바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

Impairments of Visual Attention and Driving Performance in Older Adults with Declined Cognitive Functions

Abstract

This study examined impairments of visual attention and driving performance in mild cognitive impairment(MCI), mild Alzheimer's disease(AD), and control groups. All groups were subjected to several web-based neuropsychological tests, including a continuous performance test, a visual search task, and a change blindness task in order to measure impairments in visual attention. In addition, a driving simulator was employed to compare driving performances among the three groups. As a result, AD group showed poorer performances on the visual attention task compared to MCI and control groups. Using a K-means cluster analysis with five driving performance scales, the declined cognitive function group(AD+MCI) was divided into Good/Bad driver subgroups. Finally, a discriminant function analysis was conducted to test whether the five measures of visual attention could successfully classify the two groups. As a result, 81% of the members were correctly classified, suggesting that impairments on visual attention in AD and MCI may cause poor driving performances. Also, it was demonstrated that visual attention tests might be useful in determining the suitability of obtaining or keeping a driving license in AD patients. Several limitations of the present study and suggestions for further research were discussed.

keywords
시각 주의력, 경증 알츠하이머병, 인지기능 저하, 운전 수행, visual attention, mild Alzheimer's disease, declined cognitive ability, driving performance.

Reference

1.

김영은 (2010). 운전시뮬레이터를 이용한 인지기능저하 노인집단의 운전 수행 특징. 경북대학교 석사학위논문.

2.

대한치매학회 (2006). 치매 임상적 접근. 아카데미아.

3.

손영숙 (2000). 지속적 주의의 이해와 응용. 한국심리학회지: 일반, 19(1), 1-28.

4.

전진숙, 오병훈 (2007). 운전과 치매. 생물치료정신의학, 13(2), 170-179.

5.

장혜란, 박선진, 이순철 (2009). 고령운전자의 이동성과 심리적 안녕감의 관계. 한국심리학회지: 사회문제, 15(2), 251-271.

6.

최성진, 신현정, 이재식 (2009). 노화와 경도 인지장애가 작업기억과 재인기억에 미치는 효과: 운전능력에 대한 함의. 한국심리학회지: 인지 및 생물, 21(4), 355-375.

7.

Ball, K., & Owsley, C. (1991). Identifying correlates of accident involvement for the older driver. Human Factors, 33, 583-595.

8.

Ball, K., Owsley, C, Sloane, M. E., Roenker, D. L., & Bruni, J. R. (1993). Visual attention problems as a predictor of vehicle crashes in older drivers. Investigations in Ophthalmologic Vision Science, 34, 3110-3123.

9.

Bao, S., & Boyle, L. N. (2009). Age-related differences in visual scanning at median- divided highway intersections in rural areas. Accident Analysis & Prevention, 41, 146-152.

10.

Brouwer, W. H., Waterink, W., Van Wolffelaar, P. C., & Rothengatter, J. A. (1991) Divided attention in experienced young and older drivers: lane tracking and visual analysis in a dynamic driving simulator. Human Factors, 33(5), 573-582.

11.

Caird J. K., Edwards, C. J., & Creaser, J. I. (2005). Older driver failures of attention at intersections: Using change blindness methods to assess turn decision accuracy. Human Factiors, 47(2), 235-249.

12.

Drachman D. A., & Swearer, J. M. (1993). Driving and Alzheimer's disease: the risk of crashes. Neurology, 43, 2448-2456.

13.

Duchek, J. M., Hunt, L., Ball, K., Buckles, V., & Morris, J. C. (1998). Attention and Driving Performance in Alzheimer’s Disease. Journal of Gerontology: Psychological Sciences, 53B, 130-141.

14.

Fitten, L. J., Perryman, K. M., Wilkinson, C. J., Little, R. J., Burns, M. M., Pachana, N., Mervis, J. R., Malmgren, R., Siembieda, D. W., & Ganxell, S. (1995). Alzheimer and vascular dementias and driving: A prospective road and laboratory study. Journal of the American Medical Association, 273, 1360-1365.

15.

Friedland, R. P., Koss, E., Kumar, A., Gaine, S., Metzler, D., Haxby, J. V., & Moore. A. (1988). Motor vehicle crashes in dementia of the Alzheimer type. Annals of Neurology, 24, 782-786.

16.

Galpin, A., Underwood, G., & Crundall, D. (2009). Change blindness in driving scenes. Transportation Research Part F, 12, 179-185.

17.

Grady, C. L., Haxby, J. V., Horwitz, B., Sundaram, M., Berg, G., Schapiro, M., Friedland, R. P., & Rapoport, S. I. (1988). Longitudinal study of the early neuropsychological and cerebral metabolic changes in dementia of the Alzheimer type. Journal of Clinical and Experimental Neuropsychology, 10, 576-596.

18.

Hunt, L., Morris, J. C., Edwards, D., & Wilson, B. S. (1993). Driving performance in persons with mild senile dementia of the Alzheimer type. Journal of the American Geriatric Society, 41, 747-753.

19.

Kahneman, D., Ben-Ishai, R., & Lotan, M. (1973). Relation of a test of attention to road accidents. Journal of Applied Psychology, 58, 113-115.

20.

Lesikar, S. E., Gallo, J. J., Rebok, G. W., & Keyl, P. M. (2002). Prospective study of brief neuropsychological measures to assess crash risk in older primary care patients. The Journal of the American Board of Family Practice, 15, 11-19.

21.

Lucas-Blaustein, M. J, Filipp, L., Dungan, C., & Tune, L. (1988). Driving in patients with dementia. Journal of the American Geriatrics Society, 36, 1087-1091.

22.

Lundberg, C., Johansson, K., Ball, K., Bjerre, B., Blomqvist, C., Braekhus, A., Brouwer, W. H., Bylsma, F. W., Carr, D. B., Englund, L., Friedland, R. P., Hakamies-Blomqvist, L., Klemetz, G., O'Neill, D., Odenheimer, G. L., Rizzo, M., Schelin, M., Sedeman, M., Tallman, K., Viitanen, M., Waller, P. F., & Winblad, B. (1997). Dementia and driving: an attempt at consensus. Alzheimer disease and associated disorder, 11, 28-37.

23.

Mihal, W. L., & Barret, G. V. (1976). Individual differences in perceptual information processing and their relation to automobile accident involvement. Journal of Applied Psychology, 61, 229-233.

24.

Mollenkopf, H., Marcellini, F., Ruoppila I., Szman, Z., & Tacken, M. (2005). Enhancing mobility in later life - personal coping, environmental resources, and technical support. The out-of-home mobility of older adults in urban and rural regions of five European countries. Amsterdam: IOS Press.

25.

Olson, P. L., & Sivak, M. (1986). Perception -Response Time to Unexpected Roadway Hazards. Human Factors, 28, 91-96.

26.

Owsley C., Ball, K., McGwin, G. Jr, Sloane, M. E., Roenker, D. L., White, M. F. & Overley, E. T., (1998). Visual processing impairment and risk of motor vehicle crash among older adults. The Journal of the American Medical Association, 279, 1083-1088.

27.

Richardson, E. D., & Marottoli, R. A. (2003). Visual attention and driving behaviors among community-living older persons. The Journals of Gerontology, Series A: Medical Sciences, 58, 832-6.

28.

Rizzo, M., Anderson, S. W., Dawson, J., Myers, R., & Ball, K. (2000). Visual attention impairments in Alzheimer’s disease. Neurology, 54, 1954-1959.

29.

Shinar, D. (1978). Driver performance and individual differences in attention and information processing: Volume 1. Driver inattention. (Tech. Report DOT HS 8-801819). Washington, DC: U.S. Department of Transportation, National Highway Traffic Safety Administration.

30.

Sims, R. V., McGwin, G. Jr, Allman, R. M., Ball, K., & Owsley, C. (2000). Exploratory study of incident vehicle crashes among older drivers. The Journals of Gerontology, Series A: Medical Sciences, 55, 22-27.

31.

Sullivan, M. P., Faust, M. E., & Batola, D. (1995). Identity negative priming in old adults and individuals with dementia of the Alzheimer’s type. Neuropsychology, 9, 1-19.

32.

Uc, E. Y., Rizzo, M., Anderson, S. W., Shi, Q., & Dawson, J. D. (2004). Driver route-following and safety errors in early Alzheimer disease. Neurology, 63, 832-837.

33.

Uc, E. Y., Rizzo, M., Anderson, S. W., Shi, Q., & Dawson, J. D. (2005). Driver landmark and traffic sign identification in early Alzheimer’s disease. Journal of Neurology, Neurosurgery, and Psychiatry, 76, 764-768.

34.

Velichkovsky, B. M., Dormhoefer, S. M., Kopf, M. Helmert, J., & Joos, M. (2002). Change detection and occlusion modes in road-traffic scenarios. Transportation Research Part F, 5, 99-109.

35.

Waller P. F. (1998). Alcohol, aging, and driving. In: Alcohol problems and Aging. Bethesda: U.S Department of Health and Human Services, Public Jealth Service, National Institute of Health.

36.

Westlake, W. (2000). Another look at visual standards and driving. British Medical Journal, 21, 972-973.

37.

Wild-Wesley, R., Marottoli, R., & Foley, D. (2004). Driving while demented: How well can we determine who’s safe and help retire those who are unsafe? Gerontologist, 44, 633-634.

logo