Commercial Airline Pilots Research Articles

Short Rest Between Flights Is Associated With Increased Serum Stress Hormone Levels in Airline Pilots: A Cross-Sectional Study.

Work-related stress is a critical area of research in civil aviation, given the potential for severe consequences when airline pilots (APs) are overwhelmed or unable to perform optimally. While pilots are traditionally considered to be exposed to various stressors, the impact of specific occupational characteristics on stress in the aviation industry remains inadequately understood. Considering that biomarkers are increasingly being utilized as objective measures of stress in human research, this cross-sectional study investigated the association between occupational variables and serum levels of cortisol and dehydroepiandrosterone sulfate (DHEAS) as stress biomarkers in commercial APs. A total of 120 male APs completed a survey assessing the following work-related characteristics: position (captain vs. first officer), years of experience, total flight hours, flight hours in the preceding year, inter-flight rest duration, and flight route length. Serum cortisol and DHEAS concentrations were determined from venous blood samples obtained between 08:00 and 09:00 a.m., following a minimum eight-hour fasting period. The biomarker data were analyzed in relation to the aforementioned occupational characteristics. The mean serum cortisol and DHEAS concentrations in the entire cohort were 8.5±2.1 µg/dL and 214.6±96.4 µg/dL, respectively. There were no significant differences in the levels of the two stress hormones in relation to position, years of experience, total flight hours, flight hours in the preceding year, or flight route length. However, an inter-flight rest period of less than one hour was significantly associated with elevated serum cortisol (P<0.01) and reduced DHEAS levels (P<0.001) compared to longer rest durations. Notably, a stepwise decrease in DHEAS concentrations was observed for rest periods of <1 hour, 1-4 hours, 4-24 hours, and >24 hours. After adjustment for potential confounders in multivariable analyses, a rest period of <1 hour remained independently associated with both serum cortisol (odds ratio [OR]=1.09, 95% confidence interval [CI]=1.04-1.13, P<0.01) and DHEAS (OR=0.94, 95% CI=0.92-0.97, P<0.001). Serum stress hormones in APs are associated with short inter-flight rest periods. Optimization of rest durations may contribute to improved pilot well-being and performance. Further research is warranted to determine ideal rest period lengths and develop interventions to mitigate the potential adverse effects of abbreviated rest periods between flights.

Commercial Airline Pilots’ Stress Across the Travel Cycle: Multi-Level Stressors, Spillover Effects, and the Role of Resources

Commercial airline pilots (CAPs) are a key employee group within the travel industry who are exposed to multi-level institutional and organizational demands that impact their lived experience of stress potentially leading to accidents and incidents. This study explores CAPs’ lived experience of stress and draws on conservation of resources theory and context and travel stage frameworks to investigate unique stressors that CAPs face at different travel stages. Utilizing qualitative data from interviews with 28 CAPs combined with archival data, we surface a range of multi-level factors that impact their lived experience of stress at each travel stage. To cope with stressors, and in the absence of valuable contextual resources, CAPs utilized multiple personal resources. We additionally found evidence of significant spillover across the travel stages. Findings highlight the need to improve contextual resources available to pilots, strengthen their personal resources, and customize support to the requirements of the travel stage.

Carotid Intima-Media Thickness, Overweight, and Poor Sleep Quality in Commercial Airline Pilots: A Cross-Sectional Study.

Background Cardiovascular disease is a leading cause of premature career termination in commercial airline pilots (APs). In this cross-sectional study, we sought to investigate the relationship between intima-media thickness (IMT), a marker of subclinical atherosclerosis, and cardiovascular risk factors in APs, focusing on overweight status and sleep quality. Methods A total of 140 male APs were categorized into four groups based on body mass index (BMI) and Pittsburgh Sleep Quality Index (PSQI) score: overweight poor sleepers (OW-PS), overweight good sleepers (OW-GS), normal weight poor sleepers (NW-PS), and normal weight good sleepers (NW-GS). IMT was quantified in the common carotid artery (CCA) and carotid bulb using ultrasound, yielding a composite IMT (IMTcom) measure. Common cardiovascular risk factors were assessed in all participants. Results The prevalence of overweight and poor sleep quality was 43.6% and 32.9%, respectively. The OW-PS group had significantly higher age, heart rate, total cholesterol, and low-density lipoprotein (LDL) cholesterol compared to other groups (p<0.05). Overweight pilots, regardless of sleep quality, had increased IMTcom compared to normal-weight pilots (p<0.001). Age and LDL cholesterol were independent predictors of IMTcom in the OW-PS and OW-GS groups (p<0.05). Conclusions Overweight status, irrespective of sleep quality, is associated with increased IMT in APs, suggesting a higher burden of subclinical atherosclerosis. Interventions focused on reducing LDL cholesterol levels and managing age-related cardiovascular risk factors could be advantageous in mitigating the risk of atherosclerotic vascular disease in overweight pilots.

Orbital Solitary Fibrous Tumor in a Commercial Airline Pilot.

BACKGROUND: In the literature, central serous retinopathy (CSR) accompanying solitary fibrous tumors (SFT) in a pilot has not been reported. In airline pilots, mass effect-related symptoms such as diplopia, ptosis, etc., seen with orbital tumors may endanger flight safety.CASE REPORT: A 62-yr-old male commercial airline pilot presented with blurred vision in the right eye. He had been receiving treatment for 2 mo because of CSR. His visual acuity was 10/20 in the right eye and 20/20 in the left. During examination, ptosis and exophthalmos were noticed in the right eye. Ocular movements were free in all cardinal directions and there was downward displacement in the right eye. There was no diplopia. Magnetic resonance imaging revealed a 1.5- to 2-cm well-defined contrast-enhancing mass in the lateral extraconal orbit. His medical flight certificate was suspended for 3 mo due to decreased visual acuity and superior visual defect. Superior orbitotomy was performed without any complication. Ptosis and CSR had regressed 1 wk after surgery. All systemic and ophthalmological examinations met aviation medical certificate requirements. He returned to flight on the condition of being checked every 3 mo. At the 1-yr follow-up, there was no sign of recurrences of SFT or CSR.DISCUSSION: SFTs are slow-growing neoplasms that can manifest symptoms related to mass effect. In the current literature, there are no reported cases of the coexistence of orbital SFT and CSR or pilots able to resume flight duties only 1 wk after a successful orbitotomy and tumor resection surgery.Altinbas M, Ozpınar A, Akbaba M, Nacaroglu SA, Sargolzaeimoghaddam M, Sargolzaeimoghaddam M. Orbital solitary fibrous tumor in a commercial airline pilot. Aerosp Med Hum Perform. 2024; 95(6):333-336.

Prevalence and network analysis of internet addiction, depression and their associations with sleep quality among commercial airline pilots: A national survey in China

ObjectiveAirline pilots are members of a unique occupational group that is often confronted with sleep routine disruptions, yet relatively few studies have examined their mental health status. This study assessed the prevalence and network structure of internet addiction, depression and sleep quality problems in commercial airline pilots. MethodA total of 7055 airline pilots were included in analyses. Internet addiction and depression were measured with the Internet Addiction Test (IAT) and 9-item Patient Health Questionnaire (PHQ-9), respectively. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). The network model was constructed based on an Ising model and its association with sleep quality was evaluated using a flow procedure. ResultsInternet addiction, depression and sleep quality were common among airline pilots. The prevalence of internet addiction was 8.0 % (95 % CI: 7.3–8.6 %), while the rates of depression and poor sleep quality were 23.3 % (95 % CI: 22.3–24.2 %) and 33.0 % (95 % CI: 31.9–34.1 %), respectively. In the depression and internet addiction network model, “Fatigue” (PHQ4; Expected Influence (EI): 2.04) and “Depressed/moody/nervous only while being offline” (IAT20; EI: 1.76) were most central symptoms while “Fatigue” (PHQ4; Bridge EI: 1.30) was also the most important bridge symptom. The flow network model of sleep quality with internet addiction and depression showed that “Appetite” (PHQ5) had the strongest positive association with poor sleep quality. ConclusionInternet addiction, depression and sleep quality were common among airline pilots and warrant regular screening and timely treatment. Strategies to improve sleep hygiene may be useful in preventing onsets or exacerbations in depression and internet addiction among airline pilots.

European and US Aeromedical Authority Guidance for Neurocognitive Evaluation of Airline Pilots With Mental Disorders

Abstract: Commercial airline pilots must exhibit specific neurocognitive skills and aptitudes to perform their safety-critical roles. This review addresses neuropsychological assessment in mental disorders derived from guidance developed by European and US aviation authorities as well as indications in the current literature in relation to major depression and suicidality, self-harm, attention-deficit/hyperactivity disorder, posttraumatic stress disorder, and bipolar disorder in aeromedical evaluations. Several studies show that cognitive functioning may be impaired during major depression. The results of neurocognitive assessments provide useful information about a pilot’s performance. Obstacles to referring crew for neuropsychological testing are the paucity of neuropsychological specialists to undertake assessments and aeromedical examiners’ varied training and experience in assessing mental health problems of pilots in general.

Commercial airline pilots' job satisfaction before and during the COVID-19 pandemic: A comparative study

The impact of the COVID-19 pandemic on the world's commercial aviation industry was unprecedented. National lockdowns and border closures effectively prohibited passenger air travel. Airlines responded by reducing operations, parking aircraft and making staff, including pilots, redundant. This research aims to examine the impact of COVID-19 on commercial airline pilots' job satisfaction before and during the pandemic and identify the workplace factors that affect it. Empirical data was gathered via an online survey which was distributed to members of three commercial airline pilot unions in Europe and Australasia in November 2021. 346 complete responses were received. Using Herzberg's 16 workplace factors as a theoretical frame for the survey and subsequent analysis, the findings showed that, overall, job satisfaction decreased during the pandemic. The largest effect sizes were observed for Salary, Job Security and Working Conditions while the smallest effect sizes were observed for Impacts on Personal Life, Responsibility and Recognition. The importance of effective communication between airline management and pilots was highlighted. The findings and recommendations regarding employee compensation, benefits and support packages are of relevance not only to airlines but also to other transport and economic sectors facing future disruptive events.

Probiotic Supplementation With Saccharomyces boulardii and Enterococcus faecium Improves Gastric Pain and Bloating in Airline Pilots With Chronic Non-atrophic Gastritis: An Open-Label Study.

Background Commercial airline pilots (APs) are prone to upper gastrointestinal symptoms, such as epigastric pain and bloating. These issues are often linked to occupational risk factors like irregular diet, sleep disruption, and circadian rhythm disturbance. The use of probiotics to enhance intestinal health is well established, but their efficacy in treating upper gastrointestinal diseases is still debated. This is primarily due to the stomach's small resident microbiota and its low pH, which is inhospitable to most microbes. However, emerging research suggests that specific probiotic strains, such as Enterococcus faecium, can withstand acidic environments. Moreover, certain yeast species, including Saccharomyces boulardii, can survive at a low pH. Consequently, we conducted a preliminary, three-arm, randomized, open-label, dose-finding, four-week study to compare the effects of watchful waiting (WW) with the administration of an oral probiotic supplement containing S. boulardii and E. faecium in APs diagnosed with Helicobacter pylori-negative chronic non-atrophic gastritis (CNG). Methods The study included 39 APs with CNG who were randomized into three groups with a 1:1:1 ratio. The low-dose group (n = 13) received one capsule of the probiotic supplement twice daily, before meals, for four weeks. The high-dose group (n = 13) was administered two capsules of the supplement on the same schedule. The third group (n = 13) underwent WW and served as the control arm. Blinding was maintained for the examining physicians and laboratory staff, but not for the patients. All participants self-rated their experiences of gastric pain and bloating at the beginning and conclusion of the four-week treatment period. Additionally, serum levels of pepsinogen I (PGI) and pepsinogen II (PGII) were measured at these time points. Results Supplementation with probiotics significantly outperformed WW in reducing subjective gastric pain and bloating. This effect was consistent across both tested dosages, with no significant differences observed. However, only high-dose probiotics led to a statistically significant decrease in PGII levels and an increase in the PGI/PGII ratio after the four-week study period, a result not observed with low-dose probiotics. Conclusions Oral administration of S. boulardii and E. faecium demonstrated potential efficacy in reducing gastric pain and bloating symptoms in APs with CNG, as evidenced by statistically significant symptom improvement compared to the control group that did not receive the probiotic supplementation. Notably, high-dose probiotics resulted in a significant increase in the PGI/PGII ratio, indicating potential long-term cytoprotective effects on the gastric mucosa.

Examining the Future of Automation in Commercialized Flight and its Impact on Airline Pilots

The purpose of this study was to focus on the perceptions of an automated (unmanned) flight deck and its intended implementation in the U.S. airline industry. The objective was to understand fully autonomous aircraft’s influence on commercial pilots, as well as investigate the effects on the U.S. airline industry and human-machine interaction. Commercial airline pilots, including ranks of both Captains and First Officers (FO) in Part 121 scheduled service, were the research population for this study. The sample population number was 15 U.S. airline pilots offering various diversity in age, gender, years of service, airline employer, and military or civilian flight experience. The semi-structured qualitative research consisted of developing a deeper understanding of the pilots’ perceptions of the three-pronged approach: (1) the psychological barriers and motives of the pilot, (2) the differences in aircraft ground-based safety and training, and (3) pilots’ understanding of the timeliness of entry for unmanned flight deck operations to reach FAA standards. The study consisted of participant interviews utilizing a series of ten structured and semi-structured interview questions. The findings concluded that pilots are aware of the workload changes that are present with implementing fully autonomous aircraft in the Part 121 category. Two themes became evident when discussing workload changes. First, the role of the pilot changes from a single flight focus to a multi-flight monitor. Secondly, as technology advances, the pilot’s physical workload of hand flying an aircraft will constantly deteriorate. Furthermore, the advancement of a fully automated flight deck and its effects on the U.S. airline industry can potentially have significant impacts on the psychology of commercial airline pilots. While pilot responses varied based on individual experiences, attitudes, and adaptability, there were several psychological responses identified in this study, including (1) loss of control, (2) uncertainty toward technology, (3) job insecurity, and (4) adaptability. Last, the advancement of a fully autonomous flight deck will obviously create additional concerns for U.S. airline passengers. The most significant concerns for passengers included (1) safety, (2) trust, (3) passenger-pilot relationship, and (4) understanding of technology. Passengers will always question if modern technology has been thoroughly evaluated and if it can react to unexpected situations as safely and effectively as a human.

The influence of safety-specific transformational leadership on safety behavior among Chinese airline pilots: The role of harmonious safety passion and organizational identification

Safety is a key consideration in the worldwide civil aviation industry, in which an increasing number of aviation accidents are related to flight crew performance. Based on social exchange theory and social identity theory, the primary objective of this study is to examine the relationships among safety-specific transformational leadership, harmonious safety passion, organizational identification, and safety behavior among Chinese airline pilots. Data was collected from 332 commercial airline pilots from China Eastern Airlines Co., Ltd. using self-report questionnaires. Correlation analysis, mediation analysis and moderated analysis were conducted. The results show that safety-specific transformational leadership has a positive effect on safety behavior and an indirect effect on safety behavior through the influence of harmonious safety passion. Harmonious safety passion acts as a mediating role, whereas organizational identification acts as a moderating role in the relationship between safety-specific transformational leadership and safety behavior. The managerial implications stemming from the findings of this study may promote pilots’ safety behavior, improve airline management and maintain safety of flight operation.

Effects of age and flight exposure on flight safety performance: Evidence from a large cross-sectional pilot sample

Generally, flight experience protects against the effect of the normal aging process on pilots’ incident involvement, but some studies have shown a negative effect of flight hours on flight safety performance. The purpose of this study was to investigate the relationship between age, flight exposure, and flight safety performance in a large cross-sectional sample of commercial airline pilots (N = 1291). We examined the role that flight exposure plays in mediating age and flight safety performance, as well as the role that age plays in moderating flight exposure and flight safety performance in different age groups. Pilots’ age, total flight hours of B737-800, and exceedance data from 2016 to 2018 were collected. The results showed that exceedance rates increased rapidly among pilots aged 21–40, regardless of their flight exposure levels. In addition, flight exposure mediated the association between age and exceedance rates among pilots aged 21–35; age moderated the association between flight exposure and exceedance rates among pilots aged 26–35. Age directly affected exceedance rates among pilots aged 41–45 and 56–60. These findings provide insights into the pilots’ psychological and cognitive competencies in the professionalism lifecycle management perspective, which has previously been confused between age and flight exposure.

Health in the Skies: A Narrative Review of the Issues Faced by Commercial Airline Pilots.

While the health of airline pilots is crucial to ensuring the safe travel of millions of people worldwide, they remain vulnerable to a variety of health challenges due to the nature of their job. The purpose of this narrative review is to provide a comprehensive summary of the most common health issues experienced by commercial airline pilots. By examining the published literature on this topic, we sought to identify areas where further research is needed to understand better the health risks associated with being a pilot and to develop effective interventions to address these risks. We also highlight how recent technological advancesin digital health can be leveraged to conduct research into the potential usefulness of telehealth assessments for identifying occupational hazards in the aviation sector and providing targeted interventions. Overall, addressing the challenges of taking care of pilots' health and ensuring public safety will require a collaborative effort among airlines, governments, and regulators. Prioritizing pilot health and safety can actually improve profitability in the aviation sector by reducing costs associated with absenteeism, turnover, and accidents.

Fatigue, Work Overload, and Sleepiness in a Sample of Spanish Commercial Airline Pilots.

Commercial aviation pilots are an occupational group that work in particular conditions, with frequent schedule changes, shift work, unfavorable environmental conditions, etc. These circumstances can lead to fatigue, work overload (WO), and daytime sleepiness, factors that can affect their health and safety. This study aimed to assess the prevalence and the association between these parameters in a sample of Spanish commercial airline pilots. The Raw TLX, Fatigue Severity Scale, and the Epworth Sleepiness Scale questionnaires were administered in a sample of 283 participants. The relationships of the total scores between all the questionnaires were studied by the chi-square test and the risk scores (odds ratio) were calculated. Different models using multiple linear regression were carried out to evaluate the effects of WO, fatigue, and daytime sleepiness, among the total scores, age, and flight hours. Additionally, the internal consistency of each questionnaire was estimated. A total of 28.2% presented WO above the 75th percentile, with mental and temporal demand the dimensions with the greatest weight. A total of 18% of pilots presented fatigue, 15.8% moderate sleepiness, and 3.9% severe sleepiness. We observed an association among WO, fatigue, and daytime sleepiness, important factors related to pilot health and aviation safety.

Jürgen P. Melzer. Wings for the Rising Sun: A Transnational History of Japanese Aviation.

“After a takeoff on a foggy day,” writes former commercial airline pilot Jürgen P. Melzer of the potential for a “routine flight” to become a “memorable encounter,” “the aircraft will break through the cloud layer and offer a spectacular view to the remote horizon under a vast blue sky” (xx). That experience parallels reading Wings for the Rising Sun. The book recounts developments from Japan’s first balloon launch in 1877 to 1945, when its first rocket-driven aircraft took flight as World War II was drawing to a cataclysmic end. Like a stunning view from a cockpit, it offers an expansive—and transnational—panorama of the past, though a few important elements are overlooked in an otherwise expertly engineered and constructed volume. The story of Japanese aviation is best understood, Melzer asserts, as “the transnational trajectory of aeronautical advancement driven by technological development, public air-mindedness, and aerial armament” (264). Technology was central to that history, spreading to Japan in successive waves of French, British, German, and American influence on aircraft makers and military strategists. Indeed, aviation was a technological system embedded in a wider system as “airmen, aeronautical engineers, and strategists participated in the transnational flow and exchange of people, matériel, and ideas” (264). While “Japanese aircraft designers followed the tracks of their Western counterparts,” he argues, “they soon embarked on entirely new and uncharted territory” that allowed them to take the lead in some areas over their Western rivals (xxi-xxii).

More experience might not bring more safety: Negative moderating effect of pilots’ flight experience on their safety performance

ObjectiveThis study aimed to improve our understanding of the relationship between pilots' total flight hours (TFH), levels of hazardous attitude (HA), and flight safety performance. BackgroundThe negative effect of airline pilots' flight experience on safety performance has received attention but has not been extensively investigated. MethodUsing a sample of 45 Chinese commercial airline pilots, we not only tested the mediation model in which the relationship between TFH and exceedance rate was mediated by HA, but also tested the moderation model in which the relationship between HA and exceedance rate was moderated by TFH. ResultsTFH positively predict flight exceedance rates; more importantly, it moderated the effect of HA on flight exceedance rates. Specifically, TFH exacerbated the negative effect of HA on flight exceedance rates. Meanwhile, the mediating effect of HA was not significant. ConclusionResults implies the nonlinear relationship between TFH, HA, and flight safety performance. The moderation model indicates that the experience-related risks may appear before 5000 h for an individual commercial airline pilot. ApplicationResearchers, safety managers, and policymakers in the aviation industry that conduct pilots' psychological competency research in the Professionalism Lifecycle Management (PLM) system should be aware of the potentially interactive effects of hazardous attitude and experience on commercial airline pilots’ flight safety performance.

Temporary Incapacitation Rates and Permanent Loss of Medical License in Commercial Airline Pilots.

INTRODUCTION: The purpose of this study was to report the temporary loss of medical license and pilot incapacitations in the United Arab Emirates from 2018-2021.METHOD: The General Civil Aviation Authority database was searched for all reported temporary suspensions of license between 2018-2021 and the ICD-10 codes were extracted.RESULTS: A total of 1233 incapacitations was reported with a mean license suspension of 148.4 ± 276.8 d. The mean days of suspension for the various medical specialties were 115.2 ± 188.4 for musculoskeletal conditions (N = 392), 189.3 ± 324.8 for medicine (N = 335), 101.6 ± 231.4 for surgery, 109.4 ± 223.5 for urology (N = 93), 90.3 ± 128.7 for ophthalmology (N = 68), 385.6 ± 594.3 for psychiatry (N = 61), 150.4+285.9 for ENT (N = 59), 419.4 ± 382.6 for obstetrics and gynecology (N = 30), and 44.9+39 for dermatology (N = 21). Permanent suspensions were as follows: total N = 100 (8.1%), musculoskeletal N = 13 (3.3%), medicine N = 37 (11%), surgery N = 10 (5.7%), urology N = 10 (10.7%), ophthalmology N = 2 (2.9%), psychiatry N = 20 (32.8%), ENT N = 1 (1.7%), obstetrics and gynecology N = 4 (13.1%), and dermatology N = 3 (14.3%).DISCUSSION: Musculoskeletal conditions are the most common reason for temporary loss of medical license followed by medical and surgical conditions. The least common reason was dermatological conditions. The longest period of incapacitation was associated with psychiatric conditions followed by medical and ENT conditions. The annual calculated temporary incapacitation rate was 2.8% and the permanent suspension rate was 0.25%.Hohmann E, Pieterse R. Temporary incapacitation rates and permanent loss of medical license in commercial airline pilots. Aerosp Med Hum Perform. 2023; 94(3):113-121.

Sleep Disorders Among Commercial Airline Pilots: a cross-sectional study

Sleep Disorders Among Commercial Airline Pilots: a cross-sectional study

Selecting flight mode – Risk factors associated with presenteeism among commercial pilots and the role of depressive symptoms

ObjectiveThe objective of this cross-sectional survey study was to examine psychosocial work factors, work conditions, and individual factors associated in the literature with presenteeism among Swedish Commercial Airline Pilots. Furthermore, depressive symptoms were hypothesized as a mediator between psychosocial work climate and presenteeism. BackgroundSickness presenteeism is common among several occupational groups, pilots included. Inappropriate presenteeism, attending work despite feeling inappropriate for reasons other than physical ones, is also prevalent among pilots, even though they are obligated not to work in mentally or physically unfit states. Research has focused on finding risk and protective factors for the act of attending work while ill, as this is associated with both health and safety hazards to employees and organizations. Nonetheless, research on antecedents to pilot sickness and inappropriate presenteeism is scarce. MethodData from an online self-report questionnaire targeting Swedish Commercial Airline pilots (N = 1128) was analyzed. The questionnaire covered demographics, work conditions (e.g., employment type), perceived psychosocial work climate (e.g., job demands), and depressive symptoms. ResultsAll psychosocial work factors were associated with both sickness and inappropriate presenteeism. Depressive symptoms acted as a partial mediator between psychosocial work climate and presenteeism. Being directly or atypically employed showed no significant relationship with inappropriate or sickness presenteeism. ConclusionPerceived psychosocial work factors could transcend the significance of objective working conditions in explaining presenteeism among pilots. This highlights the importance of examining experienced psychosocial work climate regularly to mitigate the risk of presenteeism and, thus, organizational exposure to accidents and errors.

Linkage of calling and burnout among Chinese airline pilots: The role of psychological capital and organizational identification

Objectives. The burnout of airline pilots has an extremely adverse impact on their physical and mental state, work efficiency, and the safe operation of airlines, and is thus an important issue in occupational safety and health. Therefore, it is crucial to identify the factors that may reduce burnout among airline pilots. Drawing on conservation of resources theory, the present study investigates the relationships between calling, psychological capital, organizational identification and burnout in order to understand the mechanisms underlying pilot burnout. Method. A cross-sectional survey was conducted to measure calling, psychological capital, organizational identification and burnout among a sample consisting of 242 Chinese commercial airline pilots (M age = 31.60 years, SD age = 6.44). Correlation analysis, mediation analysis and moderated analysis were conducted. Results. The results showed that calling has a direct and negative effect on pilot burnout, and an indirect effect on burnout through influencing psychological capital. Moreover, organizational identification was found to positively moderate the negative relationship between calling and pilot burnout. Conclusion. This study contributes to deepening the theoretical research on burnout, and provides empirical evidence for effective intervention in the burnout of airline pilots, which is beneficial to reduce pilot human error and ensure flight safety. Future research directions are also discussed.

Proactive Coping and Mental Health Among Airline Pilots During China's Regular Prevention and Control of COVID-19: The Role of Perceived Stress and Social Support.

Mental health has always been a prominent public health concern, and it has become more important in the wake of the COVID-19 pandemic. The mental health of airline pilots plays a significant role in their occupational health and overall performance. It is also vital for ensuring the safe operation of aircrafts. Therefore, it is crucial to identify the factors that may improve the mental health of pilots. This study investigates the relationship between proactive coping, perceived stress, social support, and mental health among airline pilots during China's regular prevention and control of COVID-19. Using a sample consisting of 285 Chinese commercial airline pilots, we tested a moderated mediation model to explore whether, how, and when proactive coping affects the mental health of pilots. The results show that proactive coping has a direct and positive effect on pilots' mental health, as well as an indirect effect on mental health through its influence on perceived stress. Social support was found to weaken the relationship between perceived stress and mental health. It also weakened the indirect relationship between proactive coping and mental health through perceived stress. These findings advance our understanding of the underlying mechanisms that affect the mental health of pilots. It also provides empirical evidence for effective mental health interventions for airline pilots during regular prevention and control of COVID-19.