Remotely piloted aircraft (RPA; also called drones) constitute a new dimension in aviation. In the past, the military used RPAs extensively in the conflicts in Iraq and Afghanistan. Meanwhile, they are employed worldwide, which illustrates the new way of future complementary military warfare. It is well known that military personnel develops mental health disorders (MHD) during their military services or after deployments, including military pilots or fighting personnel (15.9 per 1,000 person-years). Despite the assumption that operators of drones compared to pilots are not vulnerable to MHD, because they are not physically involved and far away from combat operations and the battlefield, it becomes apparent that there is evidence that they are affected in the same way. During the last years, typical symptoms of PTSD occurred in such individuals and resulted in a severe disturbance of health (25.0 per 1,000 person-years). Currently, to our best knowledge, only in the U.S. Air Force (USAF) RPA operators participate directly in the act of war also using destructive weapons. Especially in this population, increasing and high levels of psychological stress, fatigue, and rates of MH diagnoses were found, without significant difference in the rates of post-traumatic stress disorder, depressive disorders, and anxiety disorders between RPA operators and traditional pilots. The German Air Force has been using drones up to now exclusively for reconnaissance. According to empiric observation, the development of MHD among German RPAs operators was not observed, but it has to be assumed that we will also find these illnesses if we proceed with this technology. Hence, military policymakers and clinicians should be highly sensitive to the fact that RPA operators also have a high probability of developing mental health disorders, particularly when using remotely piloted aircraft as weapons.
Published in | Clinical Medicine Research (Volume 9, Issue 1) |
DOI | 10.11648/j.cmr.20200901.15 |
Page(s) | 25-30 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Remotely Piloted Aircraft (RPA), Operators, Armed Forces, Psychological Stress, Mental Health Disorders, Post-Traumatic Stress Disorders (PTSD)
[1] | Otto Lilienthal Museum. Internet: www.lilienthal- museum.de/olma/news.htm. |
[2] | Marche S. Is Facebook Making Us Lonely? The Atlantic 2012; 309, 60–69. |
[3] | Miller G. Drone wars. Science 2012; 336: 842–843. |
[4] | Pickett T, Rothman D, Crawford EF et al. Mental Health Among Military Personnel and Veterans. N C Med J 2015; 76: 299–306. |
[5] | Trautmann S, Goodwin L, Höfler M, Jacobi F, Strehle J, Zimmermann P, Wittchen HU. Prevalence and severity of mental disorders in military personnel: a standardised comparison with civilians. Epidemiol Psychiatr Sci 2017; 26: 199-208. |
[6] | Dao J. Drone Pilots Are Found to Get Stress Disorders Much as Those in Combat Do. The New York Times Feb 22, 2013. |
[7] | Smith TC, Ryan MA, Wingard DL et al. New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: prospective population based US military cohort study. BMJ 2008; 336: 366–371. |
[8] | Litz BT, Schlenger WE. PTSD in service members and new veterans of the Iraq and Afghanistan wars: A bibliography and critique. PTSD Research Quarterly 2009; 20: 1–8. |
[9] | Coughlin SS. Post-Traumatic Stress Disorder and Other Psychiatric Conditions. In: American Public Health Association. Post-Traumatic Stress Disorder and Chronic Health Conditions. 2013. |
[10] | Weller W. Der rasante Höhenflug der Drohnen. 2014. Internet: http://edoc.hu-berlin.de/oa/reports/ re3KB1r4OHPYU/PDF/22nlJeOBTJFFo.pdf. |
[11] | Chappelle WL, McDonald KD, Prince L et al. Symptoms of psychological distress and post-traumatic stress disorder in United States Air Force „drone“ operators. Mil Med 2014; 179 (8 Suppl): 63–70. |
[12] | Deutsche Gesellschaft für Luft- und Raumfahrt. L3.1 Unmanned Aerial Vehicles (UAV). Internet: www. dglr.de/index.php?id=2502. |
[13] | https://www.ncbi.nlm.nih.gov/pubmed/. |
[14] | Petermann T, Grünewald R. Stand und Perspektiven der militärischen Nutzung unbemannter Systeme. 2015. Internet: www.tab-beim-bundestag.de/de/ pdf/publikationen/berichte/TAB-Arbeitsbericht- ab144.pdf. |
[15] | Chappelle WL, Goodman T, Reardon L, Thompson W. An analysis of post-traumatic stress symptoms in United States Air Force drone operators. J Anxiety Disord 2014; 28: 480–487. |
[16] | Kaleck W. Ausweitung der Kampfzone. Internet: www.imi-online.de/download/doku2013_kaleck.pdf. |
[17] | Alwardt C, Brzoska M, Ehrhart HG et al. Braucht Deutschland Kampfdrohnen? 2013. Internet: https://ifsh.de/pdf/publikationen/hifs/HI_50_ Kampfdrohnen.pdf. |
[18] | Frankfurter Rundschau. Bundeswehr kauft Kampfdrohnen aus Israel. 12. Januar 2016. Internet: http://www.fr-online.de/politik/drohnen-bundes w e hr-k auf t-k am pf drohnen - aus -israel1472596,33505104.html. |
[19] | Podsiadło P, Bargiel B, Moskal W. Mountain Rescue Operations Facilitated with Drone Usage. High Alt Med Biol 2019; doi: 10.1089/ham.2018.0149. [Epub ahead of print]. |
[20] | Robakowska M, Ślęzak D, Tyrańska-Fobke A, Nowak J, Robakowski P, Żuratyński P, Ładny J, Nadolny K. Operational and Financial Considerations of Using Drones for Medical Support of Mass Events in Poland. Disaster Med Public Health Prep 2018: 1-6. doi: 10.1017/dmp.2018.106 [Epub ahead of print]. |
[21] | Schulte A. Kognitive und kooperative Automation zur Führung unbemannter Luftfahrzeuge. 2013. Internet: http://duepublico.uni-duisburg-essen.de/ servlets/DerivateServlet/Derivate-33216/105_ Schulte.pdf. |
[22] | Sheridan TB. Telerobotics, Automation and Human Supervisory Control. Computer Science, artificial intelligence. 2003, Cambridge: MIT Press, ISBN 9780262515474. |
[23] | Powers R. Army Enlisted Job Descriptions and Qualification Factors. 2015. Im Internet: http://usmilitary. about.com/od/enlistedjobs/a/18x.htm. |
[24] | Ledford H. US drone research hits regulatory turbulence. Nature 2014; 512: 239–240. |
[25] | Chatterjee P. Desertieren die Piloten, die Washingtons Drohnen-Krieg führen müssen? 2015. Internet: www.ag-friedensforschung.de/themen/Droh nen1/luftpost.html. |
[26] | Host SS. The Drone War’s Bottleneck: Too Many Targets, Not Enough Pilots. 2015. Internet: www.npr. or g/ t em pla t e s/ t r anscr ip t/ t r anscr ip t. php?storyId=379550383. |
[27] | Matthews MD. Special: Stress bei Drohnenpiloten – posttraumatische Belastungsstörungen, Existenzkrise oder moralische Verletzung? Ethik und Militär 2014/1: 59–64. |
[28] | Zuckerman, M. Behavior and Biology: Research on Sensation Seeking and Reactions to the Media. In: Donohew L, Sypher HE, Higgins ET, eds. Communication, Social Cognition, and Affect. Hillsdale: Lawrence Erlbaum; 1988. |
[29] | Wickens CD. Engineering Psychology and Human Performance. 2nd ed. New York: Harper Collins; 1992. |
[30] | Guznov S, Matthews G, Funke G, Dukes A. Use of the RoboFlag synthetic task environment to investigate workload and stress responses in UAV operation. Behav Resh Methods 2011; 43: 771–780. |
[31] | Valenzano A, Moscatelli F, Messina A, Monda V, Orsitto R, Zezza G, Fiorentino G, Salerno M, Triggiani AI, Viggiano A, Mollica MP, Carotenuto M, Monda M, Cibelli G, Messina G. Stress Profile in Remotely Piloted Aircraft Crewmembers During 2 h Operating Mission. Front Physiol 2018; 9: 461. |
[32] | Sterling BS, Perala CH. Workload, stress, and situation awareness of soldiers who are controlling unmanned vehicles in future urban operations Defence Technical Information Center. Army Research Laboratory 2007, Accession Number: ADA466480. |
[33] | Hancock PA, Mouloua M, Gilson R et al. Provocation: Is the UAV Control Ratio the Right Question? Ergonomics in Design 2007; 15: 7, 30. |
[34] | Lowe MS, Gire JT. In the mind of the predator: The possibility of psychological distress in the drone pilot community. Modern Psychological Studies 2012; 17: 2–7. |
[35] | Tang YWJ, Lao S. Research on the Collision Avoidance Algorithm for Fixed-Wing UAVs Based on Maneuver Coordination and Planned Trajectories Prediction. Appl Sci 2019; 9: 798. |
[36] | Bartone PT. The need for positive meaning in military operations. Military Psychology 2005; 17: 315–324. |
[37] | Nash WP, Litz BT. Moral injury: A mechanism for war-related psychological trauma in military family members. Clin Child Fam Psychol Rev 2013; 16: 365– 375. |
[38] | American Psychiatric Association, ed. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington: American Psychiatric Association; 2013. |
[39] | Chappelle W, Goodman T, Reardon L, Prince L. Combat and operational risk factors for post-traumatic stress disorder symptom criteria among United States air force remotely piloted aircraft "Drone" warfighters. J Anxiety Disord 2019; 62: 86-93. |
[40] | Richter P, Hacker W. Belastung und Beanspruchung. Stress, Ermüdung und Burnout im Arbeitsleben. 4. Aufl. 2014, 211 S. Asanger Verlag, ISBN 3-89334-324-9. |
[41] | Chappelle W, McDonald K, Thompson B, Swearengen J. Prevalence of High Emotional Distress and Symptoms of Post-Traumatic Stress Disorder in US Air Force Active Duty Remotely Piloted Aircraft Operators (2010 USAFSAM Survey Results). December 2012. |
[42] | Ouma JA, Chappelle WL, Salinas A. Facets of occupational burnout among US Air Force active duty and National Guard/reserve MQ-1 predator and MQ-9 reaper operators. 2011. Internet: www.dtic.mil/ dtic/tr/fulltext/u2/a548103.pdf. |
[43] | Otto JL, Webber BJ. Mental health diagnoses and counseling among pilots of remotely piloted aircraft in the United States Air Force. Medical Surveillance Monthly Report 2013/3, 20: 3–8. |
[44] | Maddi SR. Hardiness. Dordrecht Heidelberg New York London: Springer; 2012. |
[45] | Cornum R, Matthews MD, Seligman ME. Comprehensive soldier fitness: building resilience in a challenging institutional context. Am Psychol 2011; 66; 4–9. |
[46] | Werner A, Kreutzmann U, Ryvkin J, Glowka S, Schinkel C. Flugmedizin Tropenmedizin Reisemedizin, 2016; 23: 121-126. |
APA Style
Andreas Werner, Ulrich Kreutzmann, Stephanie Glowka, Cynthia Schinkel. (2020). The New Quality of Aviation Unmanned Aerial Vehicles (UAV) Prevent Psychological Stress of Military Drone Operators. Clinical Medicine Research, 9(1), 25-30. https://doi.org/10.11648/j.cmr.20200901.15
ACS Style
Andreas Werner; Ulrich Kreutzmann; Stephanie Glowka; Cynthia Schinkel. The New Quality of Aviation Unmanned Aerial Vehicles (UAV) Prevent Psychological Stress of Military Drone Operators. Clin. Med. Res. 2020, 9(1), 25-30. doi: 10.11648/j.cmr.20200901.15
AMA Style
Andreas Werner, Ulrich Kreutzmann, Stephanie Glowka, Cynthia Schinkel. The New Quality of Aviation Unmanned Aerial Vehicles (UAV) Prevent Psychological Stress of Military Drone Operators. Clin Med Res. 2020;9(1):25-30. doi: 10.11648/j.cmr.20200901.15
@article{10.11648/j.cmr.20200901.15, author = {Andreas Werner and Ulrich Kreutzmann and Stephanie Glowka and Cynthia Schinkel}, title = {The New Quality of Aviation Unmanned Aerial Vehicles (UAV) Prevent Psychological Stress of Military Drone Operators}, journal = {Clinical Medicine Research}, volume = {9}, number = {1}, pages = {25-30}, doi = {10.11648/j.cmr.20200901.15}, url = {https://doi.org/10.11648/j.cmr.20200901.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20200901.15}, abstract = {Remotely piloted aircraft (RPA; also called drones) constitute a new dimension in aviation. In the past, the military used RPAs extensively in the conflicts in Iraq and Afghanistan. Meanwhile, they are employed worldwide, which illustrates the new way of future complementary military warfare. It is well known that military personnel develops mental health disorders (MHD) during their military services or after deployments, including military pilots or fighting personnel (15.9 per 1,000 person-years). Despite the assumption that operators of drones compared to pilots are not vulnerable to MHD, because they are not physically involved and far away from combat operations and the battlefield, it becomes apparent that there is evidence that they are affected in the same way. During the last years, typical symptoms of PTSD occurred in such individuals and resulted in a severe disturbance of health (25.0 per 1,000 person-years). Currently, to our best knowledge, only in the U.S. Air Force (USAF) RPA operators participate directly in the act of war also using destructive weapons. Especially in this population, increasing and high levels of psychological stress, fatigue, and rates of MH diagnoses were found, without significant difference in the rates of post-traumatic stress disorder, depressive disorders, and anxiety disorders between RPA operators and traditional pilots. The German Air Force has been using drones up to now exclusively for reconnaissance. According to empiric observation, the development of MHD among German RPAs operators was not observed, but it has to be assumed that we will also find these illnesses if we proceed with this technology. Hence, military policymakers and clinicians should be highly sensitive to the fact that RPA operators also have a high probability of developing mental health disorders, particularly when using remotely piloted aircraft as weapons.}, year = {2020} }
TY - JOUR T1 - The New Quality of Aviation Unmanned Aerial Vehicles (UAV) Prevent Psychological Stress of Military Drone Operators AU - Andreas Werner AU - Ulrich Kreutzmann AU - Stephanie Glowka AU - Cynthia Schinkel Y1 - 2020/02/18 PY - 2020 N1 - https://doi.org/10.11648/j.cmr.20200901.15 DO - 10.11648/j.cmr.20200901.15 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 25 EP - 30 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20200901.15 AB - Remotely piloted aircraft (RPA; also called drones) constitute a new dimension in aviation. In the past, the military used RPAs extensively in the conflicts in Iraq and Afghanistan. Meanwhile, they are employed worldwide, which illustrates the new way of future complementary military warfare. It is well known that military personnel develops mental health disorders (MHD) during their military services or after deployments, including military pilots or fighting personnel (15.9 per 1,000 person-years). Despite the assumption that operators of drones compared to pilots are not vulnerable to MHD, because they are not physically involved and far away from combat operations and the battlefield, it becomes apparent that there is evidence that they are affected in the same way. During the last years, typical symptoms of PTSD occurred in such individuals and resulted in a severe disturbance of health (25.0 per 1,000 person-years). Currently, to our best knowledge, only in the U.S. Air Force (USAF) RPA operators participate directly in the act of war also using destructive weapons. Especially in this population, increasing and high levels of psychological stress, fatigue, and rates of MH diagnoses were found, without significant difference in the rates of post-traumatic stress disorder, depressive disorders, and anxiety disorders between RPA operators and traditional pilots. The German Air Force has been using drones up to now exclusively for reconnaissance. According to empiric observation, the development of MHD among German RPAs operators was not observed, but it has to be assumed that we will also find these illnesses if we proceed with this technology. Hence, military policymakers and clinicians should be highly sensitive to the fact that RPA operators also have a high probability of developing mental health disorders, particularly when using remotely piloted aircraft as weapons. VL - 9 IS - 1 ER -