Sanders Gavin, Rapport Lisa J, Marwitz Jenny H, Novack Thomas A, Walker William, Tefertiller Candace, Watanabe Thomas K, Kennedy Richard, Goldin Yelena, Bergquist Thomas, Dreer Laura E, Bombardier Charles H, Zhang Yue
Department of Psychology, Wayne State University, Detroit, Michigan, USA.
Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL, USA.
Brain Inj. 2023 Apr 16;37(5):412-421. doi: 10.1080/02699052.2023.2172611. Epub 2023 Jan 30.
Examine considerations and perceived barriers to return to driving, and their association with psychosocial outcomes among adults with traumatic brain injury (TBI) who were not driving.
174 adults with moderate-to-severe TBI enrolled in the TBI Model System participated in this cross-sectional study. All participants were drivers prior to their TBI. Outcome measures included the Barriers to Driving Questionnaire, Disability Rating Scale, Patient Health Questionnaire-9, General Anxiety Disorder-7, and Satisfaction With Life Scale. Descriptive analyses examined considerations and barriers to driving, including differences associated with demographic characteristics. Moderation analyses investigated the extent to which disability moderated the relationship between barriers and psychosocial outcomes.
Social barriers were the most strongly endorsed domain, whereas physical barriers were endorsed least. The profile of endorsements differed for men and women, and for Black and White participants, on both theoretical considerations in returning to drive and experiences of barriers in doing so. Disability level moderated the relationship between barriers to driving and depression and life satisfaction, but not anxiety.
The experience of barriers to driving is differentially associated with psychosocial outcomes among nondriving adults with TBI. Adults with low disability appear to be at risk for distress, even compared to other nondrivers.
研究非驾驶状态的创伤性脑损伤（TBI）成年患者恢复驾驶的相关因素及感知到的障碍，以及这些因素与心理社会结局的关联。
174名中度至重度TBI成年患者参与了TBI模型系统的这项横断面研究。所有参与者在TBI之前均为驾驶员。结局指标包括驾驶障碍问卷、残疾评定量表、患者健康问卷-9、广泛性焦虑障碍量表-7和生活满意度量表。描述性分析研究了驾驶的相关因素和障碍，包括与人口统计学特征相关的差异。调节分析调查了残疾在多大程度上调节了障碍与心理社会结局之间的关系。
社会障碍是认可度最高的领域，而身体障碍的认可度最低。在恢复驾驶的理论考虑因素和实际障碍经历方面，男性与女性、黑人和白人参与者的认可情况有所不同。残疾程度调节了驾驶障碍与抑郁和生活满意度之间的关系，但未调节与焦虑之间的关系。
在非驾驶状态的TBI成年患者中，驾驶障碍的经历与心理社会结局存在不同程度的关联。与其他非驾驶员相比，低残疾程度的成年人似乎有苦恼的风险。
