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首页> 外文期刊>Journal of neural transmission >Driving-related risks and impact of methylphenidate treatment on driving in adults with attention-deficit/hyperactivity disorder (ADHD).
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Driving-related risks and impact of methylphenidate treatment on driving in adults with attention-deficit/hyperactivity disorder (ADHD).

机译:驾驶相关的风险和哌醋甲酯治疗对患有注意力缺陷/多动症(ADHD)的成年人的驾驶的影响。

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摘要

This study assesses driving behaviour and history of driving outcomes through a semi-structured interview in 27 clinically referred German adults with ADHD and 27 age-, gender- and education-matched non-ADHD controls. In nineteen of the ADHD-subjects a test battery of driving-related cognitive measures was performed (ART 2020) and re-assessed after at least six weeks of treatment with methylphenidate (n = 9) or after a six-week medication free period (n = 10).ADHD-subjects drove significantly more kilometres per year, were more often registered by traffic authorities and fined more frequently, were involved in more accidents and described their driving style as more insecure and hectic than controls. A high-risk driving group was delineated with 3-6 accidents per ADHD-subject. All results were controlled for intercorrelations with driving experience. Methylphenidate treatment resulted in improved information processing, e.g., better visu-motor coordination under high-stress conditions, improved visual orientation and sustained visual attention compared to baseline and our untreated control group.
机译:这项研究通过对27位临床上有注意力缺陷多动障碍的德国成年人和27位年龄,性别和教育匹配的非ADHD对照者进行半结构化访谈,评估了驾驶行为和驾驶结果的历史。在19名ADHD受试者中,进行了一系列驾驶相关认知措施的测试(ART 2020),并在使用哌醋甲酯治疗至少六周后(n = 9)或在六周的药物治疗期后对其进行了重新评估(n = 9)。 n = 10).ADHD主体每年行驶的里程数大大增加,交通管理部门更频繁地注册并更频繁地对其进行罚款,涉及更多的事故,并将其驾驶方式描述为比控制者更加不安全和忙碌。每位多动症患者的高风险驾驶组被划分为3到6次事故。所有结果均得到控制,以与驾驶经验相互关联。与基线和未经治疗的对照组相比,哌醋甲酯治疗可改善信息处理,例如在高压力条件下更好的视觉与运动协调性,改善的视觉定向和持续的视觉注意力。

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