Objective: This study assesses whether anger in the context of driving is associated with the negative driving outcomes experienced by individuals with ADHD. Method: ADHD adults (n = 56) complete measures of driving anger, driving anger expression, angry thoughts behind the wheel, and aggressive, risky, and crash-related behavior. Results are compared to two non-ADHD control groups: one from the same community as the ADHD sample (n = 106) but that did not complete all instruments and the other from college students (n = 432) who completed all instruments. Results: ADHD participants report more driving anger and aggressive expression through the use of their vehicle and less adaptive and constructive anger expression than their non-ADHD peers. Adult ADHD drivers rate themselves as more angry, risky, and unsafe drivers and report experiencing more losses of concentration and vehicular control than college students. Conclusion: Results are discussed with regard to drivingrelated problems for drivers with ADHD.
Alpert, J. E. , Maddocks, A., Nierenberg, A. A., O'sullivan, R., Pava, J. A., Worthington, J. J., et al. (1996). Attention deficit hyperactivity disorder in childhood among adults with major depression. Psychiatry Research, 62, 213-219.
2.
American Psychiatric Association . (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
3.
Anderson, R. N. , Kochanek, K. D., & Murphy, S. L. (1997). Report of final mortality statistics. Monthly Vital Statistics Report, 45(11).
4.
Arnett, J. J. , Offer, D., & Fine, M. A. (1997). Reckless driving in adolescence: ‘State’ and ‘trait’ factors. Accident Analysis and Prevention, 29, 57-63.
5.
Barkley, R. A. (1997a). Attention-deficit/hyperactivity disorder, selfregulation, and time: Toward a more comprehensive theory. Developmental and Behavioral Pediatrics, 18, 271-279.
6.
Barkley, R. A. (1997b). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychopharmacology Bulletin, 121, 65-94.
7.
Barkley, R. A. (1998). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (2nd ed.). New York: Guilford.
8.
Barkley, R. A. , Fischer, M., Edelbrock, C. S., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: I. An 8-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 546-557.
9.
Barkley, R. A. , Fischer, M., Smallish, L., & Fletcher, K. R. (2002). The persistence of attention deficit hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. Journal of Abnormal Psychology, 111, 279-289.
10.
Barkley, R. A. , Guevremont, D. C., Anastopoulos, A. D., DuPaul, T., & Shelton, T. L. (1993). Driving-related risks and outcomes of attention deficit hyperactivity disorder in adolescents and young adults: A 3-to 5-year follow-up survey. Pediatrics, 92, 212-218.
11.
Barkley, R. A. , & Murphy, K. R. (1998). Attention-deficit hyperactivity disorder: A clinical workbook (2nd ed.). New York: Guilford.
12.
Barkley, R. A. , Murphy, K. R., & Kwasnik, D. (1996a). Motor vehicle driving competencies and risks in teens and young adults with attention deficit hyperactivity disorder. Pediatrics, 98, 1089-1095.
13.
Barkley, R. A. , Murphy, K. R., & Kwasnik, D. (1996b). Psychological adjustment and adaptive impairments in young adults with ADHD. Journal of Attention Disorders, 1, 41-54.
14.
Biederman, J. , Faraone, S., Milberger, S., Curtis, S., Chen, L., Marrs, A., et al. (1996). Predictors of persistence and remission of ADHD into adolescence: Results from a four-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 343-351.
15.
Biederman, J. , Faraone, S. V., Spencer, T., Wilens, T., Mick, E., & Lapey, K. A. (1994). Gender differences in a sample of adults with attention deficit hyperactivity disorder. Psychiatry Research, 53, 13-29.
16.
Biederman, J. , Faraone, S. V., Spencer, T., Wilens, T., Norman, D., Lapey, K. E., et al. (1993). Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. American Journal Psychiatry, 150, 1792-1798.
17.
Biederman, J. , Wilens, T., Mick, E., Milberger, S., Spencer, T. J., & Faraone, S. V. (1995). Psychoactive substance use disorders in adults with attention deficit hyperactivity disorder (ADHD): Effects of ADHD and psychiatric comorbidity. American Journal of Psychiatry, 152, 1652-1658.
18.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
19.
Deffenbacher, J. L. (2000). The Driving Anger Scale (DAS). In J. Maltby, C. A. Lewis, & A. Hill (Eds.), Commissioned reviews of 250 psychological tests (pp. 287-292). Lampeter, UK: Edwin Mellen.
20.
Deffenbacher, J. L. , Deffenbacher, D. M., Lynch, R. S., & Richards, T. L. (2003). Anger, aggression, and risky behavior: A comparison of high and low anger drivers. Behaviour Research and Therapy, 41, 701-718.
21.
Deffenbacher, J. L. , Filetti, L. B., Lynch, R. S., Dahlen, E. R., & Oetting, E. R. (2002). Cognitive-behavioral treatment of high anger drivers. Behaviour Research and Therapy, 40, 895-910.
22.
Deffenbacher, J. L. , Huff, M. E., Lynch, R. S., Oetting, E. R., & Salvatore, N. F. (2000). Characteristics and treatment of high anger drivers. Journal of Counseling Psychology, 47, 5-17.
23.
Deffenbacher, J. L. , Lynch, R. S., Deffenbacher, D. M., & Oetting, E. R. (2001). Further evidence of reliability and validity for the Driving Anger Expression Inventory. Psychological Reports, 89, 535-540.
24.
Deffenbacher, J. L. , Lynch, R. S., Oetting, E. R., & Swaim, R. C. (2002). The Driving Anger Expression Inventory: A measure of how people express their anger on the road. Behaviour Research and Therapy, 40, 717-737.
25.
Deffenbacher, J. L. , Lynch, R. S., Oetting, E. R., & Yingling, D. A. (2001). Driving anger: Correlates and a test of state-trait theory. Personality and Individual Differences, 31, 1321-1331.
26.
Deffenbacher, J. L. , Oetting, E. R., & Lynch, R. S. (1994). Development of a driving anger scale. Psychological Reports, 74, 83-91.
27.
Deffenbacher, J. L. , Petrilli, R. T., Lynch, R. S., Oetting, E. R., & Swaim, R. C. (2003). The Driver's Angry Thoughts Questionnaire: A measure of angry cognitions when driving. Cognitive Therapy and Research, 27, 383-402.
28.
Deffenbacher, J. L. , Richards, T. L., Filetti, L. B., & Lynch, R. S. (2005). Angry drivers: A test of state-trait theory. Violence and Victims, 20, 455-469.
29.
Dooling-Litfin, J., & Rosén, L. A. (1997). Predicting attention deficit hyperactivity disorder in college students. Unpublished manuscript.
30.
Downey, K. K. , Stelson, F. W., Pomerleau, O. F., & Giordani, B. (1997). Adult attention deficit hyperactivity disorder: Psychological test profiles in a clinical population. Journal of Nervous and Mental Disease, 185, 32-38.
31.
Mannuzza, S. , Klein, R. G., Bessler, A., Malloy, P., & Hynes, M. E. (1997). Educational and occupational outcome of hyperactive boys grown up. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1222-1227.
32.
Mannuzza, S. , Klein, R. G., Bessler, A., Malloy, P., & LaPadula, M. (1993). Adult outcome of hyperactive boys: Educational achievement, occupational rank, and psychiatric status. Archives of General Psychiatry, 50, 565-576.
33.
Mannuzza, S. , Klein, R. G., Bessler, A., Malloy, P., & LaPadula, M. (1998). Adult psychiatric status of hyperactive boys grown up. American Journal of Psychiatry, 155, 493-498.
34.
Millstein, R. B. , Wilens, T. E., Biederman, J., & Spencer, T. J. (1997). Presenting ADHD symptoms and subtypes in clinically referred adults with ADHD. Journal of Attention Disorders, 2, 159-166.
35.
Murphy, K. , & Barkley, R. A. (1996). Attention deficit hyperactivity disorder adults: Comorbidities and adaptive impairments. Comprehensive Psychiatry, 37, 393-401.
36.
Nada Raja, S. , Langley, J. D., McGee, R., Williams, S. M., Begg, D. J., & Reeder, A. I. (1997). Inattentive and hyperactive behaviors and driving offenses in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 515-522.
37.
National Center for Statistics and Analysis . (1997). 1997 traffic fatality facts (DOT Publication No. HS 808-776). Washington, DC: Government Printing Office.
38.
Ramirez, C. A. , Rosén, L. A., Deffenbacher, J. L., Hurst, H., Nicoletta, C., Rosencranz, T., et al. (1997). Anger and anger expression in adults with high ADHD symptoms. Journal of Attention Disorders, 2, 115-128.
39.
Richards, T. L. , Deffenbacher, J. L., Cato, J. E., & Befort, C. A. (2002, August). Low and high anger drivers with and without admitted problems. Paper presented at the 110th Annual Convention of the American Psychological Association, Chicago.
40.
Richards, T. L. , Deffenbacher, J. L., & Rosén, L. A. (2002). Driving anger and other driving-related behaviors in high and low ADHD symptom college students. Journal of Attention Disorders, 6, 25-38.
41.
Schwartz, E. , & Deffenbacher, J. L. (2002, April). Age and gender differences in driving and general anger and their expression. Paper presented at the 72nd Annual Convention of the Rocky Mountain Psychological Association, Park City, UT.
42.
Shekim, W. D. , Asarnow, R. F., Hess, E., Zaucha, K., & Wheeler, N. (1990). A clinical and demographic profile of a sample of adults with attention deficit hyperactivity disorder, residual state. Comprehensive Psychiatry, 31, 416-425.
43.
Spielberger, C. D. (1999). State-Trait Anger Expression Inventory (2nd ed.). Odessa, FL: Psychological Assessment Resources.
44.
Weiss, G. , & Hechtman, L. T. (1993). Hyperactive children grown up: ADHD in children, adolescents, and adults (2nd ed.). New York: Guilford.
45.
Wender, P. (1997). Attention deficit hyperactivity disorder in adults: A wide view of a widespread condition. Psychiatric Annals, 27, 556-562.
46.
Wilens, T. E. , Biederman, J., & Mick, E. (1998). Does ADHD affect the course of substance abuse? Findings from a sample of adults with and without ADHD. American Journal of Addiction, 7, 156-163.
