Bernstein John P K, Calamia Matthew
Louisiana State University, Department of Psychology, 217 Audubon Hall, Baton Rouge, LA 70803(∗).
Louisiana State University, Department of Psychology, Baton Rouge, LA(†).
PM R. 2018 Nov;10(11):1153-1163. doi: 10.1016/j.pmrj.2018.05.008. Epub 2018 May 16.
Mild traumatic brain injury (mTBI) can have long-term cognitive and functional consequences, and recent mTBI has been associated with impaired performance on measures related to driving ability. However, it remains unclear whether mTBI history is associated with poorer driving performance.
To examine the longer-term effects of mTBI on self-reported driving ability.
Retrospective cross-sectional study.
Online.
Three hundred eighty-nine participants (169 who reported an mTBI history and 220 without an mTBI history).
Comparing participants who report a history of mTBI with those who do not report a history of mTBI.
Self-report measures of mTBI history, frequency of aberrant driving behaviors, recent history of car accidents and citations, and previous psychological diagnoses and current symptoms.
Participants with a history of mTBI reported an overall higher frequency of aberrant driving behaviors and committing more driving violations that risked the safety of others than comparison participants. Participants with mTBI also were more likely to have been involved in a car accident within the past 6 months and the past 3 years. Of participants with mTBI, reports of driving violations decreased with longer time since the most recent injury. Driving violations and crash risk also decreased with increased age and years of driving experience.
Individuals with a history of mTBI are more likely to deliberately drive in a manner that risks the safety of others and are at a heightened risk of being involved in a recent car crash. Future work should examine predictor variables in greater depth and incorporate performance-based measures of driving ability to further explore these topics.
III.
轻度创伤性脑损伤（mTBI）可产生长期的认知和功能后果，近期的mTBI与驾驶能力相关指标的表现受损有关。然而，mTBI病史是否与较差的驾驶表现相关仍不清楚。
研究mTBI对自我报告的驾驶能力的长期影响。
回顾性横断面研究。
在线。
389名参与者（169名报告有mTBI病史，220名无mTBI病史）。
比较报告有mTBI病史的参与者和未报告有mTBI病史的参与者。
有mTBI病史的参与者报告的异常驾驶行为总体频率更高，且比对照组参与者犯下更多危及他人安全的驾驶违规行为。有mTBI的参与者在过去6个月和过去3年内也更有可能卷入车祸。在有mTBI的参与者中，自最近一次受伤以来时间越长，驾驶违规报告越少。驾驶违规和撞车风险也随着年龄增长和驾驶经验增加而降低。
有mTBI病史的个体更有可能故意以危及他人安全的方式驾驶，且近期卷入车祸的风险更高。未来的工作应更深入地研究预测变量，并纳入基于表现的驾驶能力测量方法，以进一步探索这些主题。
III级。
