James D Lynch, Leanne Tamm, Annie A Garner, Amina A Avion, Donald L Fisher, Adam W Kiefer, James Peugh, John O Simon, Jeffery N Epstein
OBJECTIVE: The present study examined the association between executive functioning (EF) and risky driving behaviors in teens with ADHD.
METHOD: Teens diagnosed with ADHD ( = 179; = 17.4 years) completed two 15-min drives in a fixed-base driving simulator. EF was assessed using parent- and self-report Behavior Rating Inventory of Executive Functioning (BRIEF-2), a temporal reproduction task, and a Go/No-Go task (GNG). Driving outcomes included known predictors of crashes: count of long (>2 s) off-road glances, standard deviation (SD) of lane position (SDLP), mean speed, and SD speed. Generalized linear mixed models, controlling for intelligence and driving experience, were conducted.
RESULTS: Higher rates of GNG commission errors predicted higher rates of long off-road glances. Lower parent-rated EF and increased rates of GNG omission errors predicted SDLP. Higher rates of GNG commission errors also predicted faster average driving speed.
CONCLUSION: Heterogeneity in EF is associated with differences in teen ADHD risky driving behaviors.
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