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- Title
Executive Functioning as a Predictor of Adverse Driving Outcomes in Teen Drivers With ADHD.
- Authors
Lynch, James D.; Tamm, Leanne; Garner, Annie A.; Avion, Amina A.; Fisher, Donald L.; Kiefer, Adam W.; Peugh, James; Simon, John O.; Epstein, Jeffery N.
- 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 (n = 179; M age = 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.
- Subjects
EXECUTIVE function; TRAFFIC safety; ATTENTION-deficit hyperactivity disorder; RISK-taking behavior; TEENAGERS; AUTOMOBILE driving simulators
- Publication
Journal of Attention Disorders, 2023, Vol 27, Issue 14, p1650
- ISSN
1087-0547
- Publication type
Article
- DOI
10.1177/10870547231197210