Mobility behaviour and driving status of patients with mental disorders – an exploratory study

Brunnauer, Alexander; Buschert, Verena; Segmiller, Felix; Zwick, Sarah; Bufler, J.; Schmauss, Max; Messer, Thomas; Möller, Hans‐Jürgen; Frommberger, Ulrich; Bartl, Helga; Steinberg, R.; Laux, Gerd

doi:10.3109/13651501.2015.1089293

Cited by 20 publications

(17 citation statements)

References 22 publications

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“…The 16 studies were re-classified based on the data each study provided about assessing fitness-to-drive as follows: 1) factors impacting on the ability to drive safely among people with mental health conditions ( n = 7) [ 8 , 36 – 41 ] capability and perception of health professionals assessing fitness-to-drive of people with mental health conditions ( n = 5) [ 42 – 46 ] and 3) crash rates ( n = 4) [ 47 – 50 ].…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of evidence for fitness-to-drive among people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder

Unsworth

Baker

et al. 2017

BMC Psychiatry

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BackgroundLimited evidence exists regarding fitness-to-drive for people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder (herein simply referred to as ‘mental health conditions’). The aim of this paper was to systematically search and classify all published studies regarding driving for this population, and then critically appraise papers addressing assessment of fitness-to-drive where the focus was not on the impact of medication on driving.MethodsA systematic search of three databases (CINAHL, PSYCHINFO, EMBASE) was completed from inception to May 2016 to identify all articles on driving and mental health conditions. Papers meeting the eligibility criteria of including data relating to assessment of fitness-to-drive were critically appraised using the American Academy of Neurology and Centre for Evidence-Based Medicine protocols.ResultsA total of 58 articles met the inclusion criteria of driving among people with mental health conditions studied, and of these, 16 contained data and an explicit focus on assessment of fitness-to-drive. Assessment of fitness-to-drive was reported in three ways: 1) factors impacting on the ability to drive safely among people with mental health conditions, 2) capability and perception of health professionals assessing fitness-to-drive of people with mental health conditions, and 3) crash rates. The level of evidence of the published studies was low due to the absence of controls, and the inability to pool data from different diagnostic groups. Evidence supporting fitness-to-drive is conflicting.ConclusionsThere is a relatively small literature in the area of driving with mental health conditions, and the overall quality of studies examining fitness-to-drive is low. Large-scale longitudinal studies with age-matched controls are urgently needed in order to determine the effects of different conditions on fitness-to-drive.Electronic supplementary materialThe online version of this article (10.1186/s12888-017-1481-1) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…In the most recent study by Brunnauer et al [ 36 ], the authors explored the impact of mental illness on driving licence possession and driving restrictions. Higher educational status and being partnered or in a relationship was a key predictor for having a driving licence.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of evidence for fitness-to-drive among people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder

Unsworth

Baker

et al. 2017

BMC Psychiatry

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“…Mobility is important for daily life functioning, affecting social and economic well-being with impact on health functioning [1]. Data from psychiatric inpatients indicate that 67 % have a valid driver's license; 77 % of these patients report driving regularly with their cars and most of them (88 %) use prescribed medications [2]. Thus, road safety under pharmacological treatment is of great relevance for patients with a psychiatric disease.…”

Section: Introductionmentioning

confidence: 99%

Driving Under the Influence of Antidepressants: A Systematic Review and Update of the Evidence of Experimental and Controlled Clinical Studies

Brunnauer

Laux

2017

Pharmacopsychiatry

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This review provides an update of experimental and clinical studies on the effects of antidepressants on driving performance. A systematic literature search on the PubMed database (1980-2016) was performed. Twenty-eight studies could be included in this review, whereas only 5 studies investigated driving performance under antidepressants in patients. Most tri- and tetracyclics have acute deleterious effects on driving performance that, except for mianserin, attenuate after subchronic use. Selective serotonin reuptake inhibitors and the serotonin norepinephrine reuptake inhibitor's venlafaxine and milnacipran did not affect driving ability. Trazodone appears to have dose-related acute effects on driving skills. Acute use of mirtazapine does produce impairments that diminish when given as a nocturnal dose and cannot be seen in healthy subjects when initially given as a low dose or after repeated dosing. Additive effects with alcohol were most pronounced with sedating antidepressants. Most patients definitely benefit from treatment with newer antidepressants with respect to driving skills. Much more patient studies are needed to elucidate a crucial question: from which antidepressant treatment do patients benefit most with respect to driving performance?

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“…Driving has a strong relationship with psychosocial status, indicating that recovery of driving competence should be an integral goal of treatment strategies (Palmer et al, 2002). Yet, there is limited information about potential fitness to drive of people who have been diagnosed with psychiatric disorders, including schizophrenia and schizoaffective disorder (Brunnauer et al, 2016).…”

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confidence: 99%

Comparing executive functioning and clinical and sociodemographic characteristics of people with schizophrenia who hold a driver’s license to those who do not

Hellinger¹,

Lipskaya-Velikovsky²,

Weizman³

et al. 2019

Can J Occup Ther

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Mobility behaviour and driving status of patients with mental disorders – an exploratory study

Cited by 20 publications

References 22 publications

A systematic review of evidence for fitness-to-drive among people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder

A systematic review of evidence for fitness-to-drive among people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder

Driving Under the Influence of Antidepressants: A Systematic Review and Update of the Evidence of Experimental and Controlled Clinical Studies

Comparing executive functioning and clinical and sociodemographic characteristics of people with schizophrenia who hold a driver’s license to those who do not

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