Breaking News
September 25, 2018 - Hybrid theranostic complex shows high therapeutic efficacy against tumor cells
September 25, 2018 - FDA Issues Statement Reaffirming the Positive Benefit-Risk Profile of Nuplazid (pimavanserin) for Patients with Hallucinations and Delusions Associated with Parkinson’s Disease Psychosis
September 25, 2018 - 5 obstacles parents commonly face in child obesity treatment and how to overcome them
September 25, 2018 - Immunologist to study how Chikungunya causes devastating effects in older adults
September 25, 2018 - Rural borderland communities vulnerable to high stress impacting mental and physical health
September 25, 2018 - SNMMI announces recipients of 2018-2020 Wagner-Torizuka Fellowship
September 25, 2018 - Common painkiller not effective in controlling chronic pain after traumatic nerve injury
September 25, 2018 - New therapeutic vaccine helps immune cells fight HPV-related head and neck cancer
September 25, 2018 - Environmentally-induced gene activity influences IQ test performance
September 25, 2018 - Biogen and Eisai announce results of LTE Phase 1b study of aducanumab for treating MCI
September 25, 2018 - FDA Approves Copiktra (duvelisib) Capsules for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma and Follicular Lymphoma
September 25, 2018 - Medical device company settles US case over false claims
September 25, 2018 - Trying to get answers: One woman’s quest for a diagnosis
September 25, 2018 - Lung cancer patients treated with invasive surgery more likely to become chronic opioid users
September 25, 2018 - Oxford VR raises £3.2m to boost innovation in VR for mental health problems
September 25, 2018 - Gene therapy approach could help treat mitochondrial diseases
September 25, 2018 - Few Yogurt Products Qualify As Low-Sugar
September 25, 2018 - Eye disease can cause blindness, and it’s on the rise
September 25, 2018 - Pawnshop density linked to gun-related suicides, Stanford study finds
September 25, 2018 - Pioneering procedure for common prostate condition offered by The London Clinic
September 25, 2018 - Number of people with respiratory diseases likely to increase if UK air pollution remains unchecked
September 25, 2018 - FARXIGA receives positive results in Phase III DECLARE-TIMI 58 cardiovascular outcomes trial
September 25, 2018 - New program to reduce harmful stress effectively improves mood in cancer patients
September 24, 2018 - Florence’s Lingering Threat: Mold – Drugs.com MedNews
September 24, 2018 - For professional baseball players, faster hand-eye coordination linked to batting performance
September 24, 2018 - Bill for later school start times is defeated, but Stanford sleep specialist isn’t
September 24, 2018 - For Heart Failure Patients, Mitral Valve Procedure Improved Outcomes
September 24, 2018 - Successful recovery from addiction means more than achieving abstinence
September 24, 2018 - New nanoplatform technology may reverse drug-resistance in renal cell carcinoma
September 24, 2018 - October 1918 marks the centenary of Spanish Flu that claimed more lives than World War I
September 24, 2018 - LGBT community reports more number of poor mental health days than general population
September 24, 2018 - New research suggests power of zebrafish as tool for cancer drug discovery
September 24, 2018 - New study finds height as possible risk factor for developing varicose veins
September 24, 2018 - Researchers compare weight loss results of online and in-person diabetes prevention program
September 24, 2018 - New HER2 PET Study Uses Affibody’s ABY-025 Tracer to Individualize Breast Cancer Treatment
September 24, 2018 - Drug combination offers more effective care for patients suffering miscarriage
September 24, 2018 - Tallness linked to varicose veins, Stanford study says
September 24, 2018 - For Heart Failure Patients, Mitral Valve Procedure Improved Outcomes
September 24, 2018 - Ecstasy drug makes octopuses more social
September 24, 2018 - Immediate compression therapy could cut risk of complications after deep-vein thrombosis
September 24, 2018 - Transcatheter mitral valve repair reduces mortality for patients with mitral regurgitation
September 24, 2018 - First intracranial aneurysm patients treated with BRAVO Flow Diverter after CE mark approval
September 24, 2018 - ‘Physicians of the mouth’? Dentists absorb the medical billing drill
September 24, 2018 - People more likely to believe those with confident tone of voice than with accent
September 24, 2018 - Harmony Biosciences Presents 5-Year Data On Pitolisant At International Narcolepsy Symposium
September 24, 2018 - Blood test may identify gestational diabetes risk in first trimester
September 24, 2018 - Height may be risk factor for varicose veins | News Center
September 24, 2018 - King’s commemorates opening of new NMR facility with one-day symposium
September 24, 2018 - Eisai receives approval for partial label change of DC Bead device for transcatheter arterial embolization
September 24, 2018 - Using multi-level approach to reduce underage drinking among youths on rural reservations
September 24, 2018 - High-resolution genomic map gives scientists unprecedented view of brain development
September 24, 2018 - Researchers find impact of neurobehavioral symptoms on employment in adults with TBI
September 24, 2018 - Alexion announces positive results from Phase 3 PREVENT study of Soliris in patients with NMOSD
September 24, 2018 - First evaluation of benefits, harms of Alzheimer’s screening for family members of older adults
September 24, 2018 - Ancora Heart announces positive data of study evaluating AccuCinch Ventricular Repair System
September 24, 2018 - Children of mothers using cannabis may start using it at an earlier age, finds study
September 24, 2018 - Gilead Sciences plans to launch authorized generic versions of Epclusa and Harvoni in the US
September 24, 2018 - Most patients who underwent transcatheter valve replacement experience prosthesis-patient mismatch
September 24, 2018 - Lumos acquires license for LUM-201 drug that promotes secretion of growth hormone
September 24, 2018 - New study provides basis for Air Canada to change its facial hair policy for aircrew
September 24, 2018 - Infant walkers lead to thousands of emergency visits for babies
September 24, 2018 - Genes predicting person’s height may provide clues about causes of varicose veins
September 24, 2018 - EPA Plan Will Maintain Carbon Emissions From Power Plants
September 24, 2018 - Characterizing pig hippocampus could improve translational neuroscience
September 24, 2018 - Element3 Health reports social and mental engagement play key role in overall health
September 24, 2018 - Paralympic medalists support Fight for Sight’s unique virtual event
September 24, 2018 - ADCETRIS drug receives approval in Japan as frontline treatment option for Hodgkin lymphoma
September 24, 2018 - Public awareness of urological conditions found to be alarmingly low across Europe
September 24, 2018 - Fitter Folks Suffer Milder Strokes: Study
September 24, 2018 - Novel botulinum toxin compound relieves chronic pain
September 24, 2018 - CHMP recommends approval of Gilenya for treatment of multiple sclerosis in children, adolescents
September 24, 2018 - National Friendly’s private medical insurance is a hit with women living in the South East
September 24, 2018 - Academics receive prestigious awards for achievements in blood pressure research
September 24, 2018 - Obese pregnant women can restrict weight gain safely with proper nutrition guidance
September 24, 2018 - CHMP adopts positive opinion of Takeda’s ALUNBRIG for treatment of ALK+ non-small cell lung cancer
September 24, 2018 - China NMPA approves LENVIMA for treatment of unresectable hepatocellular carcinoma
September 24, 2018 - A new approach for finding Alzheimer’s treatments
September 24, 2018 - USC research uncovers previously unknown genetic risk factor for dementia
September 24, 2018 - Study examining mental health among students finds significant disparities in treatment across race
September 24, 2018 - Breakthrough discovery paves way for future test to identify drowsy drivers
Researchers link teenage driving behaviors to ADHD, other mental health disorders

Researchers link teenage driving behaviors to ADHD, other mental health disorders

image_pdfDownload PDFimage_print

Teenage drivers ages 16 to 19 are three times more likely to get into fatal accidents than their older counterparts. In this age group, around 20 percent in the United States have been affected by symptoms associated with mental health disorders, including 9 percent with a lifetime history of attention deficit hyperactivity disorder (ADHD).

What’s the relationship between these well-documented conclusions? That’s what University of Pennsylvania nursing researcher Catherine McDonald wanted to find out.

McDonald studies what distracts these newest drivers on the road. Analyzing data from 60 teens who completed a simulated driving assessment and several questionnaires, she and colleagues from Penn Medicine, the Center for Injury Research and Prevention (CIRP) at the Children’s Hospital of Philadelphia (CHOP), and Utah State University linked mistakes behind the wheel to self-reported symptoms of ADHD and other mental-health disorders, findings they published in the journal Nursing Research. Paying attention to this connection can expose problem behaviors that, when corrected, can help make teenaged drivers safer.

“Previous studies have shown increases in crash risk related to an ADHD diagnosis,” says McDonald, who has secondary appointments in Penn Medicine and at CIRP. “We wanted to tease apart the nuances behind that. Is it about risk-taking, skill, or performance deficits? Is it about decision-making? In the capacity of a simulator as well as self-reported behaviors, we wanted to see if our data could get at the why of what is happening around driving behaviors.”

The research team began by recruiting 16- and 17-year-olds in Pennsylvania who had had their driver’s licenses no more than 90 days. At the outset, participants rated how closely numerous statements aligned with how they felt and thought. For example, one question assessing symptoms of ADHD asked if they had trouble keeping their mind on what people say. Another, about conduct disorder, asked if they bullied or threatened others.

Participants also completed a questionnaire about depressive symptoms and another about their driving behaviors on the road, such as tendency to speed, use of cell phones, and number of passengers they carried. In conjunction, parents assessed their child for ADHD symptoms and other mental-health problems.

“We know that about 5 percent of older adolescents meet criteria for ADHD, so we weren’t expecting too many in our sample to meet the threshold for diagnosis,” McDonald says. “For that reason, we looked at symptom measures instead. That gives us an idea of the severity of symptoms, even if they are not high enough to meet the criteria for a full diagnosis.”

Next, all participants completed an assessment in the driving simulator at CIRP. During the experimental drives, teens were exposed to different crash scenarios–a rear-end collision or a hidden hazard, for instance–avoidable if they drive safely. By the end of the simulated assessment, they had been presented with 21 potential crash situations. The researchers analyzed the simulator data on a variety of the participants’ actions, including how they behaved at stimulated stop signs, in which lane they drove, where they looked on the road, and how they applied the brake in potentially dangerous circumstances.

McDonald and colleagues noticed a clear link: The more inattention symptoms a teen reported, the more mistakes that driver made in the simulator. McDonald says knowing this offers a clear opening for health-care providers.

“Inattention was associated with more errors in the simulator, and self-reported symptoms of hyperactivity and conduct disorder were related to more self-reported risky driving behaviors,” she says. “This presents an opportunity to help intervene with patients and their families, to talk about the child’s whole health and mental well-being and how it might relate to driving behaviors.”

The researchers acknowledge several limitations to the work. For one, the study cohort was predominantly white and thus not representative of the young-driver population overall. Second, McDonald and colleagues didn’t seek out participants already diagnosed with disorders such as ADHD but rather assessed for symptoms once an adolescent agreed to participate. Finally, they could not measure all contributors to risky driving and performance errors. Some of these limitations McDonald says she hopes to mitigate in future research.

“We would like to learn more about the relationship of mental-health symptoms to driving behavior in a sample with higher rates and severity of ADHD,” McDonald says, “so we can examine the impact of inattention and hyperactivity-impulsivity symptom severity across the full range of these dimensions.”

That next step could help move the research toward its ultimate goal: tailoring interventions for teens drivers at risk in different ways.

Source:

https://penntoday.upenn.edu/news/linking-teen-driving-behaviors-adhd-other-mental-health-factors

Tagged with:

About author

Related Articles