Selander H, Strand N, Almberg M, Lidestam B
Department of Clinical Neuroscience and Rehabilitation, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Driver and vehicle, Gothenburg, Swedish National Transport Research Institute, Sweden.
Dev Neurorehabil. 2021 May;24(4):256-265. doi: 10.1080/17518423.2020.1869339. Epub 2021 Jan 18.
A simulator driving test (SDT) and two neuropsychological tests, the Useful Field of View (UFOV) test and the Test of Variables of Attention (TOVA) were evaluated with regard to validity for fitness to drive on 51 young clients diagnosed with attention deficit hyperactivity disorder (ADHD), 33 of whom also had autism spectrum disorder (ASD), and 38 adolescents without a neurodevelopmental diagnosis. The results show generally much greater variability and significantly poorer performance in the SDT and the TOVA for clients with ADHD/ASD compared with the control group. The SDT results were strongly intratest correlated, but had no interest correlation with either the UFOV test or the TOVA. The greater variability among clients with ADHD/ASD suggests greater effort and susceptibility to motivational issues and decline in sustained attention over several tests. In conclusion, the SDT is sensitive and has good face validity, and the TOVA is sensitive to neuropsychological aspects of safe driving. The SDT and the TOVA thus complement each other, and discrepancy between test scores calls for special consideration.
针对51名被诊断患有注意力缺陷多动障碍（ADHD）的年轻客户、其中33名还患有自闭症谱系障碍（ASD）以及38名没有神经发育诊断的青少年，对模拟驾驶测试（SDT）以及两项神经心理学测试——有用视野（UFOV）测试和注意力变量测试（TOVA）进行了驾驶适宜性有效性评估。结果显示，与对照组相比，ADHD/ASD客户在SDT和TOVA中的变异性普遍大得多，表现也明显更差。SDT结果在测试内部具有很强的相关性，但与UFOV测试或TOVA均无显著相关性。ADHD/ASD客户中更大的变异性表明，在多次测试中，他们需要付出更多努力，更容易受到动机问题的影响，持续注意力也会下降。总之，SDT敏感且具有良好的表面效度，TOVA对安全驾驶的神经心理学方面敏感。因此，SDT和TOVA相互补充，测试分数之间的差异需要特别考虑。
