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首页> 外文期刊>Journal of Clinical and Experimental Neuropsychology >Neuropsychological assessment of driving safety risk in older adults with and without neurologic disease
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Neuropsychological assessment of driving safety risk in older adults with and without neurologic disease

机译：有和没有神经系统疾病的老年人驾驶安全风险的神经心理学评估

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Decline in cognitive abilities can be an important contributor to the driving problems encountered by older adults, and neuropsychological assessment may provide a practical approach to evaluating this aspect of driving safety risk. The purpose of the present study was to evaluate several commonly used neuropsychological tests in the assessment of driving safety risk in older adults with and without neurological disease. A further goal of this study was to identify brief combinations of neuropsychological tests that sample performances in key functional domains and thus could be used to efficiently assess driving safety risk. A total of 345 legally licensed and active drivers over the age of 50, with no neurologic disease (N = 185), probable Alzheimer's disease (N = 40), Parkinson's disease (N = 91), or stroke (N = 29), completed vision testing, a battery of 10 neuropsychological tests, and an 18-mile drive on urban and rural roads in an instrumented vehicle. Performances on all neuropsychological tests were significantly correlated with driving safety errors. Confirmatory factor analysis was used to identify 3 key cognitive domains assessed by the tests (speed of processing, visuospatial abilities, and memory), and several brief batteries consisting of one test from each domain showed moderate corrected correlations with driving performance. These findings are consistent with the notion that driving places demands on multiple cognitive abilities that can be affected by aging and age-related neurological disease, and that neuropsychological assessment may provide a practical off-road window into the functional status of these cognitive systems.View full textDownload full textKeywordsAutomobile, Aging, Driving, Assessment, NeuropsychologyRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/13803395.2011.630654
机译：认知能力下降可能是老年人遇到的驾驶问题的重要因素，神经心理学评估可能提供一种评估驾驶安全风险这一方面的实用方法。本研究的目的是评估几种常见的神经心理学测试，以评估患有和不患有神经疾病的老年人的驾驶安全风险。这项研究的另一个目标是确定神经心理学测试的简短组合，以对关键功能领域的性能进行采样，从而可以有效地评估驾驶安全风险。共有345名合法许可的和活跃的驾驶员，年龄在50岁以上，没有神经系统疾病（N = 185），可能的阿尔茨海默氏病（N = 40），帕金森氏病（N = 91）或中风（N = 29），完成视觉测试，10个神经心理学测试的电池，以及在仪表车上在城市和农村道路上行驶18英里。所有神经心理学测试的表现均与驾驶安全错误显着相关。验证性因素分析用于确定通过测试评估的3个关键认知领域（处理速度，视觉空间能力和记忆力），并且由每个领域的一项测试组成的几组简短电池显示出与驾驶性能的中等校正相关性。这些发现与以下观念一致：驾驶场所需要多种可能受衰老和与年龄有关的神经系统疾病影响的认知能力，并且神经心理学评估可能为了解这些认知系统的功能状态提供实用的越野窗口。全文下载全文关键字汽车，老化，驾驶，评估，神经心理学相关var addthis_config = {ui_cobrand：“泰勒和弗朗西斯在线”，servicescompact：“ citeulike，netvibes，twitter，technorati，delicious，linkedin，facebook，stumbleupon，digg，google，更多” ，pubid：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/13803395.2011.630654

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