title: Attention-deficit/hyperactivity disorder (ADHD) and driving risk: a review of the literature and a methodological critique.
abstract: This article examines the literature on attention-deficit/hyperactivity disorder (ADHD) and unintentional driving injury. This literature has emerged over the last decade as part of the burgeoning epidemic of road traffic death and injury, which is the number-one cause of death among young adults in North America. The available literature on observational outcome studies and experimental pharmacologic interventions is critically reviewed. A meta-analysis of behavioral outcomes and a review of effect size of pharmacologic studies are presented. Current data support the utility of stimulant medication in improving driving performance in younger ADHD drivers. A conceptual model of risk factors in young ADHD drivers is offered. The current state of screening instruments for identifying high-risk subjects within this clinical group is summarized along with a final section on emerging trends and future prospects for intervention.
authors.affiliation: University of Western Ontario, 90 Wharncliffe Road South, London, Ontario N6J 2K1 Canada. ljerome@rogers.com
authors.forename: Laurence
authors.initials: L
authors.lastname: Jerome
authors.forename: Liat
authors.initials: L
authors.lastname: Habinski
authors.forename: Alvin
authors.initials: A
authors.lastname: Segal
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000367:Age Factors; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology*; D001334:Automobile Driving / Q000706:statistics & numerical data*; D006801:Humans; D012307:Risk Factors