Attention Deficit Hyperactivity Disorder Symptoms, Sleepiness and Accidental Risk in 36140 Regularly Registered Highway Drivers.
PLoS ONE. 2015-09-16; 10(9): e0138004
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1. PLoS One. 2015 Sep 16;10(9):e0138004. doi: 10.1371/journal.pone.0138004.
Attention Deficit Hyperactivity Disorder Symptoms, Sleepiness and Accidental Risk
in 36140 Regularly Registered Highway Drivers.
Philip P(1), Micoulaud-Franchi JA(1), Lagarde E(2), Taillard J(1), Canel A(3),
Sagaspe P(1), Bioulac S(4).
(1)Services d’explorations fonctionnelles du système nerveux, Clinique du
sommeil, CHU de Bordeaux, Place Amélie Raba-Léon, 33076, Bordeaux, France; USR
CNRS 3413 SANPSY, CHU Pellegrin, Université de Bordeaux, Bordeaux, France.
(2)INSERM U897, ISPED, Equipe PPCT, Université de Bordeaux, 33000, Bordeaux,
(3)Association des Sociétés Françaises d’Autoroutes, Paris, France.
(4)USR CNRS 3413 SANPSY, CHU Pellegrin, Université de Bordeaux, Bordeaux, France;
Pôle Universitaire Psychiatrie Enfants et Adolescents, Centre Hospitalier Charles
Perrens, 121 rue de la Béchade, 33076, Bordeaux, France.
BACKGROUND: Attention Deficit Hyperactivity Disorder (ADHD) is a frequent
neurodevelopmental disorder that increases accidental risk. Recent studies show
that some patients with ADHD can also suffer from excessive daytime sleepiness
but there are no data assessing the role of sleepiness in road safety in patients
with ADHD. We conducted an epidemiological study to explore sleep complaints,
inattention and driving risks among automobile drivers.
METHODS AND FINDINGS: From August to September 2014, 491186 regular highway users
were invited to participate in an Internet survey on driving habits. 36140
drivers answered a questionnaire exploring driving risks, sleep complaints,
sleepiness at the wheel, ADHD symptoms (Adult ADHD Self-Report Scale) and
distraction at the wheel. 1.7% of all drivers reported inattention-related
driving accidents and 0.3% sleep-related driving accidents in the previous year.
1543 drivers (4.3%) reported ADHD symptoms and were more likely to report
accidents than drivers without ADHD symptoms (adjusted OR = 1.24, [1.03-1.51], p
15) versus 3.2% of drivers without ADHD
symptoms and 20.5% reported severe sleepiness at the wheel versus 7.3%. Drivers
with ADHD symptoms reported significantly more sleep-related (adjusted OR = 1.4,
[1.21-1.60], p < .0001) and inattention-related (adjusted OR = 1.9, [1.71-2.14],