Pre-driving evaluation of a teen with attention deficit hyperactivity disorder and autism spectrum disorder

Abstract

French

Background.

Vehicle crashes are the leading cause of death among teens, and those teens with attention-deficit/hyperactivity disorder and autism spectrum disorder (ADHD/ASD) may have a greater crash risk.

Purpose.

This case study compared the pre-driving skills of a teen with ADHD/ASD to an age- and gender-matched healthy control (HC).

Method.

Data were collected from performance on clinical tests and on a driving simulator.

Findings.

The main impairments of the teen with ADHD/ASD were the ability to shift attention, perform simple sequential tasks, integrate visual-motor responses, and coordinate motor responses, whereas the HC demonstrated intact skills in these abilities. The teen with ADHD/ASD made 44 driving errors during the drive, and the HC made 17. The teen with ADHD/ASD had more lane maintenance, visual scanning, and speeding errors compared to the HC.

Implications.

Teens with ADHD/ASD may have more pre-driving deficits and may require a certified driving rehabilitation specialist to assess readiness to drive, but a larger study is needed to confirm this.

Keywords

Adolescents Attention-deficit disorder with hyperactivity Automobile driving Pervasive disorders

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References

American Psychological Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Barkley

R. A.

(2004). Driving impairments in teens and adults with attention-deficit/hyperactivity disorder. Psychiatric Clinics of North America, 27, 233–260. doi:10.1016/S0193-953X(03)00091-1

Beery

K. E.

Beery

N. A.

(2010). The Beery-Buktenica Developmental Test of Visual-Motor Integration (6th ed.). Bloomington, MN: Pearson.

Bruininks

R. H.

Bruininks

B. D.

(2005). Bruininks-Oseretsky Test of Motor Proficiency (2nd ed.). Minneapolis, MN: Pearson Assessments.

Centers for Disease Control and Prevention. (2008). Teen drivers: Fact sheet. Retrieved from http://www.cdc.gov/ncipc/factsheets/teenmvh.htm

Centers for Disease Control and Prevention. (2012). Data and statistics: Autism spectrum disorder fact sheet. Retrieved from http://www.cdc.gov/ncbddd/autism/data.html

Classen

(2010). Special issue on older driver safety and community mobility [Editorial]. American Journal of Occupational Therapy, 64, 211–214. doi:10.5014/ajot.64.2.211

Classen

Monahan

(in press). Evidence-based review on interventions and determinants of driving performance in teens with attention deficit hyperactivity disorder or autism spectrum disorder. Traffic Injury Prevention.

Edwards

J. D.

Wadley

V. G.

Vance

D. E.

Wood

Roenker

D. L.

Ball

K. K.

(2005). The impact of speed of processing training on cognitive and everyday performance. Aging and Mental Health, 9, 262–271. doi:10.1080/13607860412331336788

10.

Fisk

G. D.

Novack

Mennemeier

Roenker

(2002). Useful Field of View^TM after traumatic brain injury. Journal of Head Trauma Rehabilitation, 17, 16–25.

11.

Hill

E. L.

(2004). Evaluating the theory of executive dysfunction in autism. Developmental Review, 24, 189–233. doi:10.1016/j.dr.2004.01.001

12.

Huang

Kao

Curry

Durbin

D. R.

(2012). Factors associated with driving in teens with autism spectrum disorders. Journal of Developmental and Behavioral Pediatrics, 33, 70–74. doi:10.1097/DBP.0b013e31823a43b7

13.

Jerome

Segal

Habinski

(2006). What we know about ADHD and driving risk: A literature review, meta-analysis and critique. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 15, 105–125.

14.

Justiss

M. D.

Mann

W. C.

Stav

Velozo

(2006). Development of a behind-the-wheel driving performance assessment for older adults. Topics in Geriatric Rehabilitation, 22, 121–128.

15.

Lee

D. O.

Ousley

O. Y.

(2006). Attention-deficit hyperactivity disorder symptoms in a clinical sample of children and adolescents with pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology, 16, 737–746. doi:10.1089/cap.2006.16.737

16.

National Institute of Mental Health. (2011a). Attention deficit hyperactivity disorder (ADHD). Retrieved from http://www.nimh.nih.gov/health/publications/attention-deficit-hyperactivity-disorder/complete-index.shtml

17.

National Institute of Mental Health. (2011b). What is autism spectrum disorder (ASD)? Retrieved from http://www.nimh.nih.gov/health/publications/a-parents-guide-to-autism-spectrum-disorder/what-is-autism-spectrum-disorder-asd.shtml

18.

Reynolds

(2002). Comprehensive Trail Making Test (CTMT). Austin, TX: PRO-ED.

19.

Sergeant

J. A.

Geurts

Oosterlaan

(2002). How specific is a deficit of executive functioning for attention-deficit/hyperactivity disorder? Behavioural Brain Research, 3(28), 4–26

20.

Smith

(1993). Symbol Digit Modalities Test manual. Los Angeles, CA: Western Psychological Services.

21.

Visser

S. N.

Bitsko

R. H.

Danielson

M. L.

Perou

Blumberg

S. J.

(2010). Increasing prevalence of parent-reported attention-deficit/hyperactivity disorder among children: United States, 2003 and 2007. Morbidity and Mortality Weekly Report, 59, 1439–1443. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5944a3.htm