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Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure

Heart failure (HF) patients commit many errors on driving simulation tasks and cognitive dysfunction appears to be one important contributor to impaired driving in HF. Clinical modifiers of cognition may also play a key role. In particular, depression is common in HF patients, linked with cognitive...

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Autores principales: Alosco, Michael L., Penn, Marc S., Spitznagel, Mary Beth, Cleveland, Mary Jo, Ott, Brian R., Gunstad, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371127/
https://www.ncbi.nlm.nih.gov/pubmed/31022798
http://dx.doi.org/10.3390/geriatrics1010002
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author Alosco, Michael L.
Penn, Marc S.
Spitznagel, Mary Beth
Cleveland, Mary Jo
Ott, Brian R.
Gunstad, John
author_facet Alosco, Michael L.
Penn, Marc S.
Spitznagel, Mary Beth
Cleveland, Mary Jo
Ott, Brian R.
Gunstad, John
author_sort Alosco, Michael L.
collection PubMed
description Heart failure (HF) patients commit many errors on driving simulation tasks and cognitive dysfunction appears to be one important contributor to impaired driving in HF. Clinical modifiers of cognition may also play a key role. In particular, depression is common in HF patients, linked with cognitive dysfunction, and contributes to reduced driving fitness in non-HF samples. However, the associations among depressive symptoms, cognition, and driving in HF are unclear. Eighteen HF patients completed a validated simulated driving scenario, the Beck Depression Inventory-II (BDI-II), and a cognitive test battery. Partial correlations controlling for demographic and medical confounds showed higher BDI-II score correlated with greater number of collisions, centerline crossings, and % time out of lane. Increased depressive symptoms correlated with lower attention/executive function, and reduced performance in this domain was associated with a greater number of collisions, centerline crossing, and % time out of lane. Depressive symptoms may be related to poorer driving performance in HF, perhaps through association with cognitive dysfunction. However, larger studies with on-road testing are needed to replicate our preliminary findings before recommendations for clinical practice can be made.
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spelling pubmed-63711272019-03-07 Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure Alosco, Michael L. Penn, Marc S. Spitznagel, Mary Beth Cleveland, Mary Jo Ott, Brian R. Gunstad, John Geriatrics (Basel) Article Heart failure (HF) patients commit many errors on driving simulation tasks and cognitive dysfunction appears to be one important contributor to impaired driving in HF. Clinical modifiers of cognition may also play a key role. In particular, depression is common in HF patients, linked with cognitive dysfunction, and contributes to reduced driving fitness in non-HF samples. However, the associations among depressive symptoms, cognition, and driving in HF are unclear. Eighteen HF patients completed a validated simulated driving scenario, the Beck Depression Inventory-II (BDI-II), and a cognitive test battery. Partial correlations controlling for demographic and medical confounds showed higher BDI-II score correlated with greater number of collisions, centerline crossings, and % time out of lane. Increased depressive symptoms correlated with lower attention/executive function, and reduced performance in this domain was associated with a greater number of collisions, centerline crossing, and % time out of lane. Depressive symptoms may be related to poorer driving performance in HF, perhaps through association with cognitive dysfunction. However, larger studies with on-road testing are needed to replicate our preliminary findings before recommendations for clinical practice can be made. MDPI 2015-12-23 /pmc/articles/PMC6371127/ /pubmed/31022798 http://dx.doi.org/10.3390/geriatrics1010002 Text en © 2015 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alosco, Michael L.
Penn, Marc S.
Spitznagel, Mary Beth
Cleveland, Mary Jo
Ott, Brian R.
Gunstad, John
Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure
title Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure
title_full Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure
title_fullStr Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure
title_full_unstemmed Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure
title_short Preliminary Investigation on the Association between Depressive Symptoms and Driving Performance in Heart Failure
title_sort preliminary investigation on the association between depressive symptoms and driving performance in heart failure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371127/
https://www.ncbi.nlm.nih.gov/pubmed/31022798
http://dx.doi.org/10.3390/geriatrics1010002
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