Road accidents in young adults with ADHD: Which factors can explain the occurrence of injuries in drivers with ADHD and how to prevent it?

Romo, Lucia; Sweerts, Sabrina Julien; Ordonneau, Pauline; Blot, Emilie; Gicquel, Ludovic

doi:10.1080/23279095.2019.1640697

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…Particularly, road accidents are a global problem and result in an unacceptably high socio-economic toll, which is placing a heavy burden on people's health and economics [5,6]. Worldwide, each year, more than 1.35 million people die on roads, and 50 million suffer severe injuries due to road crashes [7]. As driving behavior and traffic patterns have significantly changed due to the impact of a global pandemic, it is expected that there should be some effects on road crash patterns due to the impact of the global pandemic [8,9].…”

Section: Introductionmentioning

confidence: 99%

Risk-Compensation Trends in Road Safety during COVID-19

et al. 2022

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The COVID-19 pandemic has had a global impact, disrupting the normal trends of our everyday life. More specifically, the effects of COVID-19 on road safety are still largely unexplored. Hence, this study aims to investigate the change in road safety trends due to COVID-19 using real-time traffic parameters. Results from the extensive analyses of the 2017 to 2020 data of Interstate-4 show that traffic volume decreased by 13.6% in 2020 compared to the average of 2017–2019’s volume, whereas there is a decreasing number of crashes at the higher volume. Average speed increased by 11.3% during the COVID-19 period; however, the increase in average speed during the COVID-19 period has an insignificant relationship with crash severities. Fatal crashes increased, while total crashes decreased, during the COVID-19 period; severe crashes decreased with the total crashes. Alcohol-related crashes decreased by 22% from 2019 to 2020. Thus, the road-safety trend due to the impact of COVID-19 has evidently changed and presents a unique trend. The findings of the study suggest a larger need for a more in-depth study to analyze the impact of COVID-19 on road safety, to minimize fatalities on roads through appropriate policy measures.

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Section: Introductionmentioning

confidence: 99%

Risk-Compensation Trends in Road Safety during COVID-19

et al. 2022

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“…The association is possibly mediated by the core symptoms of ADHD, risky driving patterns, aggressiveness and comorbidities (e.g. substance use disorder and oppositional defiant disorder/conduct disorder [ODD/CD]) (Barkley and Cox, 2007 ; Vaa, 2014 ; Romo et al ., 2019 ). However, the above studies' results are limited because of lack of objective measures, small sample sizes, self- or parent-reported driving performance with long recall periods, referral bias and absence of adjustment for critical comorbid illnesses.…”

Section: Introductionmentioning

confidence: 99%

Association of psychiatric comorbidities with the risk of transport accidents in ADHD and MPH

Liu

Chen

et al. 2021

Epidemiol Psychiatr Sci

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Aims Although the relationship between attention-deficit/hyperactivity disorder (ADHD) and transport accidents has been shown, there is limited information on the relationship between medication and dose–response effects and transport accident risk. This study aims to determine whether young people with ADHD, including adolescents, are more prone to transport accidents than those without, and the extent to which methylphenidate (MPH) prescription in these patients reduces the risk. Methods We identified 114 486 patients diagnosed with ADHD from Taiwan's National Health Insurance Research Database from 1997 to 2013. Using a Cox regression model, we compared the risk of transport accidents between ADHD and non-ADHD groups and estimated the effect of MPH on accidents. Furthermore, we applied a self-control case-series analysis to compare the risk of accidents during the medication periods with the same patients' non-medication periods. Results Male ADHD patients had a higher risk of transport accidents than non-ADHD individuals (adjusted hazard ratio [aHR] = 1.24, [95% confidence interval (CI) 1.10–1.39]), especially for those comorbid with epilepsy, oppositional defiant disorder/conduct disorder (ODD/CD), and intellectual disabilities (ID). Female ADHD patients showed no relationship, except for comorbid with autism spectrum disorder (ASD) or ID. We found a reduced risk of transport accidents in patients with ADHD with MPH medication than those without MPH, with a plausible dose–response relationship (aHR of 0.23 to 0.07). A similar pattern was found in self-controlled case-series analysis. Conclusions Male patients with ADHD, especially those comorbid with epilepsy, ODD/CD, or ID, were at high risk of transport accidents. Female patients, when comorbid with ASD or ID, also exhibited a higher risk of accidents. MPH treatment lowered the accident risk with a dose–response relationship.

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“…Educators and clinicians have developed a variety of interventions aimed at reducing risky driving behaviors among adolescents with ADHD. These interventions range from psychostimulant treatments, which have been shown to enhance driving performance and lower the risk of accidents [ 18 , 19 , 20 , 21 , 22 ], to behavioral interventions and educational programs designed to improve practical driving skills and awareness of driving risks [ 23 , 24 , 25 , 26 , 27 ]. Psychostimulant interventions involve strategic modifications to medication dosing schedules, designed to align with typical activity patterns that require heightened alertness.…”

Section: Introductionmentioning

confidence: 99%

Reducing Driving Risk Factors in Adolescents with Attention Deficit Hyperactivity Disorder (ADHD): Insights from EEG and Eye-Tracking Analysis

Keren,

Fisher,

Hamde

et al. 2024

Sensors

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Adolescents with attention deficit hyperactivity disorder (ADHD) face significant driving challenges due to deficits in attention and executive functioning, elevating their road risks. Previous interventions targeting driving safety among this cohort have typically addressed isolated aspects (e.g., cognitive or behavioral factors) or relied on uniform solutions. However, these approaches often overlook this population’s diverse needs. This study introduces the “Drive-Fun” innovative intervention (DFI), aimed at enhancing driving skills among this vulnerable population. The intervention was tested in a pilot study including 30 adolescents aged 15–18, comparing three groups: DFI, an educational intervention, and a control group with no treatment. Assessments included a driving simulator, EEG, and Tobii Pro Glasses 2. Evaluation was conducted pre- and post-intervention and at a 3-month follow-up. Results indicated that the DFI group significantly improved in the simulated driving performance, attentional effort, and focused gaze time. The findings underscore that holistic strategies with personalized, comprehensive approaches for adolescents with ADHD are particularly effective in improving driving performance. These outcomes not only affirm the feasibility of the DFI but also highlight the critical role of sensor technologies in accurately measuring and enhancing simulator driving performance in adolescents with ADHD. Outcomes suggest a promising direction for future research and application.

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Road accidents in young adults with ADHD: Which factors can explain the occurrence of injuries in drivers with ADHD and how to prevent it?

Cited by 6 publications

References 34 publications

Risk-Compensation Trends in Road Safety during COVID-19

Risk-Compensation Trends in Road Safety during COVID-19

Association of psychiatric comorbidities with the risk of transport accidents in ADHD and MPH

Reducing Driving Risk Factors in Adolescents with Attention Deficit Hyperactivity Disorder (ADHD): Insights from EEG and Eye-Tracking Analysis

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