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首页> 外文期刊>Alzheimer disease and associated disorders >Identifying driving impairment in Alzheimer disease: a comparison of self and observer reports versus driving evaluation.
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Identifying driving impairment in Alzheimer disease: a comparison of self and observer reports versus driving evaluation.

机译：识别阿尔茨海默病的驾驶障碍：自我和观察者报告与驾驶评估的比较。

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摘要

This study examined the relationship between driving behaviors and awareness of deficit in patients with Alzheimer's disease (AD). Fifteen mildly impaired AD patients and 15 healthy elderly controls with valid drivers' licenses were administered a series of questionnaires concerning daily functioning and driving performance, and all 30 subjects were evaluated on a standardized road test. Self-report and caregiver/informant responses were compared with determine levels of discrepancy in ratings, while comparisons of AD and healthy elderly controls revealed group differences. Actual driving performance was considered the standard by which to determine accuracy of perceptions. Drivers with AD were rated as significantly worse than healthy elderly drivers on nine of 10 driving behaviors by an independent evaluator. AD patients' self-reports of driving ability were significantly better than the evaluator's ratings on seven of the 10 items, whereas the healthy elderly drivers rated themselves better than didthe evaluator on one item. Although caregivers were likely to acknowledge a general concern with their AD patients' driving, they underreported specific driving problems when their ratings were compared with those of an independent evaluator. These findings have implications for the development of caregiver-based modifications of driving behavior.
机译：这项研究检查了阿尔茨海默氏病（AD）患者的驾驶行为与缺乏意识之间的关系。对15名轻度AD病人和15名拥有有效驾驶执照的健康老年人进行了一系列有关日常功能和驾驶表现的问卷调查，并对所有30名受试者进行了标准化道路测试。将自我报告和照顾者/知情者的反应与确定等级差异的水平进行比较，而对AD和健康的老年人对照进行比较，则发现组差异。实际驾驶性能被认为是确定感知准确性的标准。独立评估者将AD驾驶员评为10种驾驶行为中有9种比健康的老年驾驶员差很多。 AD患者的自我驾驶能力自我报告在10项中有7项显着优于评估者的评分，而健康的老年驾驶员在一项上的自我评估优于评估者。尽管看护者可能承认他们对AD患者的驾驶普遍关注，但是当他们将他们的评级与独立评估者的评级进行比较时，他们漏报了具体的驾驶问题。这些发现对基于照顾者的驾驶行为改变的发展具有启示意义。

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