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Hidalgo-Muñoz AR, Jallais C, Evennou M, Fort A. Driving anxiety and anxiolytics while driving: Their impacts on behaviour and cognition behind the wheel. Heliyon 2023; 9:e16008. [PMID: 37305507 PMCID: PMC10256919 DOI: 10.1016/j.heliyon.2023.e16008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 04/20/2023] [Accepted: 04/28/2023] [Indexed: 06/13/2023] Open
Abstract
Introduction The interaction between road safety and drivers' mental health is an important issue to take into consideration on transportation and safety research. The present review deals specifically with the link between anxiety and driving activity from two complementary points of view. Method A systematic review into primary studies, following the PRISMA statement, was carried out in four databases: Scopus, Web of Science, Transport Research International Documentation and Pubmed. A total of 29 papers were retained. On the one hand, we present a systematic review of research articles exploring the cognitive and behavioural effects of driving anxiety, regardless its onset, when concerned people have to drive. The second goal of the review is to compile the available literature on the influence of legal drugs, which are used to fight against anxiety, on actual driving tasks. Results Eighteen papers have been retained for the first question, whose main findings show that exaggerated cautious driving, negative feelings and avoidance are associated with driving anxiety. Most of the conclusions were drawn from self-reported questionnaires and little is known about the effects in situ. Concerning the second question, benzodiazepines are the most studied legal drugs. They affect different attentional processes and could slow reaction times down depending on the population and treatment features. Conclusions The two standpoints included in the present work allow us to propose some possible lines of research to study certain aspects that have not been explored in depth about people who either feel apprehensive about driving or who drive under the effects of anxiolytics. Practical applications The study on driving anxiety may be crucial to estimate the consequences for traffic safety. Furthermore, it is relevant to design effective campaigns to raise awareness about the issues discussed. To propose standard evaluations of driving anxiety and exhaustive research works to find out the extent of anxiolytics use are also important to be considered for traffic policies.
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Affiliation(s)
- Antonio R. Hidalgo-Muñoz
- Department of Basic Psychology, Psychobiology and Methodology of Behavioural Science, University of Salamanca, Salamanca, Spain
- Instituto de Neurociencias de Castilla y León, University of Salamanca, Salamanca, Spain
| | - Christophe Jallais
- University Gustave Eiffel, University Lyon, TS2-LESCOT, F-69675 Lyon, France
| | - Myriam Evennou
- University Gustave Eiffel, University Lyon, TS2-LESCOT, F-69675 Lyon, France
| | - Alexandra Fort
- University Gustave Eiffel, University Lyon, TS2-LESCOT, F-69675 Lyon, France
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2
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Pk Bernstein J, Milberg WP, McGlinchey RE, Fortier CB. Associations between Post-Traumatic stress disorder symptoms and automobile driving behaviors: A review of the literature. ACCIDENT; ANALYSIS AND PREVENTION 2022; 170:106648. [PMID: 35367898 PMCID: PMC9022601 DOI: 10.1016/j.aap.2022.106648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 02/28/2022] [Accepted: 03/25/2022] [Indexed: 06/03/2023]
Abstract
Human factors are responsible for most motor vehicle accidents that occur on the road. Recent work suggests that symptoms of posttraumatic stress disorder (PTSD) are linked to reduced driving safety, yet none have provided a comprehensive review of this small, emerging literature. The present review identified twenty-two studies reporting associations between PTSD and driving behaviors. Among these, longitudinal designs (k = 3) and studies using objective driving performance measures (e.g., simulators) (k = 2) were rare. Most studies (k = 18) relied on brief screener measures of PTSD status/symptoms or a prior chart diagnosis, while few used a standardized structured interview measure to determine PTSD status (k = 4), and only a small number of studies assessed PTSD symptom clusters (k = 7). PTSD was most frequently associated with increased rates of hostile driving behaviors (e.g., cutting off others), unintentional driving errors (e.g., lapses in attention) and negative thoughts and emotions experienced behind the wheel. Findings regarding risk of motor vehicle accident and driving-related legal issues were variable, however relatively few studies (k = 5) explored these constructs. Future directions are discussed, including the need for work focused on concurrent PTSD symptom/driving-related changes, more comprehensive PTSD and driving assessment, and consideration of the contributions of comorbid traumatic brain injury history and other neurological and psychiatric conditions on driving outcomes.
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Affiliation(s)
- John Pk Bernstein
- Translational Research Center for TBI and Stress Disorders (TRACTS) & Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston MA.
| | - William P Milberg
- Translational Research Center for TBI and Stress Disorders (TRACTS) & Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston MA; Department of Psychiatry, Harvard Medical School, Boston, MA
| | - Regina E McGlinchey
- Translational Research Center for TBI and Stress Disorders (TRACTS) & Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston MA; Department of Psychiatry, Harvard Medical School, Boston, MA
| | - Catherine B Fortier
- Translational Research Center for TBI and Stress Disorders (TRACTS) & Geriatric Research, Educational and Clinical Center (GRECC), VA Boston Healthcare System, Boston MA; Department of Psychiatry, Harvard Medical School, Boston, MA
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3
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Elphinston RA, Vaezipour A, Fowler JA, Russell TG, Sterling M. Psychological therapy using virtual reality for treatment of driving phobia: a systematic review. Disabil Rehabil 2022; 45:1582-1594. [PMID: 35532316 DOI: 10.1080/09638288.2022.2069293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
PURPOSE Driving phobia is prevalent in injured individuals following motor vehicle crashes (MVCs). The evidence for virtual reality (VR) based psychological treatments for driving phobia is unknown. This systematic review synthesized the available evidence on the effectiveness, feasibility, and user experience of psychological treatments for driving phobia using VR. METHODS Three databases (PsycINFO, SCOPUS, and PubMed) were searched. Eligibility criteria included adults with clinical or sub-clinical levels of driving phobia manifesting as part of an anxiety disorder or post-traumatic stress disorder (PTSD). Primary outcomes were driving-related anxiety/fear or avoidance, PTSD symptoms and driving frequency/intensity, as well as treatment feasibility including recruitment, treatment completion and retention rates, user experience and immersion/presence in the VR program. Secondary outcomes were other health outcomes (e.g., depression) and VR technological features. RESULTS The 14 included studies were of low methodological quality. Clinical and methodological heterogeneity prevented quantitative pooling of data. The evidence provided in this review is limited by trials with small sample sizes, and lack of diagnostic clarity, controlled designs, and long-term assessment. The evidence did suggest that VR-based psychological interventions could be feasible and acceptable in this population. CONCLUSIONS For VR-based psychological interventions to be recommended for driving phobia, more high-quality trials are needed. Implications for rehabilitationVirtual reality (VR) based psychological treatments may be feasible and acceptable to patients with driving phobia.There is potential to increase accessibility to psychological therapies in patients with driving phobia following motor vehicle crashes through the use of digital psychiatry such as VR.
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Affiliation(s)
- Rachel A Elphinston
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia.,National Health and Medical Research Council Centre for Research Excellence in Road Traffic Injury Recovery, The University of Queensland, Brisbane, Australia.,School of Psychology, The University of Queensland, Brisbane, Australia
| | - Atiyeh Vaezipour
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia
| | - James A Fowler
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia
| | - Trevor G Russell
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia
| | - Michele Sterling
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia.,National Health and Medical Research Council Centre for Research Excellence in Road Traffic Injury Recovery, The University of Queensland, Brisbane, Australia
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4
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Weigl K, Schartmüller C, Wintersberger P, Steinhauser M, Riener A. The influence of experienced severe road traffic accidents on take-over reactions and non-driving-related tasks in an automated driving simulator study. ACCIDENT; ANALYSIS AND PREVENTION 2021; 162:106408. [PMID: 34619423 DOI: 10.1016/j.aap.2021.106408] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 08/26/2021] [Accepted: 09/20/2021] [Indexed: 06/13/2023]
Abstract
Road traffic accidents (RTAs) are an ever-existing threat to all road users. Automated vehicles (AVs; SAE Level 3-5) are developed in many countries. They are promoted with numerous benefits such as increased safety yielding less RTAs, less congestion, less greenhouse gas emissions, and the possibility of enabling non-driving related tasks (NDRTs). However, there has been no study which has investigated different NDRT conditions, while comparing participants who experienced a severe RTA in the past with those who experienced no RTA. Therefore, we conducted a driving simulator study (N = 53) and compared two NDRT conditions (i.e., auditory-speech (ASD) vs. heads-up display (HUD)) and an accident (26 participants) with a non-accident group (27; between-subjects design). Although our results did not reveal any interaction effect, and no group difference between the accident and the non-accident group on NDRT, take-over request (TOR), and driving performance, we uncovered for both groups better performances for the HUD condition, whereas a lower cognitive workload was reported for the ASD condition. Nevertheless, there was no difference for technology trust between the two conditions. Albeit we observed higher self-ratings of PTSD symptoms for the accident than for the non-accident group, there were no group differences on depression and psychological resilience self-ratings. We conclude that severe RTA experiences do not undermine NDRT, TOR, and driving performance in a SAE Level 3 driving simulator study, although PTSD symptoms after an RTA may affect the psychological wellbeing.
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Affiliation(s)
- Klemens Weigl
- Human-Computer Interaction Group, Technische Hochschule Ingolstadt, Germany; Department of Psychology, Catholic University of Eichstätt-Ingolstadt, Germany.
| | - Clemens Schartmüller
- Human-Computer Interaction Group, Technische Hochschule Ingolstadt, Germany; Johannes Kepler University Linz, Austria
| | - Philipp Wintersberger
- Institute of Visual Computing and Human-Centered Technology, Technische Universität Wien, Austria
| | - Marco Steinhauser
- Department of Psychology, Catholic University of Eichstätt-Ingolstadt, Germany
| | - Andreas Riener
- Human-Computer Interaction Group, Technische Hochschule Ingolstadt, Germany
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5
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Taylor JE, Sullman MJM, Stephens AN. Measuring Anxiety-Related Avoidance With the Driving and Riding Avoidance Scale (DRAS). EUROPEAN JOURNAL OF PSYCHOLOGICAL ASSESSMENT 2020. [DOI: 10.1027/1015-5759/a000502] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Abstract. Driving anxiety is a common experience that, for those with high levels of driving anxiety, can markedly interfere with functioning, particularly because of avoidance behavior. The Driving and Riding Avoidance Scale (DRAS; Stewart & St. Peter, 2004 ) is a promising measure of self-reported avoidance, but its psychometric properties have been questioned as the instructions do not specifically ask respondents to report avoidance that is due to driving anxiety. The present study investigated the psychometric properties of the DRAS using revised instructions in 437 participants from the general population of New Zealand. Internal consistency for the DRAS was 0.94 and ranged from 0.79 to 0.90 for the four subscales. A two-factor solution was supported, in line with previous research using the revised instructions, supporting the distinction between general and traffic avoidance compared with weather and riding avoidance. Further work on the psychometric properties of this measure with clinical samples is needed to clarify the subscale structure.
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Affiliation(s)
- Joanne E. Taylor
- School of Psychology, Massey University, Palmerston North, New Zealand
| | | | - Amanda N. Stephens
- Monash University Accident Research Centre, Monash University, Clayton, VIC, Australia
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Problematic driving in former service members: An evaluation of the Driving Behavior Survey in veterans with posttraumatic stress disorder. J Anxiety Disord 2019; 67:102134. [PMID: 31473554 PMCID: PMC7047667 DOI: 10.1016/j.janxdis.2019.102134] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 05/28/2019] [Accepted: 08/17/2019] [Indexed: 11/23/2022]
Abstract
Despite high levels of traffic-related mortality, injury, and impairment among former service members, measures validated to assess problematic driving in this population remain limited. The current study examined characteristics of the Driving Behavior Survey (DBS) in male veterans (76.3% White; age: M = 56.4, SD = 12.3) meeting criteria for PTSD. Confirmatory factor analyses indicated acceptable fit of a 3-factor model specifying dimensions of anxiety-based performance deficits, exaggerated safety/caution, and hostile/aggressive driving behavior. Concurrent associations with indices of anxiety, depression, trauma history, and clinician-rated PTSD were consistent with small (r = .10-.29) to medium (r = .30-.49) effects. Discriminative validity was noted through elevations in performance deficit (d = .26), safety/caution (d = .50), and hostile/aggressive (d = .39) scales relative to published data from student drivers. Scores comparable to civilian motorists with accident-related PTSD help to qualify the severity of problematic driving behavior in trauma-exposed veterans.
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7
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Azarang A, Pakyurek M, Giroux C, Nordahl TE, Yellowlees P. Information Technologies: An Augmentation to Post-Traumatic Stress Disorder Treatment Among Trauma Survivors. Telemed J E Health 2019; 25:263-271. [DOI: 10.1089/tmj.2018.0068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Affiliation(s)
- Atoosa Azarang
- MIND Institute, University of California-Davis Medical Center, Sacramento, California
| | - Murat Pakyurek
- Department of Psychiatry and Behavioral Sciences, University of California-Davis, School of Medicine, Sacramento, California
| | - Caroline Giroux
- Department of Psychiatry and Behavioral Sciences, University of California-Davis, School of Medicine, Sacramento, California
| | - Thomas E. Nordahl
- Department of Psychiatry and Behavioral Sciences, University of California-Davis, School of Medicine, Sacramento, California
| | - Peter Yellowlees
- Department of Psychiatry and Behavioral Sciences, University of California-Davis, School of Medicine, Sacramento, California
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8
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Barnard M, Chapman P. The moderating effect of trait anxiety on anxiety-related thoughts and actions whilst driving. PERSONALITY AND INDIVIDUAL DIFFERENCES 2018. [DOI: 10.1016/j.paid.2018.07.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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9
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Lee DJ, Bovin MJ, Weathers FW, Palmieri PA, Schnurr PP, Sloan DM, Keane TM, Marx BP. Latent factor structure of DSM-5 posttraumatic stress disorder: Evaluation of method variance and construct validity of novel symptom clusters. Psychol Assess 2018; 31:46-58. [PMID: 30113182 DOI: 10.1037/pas0000642] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
[Correction Notice: An Erratum for this article was reported online in Psychological Assessment on Nov 19 2018 (see record 2018-60122-001). In the article, the affiliations of multiple authors were incorrectly listed in the author byline and author note. For Daniel J. Lee, Michelle J. Bovin, Denise M. Sloan, Terence M. Keane, and Brian P. Marx, the affiliations should have read "National Center for PTSD, Boston, Massachusetts; VA Boston Healthcare System, Boston, Massachusetts; and Department of Psychiatry, Boston University School of Medicine." For author Paula P. Schnurr, the affiliations should have read "National Center for PTSD, White River Junction, Vermont; Department of Psychiatry, Geisel School of Medicine at Dartmouth." All versions of this article have been corrected.] The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) 4-factor model of posttraumatic stress disorder (PTSD) has demonstrated adequate fit in several confirmatory factor analysis (CFA) studies. Although several alternative measurement models have demonstrated better fit, there is no consensus yet on the best model, and newly proposed models lack sufficient construct validation. Notably, these studies have relied exclusively on questionnaire data, and thus their findings may be attributable to a method effect. This study examined the factor structure of DSM-5 PTSD symptoms using both questionnaire and interview data to determine the impact of assessment method on factor structure and construct validity of alternative model symptom clusters. Participants (N = 380) were veterans who completed the PTSD Checklist for DSM-5 (PCL-5; Weathers et al., 2013) and the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5; Weathers et al., 2013). Fit was similar across models. However, the seven-factor Hybrid model (Armour et al., 2015) fit best. Limited evidence of a method effect was observed. Results of construct validity analyses were mixed; some of the newly proposed symptom clusters demonstrated hypothesized differential associations with external correlates, but others did not. These findings suggest that results of previous DSM-5 PTSD CFAs supporting the Hybrid model are not attributable to a method effect. However, observed limited difference in model fit and mixed construct validity evidence raise concerns regarding the value of parsing DSM-5 symptom clusters. Constructs implied by the new factors in the more complex measurement models of PTSD require greater explication and construct validation. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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10
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Zinzow HM, Jeffirs SM. Driving Aggression and Anxiety: Intersections, Assessment, and Interventions. J Clin Psychol 2017. [DOI: 10.1002/jclp.22494] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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11
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Morland LA, Greene CJ, Rosen CS, Kuhn E, Hoffman J, Sloan DM. Telehealth and eHealth interventions for posttraumatic stress disorder. Curr Opin Psychol 2016; 14:102-108. [PMID: 28813306 DOI: 10.1016/j.copsyc.2016.12.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2016] [Revised: 11/28/2016] [Accepted: 12/17/2016] [Indexed: 01/04/2023]
Abstract
This paper presents existing research describing how telehealth and eHealth technologies can be used to improve mental health services for trauma survivors, either by enhancing existing treatment approaches or as a stand-alone means of delivering trauma-relevant information and interventions. The potential ways in which telemedicine technologies aide in overcoming barriers to care is first addressed in terms of providing mental health treatment. We then outline how different telehealth and eHealth tools can be used for key therapeutic tasks, including the provision of self-guided interventions, remote delivery of psychotherapy, and augmentation of psychological treatments. We conclude by discussing key emergent issues that are shaping current and future use of telemedicine technologies as part of the continuum of care for trauma survivors.
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Affiliation(s)
- Leslie A Morland
- National Center for PTSD-Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System, Honolulu, HI, USA; Department of Psychiatry, University of California, San Diego, CA, USA.
| | - Carolyn J Greene
- National Center for PTSD-Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, Palo Alto, CA, USA
| | - Craig S Rosen
- National Center for PTSD-Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, Palo Alto, CA, USA; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA
| | - Eric Kuhn
- National Center for PTSD-Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, Palo Alto, CA, USA; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA
| | - Julia Hoffman
- National Center for PTSD-Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, Palo Alto, CA, USA
| | - Denise M Sloan
- National Center for PTSD-Behavioral Science Division, Department of Veterans Affairs Boston Healthcare System & Boston University School of Medicine, Boston, MA, USA
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Stein DJ, Karam EG, Shahly V, Hill ED, King A, Petukhova M, Atwoli L, Bromet EJ, Florescu S, Haro JM, Hinkov H, Karam A, Medina-Mora ME, Navarro-Mateu F, Piazza M, Shalev A, Torres Y, Zaslavsky AM, Kessler RC. Post-traumatic stress disorder associated with life-threatening motor vehicle collisions in the WHO World Mental Health Surveys. BMC Psychiatry 2016; 16:257. [PMID: 27449995 PMCID: PMC4957291 DOI: 10.1186/s12888-016-0957-8] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 07/04/2016] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND Motor vehicle collisions (MVCs) are a substantial contributor to the global burden of disease and lead to subsequent post-traumatic stress disorder (PTSD). However, the relevant literature originates in only a few countries, and much remains unknown about MVC-related PTSD prevalence and predictors. METHODS Data come from the World Mental Health Survey Initiative, a coordinated series of community epidemiological surveys of mental disorders throughout the world. The subset of 13 surveys (5 in high income countries, 8 in middle or low income countries) with respondents reporting PTSD after life-threatening MVCs are considered here. Six classes of predictors were assessed: socio-demographics, characteristics of the MVC, childhood family adversities, MVCs, other traumatic experiences, and respondent history of prior mental disorders. Logistic regression was used to examine predictors of PTSD. Mental disorders were assessed with the fully-structured Composite International Diagnostic Interview using DSM-IV criteria. RESULTS Prevalence of PTSD associated with MVCs perceived to be life-threatening was 2.5 % overall and did not vary significantly across countries. PTSD was significantly associated with low respondent education, someone dying in the MVC, the respondent or someone else being seriously injured, childhood family adversities, prior MVCs (but not other traumatic experiences), and number of prior anxiety disorders. The final model was significantly predictive of PTSD, with 32 % of all PTSD occurring among the 5 % of respondents classified by the model as having highest PTSD risk. CONCLUSION Although PTSD is a relatively rare outcome of life-threatening MVCs, a substantial minority of PTSD cases occur among the relatively small proportion of people with highest predicted risk. This raises the question whether MVC-related PTSD could be reduced with preventive interventions targeted to high-risk survivors using models based on predictors assessed in the immediate aftermath of the MVCs.
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Affiliation(s)
- Dan J. Stein
- Dept of Psychiatry and Mental Health, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa
| | - Elie G. Karam
- St George Hospital Medical Center, Balamand University, Faculty of Medicine, Institute for Development, Research, Advocacy & Applied Care, Beirut, Lebanon
| | - Victoria Shahly
- Department of Health Care Policy, Harvard Medical School, Boston, USA
| | - Eric D. Hill
- Department of Health Care Policy, Harvard Medical School, Boston, USA
| | - Andrew King
- Department of Health Care Policy, Harvard Medical School, Boston, USA
| | - Maria Petukhova
- Department of Health Care Policy, Harvard Medical School, Boston, USA
| | - Lukoye Atwoli
- Department of Mental Health, Moi University School of Medicine, Eldoret, Kenya
| | - Evelyn J. Bromet
- Department of Psychiatry, Stony Brook University School of Medicine, Stony Brook, USA
| | - Silvia Florescu
- National School of Public Health, Management and Professional Development, Bucharest, Romania
| | - Josep Maria Haro
- Parc Sanitari Sant Joan de Déu, Centros de Investigación Biomédica en Red de Salud Mental, Universitat de Barcelona, Barcelona, Spain
| | - Hristo Hinkov
- National Center for Public Health and Analyses, Sofia, Bulgaria
| | - Aimee Karam
- Institute for Development, Research, Advocacy & Applied Care (IDRAAC), Beirut, Lebanon
| | | | - Fernando Navarro-Mateu
- Subdirección General de Salud Mental, Servicio Murciano de Salud, Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Murcia, Spain
| | | | - Arieh Shalev
- Department of Psychiatry, New York University Langone Medical Center, New York, USA
| | - Yolanda Torres
- Center for Excellence on Research in Mental Health, CES University, Medellin, Colombia
| | - Alan M. Zaslavsky
- Department of Health Care Policy, Harvard Medical School, Boston, USA
| | - Ronald C. Kessler
- Department of Health Care Policy, Harvard Medical School, Boston, USA
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13
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Araújo AHD, Borloti E, Haydu VB. Ansiedade em Provas: um Estudo na Obtenção da Licença para Dirigir. PSICOLOGIA: CIÊNCIA E PROFISSÃO 2016. [DOI: 10.1590/1982-3703000592014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Situações de avaliação geram ansiedade e dentre elas está a prova prática de direção para a obtenção da licença para dirigir, essa ansiedade pode perturbar o desempenho e impedir a obtenção da habilitação. O presente estudo visou analisar: (a) a fundamentação teórica que embasa a intervenção terapêutica em casos de ansiedade em avaliações e provas; e (b) o processo terapêutico de uma cliente que procurou terapia comportamental após tentativas fracassadas na obtenção da licença para dirigir. A relevância da análise funcional da ansiedade e dos repertórios de enfrentamento da ansiedade foi considerada. Em seguida, um estudo de caso foi relatado: uma paciente com um histórico de seis reprovações no teste prático para a obtenção da licença para dirigir e níveis altos de ansiedade. Esse estudo demonstrou que um preparo apropriado e a intervenção terapêutica contribuíram para reduzir a ansiedade e promover a condição necessária para a obtenção da licença para dirigir. Estudos adicionais deverão ser realizados de modo a se obter uma melhor compreensão da relação entre a ansiedade e o desempenho, especialmente no que diz respeito ao processo de obtenção de uma licença para dirigir.
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Baker AS, Litwack SD, Clapp JD, Beck JG, Sloan DM. The driving behavior survey as a measure of behavioral stress responses to MVA-related PTSD. Behav Ther 2014; 45:444-53. [PMID: 24800313 PMCID: PMC4088934 DOI: 10.1016/j.beth.2014.02.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Numerous treatments are available that address the core symptoms of posttraumatic stress disorder (PTSD). However, there are a number of related behavioral stress responses that are not assessed with PTSD measures, yet these behavioral stress responses affect quality of life. The goal of the current study was to investigate whether a recently developed measure of behavioral stress response, the Driving Behavior Survey (DBS), was sensitive to change associated with treatment among a group of participants diagnosed with PTSD. The DBS indexes anxious driving behavior, which is frequently observed among individuals with motor vehicle accident-related PTSD. Participants (n = 40) were racially diverse adults (M age = 40.78, 63% women) who met diagnostic criteria for motor vehicle accident-related PTSD. Hierarchical linear modeling analyses indicated that participants who were assigned to a brief, exposure-based intervention displayed significant reductions on the DBS subscales relative to participants assigned to the wait-list control condition (r = .41–.43). Moreover, mediational analyses indicated that the observed reductions on the DBS subscales were not better accounted for by reductions in PTSD. Taken together, these findings suggest that the DBS subscales are sensitive to changes associated with PTSD treatment and can be used to augment outcome assessment in PTSD treatment trials.
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Affiliation(s)
- Aaron S. Baker
- VA Boston Healthcare System and Boston University School of
Medicine and University of LaVerne
| | - Scott D. Litwack
- VA Boston Healthcare System and Boston University School of
Medicine
| | | | | | - Denise M. Sloan
- National Center for PTSD at VA Boston Healthcare System and Boston
University School of Medicine
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15
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Baker AS, Litwack SD, Clapp JD, Beck JG, Sloan DM. The Driving Behavior Survey as a measure of behavioral stress responses to MVA-related PTSD. Behav Ther 2014; 45:263-72. [PMID: 24491201 PMCID: PMC3974157 DOI: 10.1016/j.beth.2013.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2013] [Revised: 11/25/2013] [Accepted: 12/03/2013] [Indexed: 11/21/2022]
Abstract
Numerous treatments are available that address the core symptoms of posttraumatic stress disorder (PTSD). However, there are a number of related behavioral stress responses that are not assessed with PTSD measures, yet these behavioral stress responses affect quality of life. The goal of the current study was to investigate whether a recently developed measure of behavioral stress response, the Driving Behavior Survey (DBS), was sensitive to change associated with treatment among a group of participants diagnosed with PTSD. The DBS indexes anxious driving behavior, which is frequently observed among individuals with motor vehicle accident-related PTSD. Participants (n=40) were racially diverse adults (M age=40.78, 63% women) who met diagnostic criteria for motor vehicle accident-related PTSD. Hierarchical linear modeling analyses indicated that participants who were assigned to a brief, exposure-based intervention displayed significant reductions on the DBS subscales relative to participants assigned to the wait-list control condition (r=.41-.43). Moreover, mediational analyses indicated that the observed reductions on the DBS subscales were not better accounted for by reductions in PTSD. Taken together, these findings suggest that the DBS subscales are sensitive to changes associated with PTSD treatment and can be used to augment outcome assessment in PTSD treatment trials.
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Affiliation(s)
- Aaron S Baker
- VA Boston Healthcare System and Boston University and University of LaVerne
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