Abstract
This study aims to investigate the structural relationships among adult Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms, Sluggish Cognitive Tempo (SCT), and driving behavior with the mediation of procrastination. This study employed a descriptive-correlational design and recruited a convenience sample of 250 licensed drivers in Tabriz, Iran. The data were collected using four instruments, namely, Adult ADHD Self-Report Scale (ASRS), Adult Concentration Inventory (ACI), Tuckman Procrastination Scale (TPS), and Manchester Driving Behavior Questionnaire (MBDQ). Correlation and structural equation modeling techniques which were performed by SPSS 20 and AMOS 24 software, were used to analyze the data. The study conducted a statistical analysis that revealed several significant relationships. Firstly, there was a significant association between ADHD symptoms (\(\beta =0.25, p<0.05\)) and SCT symptoms \((\beta =0.18, p<0.05)\) with driving behavior. Secondly, the study found a significant correlation between ADHD \((\beta = 0.52, p<0.05)\) and SCT symptoms \((\beta = 0.33, p<0.05)\) with procrastination. Procrastination was also significantly related to driving behavior \((\beta = 0.37, p<0.05)\). Moreover, the study identified that ADHD \((\beta = 0.19, p<0.05)\) and SCT symptoms \((\beta =0.12, p<0.05)\) had a significant effect on driving behavior, with procrastination serving as a mediator. Based on the results, this study has identified additional SCT dimensions associated with adult hyperactivity and procrastination, which contribute to the current understanding of the topic.
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The data generated during this study are not publicly available currently but may be available from the author upon reasonable request.
References
Akbary, A., Heydari, S. T., Sarikhani, Y., Vossoughi, M., Tabrizi, R., Akabri, M., Movahhedian, N., Mani, A., Sadeghi-Bazargani, H., Ostovar, T., Bagheri Lankarani, K. (2020). Association between adult attention-deficit/hyperactivity disorder and driving behaviors among Iranian motorcyclists. Bulletin of Emergency & Trauma, 8(3), 163–168. https://doi.org/10.30476/beat.2020.84937
Barkley, R. A. (2004). Driving impairments in teens and adults with attention-deficit/hyperactivity disorder. Psychiatric Clinics, 27(2), 233–260. https://doi.org/10.1016/S0193-953X(03)00091-1
Barkley, R. A. (2012). Distinguishing sluggish cognitive tempo from attention-deficit/hyperactivity disorder in adults. Journal of Abnormal Psychology, 121(4), 978–990. https://doi.org/10.1037/a0023961
Barkley, R. A., & Cox, D. J. (2007). A review of driving risks and impairments associated with attention-deficit/hyperactivity disorder and the effects of stimulant medication on driving performance. Journal of Safety Research, 38(1), 113–128. https://doi.org/10.1016/j.jsr.2006.09.004
Becker, S. P. (2014). Sluggish cognitive tempo and peer functioning in school-aged children: A six-month longitudinal study. Psychiatry Research, 217(1–2), 72–78. https://doi.org/10.1016/j.psychres.2014.02.007
Becker, S. P., & Langberg, J. M. (2013). Sluggish cognitive tempo among young adolescents with ADHD: Relations to mental health, academic, and social functioning. Journal of Attention Disorders, 17(8), 681–689. https://doi.org/10.1177/1087054711435411
Becker, S. P., Langberg, J. M., & Byars, K. C. (2015). Advancing a biopsychosocial and contextual model of sleep in adolescence: A review and introduction to the special issue. Journal of Youth and Adolescence, 44(2), 239–270. https://doi.org/10.1007/s10964-014-0248-y
Becker, S. P., Leopold, D. R., Burns, G. L., Jarrett, M. A., Langberg, J. M., Marshall, S. A., McBurnett, K., Waschbusch, D. A., & Willcutt, E. G. (2016). The internal, external, and diagnostic validity of sluggish cognitive tempo: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 55(3), 163–178. https://doi.org/10.1016/j.jaac.2015.12.006
Becker, S. P., Burns, G. L., Garner, A. A., Jarrett, M. A., Luebbe, A. M., Epstein, J. N., & Willcutt, E. G. (2018). Sluggish cognitive tempo in adults: Psychometric validation of the adult concentration inventory. Psychological Assessment, 30(3), 296. https://doi.org/10.1037/pas0000476
Bentler, P. M., & Chou, C. P. (1987). Practical issues in structural modeling. Sociological Methods & Research, 16(1), 78–117. https://doi.org/10.1177/0049124187016001004
Biederman, J., Fried, R., Hammerness, P., Surman, C., Mehler, B., Petty, C. R., Faraone, S. V., Miller, C., Bourgeois, M., Meller, B., Godfrey, K. M., Reimer, B. (2012). The effects of lisdexamfetamine dimesylate on the driving performance of young adults with ADHD: a randomized, double-blind, placebo-controlled study using a validated driving simulator paradigm. Journal of Psychiatric Research, 46(4), 484–491. https://doi.org/10.1016/j.jpsychires.2012.01.007
Brown, S. W., Johnson, T. M., Sohl, M. E., & Dumas, M. K. (2015). Executive attentional resources in timing: Effects of inhibitory control and cognitive aging. Journal of Experimental Psychology: Human Perception and Performance, 41(4), 1063. https://doi.org/10.1037/xhp0000078
Dawe, S., Gullo, M. J., & Loxton, N. J. (2004). Reward drive and rash impulsiveness as dimensions of impulsivity: Implications for substance misuse. Addictive Behaviors, 29(7), 1389–1405. https://doi.org/10.1016/j.addbeh.2004.06.004
Dowson, J., McLean, A., Bazanis, E., Toone, B., Young, S., Robbins, T., & Sahakian, B. (2004). Impaired spatial working memory in adults with attention-deficit/hyperactivity disorder: Comparisons with performance in adults with borderline personality disorder and in control subjects. Acta Psychiatrica Scandinavica, 110, 45–54. https://doi.org/10.1111/j.1600-0447.2004.00292.x
Ferrari, J. R., Johnson, J. L., & McCown, W. G. (1995). Procrastination and task avoidance: Theory, research, and treatment. Springer Science & Business Media. https://doi.org/10.1007/978-1-4899-0227-6
Fischer, M., Barkley, R. A., Smallish, L., & Fletcher, K. (2007). Hyperactive children as young adults: Driving abilities, safe driving behavior, and adverse driving outcomes. Accident Analysis & Prevention, 39(1), 94–105. https://doi.org/10.1016/j.aap.2006.06.008
Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition and Emotion, 19(3), 313–332. https://doi.org/10.1080/02699930441000238
Fuermaier, A., Tucha, L., Evans, B. L., Koerts, J., de Waard, D., Brookhuis, K., ... & Tucha, O. (2017). Driving and attention deficit of neural transmission. Journal of Neural Transmission (Vienna), 124(1), 55–67. https://doi.org/10.1007/s00702-015-1465-6
Garner, A. A., Hansen, A., Baxley, C., Becker, S. P., Sidol, C. A., & Beebe, D. W. (2017). Effect of sleep extension on tempo symptoms and in adolescents with chronic short sleep. Sleep Medicine, 30, 93–96. https://doi.org/10.1016/j.sleep.2016.09.003
Gefen, D., Straub, D., & Boudreau, M. C. (2000). Structural equation modeling and regression: Guidelines for research practice. Communications of the Association for Information Systems, 4(1), 7. https://doi.org/10.17705/1CAIS.00407
Groen, Y., Gaastra, G. F., Lewis-Evans, B., Tucha, O. (2013). Risky behavior in gambling tasks in individuals with ADHD—a systematic literature review. PLoS One, 8(9), e74909. https://doi.org/10.1371/journal.pone.0074909
Hu, L.-t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., ... & Walters, E. E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256. https://doi.org/10.1017/S0033291704002892
Kline, R. B. (2015). Principles and practice of structural equation modeling: Guilford publications. Guilford publications.
Lee, S., Burns, G. L., Snell, J., & McBurnett, K. (2014). Validity of the sluggish cognitive tempo symptom dimension in children: Sluggish cognitive tempo and ADHD-inattention as distinct symptom dimensions. Journal of Abnormal Child Psychology, 42(1), 7–19. https://doi.org/10.1007/s10802-013-9714-3
Liddle, E. B., Hollis, C., Batty, M. J., Groom, M. J., Totman, J. J., Liotti, M., ... & Liddle, P. F. (2011). Task‐related default mode network modulation and inhibitory control in ADHD: Effects of motivation and methylphenidate. Journal of Child Psychology and Psychiatry, 52(7), 761–771. https://doi.org/10.1111/j.1469-7610.2010.02333.x
Martiniuk, A. L., Senserrick, T., Lo, S., Williamson, A., Du, W., Grunstein, R. R., ... & Ivers, R. Q. (2013). Sleep-deprived young drivers and the risk for crash: the DRIVE prospective cohort study. JAMA Pediatrics, 167(7), 647–655. https://doi.org/10.1001/jamapediatrics.2013.1429
Mokhtari, H., Rabiei, M., & Salimi, S. H. (2015). Psychometric properties of the Persian version of adult attention-deficit/hyperactivity disorder self-report scale. Iranian Journal of Psychiatry and Clinical Psychology, 21(3), 244–253. http://ijpcp.iums.ac.ir/article-1-2472-en.html
Montazeri, A. (2004). Road-traffic-related mortality in Iran: A descriptive study. Public Health, 118(2), 110–113. https://doi.org/10.1016/S0033-3506(03)00173-2
Newark, P. E., & Stieglitz, R. D. (2010). Therapy-relevant factors in adult ADHD from a cognitive behavioral perspective. ADHD Attention Deficit and Hyperactivity Disorders, 2(2), 59–72. https://doi.org/10.1007/s12402-010-0023-1
Oreyzi, H .R, Haghayegh, S. A. (2010). Psychometric properties of the Manchester driving behavior questionnaire. Payesh, 9(1), 21–28. URL: http://payeshjournal.ir/article-1-585-en.html
Philip, P., Sagaspe, P., Taillard, J., Valtat, C., Sanchez-Ortuno, M., Moore, N., ... & Bioulac, B. (2005). Fatigue, sleep restriction, and driving performance. Accident Analysis & Prevention, 37(3), 473–478. https://doi.org/10.1016/j.aap.2004.07.007
Ramsay, R. J., & Rostain, A. L. (2003). A cognitive therapy approach for adult attention-deficit/hyperactivity disorder. Journal of Cognitive Psychotherapy, 17(4), 319–334. https://doi.org/10.1891/jcop.17.4.319.52537
Reason, J., Manstead, A., Stradling, S., Baxter, J., & Campbell, K. (1990). Errors and violations on the roads: A real distinction? Ergonomics, 33(10–11), 1315–1332. https://doi.org/10.1080/00140139008925335
Salvucci, D. D., & Taatgen, N. A. (2008). Threaded cognition: An integrated theory of concurrent multitasking. Psychological Review, 115(1), 101–130. https://doi.org/10.1037/0033-295X.115.1.101
Schmidt, E. A., Schrauf, M., Simon, M., Fritzsche, M., Buchner, A., & Kincses, W. E. (2009). Drivers’ misjudgment of vigilance state during prolonged monotonous daytime driving. Accident Analysis & Prevention, 41(5), 1087–1093. https://doi.org/10.1016/j.aap.2009.06.007
Schouwenburg, H. C., & Lay, C. H. (1995). Trait procrastination and the Big-five factors of personality. Personality and Individual Differences, 18(4), 481–490. https://doi.org/10.1016/0191-8869(94)00176-S
Skirrow, C., & Asherson, P. (2013). Emotional lability, comorbidity, and impairment in adults with attention-deficit hyperactivity disorder. Journal of Affective Disorders, 147(1–3), 80–86. https://doi.org/10.1016/j.jad.2012.10.011
Steel, P. (2007). The nature of procrastination: A meta-analytic and theoretical review of quintessential self-regulatory failure. Psychological Bulletin, 133(1), 65–94. https://doi.org/10.1037/0033-2909.133.1.65
Stevens, L., Verdejo-García, A., Goudriaan, A. E., Roeyers, H., Dom, G., & Vanderplasschen, W. (2014). Impulsivity as a vulnerability factor for poor addiction treatment outcomes: A review of neurocognitive findings among individuals with substance use disorders. Journal of Substance Abuse Treatment, 47(1), 58–72. https://doi.org/10.1016/j.jsat.2014.01.008
Takman, T. (1991). The Takman procrastination questionnaire (TPQ). Unpublished manuscript, University of Linköping, Sweden.
Taylor, S & Chowdhury, S. (2019). ADHD, Inattention, sluggish cognitive tempo, and executive functioning: Key aspects of the and procrastination. The 11th Biennial Procrastination Research Conference (University of Sheffield, UK, July 25–26).
Vaa, T. (2014). ADHD and relative risk of accidents in road traffic: A meta-analysis. Accident Analysis & Prevention, 62, 415–425. https://doi.org/10.1016/j.aap.2013.10.003
World Health Organization. (2018). Global status report on road safety 2018: Summary (No. WHO/NMH/NVI/18.20). World Health Organization.
Young, K. L., & Salmon, P. M. (2012). Examining the relationship between driver distraction and driving errors: A discussion of theory, studies, and methods. Safety Science, 50(2), 165–174. https://doi.org/10.1016/j.ssci.2011.07.008
Zhang, Y., Kaber, D. B., Rogers, M., Liang, Y., & Gangakhedkar, S. (2014). The effects of visual and cognitive distractions on operational and tactical driving behaviors. Human Factors, 56(3), 592–604. https://doi.org/10.1177/0018720813495279
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Shirdel, S., Shadbafi, M., Shirdel, S. et al. Structural relationships of the Adult Attention-Deficit/Hyperactivity symptoms, Sluggish Cognitive Tempo, and driving behavior: mediating role of procrastination. Curr Psychol 43, 17879–17888 (2024). https://doi.org/10.1007/s12144-023-05215-7
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DOI: https://doi.org/10.1007/s12144-023-05215-7