title: Disobedience and driving in patients with epilepsy in Greece.
abstract: OBJECTIVE
  Regulations and guidelines regarding driving privileges of patients with epilepsy vary greatly worldwide. The aim of our study was twofold: firstly, to evaluate disobedient drivers in Greece and to elucidate their awareness of the law, emotional responses, and seizure profile and, secondly, to identify determinants of disobedience regarding driving among patients with epilepsy.
  
  
  METHODS
  All consecutive patients with epilepsy who visited the epilepsy outpatient clinic of two tertiary epilepsy centers were invited to participate in the study. One hundred ninety patients met our inclusion criteria.
  
  
  RESULTS
  Fifty-two percent of our study population was aware of the driving restrictions. More than one out of three patients were disobedient (35.8%). Being a male was associated with a 6.07-fold increase in the odds of being disobedient (95% CI: 2.73-13.47, p < 0.001); being employed was associated with a 4.62-fold increase in the odds of being disobedient (95% CI: 2.20-9.68, p < 0.001); and each extra antiepileptic drug (AED) was associated with a decrease in the odds of disobedience by a factor of 0.41 (95% CI: 0.26-0.63, p < 0.001).
  
  
  CONCLUSIONS
  Male gender, employment, and number of AEDs are important determinants of disobedience regarding driving among patients with epilepsy.
authors.affiliation: Department of Neurology, Evangelismos Hospital, Athens, Greece. Electronic address: takiszis@gmail.com.
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Zis
authors.affiliation: 1st Department of Neurosurgery, Epilepsy Surgery Unit, University of Athens, Evangelismos Hospital, Athens, Greece.
authors.forename: Anna
authors.initials: A
authors.lastname: Siatouni
authors.affiliation: Laboratory of Clinical Neurophysiology, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: Vassilios K
authors.initials: VK
authors.lastname: Kimiskidis
authors.affiliation: 1st Department of Neurosurgery, Epilepsy Surgery Unit, University of Athens, Evangelismos Hospital, Athens, Greece.
authors.forename: Anastasia
authors.initials: A
authors.lastname: Verentzioti
authors.affiliation: Department of Neurology, Evangelismos Hospital, Athens, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Kefalonitis
authors.affiliation: 1st Department of Neurology, University of Athens, Eginition Hospital, Athens, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Triantafyllou
authors.affiliation: 1st Department of Neurosurgery, Epilepsy Surgery Unit, University of Athens, Evangelismos Hospital, Athens, Greece.
authors.forename: Stylianos
authors.initials: S
authors.lastname: Gatzonis
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use*; D001334:Automobile Driving / Q000331:legislation & jurisprudence / Q000523:psychology* / Q000706:statistics & numerical data; D003617:Dangerous Behavior; D004651:Employment / Q000523:psychology* / Q000706:statistics & numerical data; D004827:Epilepsy / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006115:Greece / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors
chemical_list: D000927:Anticonvulsants
keywords: Driving; Employment; Epilepsy; Male gender; Risk; Safety; Seizures