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ADHD AND DRIVING What should we be telling adolescents?

ADHD AND DRIVING What should we be telling adolescents?. Dr N N Onugha Dr F Finlay Royal United Hospital, Bath RCPCH Conference May 2012. immature judgement. inattention. impaired Executive Function skills. thrill-seeking tendencies. need for peer acceptance. impulsivity. ADHD

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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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