Highlights Either mild cognitive impairment (MCI) or Alzheimer’s disease (AD) can impact driving. Not all impaired cognitive domains lead to poor driving or unfitness to drive. Our review compiles 20 years of reports associating cognition and driving with MCI/AD. Executive function losses were the most reported amidst unsafe drivers with MCI/AD. Decline in attention, processing speed and visuospatial skills were also noteworthy.

    Abstract Cognitive deficits associated with mild cognitive impairment (MCI) or Alzheimer’s disease (AD) can impact driving. This integrative review investigated which cognitive domains were associated with poor driving performance or unfitness to drive in studies with outcomes measured in simulator or on-road driving in patients with MCI or AD. The review was conducted by searching for articles published between 2001 and 2020 in the MEDLINE (via PubMed), EMBASE, and SCOPUS databases. Studies addressing patients with other dementias (e.g., vascular or mixed dementia, Lewy body dementia, Parkinson’s disease) were excluded. Of 404 articles initially selected, 17 met the eligibility criteria for this review. Based on the findings of this integrative review, attentional capacity, processing speed, executive functions and visuospatial skills were the functions whose declines were most frequently reported in a context of unsafe driving by older adults with MCI or AD. Reports were remarkably heterogeneous in methodological aspects whereas quite limited in cross-cultural coverage and in sample recruited, what prompts for further trials in the field.


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    Titel :

    Neuropsychological domains and fitness to drive in mild cognitive impairment or Alzheimer’s disease




    Erscheinungsdatum :

    2023-06-21




    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Elektronische Ressource


    Sprache :

    Englisch


    Schlagwörter :

    AD , Alzheimer’s disease , ADSTAT , T-score derived from 9 neuropsychologic tests , AMIPB , Adult Memory and Information Processing Battery , ATAVT , Adaptive Tachistoscopic Traffic Perception Test , AUC , Area Under Curve , BADS , Behavioral Assessment of the Dysexecutive Syndrome , BVTRT , Benton Visual Retention Test , CDC , Centers for Disease Control and Prevention , CDR , Clinical Dementia Rating scale , CI , confidence interval , CFT , Rey-Osterrieth Complex Figure Test , COWA , Controlled Oral Word Association , DRS , Dementia Rating Scale , DSDA , DriveSafe DriveAware , FRT , Facial Recognition Test , HPT , Hazard Perception Test , MCI , mild cognitive impairment , MMSE , Mini-Mental State Examination , MNT , Maze Navigation Test , MoCA , Montreal Cognitive Assessment , MOT , brief Multiple Object Tracking , MVPT , Motor-free Visual Perception Test , NPI , Neuropsychiatric Inventory , RoR , Roadwise Review , RR , Relative Risk , SDSA , Stroke Drivers Screening Assessment , SE , sensitivity , SMAF , Functional Autonomy Measurement System , SORT , Salford Objective Recognition Test , SP , specificity , S-VRT , Simple Visual Reaction Time , TEA , Test of Everyday Attention , TMT , Trail Making Test , TO , temporal orientation , TRIP , Test Ride Investigating Practical fitness to drive , TSNT , Traffic Sign Naming Test , UFOV , Useful Field Of View , VOSP , Visual Object and Space Perception battery , WAIS , Wechsler Adult Intelligence Scale , WEDD , Written Exam for Driving Decisions , Neuropsychological tests , Aged , Automobile driving , Alzheimer disease , Cognitive dysfunction



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