Visual attention deficits are associated with driving accidents in cognitively-impaired HIV-infected individuals

Thomas D. Marcotte, Deborah Lazzaretto, J. Cobb Scott, Erica Roberts, Steven P. Woods, Scott Letendre, Igor Grant, J. Hampton Atkinson, J. Allen McCutchan, Mark R. Wallace, Ronald J. Ellis, Rachel Schrier, Robert K. Heaton, Mariana Cherner, Julie Rippeth, Joseph Sadek, Terry Jernigan, John Hesselink, Michael J. Taylor, Eliezer MasliahDianne Langford, Daniel R. Masys, Michelle Frybarger, Ian Abramson

Résultat de recherche: Articleexamen par les pairs

59 Citations (Scopus)

Résumé

Previous research has found HIV-associated neuropsychological (NP) dysfunction to be associated with impaired driving skills. To determine whether specific impairments in visual attention impart an increased accident risk, we assessed 21 HIV seronegative (HIV-) and 42 seropositive (HIV+) participants on NP tests and the Useful Field of View (UFOV), a computerized test of visual attention. HIV+ participants performed significantly worse than the HIV- participants on the UFOV, particularly on the Divided Attention subtest. Poor UFOV performance was associated with higher accident rates in the past year, with a trend for NP impairment to also predict more accidents. The highest number of accidents occurred in the group with a "high risk" UFOV designation and NP impairment; this category correctly classified 93% of HIV+ participants as to who did, and did not, have an accident. Clinicians should attend to visual attention as well as general cognitive status in estimating which patients are at risk for impaired driving.

Langue d'origineEnglish
Pages (de-à)13-28
Nombre de pages16
JournalJournal of Clinical and Experimental Neuropsychology
Volume28
Numéro de publication1
DOI
Statut de publicationPublished - janv. 2006

Note bibliographique

Funding Information:
This study was supported by awards MH 57593 and MH 62512 from the National Institute of Mental Health, and a research grant from the University of California Academic Senate.

ASJC Scopus Subject Areas

  • Clinical Psychology
  • Neurology
  • Clinical Neurology

PubMed: MeSH publication types

  • Comparative Study
  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

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