Group therapy with schizophrenia patients.
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Biomedical subjects
Publications and source records attributed to Nick Kanas.
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INTRODUCTION: Anecdotes from astronauts and cosmonauts suggest that spaceflight can be an enriching experience with enduring positive effects. These positive mental health effects may help protect flight crews from the psychological stress inherent in such high-risk missions. The goal of this study was to identify areas of personal growth likely to result from traveling in space and explore how they were patterned. METHODS: We developed a Positive Effects of Being in Space (PEBS) Questionnaire, which included a section adapted from the Post-Traumatic Growth Inventory (PTGI) as well as original items addressing experiences unique to spaceflight. We sent the anonymous questionnaire to 175 astronauts and cosmonauts who had flown on at least 1 mission; completed surveys were returned by 39 individuals. RESULTS: Every respondent had a positive reaction to being in space, the strongest of which related to the Earth's beauty and fragility. Respondents reported changes in both attitudes and behaviors. Respondents appeared to cluster into two groups based on the intensity of their reported changes. Response patterns did not vary by demographic group, number of missions flown, or total elapsed time in space. CONCLUSIONS: Overall, our findings support the idea that being in space is a meaningful experience that makes an enduring positive impression on astronauts and cosmonauts. An enhanced understanding of the salutogenic effects of space travel will contribute to the education, training, and support of future space crewmembers.
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Anecdotal reports from space and results from space analogue experiments on Earth have suggested a number of interpersonal issues that may negatively affect crewmember performance and well-being. We examined some of these issues in a questionnaire survey of 54 astronauts and cosmonauts who had flown in space and in a 135-d Mir Space Station simulation study in Moscow. We also conducted a NASA-funded study involving missions to the Mir Space Station, where 5 U.S. astronauts, 8 Russian cosmonauts, and 42 U.S. and 16 Russian mission control subjects completed weekly mood and group climate questionnaires. There were few findings that supported hypothesized changes in tension and group behavior in terms of time on-orbit. Crewmembers reported decreasing leader support in the second half of their mission, and U.S. astronauts gave evidence for a novelty effect in the first few weeks. There was strong support for our hypothesized displacement of tension and negative emotions from crewmembers to mission control personnel and from mission control personnel to management. There were several significant differences in response between Americans vs. Russians and crewmembers vs. mission control personnel. These findings have training countermeasure implications for future on-orbit space missions. During expeditionary type space missions, such as a trip to Mars, additional interpersonal stressors will need to be dealt with. These include increased crew autonomy, more dependence on onboard technical resources, communication delays with the Earth, increased isolation and monotony, and the Earth-out-of-view phenomenon.
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INTRODUCTION: Previous anecdotal reports from space and results from space simulation studies on Earth have suggested that the group interactions of crewmembers during space missions can be problematic in ways that can negatively affect crew safety and the accomplishment of mission goals. METHODS: To assess the interpersonal environment of space crewmembers, we used a set of standard questionnaires that were completed by 5 astronauts, 8 cosmonauts, and 58 American and Russian mission control personnel who participated in the Shuttle/Mir Program. RESULTS: Although we did not find strong evidence supporting predicted decrements in tension and cohesion during the second half of the missions, we did find that both crewmembers and mission control personnel displaced unpleasant emotions to monitoring personnel outside of their group. We also found significant differences between Americans and Russians in terms of measures of satisfaction with their interpersonal and work environments. CONCLUSIONS: These findings suggest a number of countermeasures to help future space crews deal with potential maladaptive group interactions. These countermeasures address issues at the time of selection, during prelaunch training, during the mission itself, and after the crew returns to Earth.
BACKGROUND: During future long-duration space missions, countermeasures need to be developed to deal with psychosocial issues that might impact negatively on crewmember performance and well-being. METHODS: In our recently completed NASA-funded study of 5 U.S. astronauts, 8 Russian cosmonauts, and 42 U.S. and 16 Russian mission control personnel who participated in the Shuttle/Mir program, we evaluated a number of important psychosocial issues such as group tension, cohesion, leadership role, and the displacement of negative emotions from crewmembers to people in mission control and from mission control personnel to management. RESULTS: Based on our findings, which are reviewed, a number of psychosocial countermeasures are suggested to help ameliorate the negative impact of potential psychosocial problems during future manned space missions. CONCLUSIONS: Crewmembers should be selected not only to rule out psychopathology but also to select-in for group compatibility and facility in a common language. Training should include briefings and team building related to a number of psychosocial issues and should involve both crewmembers and mission control personnel. During the mission, both experts on the ground and the crewmembers themselves should be alert to potential interpersonal problems, including the displacement of negative emotions from the crew to the ground. Supportive activities should consist of both individual and interpersonal strategies, including an awareness of changing leisure time needs. Finally, attention should be given to postmission readjustment and to supporting the families on Earth.
Based on anecdotal reports from space and studies of space analog environments on Earth, a number of psychosocial and psychiatric issues have been identified that can lead to problems in space. We studied several of these issues during a series of Shuttle/Mir missions. We found support for decrements in commander support during the 2nd half of the missions and a novelty effect in U.S. astronauts at the beginning. Displacement of unpleasant emotions to outside individuals was found in both crewmember and mission control subjects. Americans were less happy with their work environment than Russians, and mission control personnel were more dysphoric than crewmembers. The subjects considered problems on-board the Mir to be major critical events. We found no evidence for the occurrence of asthenia during the missions, although our measure did not evaluate all of the features of this syndrome.
In isolated and confined environments, two important leadership roles have been identified: the task/instrumental role (which focuses on work goals and operational needs), and the supportive/expressive role (which focuses on morale goals and emotional needs). On the International Space Station, the mission commander should be familiar with both of these aspects of leadership. In previous research involving a 135-day Mir space station simulation in Moscow and a series of on-orbit Mir space station missions during the Shuttle/Mir program, both these leadership roles were studied. In new analyses of the Shuttle/Mir data, we found that for crewmembers, the supportive role of the commander (but not the task role) related positively with crew cohesion. For mission control personnel on the ground, both the task and supportive roles of their leader were related positively to mission control cohesion. The implications of these findings are discussed in terms of leadership on board the International Space Station.
Being in space is a powerful experience that can have an enduring, positive impact on the psychological well-being of astronauts and cosmonauts. We sought to examine the frequency, intensity and distribution of such salutogenic experiences among persons who have flown in space, using a questionnaire we developed based on the scientific literature and first person accounts. All participants reported positive effects of being in space, but the degree of change varied widely, and some experiences were particularly common. Three of our five predicted attitude-behavior relationships were supported by the data. Response patterns did not vary according to demographics or time in space. Cluster analysis yielded two groups of participants. One group was generally more reactive and also placed a higher priority on perceptions of space than did the other group. We conclude that positive experiences are common among space travelers and seem to cluster into meaningful patterns that may be consequential for Mars missions. We consider the possible selection, training, and monitoring issues raised by our findings.