Attention-deficit/hyperactivity disorder (ADHD) and driving risk: A review of the literature and a methodological critique
Abstract
This article examines the literature on attention-deficit/hyperactivity disorder (ADHD) and unintentional driving injury. This literature has emerged over the last decade as part of the burgeoning epidemic of road traffic death and injury, which is the number-one cause of death among young adults in North America. The available literature on observational outcome studies and experimental pharmacologic interventions is critically reviewed. A meta-analysis of behavioral outcomes and a review of effect size of pharmacologic studies are presented. Current data support the utility of stimulant medication in improving driving performance in younger ADHD drivers. A conceptual model of risk factors in young ADHD drivers is offered. The current state of screening instruments for identifying high-risk subjects within this clinical group is summarized along with a final section on emerging trends and future prospects for intervention.
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There are risks of driving for adolescents with ADHD, including crashes and motor vehicle violations.
“Given the risks of driving for adolescents with ADHD, including crashes and motor vehicle violations, special concern should be taken to provide medication coverage for symptom control while driving.79,136,137”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [137]
Cites
Development of the adolescent brain: implications for executive function and social cognition
Blakemore, S., & Choudhury, S. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01611.x · Cited by 2,328 · see citing works
Attention deficit hyperactivity disorder adults: Comorbidities and adaptive impairments
Murphy, K., & Barkley, R. A. (1996) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(96)90022-x · Cited by 700 · see citing works
Accident risk and risk-taking behaviour among young drivers
Jonah, B. A. (1986) · Accident Analysis & Prevention · doi:10.1016/0001-4575(86)90041-2 · Cited by 472 · see citing works
Fischer, M., Barkley, R. A., Smallish, L., & Fletcher, K. (2007) · Accident Analysis & Prevention · doi:10.1016/j.aap.2006.06.008 · Cited by 200 · see citing works
Responsibility of drivers, by age and gender, for motor-vehicle crash deaths
Williams, A. F., & Shabanova, V. I. (2003) · Journal of Safety Research · doi:10.1016/j.jsr.2003.03.001 · Cited by 153 · see citing works
Cox, D. J., Merkel, R. L., Penberthy, J. K., Kovatchev, B., & Hankin, C. S. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200403000-00007 · Cited by 120 · see citing works
Cox, D. J., Humphrey, J. W., Merkel, R. L., Penberthy, J. K., & Kovatchev, B. (2004) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.17.4.235 · Cited by 97 · see citing works
Cox, D. J., Merkel, R. L., Moore, M., Thorndike, F., Muller, C., & Kovatchev, B. (2006) · PEDIATRICS · doi:10.1542/peds.2005-2947 · Cited by 95 · see citing works
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Subcommittee on Attention-Deficit/Hyperactivity Disorder, S. C. O. Q. I. A. M. (2011) · Pediatrics · doi:10.1542/peds.2011-2654 · Cited by 2,185 · see citing works
Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., et al. (2019) · Pediatrics · doi:10.1542/peds.2019-2528 · Cited by 1,410 · see citing works
“Given the risks of driving for adolescents with ADHD, including crashes and motor vehicle violations, special concern should be taken to provide medication coverage for symptom control while driving.(79,136,137) Longer-acting or lateafternoon, short-acting medications may be helpful in this regard.”
Chang, Z., Lichtenstein, P., D’Onofrio, B. M., Sjölander, A., & Larsson, H. (2014) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2013.4174 · Cited by 293 · see citing works
Ginsberg, Y., Quintero, J., Anand, E., Casillas, M., & Upadhyaya, H. P. (2014) · The Primary Care Companion For CNS Disorders · doi:10.4088/pcc.13r01600 · Cited by 274 · see citing works
The global burden of conduct disorder and attention-deficit/hyperactivity disorder in 2010
Erskine, H. E., Ferrari, A. J., Polanczyk, G. V., Moffitt, T. E., Murray, C. J. L., Vos, T., Whiteford, H. A., & Scott, J. G. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12186 · Cited by 207 · see citing works
SULLIVAN, M. A., & RUDNIK‐LEVIN, F. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb05783.x · Cited by 172 · see citing works
Chang, Z., Quinn, P. D., Hur, K., Gibbons, R. D., Sjölander, A., Larsson, H., & D’Onofrio, B. M. (2017) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2017.0659 · Cited by 166 · see citing works
Attention deficit hyperactivity disorder and adult mortality.
London, A. S., & Landes, S. D. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.06.021 · Cited by 71 · see citing works
Cox, D. J., Davis, M., Mikami, A. Y., Singh, H., Merkel, R. L., & Burket, R. (2012) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0b013e3182496dc5 · Cited by 69 · see citing works
Attention-deficit/hyperactivity disorder and mortality risk in Taiwan.
Chen, V. C.-H., Chan, H.-L., Wu, S.-I., Lee, M., Lu, M.-L., Liang, H.-Y., Dewey, M. E., Stewart, R., & Lee, C. T.-C. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.8714 · Cited by 64 · see citing works
Redelmeier, D. A., Chan, W. K., & Lu, H. (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000369 · Cited by 39 · see citing works
Burwell, S. J., Makeig, S., Iacono, W. G., & Malone, S. M. (2019) · Psychophysiology · doi:10.1111/psyp.13392 · Cited by 16 · see citing works
Baby, M., Priya, V., Pallavi, J., Karthik Chand, B., Srinivasan, L., Rana, S., Tawil, S., Haque, S., Ghosh, P., Bhattacharya, P., et al. (2025) · International Journal of Women's Health · doi:10.2147/ijwh.s511297 · Cited by 2 · see citing works
- Authors
- Jerome, L., Habinski, L., & Segal, A.
- Affiliations
- Western University (CA)
- Corresponding author
- Jerome, Laurence
- Venue
- Current Psychiatry Reports
- Published
- 2006-10
- Volume
- 8
- Issue
- 5
- Pages
- 416-426
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- OpenAlex
- W2039854165
- Cited by
- 130
- References
- 8
- Citations by year
- 2026: 5 · 2025: 4 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 5 · 2019: 12 · 2018: 7 · 2017: 7 · 2016: 8 · 2015: 6 · 2014: 8 · 2013: 16 · 2012: 6
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- attention deficit hyperactivity disorder, driving risk, road traffic injuries, unintentional injuries, stimulant medication, driving performance, young adults, risk factors, screening tool, pharmacological interventions
- MeSH terms
- Accidents, Traffic, Age Factors, Attention Deficit Disorder with Hyperactivity, Automobile Driving, Humans, Risk Factors
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