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Invited Commentary
June 2017

Distracted Driving With Attention-Deficit/Hyperactivity Disorder

Author Affiliations
  • 1Department of Psychiatry and Neurobehavioral Sciences, University of Virginia Health System, Charlottesville
JAMA Psychiatry. 2017;74(6):603-604. doi:10.1001/jamapsychiatry.2017.0864

While driving is a ubiquitous functionality and an important activity of independent daily living, it also represents a complex neurobehavioral task involving an interplay of cognitive, motor, perceptual, and visuospatial skills.1 As a result, patients with neurodevelopmental disorders often have limitations in such skills. Although there has been a recent interest in understanding driving concerns in individuals with other neurdevelopmental disorders such as autism spectrum disorders, substantial research has reviewed the influence of attention-deficit/hyperactivity disorder (ADHD) on driving safety, especially given how pharmacotherapy may affect inattention, impulsivity, and executive dysfunction.2 In fact, individuals with ADHD have been clearly shown to have significantly more driving lapses, driving violations, and motor vehicle crashes (MVCs) compared with those without ADHD.3 These results have been replicated in different settings with driving self-reports, observational findings, and driving simulators, as well as the MVC data.

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