Cognitive and Personality Determinants of Post-injury Driving Fitness
Increasingly often, practitioners in neuropsychological rehabilitation centers are called upon to assess patients' fitness to drive after brain injury. There is, therefore, a need for valid and reliable psychometric test batteries that enable unsafe drivers to be identified. This article invest...
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| Veröffentlicht in: | Archives of clinical neuropsychology 2010-03, Vol.25 (2), p.99-117 |
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| creator | Sommer, M. Heidinger, Ch Arendasy, M. Schauer, S. Schmitz-Gielsdorf, J. Häusler, J. |
| description | Increasingly often, practitioners in neuropsychological rehabilitation centers are called upon to assess patients' fitness to drive after brain injury. There is, therefore, a need for valid and reliable psychometric test batteries that enable unsafe drivers to be identified. This article investigates the contribution of five driving-related personality traits to the prediction of fitness to drive in patients suffering from traumatic brain injuries (TBI) or strokes over and above cognitive ability traits that have already shown to be related to safe driving. A total of 178 patients suffering from either strokes or TBI participated in this study. All the participants completed a standardized psychometric test battery and subsequently took a standardized driving test. The contribution of the driving-related ability and personality traits to the prediction of fitness to drive was investigated by means of a logistic regression analysis and an artificial neural network. The results indicate that both cognitive ability and personality factors are important in predicting fitness to drive, although cognitive ability factors contribute slightly more to the prediction of patients' actual fitness to drive than personality factors. Furthermore, even though there are subtle differences in the predictive models obtained for the two subsamples (stroke and TBI patients), these differences are adequately accounted for by a more unitary model calculated by means of an artificial neural network that is capable of taking account of moderating effects between the predictor variables. |
| doi_str_mv | 10.1093/arclin/acp109 |
| format | Article |
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There is, therefore, a need for valid and reliable psychometric test batteries that enable unsafe drivers to be identified. This article investigates the contribution of five driving-related personality traits to the prediction of fitness to drive in patients suffering from traumatic brain injuries (TBI) or strokes over and above cognitive ability traits that have already shown to be related to safe driving. A total of 178 patients suffering from either strokes or TBI participated in this study. All the participants completed a standardized psychometric test battery and subsequently took a standardized driving test. The contribution of the driving-related ability and personality traits to the prediction of fitness to drive was investigated by means of a logistic regression analysis and an artificial neural network. The results indicate that both cognitive ability and personality factors are important in predicting fitness to drive, although cognitive ability factors contribute slightly more to the prediction of patients' actual fitness to drive than personality factors. Furthermore, even though there are subtle differences in the predictive models obtained for the two subsamples (stroke and TBI patients), these differences are adequately accounted for by a more unitary model calculated by means of an artificial neural network that is capable of taking account of moderating effects between the predictor variables.</description><identifier>ISSN: 0887-6177</identifier><identifier>EISSN: 1873-5843</identifier><identifier>DOI: 10.1093/arclin/acp109</identifier><identifier>PMID: 20080833</identifier><identifier>CODEN: ACNEET</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Accidents, Traffic ; Adult ; Adult and adolescent clinical studies ; Aged ; Artificial neural network ; Automobile Driver Examination ; Automobile Driving ; Biological and medical sciences ; Brain Injuries - rehabilitation ; Cognition ; Disability Evaluation ; Female ; Fitness to drive ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Neurology ; Neuropsychological Tests ; Organic mental disorders. Neuropsychology ; Personality ; Physical Fitness ; Predictive Value of Tests ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychomotor Performance ; Psychopathology. Psychiatry ; Recovery of Function ; Rehabilitation Centers ; Reproducibility of Results ; Standardized driving test ; Stroke ; Stroke Rehabilitation ; Task Performance and Analysis ; Traumas. Diseases due to physical agents ; Traumatic brain injury ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Archives of clinical neuropsychology, 2010-03, Vol.25 (2), p.99-117</ispartof><rights>The Author 2010. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org 2010</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-58fba6b7f2c87c67791ab0df434d7788ed507735f5aaf39073128428149858823</citedby><cites>FETCH-LOGICAL-c464t-58fba6b7f2c87c67791ab0df434d7788ed507735f5aaf39073128428149858823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22524865$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20080833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sommer, M.</creatorcontrib><creatorcontrib>Heidinger, Ch</creatorcontrib><creatorcontrib>Arendasy, M.</creatorcontrib><creatorcontrib>Schauer, S.</creatorcontrib><creatorcontrib>Schmitz-Gielsdorf, J.</creatorcontrib><creatorcontrib>Häusler, J.</creatorcontrib><title>Cognitive and Personality Determinants of Post-injury Driving Fitness</title><title>Archives of clinical neuropsychology</title><addtitle>Arch Clin Neuropsychol</addtitle><description>Increasingly often, practitioners in neuropsychological rehabilitation centers are called upon to assess patients' fitness to drive after brain injury. There is, therefore, a need for valid and reliable psychometric test batteries that enable unsafe drivers to be identified. This article investigates the contribution of five driving-related personality traits to the prediction of fitness to drive in patients suffering from traumatic brain injuries (TBI) or strokes over and above cognitive ability traits that have already shown to be related to safe driving. A total of 178 patients suffering from either strokes or TBI participated in this study. All the participants completed a standardized psychometric test battery and subsequently took a standardized driving test. The contribution of the driving-related ability and personality traits to the prediction of fitness to drive was investigated by means of a logistic regression analysis and an artificial neural network. The results indicate that both cognitive ability and personality factors are important in predicting fitness to drive, although cognitive ability factors contribute slightly more to the prediction of patients' actual fitness to drive than personality factors. Furthermore, even though there are subtle differences in the predictive models obtained for the two subsamples (stroke and TBI patients), these differences are adequately accounted for by a more unitary model calculated by means of an artificial neural network that is capable of taking account of moderating effects between the predictor variables.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Artificial neural network</subject><subject>Automobile Driver Examination</subject><subject>Automobile Driving</subject><subject>Biological and medical sciences</subject><subject>Brain Injuries - rehabilitation</subject><subject>Cognition</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Fitness to drive</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Organic mental disorders. Neuropsychology</subject><subject>Personality</subject><subject>Physical Fitness</subject><subject>Predictive Value of Tests</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychomotor Performance</subject><subject>Psychopathology. Psychiatry</subject><subject>Recovery of Function</subject><subject>Rehabilitation Centers</subject><subject>Reproducibility of Results</subject><subject>Standardized driving test</subject><subject>Stroke</subject><subject>Stroke Rehabilitation</subject><subject>Task Performance and Analysis</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Traumatic brain injury</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0887-6177</issn><issn>1873-5843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0MtLBCEcB3CJorbHsWvMJeoyrc_ROcbWtkFUUEF0EdfRsGadTZ2o_z5jtjp2UcQPv8cXgH0ETxCsyVgF3To_VnqZn2tghAQnJROUrIMRFIKXFeJ8C2zH-AIhZAjhTbCFIRRQEDIC55Pu2bvk3k2hfFPcmhA7r1qXPoszk0xYOK98ikVni9suptL5lz7kv-DenX8upi55E-Mu2LCqjWZvde-Ah-n5_WRWXt1cXE5Or0pNK5ryWHauqjm3WAuuK85rpOawsZTQhnMhTMMg54RZppQlNeQEYUGxQLQWTAhMdsDRUHcZurfexCQXLmrTtsqbro8yK4ohh_9LTkhNq3xmWQ5Shy7GYKxcBrdQ4VMiKL8jlkPEcog4-4NV5X6-MM2v_sk0g8MVUFGr1gbltYt_DjNMRcWyOx5c1y__7bma0cVkPn6xCq8y78CZnD0-ScZm13dPrJI1-QLOQaF6</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Sommer, M.</creator><creator>Heidinger, Ch</creator><creator>Arendasy, M.</creator><creator>Schauer, S.</creator><creator>Schmitz-Gielsdorf, J.</creator><creator>Häusler, J.</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20100301</creationdate><title>Cognitive and Personality Determinants of Post-injury Driving Fitness</title><author>Sommer, M. ; Heidinger, Ch ; Arendasy, M. ; Schauer, S. ; Schmitz-Gielsdorf, J. ; Häusler, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-58fba6b7f2c87c67791ab0df434d7788ed507735f5aaf39073128428149858823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Accidents, Traffic</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Artificial neural network</topic><topic>Automobile Driver Examination</topic><topic>Automobile Driving</topic><topic>Biological and medical sciences</topic><topic>Brain Injuries - rehabilitation</topic><topic>Cognition</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Fitness to drive</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Organic mental disorders. Neuropsychology</topic><topic>Personality</topic><topic>Physical Fitness</topic><topic>Predictive Value of Tests</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychomotor Performance</topic><topic>Psychopathology. Psychiatry</topic><topic>Recovery of Function</topic><topic>Rehabilitation Centers</topic><topic>Reproducibility of Results</topic><topic>Standardized driving test</topic><topic>Stroke</topic><topic>Stroke Rehabilitation</topic><topic>Task Performance and Analysis</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Traumatic brain injury</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sommer, M.</creatorcontrib><creatorcontrib>Heidinger, Ch</creatorcontrib><creatorcontrib>Arendasy, M.</creatorcontrib><creatorcontrib>Schauer, S.</creatorcontrib><creatorcontrib>Schmitz-Gielsdorf, J.</creatorcontrib><creatorcontrib>Häusler, J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Archives of clinical neuropsychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sommer, M.</au><au>Heidinger, Ch</au><au>Arendasy, M.</au><au>Schauer, S.</au><au>Schmitz-Gielsdorf, J.</au><au>Häusler, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive and Personality Determinants of Post-injury Driving Fitness</atitle><jtitle>Archives of clinical neuropsychology</jtitle><addtitle>Arch Clin Neuropsychol</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>25</volume><issue>2</issue><spage>99</spage><epage>117</epage><pages>99-117</pages><issn>0887-6177</issn><eissn>1873-5843</eissn><coden>ACNEET</coden><abstract>Increasingly often, practitioners in neuropsychological rehabilitation centers are called upon to assess patients' fitness to drive after brain injury. There is, therefore, a need for valid and reliable psychometric test batteries that enable unsafe drivers to be identified. This article investigates the contribution of five driving-related personality traits to the prediction of fitness to drive in patients suffering from traumatic brain injuries (TBI) or strokes over and above cognitive ability traits that have already shown to be related to safe driving. A total of 178 patients suffering from either strokes or TBI participated in this study. All the participants completed a standardized psychometric test battery and subsequently took a standardized driving test. The contribution of the driving-related ability and personality traits to the prediction of fitness to drive was investigated by means of a logistic regression analysis and an artificial neural network. The results indicate that both cognitive ability and personality factors are important in predicting fitness to drive, although cognitive ability factors contribute slightly more to the prediction of patients' actual fitness to drive than personality factors. Furthermore, even though there are subtle differences in the predictive models obtained for the two subsamples (stroke and TBI patients), these differences are adequately accounted for by a more unitary model calculated by means of an artificial neural network that is capable of taking account of moderating effects between the predictor variables.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>20080833</pmid><doi>10.1093/arclin/acp109</doi><tpages>19</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Accidents, Traffic Adult Adult and adolescent clinical studies Aged Artificial neural network Automobile Driver Examination Automobile Driving Biological and medical sciences Brain Injuries - rehabilitation Cognition Disability Evaluation Female Fitness to drive Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Middle Aged Neurology Neuropsychological Tests Organic mental disorders. Neuropsychology Personality Physical Fitness Predictive Value of Tests Psychology. Psychoanalysis. Psychiatry Psychometrics Psychomotor Performance Psychopathology. Psychiatry Recovery of Function Rehabilitation Centers Reproducibility of Results Standardized driving test Stroke Stroke Rehabilitation Task Performance and Analysis Traumas. Diseases due to physical agents Traumatic brain injury Vascular diseases and vascular malformations of the nervous system |
| title | Cognitive and Personality Determinants of Post-injury Driving Fitness |
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