Executive Functioning as a Predictor of Adverse Driving Outcomes in Teen Drivers With ADHD.

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
Author Information
  1. James D Lynch: University of Cincinnati, OH, USA. ORCID
  2. Leanne Tamm: Cincinnati Children's Hospital Medical Center, OH, USA. ORCID
  3. Annie A Garner: St. Louis University, MO, USA. ORCID
  4. Amina A Avion: St. Louis University, MO, USA.
  5. Donald L Fisher: University of Massachusetts Amherst, USA.
  6. Adam W Kiefer: University of North Carolina at Chapel Hill, USA.
  7. James Peugh: Cincinnati Children's Hospital Medical Center, OH, USA.
  8. John O Simon: Cincinnati Children's Hospital Medical Center, OH, USA.
  9. Jeffery N Epstein: Cincinnati Children's Hospital Medical Center, OH, USA.

Abstract

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.

Keywords

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Grants

  1. R01 HD084430/NICHD NIH HHS
  2. UL1 TR001425/NCATS NIH HHS

MeSH Term

Humans
Adolescent
Automobile Driving
Attention Deficit Disorder with Hyperactivity
Executive Function
Parents
Risk-Taking

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