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ADHD AND DRIVING What should we be telling adolescents?

This study explores the impact of ADHD on driving behaviors in adolescents based on literature review and driving outcomes. Discusses distracted driving, anger issues, medication influence, and manual transmissions. Provides advice for safe driving practices.

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ADHD AND DRIVING What should we be telling adolescents?

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  1. ADHD AND DRIVINGWhat should we be telling adolescents? Dr N N Onugha Dr F Finlay Royal United Hospital, Bath RCPCH Conference May 2012

  2. immature judgement inattention impaired Executive Function skills thrill-seeking tendencies need for peer acceptance impulsivity

  3. ADHD ‘a persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequently displayed and is more severe than is typically observed in individuals at a comparable level of development’ DSM IV

  4. Search term “ADHD AND DRIVING” METHODS PUBMED EMBASE 90 papers Limit “All Child: 0-18 years” 42 papers Search term “Adolescents” 40 papers 12 irrelevant 28 papers

  5. What does the literature tell us?

  6. DRIVING OUTCOMES AND PERFORMANCE • Behviour rating scales • Driving simulators • more driving violations • driving without a licence • Meta analysis • motor vehicle collisions

  7. DISTRACTIONS WHEN DRIVING • 80% MVAs involve distractions • Teenage passengers • Reimer et al, 2000

  8. DRIVING ANGER • Richards et al, 2002

  9. Does anything make a difference?

  10. MEDICATION • Stimulant medication • Methylphenidate • Sustained release methylphenidate • Cox et al, 2004 • Other studies • Dexamphetamine • Cox et al, 2006 • Atomoxetine • Kay et al, 2009

  11. MANUAL TRANSMISSIONS • Cox et al, 2006

  12. WHAT SHOULD WE BE TELLING ADOLESCENTS? In summary….

  13. WHAT SHOULD WE BE TELLING ADOLESCENTS? Advice……..

  14. Drive carefully on your way home….!!

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