执行功能对 ADHD 青少年驾驶员不良驾驶后果的预测作用。
Executive Functioning as a Predictor of Adverse Driving Outcomes in Teen Drivers With ADHD.
机构信息
University of Cincinnati, OH, USA.
Cincinnati Children's Hospital Medical Center, OH, USA.
出版信息
J Atten Disord. 2023 Dec;27(14):1650-1661. doi: 10.1177/10870547231197210. Epub 2023 Sep 9.
OBJECTIVE
The present study examined the association between executive functioning (EF) and risky driving behaviors in teens with ADHD.
METHOD
Teens diagnosed with ADHD ( = 179; = 17.4 years) completed two 15-min drives in a fixed-base driving simulator. EF was assessed using parent- and self-report Behavior Rating Inventory of Executive Functioning (BRIEF-2), a temporal reproduction task, and a Go/No-Go task (GNG). Driving outcomes included known predictors of crashes: count of long (>2 s) off-road glances, standard deviation (SD) of lane position (SDLP), mean speed, and SD speed. Generalized linear mixed models, controlling for intelligence and driving experience, were conducted.
RESULTS
Higher rates of GNG commission errors predicted higher rates of long off-road glances. Lower parent-rated EF and increased rates of GNG omission errors predicted SDLP. Higher rates of GNG commission errors also predicted faster average driving speed.
CONCLUSION
Heterogeneity in EF is associated with differences in teen ADHD risky driving behaviors.
目的
本研究考察了执行功能（EF）与 ADHD 青少年危险驾驶行为之间的关系。
方法
179 名被诊断患有 ADHD 的青少年（年龄中位数为 17.4 岁）在固定基础驾驶模拟器中完成了两次 15 分钟的驾驶。使用家长和自我报告的行为评定量表执行功能（BRIEF-2）、时间再现任务和 Go/No-Go 任务（GNG）评估 EF。驾驶结果包括已知的碰撞预测因素：长距离（>2 秒）偏离道路的次数、车道位置标准差（SDLP）、平均速度和速度标准差。控制智力和驾驶经验进行了广义线性混合模型分析。
结果
较高的 GNG 错误率预示着较高的长距离偏离道路的次数。较低的家长评定 EF 和较高的 GNG 遗漏错误率预示着 SDLP。较高的 GNG 错误率也预示着平均驾驶速度更快。
结论
EF 的异质性与青少年 ADHD 危险驾驶行为的差异有关。
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