Psychiatric disorders among individuals who drive after the recent use of alcohol and drugs

Faller, Sibele; Webster, Matthew; Leukefeld, Carl G.; Bumaguin, Daniela Benzano; Duarte, Paulina do Carmo Arruda Vieira; Boni, Raquel Brandini De; Pechansky, Flávio

doi:10.1016/j.rbp.2012.02.004

Cited by 11 publications

(7 citation statements)

References 29 publications

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“…Literature suggests that the DUI population comprises heterogeneous clusters of individuals, especially when it comes to psychiatric comorbidity (Freeman et al, 2011;Karjalainen et al, 2013;LaPlante et al, 2008). In general, individuals with history of DUI present higher prevalence of psychiatric disorders including depression, anxiety, and post-traumatic stress (Faller et al, 2012;Lapham et al, 2006;Pogue et al, 2017). The association of BD and DUI presented here has been already reported in the literature under the hypothesis that during manic and hypomanic states individuals with BD tend to present impulsive and risk-taking behaviors (Albanese et al, 2010;Freeman et al, 2011).…”

Section: Discussionsupporting

confidence: 70%

Predictive factors associated with driving under the influence among Brazilian drug-using drivers

Scherer

Silvello

Volpato

et al. 2019

Accident Analysis & Prevention

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The incidence of driving under the influence of psychoactive substances (DUI) and its recidivism can be curtailed by the proper identification of specific and predictive characteristics among drug users. In this sense, interpersonal violence (IV), psychiatric comorbidity and impulsivity seem to play an important role in DUI engagement according to previous studies. There are, however, limited data originated from low and middle income countries. In the present study, drug-using Brazilian drivers reporting DUI (n = 75) presented a higher prevalence of bipolar disorders (BD; DUI: 8% vs. non-DUI: 0%, p < 0.001), lower prevalence of obsessivecompulsive disorder (OCD; DUI: 0% vs. non-DUI: 12.6%, p < 0.001), and higher prevalence of childhood trauma (DUI: 65.3% vs. non-DUI: 46.8%, p = 0.022) than those not reporting DUI (n = 79). The evaluation of impulsivity though the Barratt Impulsivity Scale, which give impulsivity scores ranging from 30 to 120, showed higher impulsivity scores in the DUI group (80.4 ± 8) than in the non-DUI group (77.2 ± 10, p = 0.045). In general, subjects were young adults (mean age of 36 ± 9 years), Caucasians (58.4%), not married (61.0%), and with elementary schooling (40.3%) with no significant differences in demographic characteristics between drivers with and without DUI behavior. A multiple Poisson regression model showed that individuals reporting IV as perpetrators and history of childhood trauma were more likely to report DUI (PR: 1.66, 95%CI 1.22-2.7; PR: 1.57, 95%CI 1.02-2.42, respectively). The overlapping of violent situations (childhood trauma, IV and DUI) in some individuals presented here corroborates literature data suggesting that DUI can be an externalizing expression of a range of risky behavior, such as impulsiveness and aggressiveness. Moreover, while BD and higher impulsivity scores seem to act as risk factors for DUI, OCD was shown as a protective factor. These results corroborate the hypothesis that individuals with high risk for DUI could probably be identified by multidimensional assessment of cognitive, risky taking, and personality traits, which perhaps could facilitate the development of focused interventions.

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Section: Discussionsupporting

confidence: 70%

Predictive factors associated with driving under the influence among Brazilian drug-using drivers

Scherer

Silvello

Volpato

et al. 2019

Accident Analysis & Prevention

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“…This study is one of the few national studies to consider the depression as a predictor of DUIA in Brazilian drivers. A road survey conducted in Brazil found a high prevalence (19.4%) of depression among drivers with positive BAC [56]. A cross-sectional telephone study of 3979 adults in Ontario (Canada) showed that the probability of DUIA within the previous 12 months increased significantly with an increase in the depressed mood [57].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Factors Associated with Driving Under the Influence of Alcohol in Brazil: An Analysis by Macroregion

Guimarães

Neto

2020

IJERPH

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Objective: To analyze the prevalence and factors associated with driving under the influence of alcohol (DUIA) in Brazil, according to macroregion. Methods: A cross-sectional study was conducted using data from individuals aged 18 years or older who participated in the 2013 National Health Survey in Brazil. Subjects were selected by probabilistic sampling and interviewed through home visits. Prevalence of DUIA was estimated according to the number of drivers and/or motorcyclists who reported consuming alcohol in the previous 30 days (n = 9537). Poisson regression was used to analyze the factors associated with DUIA to Brazil and in each macroregion of the country. Results: The prevalence of DUIA was 27.5%, 29.4%, 29.6%, 22.9%, and 20.8% in the North, Northeast, Central-West, South, and Southeast macroregions, respectively. The overall prevalence of Brazil was 24.3%. In most macroregions, the main predictors of DUIA were male sex, high educational level, living in outside the capital or metropolitan regions (other regions), and binge drinking in the previous 30 days. Depression was a predictor in Brazil and two macroregions. Conclusion: A high prevalence of DUIA was observed in Brazil, especially in the Central-West, Northeast and, North macro-regions. Factors associated with DUIA can be incorporated to develop effective interventions to reduce this behavior in Brazil.

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“…This may suggest that individuals with different drug consuming patterns may present not only different individual characteristics but tend to cluster in different settings, as discussed in Maxwell's study (2012), carried out in Texas, US. Additional, unmeasured, variables, such as psychiatric comorbidity or other medical conditions (such as type 1 diabetes) are likely to be associated with both substance misuse and accidents, and should be further explored (Faller et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Drug use among drivers who drank on alcohol outlets from Porto Alegre, Brazil

Boni

Bastos

Vasconcellos

et al. 2014

Accident Analysis & Prevention

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Psychiatric disorders among individuals who drive after the recent use of alcohol and drugs

Abstract: The results of this study can aid in the design of interventions, treatment programs and focused psychiatric evaluations, both in Brazil and abroad.

Cited by 11 publications

References 29 publications

Predictive factors associated with driving under the influence among Brazilian drug-using drivers

Predictive factors associated with driving under the influence among Brazilian drug-using drivers

Prevalence and Factors Associated with Driving Under the Influence of Alcohol in Brazil: An Analysis by Macroregion

Drug use among drivers who drank on alcohol outlets from Porto Alegre, Brazil

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