{"title":"伊朗司机危险驾驶行为与精神障碍的关系：一项病例对照研究。","authors":"Kiana Khatami , Yaser Sarikhani , Reza Fereidooni , Mohammad Salehi-Marzijarani , Maryam Akabri , Leila Khabir , Arash Mani , Mahsa Yaghikosh , Afsaneh Haghdel , Seyed Taghi Heydari , Kamran Bagheri Lankarani","doi":"10.1016/j.cjtee.2022.10.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to investigate the possible association between psychological disorders and risky driving behavior (RDB) in Iran.</p></div><div><h3>Methods</h3><p>This case-control study conducted in Shiraz, Iran in 2021. The case group included drivers with psychological disorders and the control group included those without any disorders. The inclusion criteria for selecting patients were: active driving at the time of the study, being 18 – 65 years old, having a driving license, having a psychological disorder including depression, bipolar disorder, anxiety spectrum disorder, or psychotic disorder spectrum confirmed by a psychiatrist, and completing an informed consent form. The exclusion criterion was the existence of conditions that interfered with answering and understanding the questions. The inclusion criteria for selecting the healthy cases were: active driving at the time of the study, being 18 – 65 years old, having a driving license, lack of any past or present history of psychiatric problems, and completing an informed consent form. The data were gathered using a researcher-made checklist and Manchester driving behavior questionnaire. First, partition around medoids method was used to extract clusters of RDB. Then, backward logistic regression was applied to investigate the association between the independent variables and the clusters of RDB.</p></div><div><h3>Results</h3><p>The sample comprised of 344 (153 with psychological disorder and 191 without confirmed psychological disorder) drivers. Backward elimination logistic regression on total data revealed that share of medical expenditure ≤ 10% of total household expenditure (<em>OR</em> = 3.27, 95% <em>CI</em>: 1.48 – 7.24), psychological disorder (<em>OR</em> = 3.08, 95% <em>CI</em>: 1.67 – 5.70), and substance abuse class (<em>OR</em> = 6.38, 95% <em>CI</em>: 3.55 – 11.48) were associated with high level of RDB.</p></div><div><h3>Conclusion</h3><p>Substance abuse, psychological illnesses, and share of medical costs from total household expenditure were found to be main predictors of RDB. Further investigations are necessary to explain the impact of different psychological illnesses on driving behavior.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 5","pages":"Pages 290-296"},"PeriodicalIF":1.8000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/24/main.PMC10533522.pdf","citationCount":"1","resultStr":"{\"title\":\"Association of risky driving behavior with psychiatric disorders among Iranian drivers: A case-control study\",\"authors\":\"Kiana Khatami , Yaser Sarikhani , Reza Fereidooni , Mohammad Salehi-Marzijarani , Maryam Akabri , Leila Khabir , Arash Mani , Mahsa Yaghikosh , Afsaneh Haghdel , Seyed Taghi Heydari , Kamran Bagheri Lankarani\",\"doi\":\"10.1016/j.cjtee.2022.10.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>This study aimed to investigate the possible association between psychological disorders and risky driving behavior (RDB) in Iran.</p></div><div><h3>Methods</h3><p>This case-control study conducted in Shiraz, Iran in 2021. The case group included drivers with psychological disorders and the control group included those without any disorders. The inclusion criteria for selecting patients were: active driving at the time of the study, being 18 – 65 years old, having a driving license, having a psychological disorder including depression, bipolar disorder, anxiety spectrum disorder, or psychotic disorder spectrum confirmed by a psychiatrist, and completing an informed consent form. The exclusion criterion was the existence of conditions that interfered with answering and understanding the questions. The inclusion criteria for selecting the healthy cases were: active driving at the time of the study, being 18 – 65 years old, having a driving license, lack of any past or present history of psychiatric problems, and completing an informed consent form. The data were gathered using a researcher-made checklist and Manchester driving behavior questionnaire. First, partition around medoids method was used to extract clusters of RDB. Then, backward logistic regression was applied to investigate the association between the independent variables and the clusters of RDB.</p></div><div><h3>Results</h3><p>The sample comprised of 344 (153 with psychological disorder and 191 without confirmed psychological disorder) drivers. Backward elimination logistic regression on total data revealed that share of medical expenditure ≤ 10% of total household expenditure (<em>OR</em> = 3.27, 95% <em>CI</em>: 1.48 – 7.24), psychological disorder (<em>OR</em> = 3.08, 95% <em>CI</em>: 1.67 – 5.70), and substance abuse class (<em>OR</em> = 6.38, 95% <em>CI</em>: 3.55 – 11.48) were associated with high level of RDB.</p></div><div><h3>Conclusion</h3><p>Substance abuse, psychological illnesses, and share of medical costs from total household expenditure were found to be main predictors of RDB. Further investigations are necessary to explain the impact of different psychological illnesses on driving behavior.</p></div>\",\"PeriodicalId\":51555,\"journal\":{\"name\":\"Chinese Journal of Traumatology\",\"volume\":\"26 5\",\"pages\":\"Pages 290-296\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/24/main.PMC10533522.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Chinese Journal of Traumatology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1008127522001092\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chinese Journal of Traumatology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1008127522001092","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Association of risky driving behavior with psychiatric disorders among Iranian drivers: A case-control study
Purpose
This study aimed to investigate the possible association between psychological disorders and risky driving behavior (RDB) in Iran.
Methods
This case-control study conducted in Shiraz, Iran in 2021. The case group included drivers with psychological disorders and the control group included those without any disorders. The inclusion criteria for selecting patients were: active driving at the time of the study, being 18 – 65 years old, having a driving license, having a psychological disorder including depression, bipolar disorder, anxiety spectrum disorder, or psychotic disorder spectrum confirmed by a psychiatrist, and completing an informed consent form. The exclusion criterion was the existence of conditions that interfered with answering and understanding the questions. The inclusion criteria for selecting the healthy cases were: active driving at the time of the study, being 18 – 65 years old, having a driving license, lack of any past or present history of psychiatric problems, and completing an informed consent form. The data were gathered using a researcher-made checklist and Manchester driving behavior questionnaire. First, partition around medoids method was used to extract clusters of RDB. Then, backward logistic regression was applied to investigate the association between the independent variables and the clusters of RDB.
Results
The sample comprised of 344 (153 with psychological disorder and 191 without confirmed psychological disorder) drivers. Backward elimination logistic regression on total data revealed that share of medical expenditure ≤ 10% of total household expenditure (OR = 3.27, 95% CI: 1.48 – 7.24), psychological disorder (OR = 3.08, 95% CI: 1.67 – 5.70), and substance abuse class (OR = 6.38, 95% CI: 3.55 – 11.48) were associated with high level of RDB.
Conclusion
Substance abuse, psychological illnesses, and share of medical costs from total household expenditure were found to be main predictors of RDB. Further investigations are necessary to explain the impact of different psychological illnesses on driving behavior.
期刊介绍：
Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.
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