Self-Awareness and Self-Ratings of On-Road Driving Performance After Traumatic Brain Injury

The Journal of Head Trauma Rehabilitation
James R GoodenRenerus J Stolwyk

Abstract

To examine self-rated, clinician-rated, and self-awareness of on-road driving performance in individuals with traumatic brain injury (TBI) deemed fit and unfit to resume driving and healthy controls, and to explore their associations with demographic, injury, cognitive, and mood variables. Participants included 37 individuals with moderate to severe TBI, and 49 healthy age, sex, and education-matched controls from Australia and Canada. Participants completed an on-road assessment, the Brain Injury Driving Self-Awareness Measure (BIDSAM), and a comprehensive neuropsychological assessment. Awareness scores on the BIDSAM were significantly different between groups, F(2, 83) = 28.44 (P < .001; η = 0.41), with post hoc tests indicating TBI participants who failed the on-road assessment had worse scores compared with those who passed and controls. Poor self-awareness was significantly correlated with reduced psychomotor speed (rs = -0.37; P < .01) and attentional switching (rs = 0.28; P < .01). Worse self-ratings of driving were associated with depression (rs = 0.42; P < .01) and anxiety (rs = 0.38; P < .01). Individuals with TBI who failed an on-road assessment significantly overestimated their driving ability. Impaired cognitive fu...Continue Reading

References

May 26, 1986·The Medical Journal of Australia·E A ShoresJ Batchelor
Jun 1, 1983·Acta Psychiatrica Scandinavica·A S Zigmond, R P Snaith
Jul 1, 1993·Journal of Clinical and Experimental Neuropsychology·H P GodfreyS Bishara
Mar 4, 1998·Brain Injury : [BI]·M ShererE Levin
Sep 30, 1998·The Journal of Head Trauma Rehabilitation·T HartM F Schwartz
Jun 1, 2001·Journal of Neurology, Neurosurgery, and Psychiatry·C A Hawley
Oct 9, 2002·Archives of Physical Medicine and Rehabilitation·Renee D ColemanScott R Millis
Feb 26, 2003·Archives of Physical Medicine and Rehabilitation·Mark ShererStuart A Yablon
Oct 7, 2003·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Kimatha Oxford GriceMary Ann Vollmer
Mar 11, 2004·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Tom N Tombaugh
Sep 18, 2004·Archives of Physical Medicine and Rehabilitation·Tessa HartThomas A Novack
Jan 26, 2005·The Journal of Head Trauma Rehabilitation·George P Prigatano
Feb 25, 2005·Journal of Neurology·E NoéJ Chirivella
Apr 19, 2005·Brain Injury : [BI]·Rita FormisanoFranco Taggi
Feb 4, 2006·The Journal of Head Trauma Rehabilitation·Lisa J RapportRenee Coleman Bryer
May 19, 2007·The Journal of Head Trauma Rehabilitation·James F MalecAnne M Moessner
Sep 27, 2007·Brain Injury : [BI]·Anna Lundqvist, Johan Alinder
Dec 14, 2007·Journal of Rehabilitation Research and Development·Rodney D VanderploegGlenn Curtiss
May 3, 2008·Archives of Physical Medicine and Rehabilitation·Lisa J RapportRobin A Hanks
Jul 9, 2008·Neuropsychological Rehabilitation·Tessa HartMark Sherer
Sep 13, 2008·Brain Injury : [BI]·Judith McBrinnBrian McGuire
Oct 10, 2008·Journal of Rehabilitation Medicine·Anne-Kristine SchankePer Egil Osten
Nov 27, 2009·The Journal of Head Trauma Rehabilitation·Sureyya S DikmenMarc G Weisskopf
Feb 16, 2010·Aging & Mental Health·Linda Clare
Feb 27, 2010·Brain Injury : [BI]·Thomas A NovackRonald T Seel
Aug 26, 2010·Journal of the International Neuropsychological Society : JINS·Nicholas Morton, Lynne Barker
Oct 5, 2010·Journal of Neurology, Neurosurgery, and Psychiatry·Megan H W PreeceGina M Geffen
Oct 20, 2010·Transportation Research. Part F, Traffic Psychology and Behaviour·Michelle L AckermanKarlene K Ball
Aug 11, 2011·The Journal of Head Trauma Rehabilitation·Umberto BivonaRita Formisano
Sep 29, 2011·The Clinical Neuropsychologist·Julie A GriffenCynthia Burt
Mar 12, 2013·The Journal of Head Trauma Rehabilitation·Donald R LabbeThomas A Novack
Mar 26, 2013·Accident; Analysis and Prevention·Holly TuokkoBrenda Vrkljan
Apr 12, 2014·The Journal of Head Trauma Rehabilitation·Cally RichardsonJennie L Ponsford
Mar 15, 2015·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Annette Meng, Anu Siren

❮ Previous
Next ❯

Citations

Nov 29, 2016·Neuropsychological Rehabilitation·James R GoodenRenerus J Stolwyk
Mar 23, 2019·Frontiers in Neurology·Michelle McKerralIsabelle Gélinas
May 25, 2021·Annals of Physical and Rehabilitation Medicine·Emilie DromerPhilippe Azouvi
Aug 24, 2021·NeuroRehabilitation·Robert PernaAna Arenivas
Sep 29, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Petros StamatelosSokratis G Papageorgiou

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.