Aviation, space, and environmental medicine
  • 2005
Based on the Antarctic evidence, the likelihood of behavioral health problems in space is low, but such cases may be serious and of high consequence, placing considerable demands on the mission crew and ground support to achieve a successful outcome, given the availability of pharmaceuticals and resources.
...