ABSTRACT

A simulator driving test (SDT) and two neuropsychological tests, the Useful Field of View (UFOV) test and the Test of Variables of Attention (TOVA) were evaluated with regard to validity for fitness to drive on 51 young clients diagnosed with attention deficit hyperactivity disorder (ADHD), 33 of whom also had autism spectrum disorder (ASD), and 38 adolescents without a neurodevelopmental diagnosis. The results show generally much greater variability and significantly poorer performance in the SDT and the TOVA for clients with ADHD/ASD compared with the control group. The SDT results were strongly intratest correlated, but had no interest correlation with either the UFOV test or the TOVA. The greater variability among clients with ADHD/ASD suggests greater effort and susceptibility to motivational issues and decline in sustained attention over several tests. In conclusion, the SDT is sensitive and has good face validity, and the TOVA is sensitive to neuropsychological aspects of safe driving. The SDT and the TOVA thus complement each other, and discrepancy between test scores calls for special consideration.

摘要

评估了模拟驾驶考试（SDT）和两项神经心理学考试，有用视野（UFOV）考试和注意力变量测试（TOVA）的健康驾驶对被诊断为注意力不足多动症的51位年轻客户进行驾驶的有效性障碍（ADHD），其中33例也患有自闭症谱系障碍（ASD），还有38例未经过神经发育诊断的青少年。结果显示，与对照组相比，患有ADHD / ASD的患者的SDT和TOVA的变异性通常大得多，并且性能显着较差。SDT结果与测试内密切相关，但与UFOV测试或TOVA没有兴趣相关。多动症/自闭症患者的变异性更大，这表明他们对动机问题的努力和敏感性更高，并且在多项测试中持续注意力下降。总之，SDT敏感且具有良好的面部有效性，TOVA对安全驾驶的神经心理学方面敏感。因此，SDT和TOVA是相辅相成的，因此考试成绩之间的差异需要特别考虑。