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This is a Quantitative Study study (also classified as: Cohort Study).

October 15, 2025Open Access

The Moderating Role of Resilience in the Relationship Between Occupational Stressors and Psychological Distress Among Aviation Pilots in Pakistan

Key Points

Resilience negatively correlates with total psychological distress scores, indicating lower stress levels among resilient pilots.
Fatigue and avoidance coping positively correlate with psychological distress, suggesting risks for pilots under stress.
A regression analysis accounted for 46% of the variance in psychological distress, highlighting resilience's crucial role.
Pilots with high resilience reported significantly lower depression scores, emphasizing the importance of resilience training.

Abstract

Background: Aviation is one of the most demanding professions, exposing pilots to persistent stressors such as fatigue, irregular schedules, and high safety responsibility. These conditions heighten vulnerability to depression, anxiety, and stress (DAS), yet the protective mechanisms mitigating such effects remain less well understood. Objective: This study examined the roles of resilience, coping strategies, and fatigue in predicting DAS among commercial airline pilots. Method: A sample of 200 pilots completed validated self-report measures: the Connor–Davidson Resilience Scale (CD-RISC), the Coping Inventory for Stressful Situations (CISS), the Fatigue Severity Scale (FSS), and the Depression Anxiety Stress Scale (DASS-21). Data were analyzed using bivariate correlations, hierarchical multiple regression, and mediation/moderation analyses via the PROCESS macro. Results: Resilience was negatively correlated with total DAS scores (r = −0.46, p < 0.001), while fatigue (r = 0.42, p < 0.001) and avoidance coping (r = 0.38, p < 0.001) were positively correlated. The regression model accounted for 46% of the variance in DAS (R2 = 0.46). Task-focused coping predicted lower stress levels, whereas avoidance coping predicted higher anxiety and depression. Resilience moderated the relationship between stress and depression, buffering the impact of stress on mood outcomes. Mediation analyses indicated that coping styles partially explained the protective effect of resilience. ANOVA results confirmed that pilots with high resilience reported significantly lower depression scores than those with medium or low resilience, F(2, 197) = 6.72, p < 0.01. Conclusions: Resilience emerged as both a direct and indirect buffer against psychological strain in aviation. These findings underscore the importance of promoting adaptive coping and resilience training, alongside effective fatigue management, to enhance pilot well-being and maintain safety in aviation systems.

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