Reger Mark A, Welsh Robert K, Watson G Stennis, Cholerton Brenna, Baker Laura D, Craft Suzanne
Geriatric Research, Education, and Clinical Center (GRECC), Veterans Affairs Puget Sound Health Care System (VAPSHCS), Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, WA, USA.
Neuropsychology. 2004 Jan;18(1):85-93. doi: 10.1037/0894-4105.18.1.85.
A meta-analysis of 27 primary studies was conducted to examine the relationship between neuropsychological functioning and driving ability for adults with dementia. When studies using a control group were included, the relationship between cognitive measures and on-road or non-road driving measures was significant for all reported domains; mean correlations ranged from.35 to.65. Caregiver reports of driving ability and cognitive variables were correlated significantly only on measures of mental status and visuospatial skills. When studies using a control group were excluded, moderate mean correlations were observed for visuospatial skills and on-road or non-road measures, and for mental status with non-road tests. Other effects were small or nonsignificant. Implications for basing driving recommendations on neuropsychological testing are discussed.
进行了一项对27项主要研究的荟萃分析，以检验痴呆症成年人的神经心理功能与驾驶能力之间的关系。当纳入使用对照组的研究时，认知测量与道路或非道路驾驶测量之间的关系在所有报告的领域中均显著；平均相关性范围为0.35至0.65。仅在精神状态和视觉空间技能测量方面，照顾者对驾驶能力和认知变量的报告存在显著相关性。当排除使用对照组的研究时，观察到视觉空间技能与道路或非道路测量之间以及精神状态与非道路测试之间存在中等程度的平均相关性。其他影响较小或不显著。文中讨论了基于神经心理测试做出驾驶建议的意义。
