A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study

Background: It is now estimated that attention deficit-hyperactivity disorder (ADHD) afflicts at least 4% of adults in the United States and is associated with high levels of morbidity and functional impairment. One key area of dysfunction associated with ADHD is impaired motor vehicle operation. Ou...

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Main Authors: Biederman, Joseph, Fried, Ronna, Monuteaux, Michael C., Reimer, Bryan, Coughlin, Joseph F., Surman, Craig B., Aleardi, Megan, Dougherty, Meghan, Schoenfeld, Steven, Spencer, Thomas J., Faraone, Stephen V.
Other Authors: Massachusetts Institute of Technology. Center for Transportation & Logistics
Format: Article
Language:English
Published: BioMed Central Ltd 2010
Online Access:http://hdl.handle.net/1721.1/58717
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author Biederman, Joseph
Fried, Ronna
Monuteaux, Michael C.
Reimer, Bryan
Coughlin, Joseph F.
Surman, Craig B.
Aleardi, Megan
Dougherty, Meghan
Schoenfeld, Steven
Spencer, Thomas J.
Faraone, Stephen V.
author2 Massachusetts Institute of Technology. Center for Transportation & Logistics
author_facet Massachusetts Institute of Technology. Center for Transportation & Logistics
Biederman, Joseph
Fried, Ronna
Monuteaux, Michael C.
Reimer, Bryan
Coughlin, Joseph F.
Surman, Craig B.
Aleardi, Megan
Dougherty, Meghan
Schoenfeld, Steven
Spencer, Thomas J.
Faraone, Stephen V.
author_sort Biederman, Joseph
collection MIT
description Background: It is now estimated that attention deficit-hyperactivity disorder (ADHD) afflicts at least 4% of adults in the United States and is associated with high levels of morbidity and functional impairment. One key area of dysfunction associated with ADHD is impaired motor vehicle operation. Our goal was to examine the association between ADHD and specific driving outcomes in a sample of adults using a driving simulator. Methods: Subjects were 20 adults with full DSM-IV ADHD and 21 controls without ADHD of equal gender distribution. However, the mean age of subjects with ADHD was somewhat older. All analyses were adjusted for age and gender. All subjects participated in a driving simulation that lasted for one hour and consisted of a short training period, a high stimulus segment and a low stimulus segment with two distinct monotonous periods. Results: In the second monotonous period within the low stimulus environment, ADHD subjects were significantly more likely than controls to collide with an obstacle suddenly appearing from the periphery, adjusting for age and gender. Conclusion: Adults with ADHD were more likely than controls to collide with an obstacle during a driving simulation suggesting that deficits in directed attention may underlie driving impairments in this population.
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spelling mit-1721.1/587172022-10-02T05:08:06Z A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study Biederman, Joseph Fried, Ronna Monuteaux, Michael C. Reimer, Bryan Coughlin, Joseph F. Surman, Craig B. Aleardi, Megan Dougherty, Meghan Schoenfeld, Steven Spencer, Thomas J. Faraone, Stephen V. Massachusetts Institute of Technology. Center for Transportation & Logistics Coughlin, Joseph F. Reimer, Bryan Background: It is now estimated that attention deficit-hyperactivity disorder (ADHD) afflicts at least 4% of adults in the United States and is associated with high levels of morbidity and functional impairment. One key area of dysfunction associated with ADHD is impaired motor vehicle operation. Our goal was to examine the association between ADHD and specific driving outcomes in a sample of adults using a driving simulator. Methods: Subjects were 20 adults with full DSM-IV ADHD and 21 controls without ADHD of equal gender distribution. However, the mean age of subjects with ADHD was somewhat older. All analyses were adjusted for age and gender. All subjects participated in a driving simulation that lasted for one hour and consisted of a short training period, a high stimulus segment and a low stimulus segment with two distinct monotonous periods. Results: In the second monotonous period within the low stimulus environment, ADHD subjects were significantly more likely than controls to collide with an obstacle suddenly appearing from the periphery, adjusting for age and gender. Conclusion: Adults with ADHD were more likely than controls to collide with an obstacle during a driving simulation suggesting that deficits in directed attention may underlie driving impairments in this population. United States. Dept. of Transportation Ortho-McNeil (Firm). Consumer & Specialty Pharmaceuticals Janssen Pharmaceutical Ltd. New England University Transportation Center 2010-09-27T17:06:57Z 2010-09-27T17:06:57Z 2007-01 2006-08 2010-09-03T16:23:09Z Article http://purl.org/eprint/type/JournalArticle 1744-859X http://hdl.handle.net/1721.1/58717 Annals of General Psychiatry. 2007 Jan 30;6(1):4 17263888 en http://dx.doi.org/10.1186/1744-859X-6-4 Annals of General Psychiatry Creative Commons Attribution http://creativecommons.org/licenses/by/2.0 Biederman et al.; licensee BioMed Central Ltd. application/pdf BioMed Central Ltd BioMed Central Ltd
spellingShingle Biederman, Joseph
Fried, Ronna
Monuteaux, Michael C.
Reimer, Bryan
Coughlin, Joseph F.
Surman, Craig B.
Aleardi, Megan
Dougherty, Meghan
Schoenfeld, Steven
Spencer, Thomas J.
Faraone, Stephen V.
A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study
title A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study
title_full A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study
title_fullStr A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study
title_full_unstemmed A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study
title_short A laboratory driving simulation for assessment of driving behavior in adults with ADHD: a controlled study
title_sort laboratory driving simulation for assessment of driving behavior in adults with adhd a controlled study
url http://hdl.handle.net/1721.1/58717
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