A Organização Mundial da Saúde (OMS) considera que os transtornos mentais menores, que incluem depressão e ansiedade, afetam aproximadamente 30% dos trabalhadores. Objetivo: Verificar a freqüência, e a taxa de prevalência de transtornos mentais entre Comissários de Bordo afastados das atividades profissionais. Métodos: Foram analisados os prontuários de 648 comissários de bordo, 105 homens e 543 mulheres, que realizaram perícia durante um período de cinco anos e receberam como parecer de afastamento pelo menos um diagnóstico do agrupamento F00-F99 da CID- 10, associado ou não a doença ou transtorno orgânico. Resultados: Comissários de Bordo ingressam cedo no mercado de trabalho (50,5 por cento dos homens e 70,5 por cento das mulheres recebem sua certificação profissional entre os 18 e os 22 anos), e também adoecem cedo (81,9 por cento dos homens até os 41 anos; 84,3 por cento das mulheres até os 35 anos), em média após 10 anos de trabalho (11,9 anos para homens, 9,4 anos para mulheres). Os diagnósticos mais freqüentes como causa de afastamento foram, pela ordem, F32 episódios depressivos (44,5 por cento homens; 35,49 por cento mulheres), e F41 outros transtornos ansiosos (20,1 por cento dos homens; 22,9 por cento das mulheres). Discussão e Conclusão: As mulheres adoecem mais ced por cento o do que os homens, e são afastadas do trabalho principalmente por episódios depressivos. Os homens são afastados principalmente devido a transtornos ansiosos. Os dados concordam com a literatura, que aponta menor número de homens diagnosticados com transtornos mentais menores. A maior freqüência desses transtornos entre Comissários de Bordo, em comparação com as demais categorias profissionais, pode se dever a fatores associados à organização do trabalho e a fatores psicossociais do trabalho, mas os dados coletados neste estudo não permitiram verificar essa hipótese. / According to the World Health Organization (WHO), minor mental disorders, which include depression and anxiety, affect about 30 per cent of workers. Objective: To verify the frequency and the prevalence index of mental disorders among Flight Attendants withdrawn from their work. Methods: The electronic files of 648 flight attendants 105 male and 543 female were analyzed. They were evaluated during a 5-year delay, and were withdrawn from work due to at least on diagnostic of group F00-F99 of IDC-10, associated or not to organic disease(s) or condition(s). Results Flight Attendants begin to work early: 50.5 per cent of males and 70.5 per cent of females get their professional certification between 18 and 22 years old, and also get sick early: 81.9 per cent of males up to 41 years old; 84.3 per cent of females up to 35 years old, and after 10 years of work, approximately: 11.9 years for males, 9.4 years for females. The most frequent diagnostics registered as cause of withdrawn from work were F32 Depressive episode (44.5 per cent of males; 35.5 per cent of females), and F41 Other anxiety disorders (20.1 per cent of males; 22.9 per cent of females). Discussion and Conclusion: Women get sick sooner than men, and are withdrawn from work mostly due to depressive episodes. Men are withdrawn from work mostly due to anxiety disorders. The data agrees with the literature, which points out a smaller number of males diagnosed with minor mental disorders. The larger frequency of these disorders among Flight Attendants, in comparison with other professional groups, might be due to factors linked to the work organization and psychosocial factors of the job, but the data collected in this study did not allow to verify this hypothesis.

A Organização Mundial da Saúde (OMS) considera que os transtornos mentais menores, que incluem depressão e ansiedade, afetam aproximadamente 30% dos trabalhadores. Objetivo: Verificar a freqüência, e a taxa de prevalência de transtornos mentais entre Comissários de Bordo afastados das atividades profissionais. Métodos: Foram analisados os prontuários de 648 comissários de bordo, 105 homens e 543 mulheres, que realizaram perícia durante um período de cinco anos e receberam como parecer de afastamento pelo menos um diagnóstico do agrupamento F00-F99 da CID- 10, associado ou não a doença ou transtorno orgânico. Resultados: Comissários de Bordo ingressam cedo no mercado de trabalho (50,5 por cento dos homens e 70,5 por cento das mulheres recebem sua certificação profissional entre os 18 e os 22 anos), e também adoecem cedo (81,9 por cento dos homens até os 41 anos; 84,3 por cento das mulheres até os 35 anos), em média após 10 anos de trabalho (11,9 anos para homens, 9,4 anos para mulheres). Os diagnósticos mais freqüentes como causa de afastamento foram, pela ordem, F32 episódios depressivos (44,5 por cento homens; 35,49 por cento mulheres), e F41 outros transtornos ansiosos (20,1 por cento dos homens; 22,9 por cento das mulheres). Discussão e Conclusão: As mulheres adoecem mais ced por cento o do que os homens, e são afastadas do trabalho principalmente por episódios depressivos. Os homens são afastados principalmente devido a transtornos ansiosos. Os dados concordam com a literatura, que aponta menor número de homens diagnosticados com transtornos mentais menores. A maior freqüência desses transtornos entre Comissários de Bordo, em comparação com as demais categorias profissionais, pode se dever a fatores associados à organização do trabalho e a fatores psicossociais do trabalho, mas os dados coletados neste estudo não permitiram verificar essa hipótese. / According to the World Health Organization (WHO), minor mental disorders, which include depression and anxiety, affect about 30 per cent of workers. Objective: To verify the frequency and the prevalence index of mental disorders among Flight Attendants withdrawn from their work. Methods: The electronic files of 648 flight attendants 105 male and 543 female were analyzed. They were evaluated during a 5-year delay, and were withdrawn from work due to at least on diagnostic of group F00-F99 of IDC-10, associated or not to organic disease(s) or condition(s). Results Flight Attendants begin to work early: 50.5 per cent of males and 70.5 per cent of females get their professional certification between 18 and 22 years old, and also get sick early: 81.9 per cent of males up to 41 years old; 84.3 per cent of females up to 35 years old, and after 10 years of work, approximately: 11.9 years for males, 9.4 years for females. The most frequent diagnostics registered as cause of withdrawn from work were F32 Depressive episode (44.5 per cent of males; 35.5 per cent of females), and F41 Other anxiety disorders (20.1 per cent of males; 22.9 per cent of females). Discussion and Conclusion: Women get sick sooner than men, and are withdrawn from work mostly due to depressive episodes. Men are withdrawn from work mostly due to anxiety disorders. The data agrees with the literature, which points out a smaller number of males diagnosed with minor mental disorders. The larger frequency of these disorders among Flight Attendants, in comparison with other professional groups, might be due to factors linked to the work organization and psychosocial factors of the job, but the data collected in this study did not allow to verify this hypothesis.

À bord des aéronefs de transport commercial, lorsqu’un passager est victime d’un arrêt cardio-respiratoire, les membres d’équipage de cabine, appelés « PNC » (Personnel Navigant Commercial) dans la terminologie aéronautique, interviennent comme tout secouriste en initiant la chaîne de survie afin d’améliorer le pronostic vital de ce dernier. Dotés d’une formation très sérieuse et périodiquement mise à niveau, les PNC sont capables de prendre en charge des situations d’urgence médicales et de donner les premiers secours liés aux urgences potentielles, aux états de malaise, ainsi que ceux liés aux circonstances et à un environnement particulier. La réanimation cardio-pulmonaire, tâche exceptionnelle et rare en vol, génère le plus fréquemment des émotions négatives ainsi que du stress auprès des PNC. Cette recherche aborde le stress des membres d’équipage de cabine dans la prise en charge d’une réanimation cardio-pulmonaire en vol selon une approche psychologique et plus singulièrement celle en relation avec la théorie transactionnelle de Lazarus et Folkman (1984) dont l’évaluation cognitive et les « copings » des individus occupent une place centrale. Élaborée à partir d’un recueil de données construit par entretiens semi-directifs auprès d’un groupe de 32 PNC volontaires exerçant leur profession sur des aéronefs de petite capacité de transport passagers, elle se propose d’identifier les facteurs influençant le stress des PNC selon une perspective synchronique. Aussi, afin de cerner le plus d’explication possible de la variance du stress, nous avons pris en compte deux variables personnelles, l’expérience professionnelle et le lieu de contrôle des sujets. Les résultats indiquent que plusieurs facteurs peuvent prédire ou influencer l’état de stress des PNC. Ils montrent une relation significative entre le lieu de contrôle des sujets, l’évaluation cognitive de la situation aversive, le lieu de prise en charge de la victime en arrêt cardiaque et l’état de stress des PNC. Ainsi, les sujets « internalistes » évaluant la situation aversive comme un défi et développant des stratégies d’ajustement centrées sur les problèmes sont les moins stressés. Par ailleurs, le milieu aéronautique augmente l’état de stress des PNC en raison de la forte responsabilité morale envers la victime-passager, du confinement de la cabine, du délai de la mise en œuvre du quatrième maillon de la chaîne de survie ainsi que de la ressource sociale limitée en vol. Enfin, l’amélioration de la formation en premiers secours peut aider les PNC à mieux appréhender cette situation d’urgence en vol. / On board commercial transport aircraft when a passenger suffers from a cardiac arrest, the cabin crew members, called "PNC" (Personnel Navigant Commercial) in aviation terminology, act as any rescuer by initiating survival chain to improve the prognosis of the victim. With a very serious training and periodically upgrade, cabin crew members are able to handle medical emergencies and first-aid related to potential emergencies, discomfort states as well as those related to a circumstance and a particular environment. Cardiopulmonary resuscitation, exceptional and rare task in flight, generates the most frequent negative emotions and stress from cabin crew members. This research deals with the stress of cabin crew members in the management of a cardiopulmonary resuscitation in flight using a psychological approach and particularly the related transactional theory of Lazarus and Folkman (1984) in which appraisal and coping are central. Developed from a data collection built by semi-structured interviews with a group of 32 cabin crew members volunteers flying on small passenger carrying capacity aircraft, it aims to identify the factors influencing their stress in a synchronic perspective. Also, in order to identify the most possible explanation for the variance of stress, we took into account both personal variables such as professional experience and locus of control of the subjects.The results indicate that several factors can predict or influence the cabin crew members’stress. They show a significant relationship between the subject’s locus of control, appraisal of aversive situation, place of management of the victim in cardiac arrest and the stress of the cabin crew members. Thus, « internalist » subjects who assess the situation as a challenge and develop strategies focused on the problems are less stressed. Furthermore, the aviation industry increases the stress state of the cabin crew because of the strong moral responsibility to the victim-passenger, confinement of the cabin, the period of the implementation of the fourth link in the chain of survival (medicalized CPR) and the limited social resource in flight. At last, the improvement of first-aid training can help cabin crew members to manage better this specific situation on board.

År 2020 drabbades världen av Covid-19. Spridningen av viruset resulterade i att många länder upprättade en lockdown. Detta påverkade sjöfartsbranschen negativt och ställde till med problem när folk blev sjuka. Detta är på grund av den unika miljön som finns ombord på fartyg. Syftet med studien var att analysera och utvärdera hur olika fartyg och rederier agerade under covid-19-pandemin med fokus på effektivitet, framgång och problem när det kommer till smittskydd. Studiens frågeställningar berörde hur rederiers existerande smittskyddsplaner såg ut och huruvida de kan förbättras, vilka lärdomar som kan dras om smittspridning ombord på fartyg och huruvida en förbättrad smittskyddsplan kan konstrueras utifrån de som redan existerar. En kvalitativ metod i form av granskning och inläsning av studier i området smittspridning i allmänhet samt studier om utbrott av covid-19 ombord på fartyg. Smittskyddsplaner samlades in genom ett mailutskick till svenska rederier. Resultatet visar att rederierna efterlevde många av WHO:s riktlinjer där de även implementerade egna tillägg till den ombordhavna smittskyddsplanen. Vi kom även fram till att landbaserad assistans är en viktig komponent för att kunna bekämpa smittspridning ombord. / In 2020, the world was struck by Covid-19. The spread of the virus resulted with many countries establishing  lockdowns. This negatively affected the shipping industry and caused problems when people got sick. This is because of the unique environment that exists on board ships. The purpose of the study was to analyze and evaluate how different ships and shipping companies acted during the COVID-19 pandemic with a focus on efficiency, success and problems when it came to controlling the spread of infections. The study's questions concerned how shipping companies' infection control plans were complied with and whether they can be improved, what lessons can be learned about the spread of infections on board ships and whether an improved infection control plan can be constructed from those that already exist. A qualitative method of reviewing and reading studies in the field of infection control in general and studies on COVID-19 outbreaks on board ships. Infection control plans were collected through a mailing to Swedish shipping companies. The results showed that the shipping companies complied with many of the WHO's guidelines where they also implemented their own additions to the on-board infection control plan. We also came to the conclusion that land-based assistance is an important component for combating the spread of infections on board.