Psychomotor disturbance in depression: Assessment using a driving simulator paradigm

Bulmash, Eric L.; Moller, Henry J.; Kayumov, Leonid; Shen, Jianhua; Wang, Xuehua; Shapiro, Colin M.

doi:10.1016/j.jad.2006.01.015

Cited by 85 publications

(81 citation statements)

References 25 publications

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“…21 Bulmash et al also reported that patients with untreated depression displayed significantly slower steering reaction times and experienced a significantly increased number of crashes in a driving simulator compared to those without depression. 22 In Australia, the 12-month prevalence of affective disorders, including depression in adults aged 16 to 85 years is 6.2% overall and 5.3% for males. 23 In the present study, 7.5% of longdistance heavy vehicle drivers (12% cases vs 3% controls) reported a diagnosis of depression.…”

Section: Discussionmentioning

confidence: 99%

Obstructive Sleep Apnea, Health-Related Factors, and Long Distance Heavy Vehicle Crashes in Western Australia: A Case Control Study

Meuleners

Fraser

Govorko

et al. 2015

Journal of Clinical Sleep Medicine

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Study Objectives: To determine the association between obstructive sleep apnea (OSA), health-related factors and the likelihood of heavy vehicle crashes in Western Australia (WA). Methods: This case-control study included 100 longhaul heavy vehicle drivers who were involved in a policereported crash in WA during the study period (cases) and 100 long-haul heavy vehicle drivers recruited from WA truck stops, who were not involved in a crash during the past year (controls). Driver demographics, health, and fatiguerelated characteristics were obtained using an interviewer administered questionnaire. Drivers were tested for OSA using a diagnostic Flow Wizard. Logistic regression was used to determine health-related factors associated with crash involvement among long distance heavy vehicle drivers. Results: Heavy vehicle drivers diagnosed with OSA through the use of the FlowWizard were over three times more likely to be involved in a crash than drivers without OSA (adjusted OR: 3.42, 95% CI: 1.34-8.72).

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Section: Discussionmentioning

confidence: 99%

Obstructive Sleep Apnea, Health-Related Factors, and Long Distance Heavy Vehicle Crashes in Western Australia: A Case Control Study

Meuleners

Fraser

Govorko

et al. 2015

Journal of Clinical Sleep Medicine

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“…Although there has been some published evidence on the effect of depression on the performance of car drivers (Bulmash et al, 2006;Chapman and Perry, 2008;McNicholas, 1999;Wingen et al, 2006) there is little information specific to HGV drivers. This paper explores the prevalence of mental health problems and their effect on work performance in 1324 HGV drivers in NSW, Australia.…”

Section: Discussionmentioning

confidence: 99%

“…In car driving simulator tests, major depressive disorder (MDD) significantly impairs driving performance (Bulmash et al, 2006;Wingen et al, 2006). An Australian study found that depression increased the Odds Ratio (OR) for a fatal car or light commercial vehicle accident to 2.7 (McNicholas, 1999).…”

Section: Introductionmentioning

confidence: 99%

“…In older drivers (>55 years) scoring positive on the geriatric depression scale increased the relative risk for a police reported vehicle crash to 2.5 (Chapman and Perry, 2008). The juxtaposition of the data indicating that (1) deaths associated with HGV's account for 20% of the Australian road toll (Swann, 2002) and, (2) that depression increases the OR for a car accident (Chapman and Perry, 2008;Lam et al, 2005;McNicholas, 1999) and, (3) that depression reduces performance on driving simulators (Bulmash et al, 2006;Wingen et al, 2006) emphasises the need to examine the prevalence of mental disorders in HGV drivers and how mental health difficulties affect HGV driver performance.…”

Section: Introductionmentioning

confidence: 99%

“…Previous data suggest that mental health difficulties impair employee functionality in general (Dewa and Lin, 2000;Kessler et al, 1999;Kessler and Frank, 1997;Lim et al, 2000), more specifically reduces car-driving performance (Bulmash et al, 2006;Wingen et al, 2006), and increases car accident rates (Chapman and Perry, 2008;Lam et al, 2005;McNicholas, 1999). Hence, we postulated that mental health problems might be associated with a reduction in HGV driver's performance (presenteeism) including an elevated accident rate and likely an increase in absenteeism rates.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of mental health symptoms on heavy goods vehicle drivers’ performance

Hilton

Staddon

Sheridan

et al. 2009

Accident Analysis & Prevention

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Driver’s Licensure and Driving Outcomes Among Youths With Mood Disorders

Gaw,

Metzger,

Pfeiffer

et al. 2024

JAMA Netw Open

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ImportanceMood disorders are prevalent among adolescents and young adults, and their onset often coincides with driving eligibility. The understanding of how mood disorders are associated with youth driving outcomes is limited.ObjectiveTo examine the association between the presence of a mood disorder and rates of licensing, crashes, violations, and suspensions among adolescents and young adults.Design, Setting, and ParticipantsThis cohort study was conducted among New Jersey residents who were born 1987 to 2000, age eligible to acquire a driver’s license from 2004 to 2017, and patients of the Children’s Hospital of Philadelphia network within 2 years of licensure eligibility at age 17 years. The presence of a current (ie, ≤2 years of driving eligibility) mood disorder was identified using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) or International Statistical Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes. Rates of licensure and driving outcomes among youths who were licensed were compared among 1879 youths with and 84 294 youths without a current mood disorder from 2004 to 2017. Data were analyzed from June 2022 to July 2023.Main Outcomes and MeasuresAcquisition of a driver’s license and first involvement as a driver in a police-reported crash and rates of other adverse driving outcomes were assessed. Survival analysis was used to estimate adjusted hazard ratios (aHRs) for licensing and driving outcomes. Adjusted rate ratios (aRRs) were estimated for driving outcomes 12 and 48 months after licensure.ResultsAmong 86 173 youths (median [IQR] age at the end of the study, 22.8 [19.7-26.5] years; 42 894 female [49.8%]), there were 1879 youths with and 84 294 youths without a mood disorder. A greater proportion of youths with mood disorders were female (1226 female [65.2%]) compared with those without mood disorders (41 668 female [49.4%]). At 48 months after licensure eligibility, 75.5% (95% CI, 73.3%-77.7%) and 83.8% (95% CI, 83.5%-84.1%) of youths with and without mood disorders, respectively, had acquired a license. Youths with mood disorders were 30% less likely to acquire a license than those without a mood disorder (aHR, 0.70 [95% CI, 0.66-0.74]). Licensed youths with mood disorders had higher overall crash rates than those without mood disorders over the first 48 months of driving (137.8 vs 104.8 crashes per 10 000 driver-months; aRR, 1.19 [95% CI, 1.08-1.31]); licensed youths with mood disorders also had higher rates of moving violations (aRR, 1.25 [95% CI, 1.13-1.38]) and license suspensions (aRR, 1.95 [95% CI, 1.53-2.49]).Conclusions and RelevanceThis study found that youths with mood disorders were less likely to be licensed and had higher rates of adverse driving outcomes than youths without mood disorders. These findings suggest that opportunities may exist to enhance driving mobility in this population and elucidate the mechanisms by which mood disorders are associated with crash risk.

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Psychomotor disturbance in depression: Assessment using a driving simulator paradigm

Cited by 85 publications

References 25 publications

Obstructive Sleep Apnea, Health-Related Factors, and Long Distance Heavy Vehicle Crashes in Western Australia: A Case Control Study

Obstructive Sleep Apnea, Health-Related Factors, and Long Distance Heavy Vehicle Crashes in Western Australia: A Case Control Study

The impact of mental health symptoms on heavy goods vehicle drivers’ performance

Driver’s Licensure and Driving Outcomes Among Youths With Mood Disorders

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