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Psychiatric and behavioral problems in aggressive drivers.

Loretta S Malta1, Edward B Blanchard, Brian M Freidenberg

  • 1Center for Stress and Anxiety Disorders, University at Albany, State University of New York, 1535 Western Avenue, Albany, NY 12203, USA.

Behaviour Research and Therapy
|September 15, 2005
PubMed
Summary

Aggressive driving is linked to higher rates of psychiatric disorders, including Oppositional Defiant Disorder and substance use disorders. Addressing these behavioral issues is crucial for effective aggressive driving prevention programs.

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Area of Science:

  • Psychiatry
  • Behavioral Science
  • Traffic Safety

Background:

  • Motor vehicle accidents (MVAs) represent a significant cause of accidental mortality and morbidity.
  • Aggressive driving is a recognized risk factor contributing to MVAs.
  • Understanding the psychiatric and behavioral profiles of aggressive drivers is essential for developing targeted interventions.

Purpose of the Study:

  • To compare the prevalence of psychiatric diagnoses and behavioral issues in young adult drivers reporting high versus low driving aggression.
  • To identify specific psychiatric and behavioral comorbidities associated with aggressive driving behaviors.

Main Methods:

  • A comparative study design was employed.
  • Participants were young adult drivers categorized based on self-reported levels of driving aggression (high vs. low).

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  • Prevalence of psychiatric diagnoses and behavioral problems was assessed and compared between the two groups.

    • Main Results:

    • Aggressive drivers showed significantly higher current and lifetime prevalence of Oppositional Defiant Disorder, Alcohol and Substance Use Disorders, and Cluster B Personality Disorders.
    • A greater lifetime prevalence of Conduct Disorder, Attention-Deficit/Hyperactivity Disorder, and Intermittent Explosive Disorder was observed in aggressive drivers.
    • Aggressive drivers reported more problems with anger and had a greater family history of anger and conflict.

    Conclusions:

    • Aggressive driving is associated with a higher burden of psychiatric and behavioral disturbances.
    • Prevention and intervention programs for aggressive driving should consider and address underlying psychiatric and behavioral conditions.
    • These comorbidities may complicate treatment efficacy and patient response to interventions aimed at reducing aggressive driving.