International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Psychiatric Commission and Drivers with Personality Disorders: A Prospective Cohort Study

Document Type : Original Article

Authors
1 Research Center of Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran
2 Research Center of Trauma in Police Operations, Directorate of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran
3 Department pf Psychology, Islamic Azad University, Science and Research Branch, Tehran, Iran
Abstract
Introduction: This study investigated the impact of a psychiatry commission on individuals with psychiatric disorders prior to their driving license renewal.
Method: The current cohort study included 188 individuals seeking driving license renewal in 2017-19. Their prior traffic accidents and infringements were assessed. After renewal, any new traffic incidents were monitored. The gathered data entered into SPSS. P-value < 0.05 was considered significant.
Results: After the renewal, there was a significant reduction in the frequency of infringements per year (P-value<0.001). The incidence of traffic infringements (P-value<0.001) was remarkably reduced. The highest rates of infringements after license renewal included stopping or bypassing in prohibited places (48.3%), illegal speeding or overtaking (21.6%), and failure to observe the safety issues or traffic signs (12.5%), respectively. The types of accidents did not change (P-value=0.99). The incidence of hurt (P-value<0.001) and death (P-value=0.034) due to the accidents and the culprit of the accidents (P-value<0.001) significantly decreased.
Conclusion: Based on the findings, a psychiatry commission and shorter period of driving license renewal for individuals with psychiatric disorders or personality traits who have had a history of traffic infringements or accidents led to significantly less rates of traffic infringements and adverse events due to traffic incidents.
Keywords

  1.       Chiu CW, Law CK, Cheng AS. Driver assessment service for people with mental illness. Hong Kong journal of occupational therapy. 2019;32(2):77-83.  https://doi.org/10.1177/1569186119886773

    1. Evans L. Twenty thousand more Americans killed annually because US traffic-safety policy rejects science. American Public Health Association; 2014. p. 1349-51. https://doi.org/10.2105/AJPH.2014.301919
    2. Bener A, Verjee M, Dafeeah EE, Yousafzai MT, Mari S, Hassib A, et al. A Cross “Ethnical” Comparison of the Driver Behaviour Questionnaire (DBQ) in an Economically Fast Developing Country: DBQ in Arab Gulf and South Asian countries. Global journal of health science. 2013;5(4):165. doi: 10.5539/gjhs.v5n4p165
    3. Murray CJ. The global burden of disease study at 30 years. Nature medicine. 2022;28(10):2019-26. https://doi.org/10.1038/s41591-022-01990-1
    4. Organization WH. Global status report on road safety 2015: World Health Organization; 2015.ISBN 9241565063
    5. Ghasem M, Mohammad RA, Seyed TH, Amin H, Kamran BL, Yaser S. An epidemiologic survey of road traffic accidents in Iran: analysis of driver-related factors. Chinese journal of traumatology. 2013;16(03):140-4. https://doi.org/10.5249/jivr.v11i2.1441
    6. Touahmia M. Identification of risk factors influencing road traffic accidents. Engineering, Technology & Applied Science Research. 2018;8(1):2417-21. https://doi.org/10.48084/etasr.1615
    7. Ali GA. Traffic accidents and road safety management; a comparative analysis and evaluation in industrial, developing and rich-developing countries. SATC 2010. 2010. https://doi.org/10.1016/0001-4575(84)90021-6
    8. Eisenberg D. The mixed effects of precipitation on traffic crashes. Accident analysis & prevention. 2004;36(4):637-47. https://doi.org/10.1016/S0001-4575(03)00085-X
    9. Hammad HM, Ashraf M, Abbas F, Bakhat HF, Qaisrani SA, Mubeen M, et al. Environmental factors affecting the frequency of road traffic accidents: a case study of sub-urban area of Pakistan. Environmental Science and Pollution Research. 2019;26:11674-85. https://doi.org/10.1007/s11356-024-33079-2
    10. Azık Özkan D. The Mediating Role of Driving-Related Cognitions and Driving Behaviors. 2022. https://doi.org/10.1061/9780784483565.164
    11. Tekeş B, Özdemir F, Özkan T. Understanding young drivers in Turkey: Time perspective, driving skills, and driver behaviors. Transportation research interdisciplinary perspectives. 2020;8:100226. https://doi.org/10.1016/j.trip.2020.100226
    12. Alavi SS, Mohammadi MR, Souri H, Kalhori SM, Jannatifard F, Sepahbodi G. Personality, driving behavior and mental disorders factors as predictors of road traffic accidents based on logistic regression. Iranian journal of medical sciences. 2017;42(1):24.
    13. Tredget J. The aetiology, presentation and treatment of personality disorders. Journal of Psychiatric and Mental Health Nursing. 2001;8(4):347-56. https://doi.org/10.1046/j.1365-2850.2001.00398.x
    14. Coid J. Epidemiology, public health and the problem of personality disorder. The British Journal of Psychiatry. 2003;182(S44):s3-s10. https://doi.org/10.1192/bjp.182.44.s3
    15. Crawford TN, Cohen P, Johnson JG, Kasen S, First MB, Gordon K, et al. Self-reported personality disorder in the children in the community sample: convergent and prospective validity in late adolescence and adulthood. Journal of Personality Disorders. 2005;19(1):30-52. https://doi.org/10.1521/pedi.19.1.30.62179
    16. Samuels J. Personality disorders: epidemiology and public health issues. International Review of Psychiatry. 2011;23(3):223-33. https://doi.org/10.3109/09540261.2011.588200
    17. Wang P, Rau P-LP, Salvendy G. Road safety research in China: review and appraisal. Traffic injury prevention. 2010;11(4):425-32. https://doi.org/10.1080/15389581003754593
    18. Ledesma RD, Montes SA, Poó FM, López-Ramón MF. Individual differences in driver inattention: the attention-related driving errors scale. Traffic injury prevention. 2010;11(2):142-50. https://doi.org/10.1080/15389580903497139
    19. Bowen L, Smith AP. Associations between job characteristics, mental health and driving: A secondary analysis. Journal of Education, Society and Behavioural Science. 2019;29(2):1-25. http://dx.doi.org/10.9734/JESBS/2019/v29i230104
    20. Heidari M, Khorramdel K, Rakhshani T, Kazem S. Comparision of humanistic factor in incidence of driving accidents between Business community. Quarterly Scientific Journal of Rescue & Relief. 2012;4:39-45. http://jorar.ir/article-1-113-en.html
    21. Mehmandar M, Soori H, Amiri M, Norouzirad R, Khabzkhoob M. Risk factors for fatal and nonfatal road crashes in iran. Iranian Red Crescent medical journal. 2014;16(8). https://doi.org/10.5812%2Fircmj.10016
    22. Nanjunda DC. Impact of socio-economic profiles on public health crisis of road traffic accidents: A qualitative study from South India. Clinical epidemiology and global health. 2021;9:7-11. https://doi.org/10.1016/j.cegh.2020.06.002
    23. Shahbazi F, Soori H, Khodakarim S, Ghadirzadeh MR, Hashemi Nazari SS. Analysis of mortality rate of road traffic accidents and its trend in 11 years in Iran. Archives of Trauma Research. 2019;8(1):17-22. 10.4103/atr.atr_72_18
    24. Ashkan S, Ghasem M, Arman N, Mohammad RA, Navid Y, Seyed TH, et al. Educational level and age as contributing factors to road traffic accidents. Chinese journal of traumatology. 2013;16(05):281-5. http://jorar.ir/article-1-113-en.html
    25. Kheirabadi Gr, Bolhari J. Role of human factors in road accidents. 2012. http://dorl.net/dor/20.1001.1.17352029.1391.10.1.9.3
    26. Gosselin D, Gagnon S, Stinchcombe A, Joanisse M. Comparative optimism among drivers: An intergenerational portrait. Accid Anal Prev. 2010;42(2):734-40. https://doi.org/10.1016/j.aap.2009.11.001
    27. Parker D, West R, Stradling S, Manstead AS. Behavioural characteristics and involvement in different types of traffic accident. Accid Anal Prev. 1995;27(4):571-81. https://doi.org/10.1016/0001-4575(95)00005-K
    28. Elander J, West R, French D. Behavioral correlates of individual differences in road-traffic crash risk: An examination of methods and findings. Psychol Bull. 1993;113(2):279. https://psycnet.apa.org/doi/10.1037/0033-2909.113.2.279
    29. Brown TG, Ouimet MC, Eldeb M, Tremblay J, Vingilis E, Nadeau L, et al. The effect of age on the personality and cognitive characteristics of three distinct risky driving offender groups. Pers Individ Dif. 2017;113:48-56. https://doi.org/10.1016/j.paid.2017.03.007
    30. af Wåhlberg A, Barraclough P, Freeman J. Personality versus traffic accidents; meta-analysis of real and method effects. Transportation research part F: traffic psychology and behaviour. 2017;44:90-104. https://doi.org/10.1016/j.trf.2016.10.009
    31. Arthur W, Doverspike D. Predicting motor vehicle crash involvement from a personality measure and a driving knowledge test. Workplace Safety: Routledge; 2012. p. 35-42. 9780203479513
    32. Akbari M, Kamran BL, Heydari ST, Motevalian SA, Tabrizi R, Asadi-Shekari Z, et al. Meta-analysis of the correlation between personality characteristics and risky driving behaviors. Journal of injury and violence research. 2019;11(2):107. https://doi.org/10.5249%2Fjivr.v11i2.1172
    33. Shahbazi F, Nazari SSH, Soori H, Khodakarim S. Socioeconomic inequality in mortality from road traffic accident in Iran. Journal of research in health sciences. 2019;19(1):e00437. https://pubmed.ncbi.nlm.nih.gov/31133631