Executive Functioning As a Predictor of Adverse Driving Outcomes in Teen Drivers With ADHD

Overview

Journal J Atten Disord

Publisher Sage Publications

Specialty Psychiatry

Date 2023 Sep 9

PMID 37688481

Authors

James D Lynch

Leanne Tamm

Annie A Garner

Amina A Avion

Donald L Fisher

Adam W Kiefer

James Peugh

John O Simon

Jeffery N Epstein

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Enhancing Ecological Validity: Virtual Reality Assessment of Executive Functioning in Children and Adolescents with ADHD.

Romero-Ayuso D, Del Pino-Gonzalez A, Torres-Jimenez A, Juan-Gonzalez J, Celdran F, Franchella M Children (Basel). 2024; 11(8).

PMID: 39201921 PMC: 11353110. DOI: 10.3390/children11080986.

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