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. 2006 Aug;15(3):105-25.

What we know about ADHD and driving risk: a literature review, meta-analysis and critique

Laurence Jerome  1 , Alvin Segal, Liat Habinski
Affiliations

What we know about ADHD and driving risk: a literature review, meta-analysis and critique

Laurence Jerome et al. J Can Acad Child Adolesc Psychiatry. 2006 Aug.

Abstract
in English, French

Introduction: This article examines the literature on ADHD and unintentional driving injury. This literature has emerged over the last decade as part of the burgeoning epidemic of road traffic death and injury which is the number one cause of death in young adults in North America.

Methods: The available literature on observational outcome studies and experimental pharmacological interventions is critically reviewed. A meta-analysis of behavioral outcomes and a review of effect size of pharmacological studies are presented.

Results: Current data support the utility of stimulant medication in improving driving performance in younger ADHD drivers. A conceptual model of risk factors in young ADHD drivers is offered.

Conclusion: The current state of screening instruments for identifying high risk subjects within this clinical group is summarized along with a final section on emerging trends and future prospects for intervention.

Introduction: le présent article passe en revue la littérature sur le TDAH et les blessures non intentionnelles dues aux accidents de voiture. Cette littérature est apparue au cours des dix dernières années à la suite des nombreux accidents de la route qui sont la principale cause de mortalité chez les jeunes adultes en Amérique du nord.

Méthodologie: l’analyse des résultats et les interventions pharmacologiques expérimentales font l’objet d’une étude critique. L’article présente une méta-analyse des résultats du comportement des conducteurs, et évalue l’ampleur des études pharmacologiques et leur effet.

Résultats: les données actuelles attestent que les stimulants améliorent la conduite automobile des jeunes conducteurs qui souffrent de TDAH. L’article propose un modèle conceptuel des facteurs de risque chez ces mêmes jeunes conducteurs.

Conclusion: les auteurs récapitulent les instruments de dépistage qui permettent de détecter les sujets à risque élevé à l’intérieur de ce groupe ; ils concluent en présentant les tendances qui émergent et les possibilités futures en matière d’intervention.

Keywords: ADHD; meta-analysis; motor vehicle collisions; non-accidental injury.

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Figures

Figure 1
Figure 1
Meta Analysis on ADHD Status and Proportion of Self-Reported MVCs
Figure 2
Figure 2
Meta Analysis on ADHD Status and Proportion of Official Reports of Citations
Figure 3
Figure 3
Meta Analysis on ADHD Status and Proportion of Self Reports of Having Driven Without a License
Figure 4
Figure 4
Meta Analysis on ADHD Status and Proportion of Self Reports of Having Driven Under the Influence of Alcohol
See this image and copyright information in PMC

References

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    1. Barkley RA. ADHD and the Nature of Self-Control. New York: Guilford Press; 1997.
    1. Barkley RA, Anderson DL, Kruesi M. A pilot study of Atomoxetine on driving performance in adults with Attention Deficit Hyperactivity Disorder (ADHD) Journal of Attention Disorders in press. - PubMed
    1. Barkley RA, Cox D. A Review of Driving Performance and Adverse Outcomes in Adolescents and Adults with Attention-Deficit/Hyperactivity Disorder. Journal of Safety Research in press.

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