PsyQ Program and Expertise Center Adult ADHD, Carel Reinierszkade 197, 2593 HR The Hague, The Netherlands.
Department of Psychiatry and EMGO+ Institute for Health and Care Research, VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.
Accid Anal Prev. 2018 Feb;111:338-344. doi: 10.1016/j.aap.2017.12.011. Epub 2017 Dec 21.
To identify risk factors for adverse driving outcomes and unsafe driving among adults with and without ADHD in a Dutch sample.
In this cross-sectional study, validated self-report questionnaires were used to compare driving history and current driving behavior between 330 adults diagnosed with ADHD and 330 controls.
Adults with ADHD had significantly more adverse driving outcomes when compared to controls. Having an ADHD diagnosis significantly increased the odds for having had 3 or more vehicular crashes (OR = 2.72; p = .001). Driving frequency, male gender, age, high anxiety levels, high hostility levels, and alcohol use all significantly influenced the odds for unsafe driving behavior, for having had 12 or more traffic citations, and/or for having had 3 or more vehicular crashes.
Alcohol use, and high levels of anxiety and hostility are highly prevalent among adults with ADHD, and they mediate the risk for negative driving outcomes in this group.
在荷兰样本中，确定患有和不患有注意力缺陷多动障碍（ADHD）的成年人发生不良驾驶结果和不安全驾驶的风险因素。
在这项横断面研究中，使用经过验证的自我报告问卷比较了 330 名被诊断为 ADHD 的成年人和 330 名对照者的驾驶史和当前驾驶行为。
与对照组相比，患有 ADHD 的成年人发生不良驾驶结果的风险显著更高。患有 ADHD 诊断显著增加了发生 3 次或以上车辆碰撞的几率（OR=2.72；p=0.001）。驾驶频率、男性、年龄、高焦虑水平、高敌对水平和饮酒均显著影响不安全驾驶行为、发生 12 次或以上交通违章以及/或发生 3 次或以上车辆碰撞的几率。
酒精使用以及高焦虑和敌对水平在患有 ADHD 的成年人中非常普遍，它们在该群体中导致了负面驾驶结果的风险。
