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. 2024 Jan-Dec;47(2):224-233.
doi: 10.1080/07317115.2023.2224795. Epub 2023 Jun 14.

Driving Cessation and Late-Life Depressive and Anxiety Symptoms: Findings from the National Health and Aging Trends Study

Rachel Missell-Gray  1   2 , Adam Simning  1   3
Affiliations

Driving Cessation and Late-Life Depressive and Anxiety Symptoms: Findings from the National Health and Aging Trends Study

Rachel Missell-Gray et al. Clin Gerontol. 2024 Jan-Dec.

Abstract

Objectives: To describe the association between driving cessation and depressive and anxiety symptoms over time by assessing depression and anxiety at 1- and 4-years follow-up.

Methods: The study examined community-dwelling adults aged 65 years and older from the National Health and Aging Trends Study who were driving at the 2015 interview and completed 1-year (N = 4,182) and 4-year (N = 3,102) follow-up interviews. Outcomes were positive screens for depressive and anxiety symptoms in 2016 or 2019, and the primary independent variable was driving cessation within one year of the baseline interview.

Results: Adjusting for socio-demographic and clinical characteristics, driving cessation was associated with depressive symptoms at 1 year (OR = 2.25, 95% CI: 1.33-3.82) and 4-year follow-up (OR = 3.55, 95% CI: 1.72-7.29). Driving cessation was also associated with anxiety symptoms at 1 year (OR = 1.71, 95% CI: 1.05-2.79) and 4 year follow up (OR = 3.22, 95% CI: 1.04-9.99).

Conclusions: Driving cessation was associated with an increased risk of developing depressive and anxiety symptoms in later life. However, reasons for this association remain unclear.

Clinical implications: Although the mechanism linking driving cessation with worse mental health symptoms is uncertain, driving facilitates many important activities. Clinicians should monitor the well-being of patients who stop or intend to stop driving.

Keywords: Functioning; mental health; mobility.

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References

    1. Ang BH, Oxley JA, Chen WS, Yap KK, Song KP, & Lee SWH (2019). To reduce or to cease: A systematic review and meta-analysis of quantitative studies on self-regulation of driving. Journal of Safety Research, 70, 243–251. 10.1016/j.jsr.2019.07.004 - DOI - PubMed
    1. Anstey KJ, Li X, Hosking DE, & Eramudugolla R (2017). The epidemiology of driving in later life: Sociodemographic, health and functional characteristics, predictors of incident cessation, and driving expectations. Accident; Analysis and Prevention, 107, 110–116. 10.1016/j.aap.2017.07.026 - DOI - PubMed
    1. Anstey KJ, Windsor TD, Luszcz MA, & Andrews GR (2006). Predicting driving cessation over 5 years in older adults: Psychological well-being and cognitive competence are stronger predictors than physical health. Journal of the American Geriatrics Society, 54(1), 121–126. 10.1111/j.1532-5415.2005.00471.x - DOI - PubMed
    1. Aronson L. (2019). Don’t ruin my life — Aging and driving in the 21st century. The New England Journal of Medicine, 380(8), 705–707. 10.1056/NEJMp1613342 - DOI - PubMed
    1. Bond EG, Durbin LL, Cisewski JA, Qian M, Guralnik JM, Kasper JD, & Mielenz TJ (2017). Association between baseline frailty and driving status over time: A secondary analysis of The National Health and Aging Trends Study. Injury Epidemiology, 4(1), 9. 10.1186/s40621-017-0106-y - DOI - PMC - PubMed

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