Self-rated driving habits among older adults with clinically-defined mild cognitive impairment, clinically-defined dementia, and normal cognition

O’Connor, Melissa; Edwards, Jerri D.; Bannon, Yvonne

doi:10.1016/j.aap.2013.05.010

Cited by 35 publications

(24 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Anosognosia potentially causes an overestimation of one's driving capabilities and, thus, sometimes interferes with deciding about driving cessation during the course of cognitive decline [26]. Drivers with MCI and dementia avoid complex driving situations, but there is no significant difference in driving cessation rates compared with cognitively healthy drivers [39]. Only late dementia symptoms like agitation, hallucinations, and apathy were shown to be valid predictors of driving cessation.…”

Section: Driving In the Cognitively Impairedmentioning

confidence: 99%

Driving Problems in the Elderly and Cognitively Impaired

2017

View full text Add to dashboard Cite

Driving ability in the elderly and cognitively impaired is of growing demographic relevance. Driving represents a complex task for which multiple central resources are needed. In mild cognitive impairment and dementia, we need to closely monitor driving ability, as it gets irrecoverably lost in the course of the disease. In normal aging, people are often able to self-regulate driving behavior with respect to their medical conditions. Some studies demonstrated that older drivers perform well compared with younger drivers. Others suggest a decline of driving ability in the process of normal aging and an increasing involvement of older drivers in car crashes. However, these findings have been questioned because of several possible biases. Therefore, unnecessary driving restrictions need to be avoided. The reliable evaluation of driving ability requires a specialist assessment with detailed neurocognitive evaluation, investigation of medical history and medical history by proxy, as well as on-the-the-road tests. Highlighting current knowledge in this field, we would like to increase our readers' awareness for the complexity of driving-associated challenges in an aging population.

show abstract

Section: Driving In the Cognitively Impairedmentioning

confidence: 99%

Driving Problems in the Elderly and Cognitively Impaired

2017

View full text Add to dashboard Cite

show abstract

“…When drivers can recognize their declining abilities and avoid driving situations they find difficult, it may allow them to keep driving safely for longer, as well as reduce crash involvement. [11][12][13] Examples of situations where drivers may self-regulate include reducing the number of kilometers traveled, driving only in familiar areas, and eliminating driving in more difficult situations, such as at night. 14 However, there is concern that a lack of insight associated with MCI may reduce a driver's capacity to self-regulate their driving accordingly.…”

Section: Introductionmentioning

confidence: 99%

<p>Driver Self-Regulation Practices in Older Drivers with and Without Mild Cognitive Impairment</p>

Feng¹,

Meuleners²,

Stevenson

et al. 2020

CIA

View full text Add to dashboard Cite

Objective: To assess the impact of cognitive, socio-demographic and driving-related characteristics on self-regulation practices in older drivers with mild cognitive impairment (MCI) (determined by the Telephone Cognitive Screen (T-CogS) score), compared with drivers with no cognitive impairment. Design, Setting, Participants: A cross-sectional study collected information from 362 drivers with MCI and 611 drivers with no cognitive impairment, who were aged 65+ years, and were living in Western Australia between November 2018 and February 2019. Measurements: Self-reported self-regulation driving practices. Results: The majority of drivers with MCI (62.4%) and those with no cognitive impairment (57.1%) reported self-regulating their driving in at least one situation, in the past three months. The most common situations that both groups of drivers self-regulated in were "driving at night in the rain", "parallel parking", and "driving when raining". Drivers with MCI were only significantly more likely to self-regulate when "making turns across oncoming traffic" and "driving at night". They also had 39% greater odds of self-regulating in at least one driving situation, compared with drivers with no cognitive impairment (OR: 1.39, 95% CI=1.04-1.85, p=0.02). Females also had 2.3 times greater odds of self-regulating (OR=2.34, 95% CI=1.76-3.12, p<0.001). Drivers aged 75+ years had 1.6 times greater odds of self-regulating, compared with drivers aged 65-69 years (OR=1.58, 95% CI=1.12-2.23, p=0.01). Conclusion: Older drivers with MCI were more likely to self-regulate their driving, compared to drivers with no cognitive impairment, particularly in complex driving situations. This suggests that some drivers with MCI may be able to recognize their cognitive limitations and adjust their driving accordingly. However, several drivers with MCI, particularly males, did not self-regulate their driving. This highlights the importance of advising patients about the impact of MCI on driving ability, suitable self-regulation strategies, as well as monitoring their driving ability.

show abstract

“…An obvious observation is a diminished ability for dual tasking (Allen et al, 2002; Verhaeghen and Cerella, 2002; Verhaeghen et al, 2003; Ivanoff et al, 2009; Hartley et al, 2011) during two or more simultaneously upcoming tasks. Since dual-tasking is required in everyday life, for example in driving a car (Ross et al, 2012), impairments ought to be researched thoroughly in late-middle aged adults due to the impact they have. Up to now deficits in dual-tasking in late-middle aged adults have mostly been verified on a behavioral level (Glass et al, 2000; Verhaeghen and Cerella, 2002; Maquestiaux et al, 2004; Allen et al, 2009) and revealed mixed results.…”

Section: Introductionmentioning

confidence: 99%

The neural architecture of age-related dual-task interferences

Chmielewski

Yıldız

Beste

2014

Front. Aging Neurosci.

View full text Add to dashboard Cite

In daily life elderly adults exhibit deficits when dual-tasking is involved. So far these deficits have been verified on a behavioral level in dual-tasking. Yet, the neuronal architecture of these deficits in aging still remains to be explored especially when late-middle aged individuals around 60 years of age are concerned. Neuroimaging studies in young participants concerning dual-tasking were, among others, related to activity in middle frontal (MFG) and superior frontal gyrus (SFG) and the anterior insula (AI). According to the frontal lobe hypothesis of aging, alterations in these frontal regions (i.e., SFG and MFG) might be responsible for cognitive deficits. We measured brain activity using fMRI, while examining age-dependent variations in dual-tasking by utilizing the PRP (psychological refractory period) test. Behavioral data showed an increasing PRP effect in late-middle aged adults. The results suggest the age-related deteriorated performance in dual-tasking, especially in conditions of risen complexity. These effects are related to changes in networks involving the AI, the SFG and the MFG. The results suggest that different cognitive subprocesses are affected that mediate the observed dual-tasking problems in late-middle aged individuals.

show abstract

Self-rated driving habits among older adults with clinically-defined mild cognitive impairment, clinically-defined dementia, and normal cognition

Cited by 35 publications

References 51 publications

Driving Problems in the Elderly and Cognitively Impaired

Driving Problems in the Elderly and Cognitively Impaired

<p>Driver Self-Regulation Practices in Older Drivers with and Without Mild Cognitive Impairment</p>

The neural architecture of age-related dual-task interferences

Contact Info

Product

Resources

About