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Operational behavioral health and performance resources for international space station crews and families

The Behavioral Health and Performance Section (BHP) at NASA Johnson Space Center provides direct and indirect psychological services to the International Space Station (ISS) astronauts and their families. Beginning with the NASA-Mir Program, services available to the crews and families have gradually expanded as experience is gained in long-duration flight. Enhancements to the overall BHP program have been shaped by crewmembers' personal preferences, family requests, specific events during the missions, programmatic requirements, and other lessons learned. The BHP program focuses its work on four areas: operational psychology, behavioral medicine, human-to-system interface, and sleep and circadian. Within these areas of focus are psychological and psychiatric screening for astronaut selection as well as many resources that are available to the crewmembers, families, and other groups such as crew surgeon and various levels of management within NASA. Services include: preflight, in flight, and postflight preparation; training and support; resources from a Family Support Office; in-flight monitoring; clinical care for astronauts and their families; and expertise in the workload and work/rest scheduling of crews on the ISS. Each of the four operational areas is summarized, as are future directions for the BHP program.

Space Flight↗

A systems engineering view of the human in space

A model of the human as an 'engineered' system provides a starting point for determining human requirements and performance on an equivalent basis with technological systems. The human as an engineered system with performance requirements is defined to consist of four subsystems: cognitive, psychological, biomechanical, and biomedical. It is suggested that the treatment of the psychological subsystem as one that modulates the efficiency and quality of human performance offers a particular approach for examining and characterizing psychological effects.

Anderson, John L.↗

Human adaptation to isolated and confined environments: Preliminary findings of a seven month Antarctic winter-over human factors study

This field study was conducted during the last decade of an austral winter-over at Palmer Station in the Antarctic. The purpose of the study was to understand temporal patterns in physiological arousal and psychological mood over the course of the mission. The investigators were principally interested in how people adapted over time to chronic and acute stressors, and how people use and modify their built environment. Physiological and psychological data were collected several times a week, and information on behavior and the use of physical facilities was collected monthly. Physiological and psychological data were compared with social changes in the setting toward the development of a sequential model of human-environment transactional relationships. Based on the study results, guidelines for design of future isolated and confined environments (ICEs) included: plan space for items which make people feel at home, provide materials to allow people to personalize their environment, allow for flexible environments, provide areas for visual and auditory privacy, equip areas for socializing and remove them from private areas, and provide facilities for exercise and for projects involving physical activity. The study offers guidelines about patterns of adaption that could be expected in an ICE, discusses how these settings can be programmed to facilitate successful adjustment, and provides information about how to design future ICE habitats to maximize a healthy living environment.

Evans, Gary W.↗

Overtraining and exercise motivation: A research prospectus

The problems of exercise overtraining has recently become one of great interest to professionals in the field of human performance assessment. Quite obviously, the ultimate goal of the training process is to improve physical performance. However, excessive training can result in the opposite effect, that is, a performance decline and an impairment in the functional work capacity of the body. Research indicates that both psychological as well as physiological disturbances are quite common in overtrained individuals. For example, psychological changes include increased levels of depression, fatigue, and a lack of motivation. Similarly, impairment of the physiological function of the cardiovascular, metabolic, and endocrine systems also have been found. Some similarities may be found in the psychological and physiological states of crew members exposed to extended space flight and overtrained individuals. Therefore, the possibility exists that the crew members subjected to extended missions in space may develop overstressed or overtrained or both states during their flights. If such states do develop within the crew members, mission performance may be impaired. With these points as a background, the intent is to address potential research directions that NASA may consider viable and of a mutual interest to the researcher. A clear framework by which to begin discussion of research topics is needed; therefore, working definitions of overtraining and exercise motivation are presented. Subsequently, a proposed conceptional model of how exercise overtraining and motivation interact is presented. In support of the proposed model is a brief literature review of relevant areas. Potential research projects are presented and discussed.

Hackney, Anthony C.↗

Perceptual issues in scientific visualization

In order to develop effective tools for scientific visulaization, consideration must be given to the perceptual competencies, limitations, and biases of the human operator. Perceptual psychology has amassed a rich body of research on these issues and can lend insight to the development of visualization tehcniques. Within a perceptual psychological framework, the computer display screen can best be thought of as a special kind of impoverished visual environemnt. Guidelines can be gleaned from the psychological literature to help visualization tool designers avoid ambiguities and/or illusions in the resulting data displays.

Kaiser, Mary K.↗

Meeting human needs

Manned space flight can be viewed as an interaction of three general elements: the human crewmember, spacecraft systems, and the environment. While the human crewmember is a crucial element in the system, certain physiological, psychological, environ- mental and spacecraft systems factors can compromise human performance in space. These factors include atmospheric pressure, physiology, uncertainties associated with space radiation, the potential for exposure to toxic materials in the closed environment, and spacecraft habitability. Health protection in space, for current and future missions, relies on a philosophy of risk reduction, which in the space program is achieved in four ways-through health maintenance, health care, design criteria, an selection and training. Emphasis is place upon prevention, through selection criteria and careful screening. Spacecraft health care systems must be absolutely reliable, and they will be automated and computerized to the maximum extent possible, but still designed with the human crewmember's capabilities in mind. The autonomy and technological sophistication of future missions will require a greater emphasis on high-level interaction between the human operator and automated systems, with effective allocation of tasks between humans and machines. Performance in space will include complex tasks during extravehicular activity (EVA) and on planetary surfaces, and knowledge of crewmembers' capability and limitations during such operations will be critical to mission success. Psychological support will become increasingly important on space missions, as crews spend long periods in remote and potentially hazardous environments. The success of future missions will depend on both individual psychological health and group cohesion and productivity, particularly as crew profiles become more heterogeneous. Thus, further human factors are needed in the area of small-group dynamics and performance.

Nicogossian, Arnauld E.↗

Toward a New Outlook on Primate Learning and Behavior: Complex Learning and Emergent Processes in Comparative Perspective

Primate research of the 20th century has established the validity of Darwin's postulation of psychological as well as biological continuity between humans and other primates, notably the great apes. Its data make clear that Descartes' view of animals as unfeeling 'beast-machines' is invalid and should be discarded. Traditional behavioristic frameworks, that emphasize the concepts of stimulus, response, and reinforcement and an 'empty-organism' psychology, are in need of major revisions. Revised frameworks should incorporate the fact that, in contrast to the lifeless databases of the 'hard' sciences, the database of psychology entails properties novel to life and its attendant phenomena. The contributions of research this century, achieved by field and laboratory researchers from around the world, have been substantial, indeed revolutionary. It is time to celebrate the progress of our field, to anticipate its significance, and to emphasize conservation of primates in their natural habitats.

Rumbaugh, Duane M.↗

Primate Language and Cognition: Common Ground

Research of the past decade has served to underscore the close psychological relationship between humans, chimpanzees, and the other great apes. In his evolutionary theory, Darwin (1860, 1871) posited both psychological and biological continuities between animals and humans. Although the evidence for biological continuity has been strong for decades, the evidence necessary for affirmation of psychological continuity is recent.

Rumbaugh, Duane↗

NASA Human Research Program Behavioral Health and Performance Element (BHP)

The goal of NASA BHP is to identify, characterize, and prevent or reduce behavioral health and performance risks associated with space travel, exploration, and return to terrestrial life. The NASA Behavioral Health and Performance Operations Group (BHP Ops) supports astronauts and their families before, during, and after a long-duration mission (LDM) on the ISS. BHP Ops provides ISS crews with services such as preflight training (e.g., psychological factors of LDM, psychological support, cross-cultural); preflight, in-flight, and postflight support services, including counseling for astronauts and their families; and psychological support such as regular care packages and a voice-over IP phone system between crew members and their families to facilitate real-time one-on-one communication.

Whitmire, Sandra↗

Risk of Adverse Cognitive or Behavioral Conditions and Psychiatric Disorders

The NASA commitment to human space flight includes continuing to fly astronauts on the ISS until it is decommissioned as well as possibly returning astronauts to the moon or having astronauts venture to an asteroid or Mars. As missions leave low Earth orbit and explore deeper space, BHP supports and conducts research to enable a risk posture that considers the risk of adverse cognitive or behavioral conditions and psychiatric disorders “acceptable given mitigations,” for pre-, in, and post-flight.The Human System Risk Board (HSRB) determines the risk of various mission scenarios using a likelihood (per person per year) by consequences matrix examining those risks across two categories—long term health and operational (within mission). Colors from a stoplight signal are used by HSRB and quickly provide a means of assessing overall perceived risk for a particular mission scenario. Risk associated with the current six month missions on the ISS are classified as “accepted with monitoring” while planetary missions, such as a mission to Mars, are recognized to be a “red” risk that requires mitigation to ensure mission success.Currently, the HSRB deems that the risk of adverse cognitive or behavioral conditions and psychiatric outcomes requires mitigation for planetary missions owing to long duration isolation and radiation exposure (see Table 1). While limited research evidence exists from spaceflight, it is well known anecdotally that the shift from the two week shuttle missions to the six month ISS missions renders the psychological stressors of space as more salient over longer duration missions. Shuttle astronauts were expected just to tolerate any stressors that arose during their mission and were successful at doing so (Whitmire et al, 2013). While it is possible to deal with stressors such as social isolation and to live with incompatible crewmembers for two weeks on shuttle, “ignoring it” is much less likely to be a successful coping mechanism on station. For the longer missions of the ISS, astronauts require a larger, more robust set of coping skills and more psychological support. Evidence of this are the number of BHP’s Operational Psychology (Op Psy) staff who have been awarded silver Snoopys by long duration astronauts†, in the statements of praise for the Op Psy and Family Support Office teams, and in the written and oral statements from flown astronauts regarding difficulty of longer missions and how much Op Psy helped.

Slack, Kelley J.↗

Communications: A Literature Review for Future Communications Mitigations

There are many concerns with humans living and working in space. These are only compounded by the length of time and distance from Earth that the humans are travelling. For NASA to figure out countermeasures to these problems, they need to be looked at from different directions from a variety of domains. Psychological concerns will be one of the determining factors to whether or not humans will be able to successfully make a journey to Mars or beyond. Communications will be one of the pivotal factors that will affect a crew from a psychological standpoint. During this summer internship, this intern was tasked with looking into delving into this problem. The intern was tasked with performing a literature review on the topic of comparing communications from how they are conducted now to how they will be carried out in the future. These communications have many methods and functions for when and where they happen. A matrix was created to illustrate how these specific communications methods and functions currently are and could be carried out in the future from a time/location perspective. This research will used to help determine what future research will need to focus on in a psychological and technological aspect to better help the crew of a long duration mission.

Wilder, Anderson↗

Behavioral Components Of NASA’s 2021 Astronaut Selection Cycle

To successfully implement the behavioral aspects required to select and screen for long-duration missions on the International Space Station and for Artemis Program lunar missions, a multi-phase process combining best practice elements from the fields of industrial-organizational psychology, operational psychology, aerospace psychology and aerospace psychiatry, are needed. Furthermore, this process should preferably be implemented by professionals with extensive experience in human spaceflight operations.

Gary Edward Beven↗

Space analogue studies in Antarctica

Medical research has been carried out on the Australian National Antarctic Research Expeditions (ANARE) for 50 years. As an extension of this program collaborative Australian/United States research on immunology, microbiology, psychology and remote medicine has produced important data and insight on how humans adapt to the stress of extreme isolation, confinement and the harsh environment of Antarctica. An outstanding analogue for the isolation and confinement of space missions (especially planetary outposts), ANARE has been used as an international research platform by Australia and the United States since 1993. Collaborative research has demonstrated a lowered responsiveness of the immune system under the isolation and confinement of Antarctic winter-over; a reduction of almost 50% in T cell proliferation to mitogen phytohaemogglutinin, as well as changes in latent herpesvirus states and the expansion of the polyclonal latent Epstein-Barr virus infected B cell populations. Although no clinically significant disease has been found to result from these immune changes, research is currently assessing the effects of psychological factors on the immune system. This and associated research performed to date and its relevance to both organisations is discussed, and comment made on possible extensions to the program in both medical and other fields.

NASA Center HQS↗

International Standard Measures During the AGBRESA Bed Rest Study

The Artificial Gravity Bed Rest with European Space Agency (AGBRESA) study involved 2 campaigns of 60-day bed rest at 6° head down tilt in the:envihab facility in Cologne, Germany, in 2019. The objective was to determine whether centrifugation of supine subjects mitigates physiological changes that occur due to the exposure to the spaceflight analog of 6° head down tilt. A set of international standard measures was used to evaluate bone, muscle, nutritional status, ocular changes, and psychological state and to assess cardiovascular, sensorimotor, and immune systems functions. After 60 days of bed rest, the subjects who were not exposed to centrifugation had significant decreases in mineral density at the hip and lumbar spine, decreased muscle strength of the knee and ankle, reduced maximal aerobic capacity, orthostatic intolerance, and impaired balance and locomotion, as well as significant biochemical, immunological, and psychological alterations. A daily 30-min exposure to 1 Gz supine centrifugation at the center of mass (0.3 Gz at the head, 2 Gz at the feet) mitigated mineral density loss in the femur neck and lumbar spine; and lessened the effects of bed rest on aerobic capacity, biochemistry, and immunology. However, low statistical power could contribute to the non-significant effects that are reported.

Bed rest↗

Project Tektite 1: A multiagency 60-day saturated dive

The history, organization, and accomplishments of Project Tektite are presented. The project demonstrated that it is possible for men to live and work successfully at underwater depths of 49 feet. The biomedical responses of the aquanauts to the 60 day dive are described. The behavioral and psychological responses to each other, the work, and the isolated environment are reported. The experiments conducted in the fields of marine science, psychological sciences, and biomedical sciences are discussed.

Pauli, D. C.↗

The community development workshop, appendix B.

The Community Development Workshop is the name given to a collection of techniques designed to implement participation in the planning process. It is an electric approach, making use of current work in the psychology of groups, mathematical modeling and systems analysis, simulation gaming, and other techniques. An outline is presented for a session of the workshop which indicates some of the psychological techniques employed, i.e. confrontation, synectics, and encounter micro-labs.

Brill, R.↗

Aviation accidents and the theory of the situation

Social-psychological factors effecting the performance of flight crews are examined. In particular, a crew member's perceptual-psychological constructs of the flight situation (theories of the situation) are discussed. The skills and willingness of a flight crew to be alert to possible errors in the theory become critical to their effectiveness and their ability to ensure a safe flight. Several major factors that determine the likelihood that a faulty theory will be detected and revised are identified.

Bolman, L.↗

Preliminary Report: Issues in selection and training for long duration space flight

Based on previous experience with crew selection, three important avenues of consideration for future missions are discussed: technical qualifications and expertise; medical fitness and ability to tolerate the various conditions of space; and psychological considerations including personality structure, motivation, intelligence, leadership potential, group compatibility, etc. Primary emphasis was given to the psychological considerations.

Akins, F. R.↗