Traffic Crashes, Violations, and Suspensions Among Young Drivers With ADHD

Curry, Allison E.; Yerys, Benjamin E.; Metzger, Kristina B.; Carey, Meghan E; Power, Thomas J.

doi:10.1542/peds.2018-2305

Cited by 39 publications

(19 citation statements)

References 36 publications

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“…Thus, ADHD that is not identified or managed may lead to considerable consequences in daily activities. 3,4 Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases in childhood and adolescence. Despite the technological improvement in the treatment of T1DM over recent years, diabetes management remains intensive and very demanding.…”

Section: Introductionmentioning

confidence: 99%

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Dual diagnosis of type 1 diabetes mellitus and attention deficit hyperactivity disorder

et al. 2021

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Background: Data regarding glycemic control in children and adolescents with a dual diagnosis of type 1 diabetes mellitus (T1DM) and attention-deficit/hyperactivity disorder (ADHD) are limited.Objective: To compare various aspects of diabetes control among youth with T1DM, between those with and without ADHD.Methods: In this cross-sectional study of youth with T1DM, 39 had ADHD (mean age 14.1 ± 2.8 years) and 82 did not (control group, mean age 12.6 ± 3.3 years).Health-related quality of life was assessed by a Diabetes Quality of Life (DQOL) questionnaire submitted to their parents. Glycemic data were downloaded from glucometers, pumps, and continuous glucose monitoring systems. HbA1c levels, hospitalizations, and severe hypoglycemic and diabetes ketoacidosis events were retrieved from the medical files.Results: Compared to the control group mean HbA1c level of the ADHD group was higher: 8.3 ± 1.1% versus 7.7 ± 1.0% (p = 0.005) and the percent of time that glucose level was in the target range (70-180 mg/dl) was lower: 48 ± 17% versus 59 ± 14% (p = 0.006). Mean glucose and glucose variability were higher in the ADHD group.Youth with ADHD who were not pharmacologically treated had worse HbA1c and more hospitalizations than those who were treated. DQOL did not differ between the control group, the treated ADHD group, and the untreated ADHD-Group.Conclusions: Dual diagnosis of T1DM and ADHD during childhood leads to worse diabetes control, which is more pronounced in the context of untreated ADHD.Healthcare providers should be aware of the difficulties facing youth with T1DM and ADHD in coping with the current intensive treatment of diabetes.

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Section: Introductionmentioning

confidence: 99%

“…Impaired executive functioning is a major component of the clinical presentation of ADHD. Thus, ADHD that is not identified or managed may lead to considerable consequences in daily activities 3,4 …”

Section: Introductionmentioning

confidence: 99%

Dual diagnosis of type 1 diabetes mellitus and attention deficit hyperactivity disorder

et al. 2021

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“…However, their study group was restricted to adults. Adolescents tend to have more road safety problems, including risky driving behaviours, traffic violations and driving without a license (Dobhal et al ., 2019 ), especially for individuals with ADHD (Curry et al ., 2017 ; Curry et al ., 2019 ). Therefore, it is reasonable to include the adolescent population in the long-term study to explore the association between ADHD and vehicle accidents.…”

Section: Introductionmentioning

confidence: 99%

Association of psychiatric comorbidities with the risk of transport accidents in ADHD and MPH

Liu

Chen

et al. 2021

Epidemiol Psychiatr Sci

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Aims Although the relationship between attention-deficit/hyperactivity disorder (ADHD) and transport accidents has been shown, there is limited information on the relationship between medication and dose–response effects and transport accident risk. This study aims to determine whether young people with ADHD, including adolescents, are more prone to transport accidents than those without, and the extent to which methylphenidate (MPH) prescription in these patients reduces the risk. Methods We identified 114 486 patients diagnosed with ADHD from Taiwan's National Health Insurance Research Database from 1997 to 2013. Using a Cox regression model, we compared the risk of transport accidents between ADHD and non-ADHD groups and estimated the effect of MPH on accidents. Furthermore, we applied a self-control case-series analysis to compare the risk of accidents during the medication periods with the same patients' non-medication periods. Results Male ADHD patients had a higher risk of transport accidents than non-ADHD individuals (adjusted hazard ratio [aHR] = 1.24, [95% confidence interval (CI) 1.10–1.39]), especially for those comorbid with epilepsy, oppositional defiant disorder/conduct disorder (ODD/CD), and intellectual disabilities (ID). Female ADHD patients showed no relationship, except for comorbid with autism spectrum disorder (ASD) or ID. We found a reduced risk of transport accidents in patients with ADHD with MPH medication than those without MPH, with a plausible dose–response relationship (aHR of 0.23 to 0.07). A similar pattern was found in self-controlled case-series analysis. Conclusions Male patients with ADHD, especially those comorbid with epilepsy, ODD/CD, or ID, were at high risk of transport accidents. Female patients, when comorbid with ASD or ID, also exhibited a higher risk of accidents. MPH treatment lowered the accident risk with a dose–response relationship.

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“…15 Studies have shown that drivers with ADHD, in addition to inattention glitches while driving, often exhibit inappropriate anger that may escalate into a road rage, therefore, increasing the risk of unsafe driving and higher rates of car crashes compared to a healthy population. 14,15,33,34 However, surprisingly, patients with ADHD were found to perform better at a hazardous situation than healthy controls in 1 study, a finding proposed to be related to the better engagement of the patient in the task at hand with a heightened task demand, but medicated drivers clearly performed better in terms of speed control and fewer driving errors than those with untreated ADHD. 35 Although the Swedish National Patient Register study 27 concluded that ADHD is the main factor in driving impairment among patients with TS, impulsivity, as illustrated in our patient in case 1, may also play a role.…”

Section: Discussionmentioning

confidence: 71%

Tourette Syndrome and Driving

Makhoul

Jankovic

2021

Movement Disord Clin Pract

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BackgroundBackground: Driving ability may be impaired in patients with various movement disorders, but it has not been studied in patients with Tourette syndrome (TS). Cases Cases: We describe a series of 6 patients from our large cohort of TS patients followed in our movement disorders clinic in whom severe tics have had interfered with their driving abilities. The motor tics involved facial muscles and caused visual impairment because of frequent blinking and transient blepharospasm (dystonic tic), but complex limb and truncal tics also seriously impacted their driving. Conclusions Conclusions: Although majority of patients with TS have no functional impairment, severe motor tics in some patients may adversely affect their driving ability, potentially causing danger to themselves and others. Screening for such troublesome tics should be considered in patients with TS, particularly in teenagers who are being evaluated for driver's licensing. Illustrative Cases Case 1The first case is a 17-year-old right-handed student who initially experienced involuntary movements as a toddler manifested by shrugging her shoulders or patting her stomach with her hands.

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Traffic Crashes, Violations, and Suspensions Among Young Drivers With ADHD

Cited by 39 publications

References 36 publications

Dual diagnosis of type 1 diabetes mellitus and attention deficit hyperactivity disorder

Dual diagnosis of type 1 diabetes mellitus and attention deficit hyperactivity disorder

Association of psychiatric comorbidities with the risk of transport accidents in ADHD and MPH

Tourette Syndrome and Driving

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