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Journal of Autism and Developmental Disorders

, Volume 47, Issue 9, pp 2658–2670 | Cite as

Driving Behaviour Profile of Drivers with Autism Spectrum Disorder (ASD)

  • Derserri Y. CheeEmail author
  • Hoe C. Lee
  • Ann-Helen Patomella
  • Torbjörn Falkmer
Original Paper

Abstract

The symptomatology of autism spectrum disorder (ASD) can make driving risky, but little is known about the on-road driving behaviour of individuals with ASD. This study assessed and compared the on-road driving performance of drivers with and without ASD, and explored how the symptomatology of ASD hinders or facilitates on-road driving performance. Sixteen drivers with ASD and 21 typically-developed drivers participated in the study. Drivers with ASD underperformed in vehicle manoeuvring, especially at left-turns, right-turns and pedestrian crossings. However, drivers with ASD outperformed the TD group in aspects related to rule-following such as using the indicator at roundabouts and checking for cross-traffic when approaching intersections. Drivers with ASD in the current study presented with a range of capabilities and weaknesses during driving.

Keywords

Asperger’s syndrome High-functioning autism Michon model Naturalistic P-Drive 

Notes

Acknowledgements

The authors would like to thank all participants who were involved in this research and Dr Richard Parsons for his guidance with statistical analysis.

Author Contributions

DYC conceived of the study, participated in its design, performed the measurements, statistical analysis, interpretation of the data, and drafted the manuscript; HCL and TF participated in the design, coordination of the study, data analysis, interpretation of the data and drafting of the manuscript; AHP participated in the design, interpretaton of the data and drafting of the manuscript. All authors read and approved the final manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors report no conflicts of interest. The authors alone were responsible for the content and writing of this article. This research is supported by Curtin University, Perth, Australia.

References

  1. Akiwuntan, A., Feys, H., DeWeerdt, W., Pauwels, J., Baten, G., & Strypstein, E. (2002). Determinants of driving after stroke. Archives of Physical Medicine and Rehabilitation, 83, 334–341.CrossRefGoogle Scholar
  2. Almberg, M., Selander, H., Falkmer, M., Vaz, S., Ciccarelli, M., & Falkmer, T. (2015). Experiences of facilitators or barriers in driving education from learner and novice drivers with ADHD or ASD and their driving instructors. Developmental Neurorehabilitation. doi: 10.3109/17518423.2015.1058299.PubMedGoogle Scholar
  3. Altman, D. G. (1991). Practical statistics for medical research (1st edn.). London: Chapman and Hall.Google Scholar
  4. Amaral, D., Schumann, C., & Nordahl, C. (2008). Neuranatomy of autism. Trends in Neurosciences, 31, 137–145.CrossRefPubMedGoogle Scholar
  5. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  6. Ball, K. K., Beard, B. L., Roenker, D. L., Miller, R. L., & Griggs, D. S. (1988). Age and visual search: Expanding the useful field of view. Journal of the Optical Society of America. A, Optics and Image Science, 5(12), 2210–2219.CrossRefPubMedGoogle Scholar
  7. Ball, K. 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. Investigative Ophthalmology & Visual Science, 34(11), 3110–3123.Google Scholar
  8. Baron-Cohen, S. (1995). Mindblindness. Cambridge, MA: MIT press.Google Scholar
  9. Baron-Cohen, S. (2004). The cognitive neuroscience of autism. Journal of Neurology, Neurosurgery and Psychiatry, 75(7), 945. doi: 10.1136/jnnp.2003.018713.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Baron-Cohen, S., Hoekstra, R. A., Knickmeyer, R., & Wheelwright, S. (2006). The autism spectrum quotient (AQ)—adolescent version. Journal of Autism and Developmental Disorders, 36(3), 343–350.CrossRefPubMedGoogle Scholar
  11. Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a theory of mind? Cognition, 21(1), 37–46. doi: 10.1016/0010-0277(85)90022-8.CrossRefPubMedGoogle Scholar
  12. Benton, A. L., Sivan, A. B., Hamsher, K. D., Varney, N. R., & Spreen, O. (1983). Contributions to neuropsychological assessment (2nd ed.). New York: Psychological Assessment Resources, Inc.Google Scholar
  13. Benton, A. L., Varney, N. R., & Hamsher, K. S. (1978). Visuospatial judgment: A clinical test. Archives of Neurology, 35, 364–367. doi: 10.1001/archneur.1978.00500300038006.CrossRefPubMedGoogle Scholar
  14. Chee, D., Lee, H. C., Falkmer, M., Barnett, T., Falkmer, O., Siljehav, J., et al. (2014). Viewpoints on driving of individuals with and without autism spectrum disorder. Developmental Neurorehabilitation, 18(1), 26–36. doi: 10.3109/17518423.2014.964377.CrossRefPubMedGoogle Scholar
  15. Chee, D., Lee, H. C., Lee, A. H., & Falkmer, T. (2013). Performance of drivers with Parkinson’s disease under the effect of cognitive overloading: Insinuation for assessment and training. Advances in Transportation Studies A, 29, 5–18.Google Scholar
  16. Christiansen, C. H., Baum, C. M., & Bass-Haugen, J. (2005). Occupational therapy: Performance, participation, and well-being. Thorofare, NJ: SLACK.Google Scholar
  17. Classen, S., Levy, C., McCarthy, D., Mann, W., Lanford, D., & Waid-Ebbs, J. (2009). Traumatic brain injury and driving assessment: An evidence-based literature review. American Journal of Occupational Therapy, 63(5), 580–591. doi: 10.5014/ajot.63.5.580.CrossRefPubMedGoogle Scholar
  18. Classen, S., Monahan, M., Brown, K. E., & Hernandez (2013a). Driving indicators in teens with attention deficit hyperactivity and/or autism spectrum disorder. The Canadian Journal of Occupational Therapy, 80(5), 247–283. doi: 10.1177/0008417413501072.CrossRefGoogle Scholar
  19. Classen, S., Monahan, M., Brown, K. E., & Hernandez, S. (2013b). Driving indicators in teens with attention deficit hyperactivity and/or autism spectrum disorder. Canadian Journal of Occupational Therapy, 80(5), 274–283.CrossRefGoogle Scholar
  20. Classen, S., Monahan, M., & Wang, Y. (2013c). Driving characteristics of teens with attention deficit hyperactivity and autism spectrum disorder. The American Journal of Occupational Therapy, 67(6), 664–673. doi: 10.5014/ajot.2013.008821.CrossRefPubMedGoogle Scholar
  21. Clay, O. J., Wadley, V. G., Edwards, J. D., Roth, D. L., Roenker, D. L., & Ball, K. K. (2005). Cumulative meta-analysis of the relationship between useful field of view and driving performance in older adults: current and future implications. Optometry and Vision Science, 82(8), 724–731.Google Scholar
  22. Cox, S. M., Cox, D. J., Kofler, M. J., Moncrief, M. A., Johnson, R. J., Lambert, A. E., et al. (2016). Driving simulator performance in novice drivers with autism spectrum disorder: The role of executive functions and basic motor skills. Journal of Autism and Developmental Disorders, 46(4), 1379–1391. doi: 10.1007/s10803-015-2677-1.CrossRefPubMedGoogle Scholar
  23. Daly, B. P., Nicholls, E. G., Patrick, K. E., Brinckman, D. D., & Schultheis, M. T. (2014). Driving behaviours in adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44(12), 3119–3128. doi: 10.1007/s10803-014-2166-y.CrossRefPubMedGoogle Scholar
  24. Delis, D., Kaplan, E., & Kramer, J. (2001). Delis–Kaplan executive function system. The Psychological Corporation: Harcourt Brace & Company.Google Scholar
  25. Edwards, J. D., Vance, D. E., Wadley, V. G., Cissell, G. M., Roenker, D. L., & Ball, K. K. (2005). Reliability and validity of useful field of view test scores as administered by personal computer. Journal of Clinical Experimental Neuropsychology 27, 529–543, doi: 10.1080/13803390490515432.
  26. Fisher, D. L., & Pollatsek, A. (2007). Novice driver crashes: Failure to divide attention or failure to recognize risks. In A. F. Kramer, D. A. Wiegmann & A. Kirlik (Eds.), Attention: From theory to practice (pp. 134–153). New York: Oxford University Press.Google Scholar
  27. García-Pérez, R. M., Hobson, R. P., & Lee, A. (2008). Narrative role-taking in autism. Journal of Autism and Developmental Disorders, 38(1), 156–168. doi: 10.1007/s10803-007-0379-z.CrossRefPubMedGoogle Scholar
  28. Gowen, E., & Hamilton, A. (2013). Motor abilities in autism: A review using a computational context. Journal of Autism and Developmental Disorders, 43, 323–344.CrossRefPubMedGoogle Scholar
  29. Hatakka, M., Keskinen, E., Gregersen, N. P., & Glad, A. (1999). Theories and aims of educational and training measures. In S. Siegrist (Ed.), Driver training, testing and licensing towards theory based management of young drivers’ injury in road traffic (vol. 40). Berne: Schweizerische Beratungsstelle.Google Scholar
  30. Hendericks, D. R., & Wehman, P. (2009). Transition from school to adulthood for youth with autism spectrum disorders: Review and recommendations. Focus on Autism and Other Developmental Disabilities, 24, 77–88.CrossRefGoogle Scholar
  31. Hewitt, L. E. (2011). Perspectives on support needs of individuals with autism sppectrum disorders. Topics in Language Disorders, 31(3), 273–285.CrossRefGoogle Scholar
  32. Huang, P., Kao, T., Curry, A. E., & Durbin, D. R. (2012). Factors associated with driving in teens with autism spectrum disorders. Journal of Developmental & Behavioural Pediatrics, 33(1), 70–74. doi: 10.1097/DBP.0b013e31823a43b7.CrossRefGoogle Scholar
  33. Iaroci, G., Burack, J., shore, D., Mottron, L., & Enns, J. (2006). Global local visual processing in high functioning children with autism: Structural vs. implicit task biases. Journal of Autism and Developmental Disorders, 36(1), 117–129.CrossRefGoogle Scholar
  34. Jameel, L., Vyas, K., Bellesi, G., Cassell, D., & Channon, S. (2015). Great expectations: The role of rules in guiding pro-social behaviour in groups with high versus low autistic traits. Journal of Autism and Developmental Disorders, 45, 2311–2322. doi: 10.1007/s10803-015-2393-x.CrossRefPubMedPubMedCentralGoogle Scholar
  35. Kirkwood, B. R. (1988). Essentials of medical statistics. Oxford: Blackwell Sciences Ltd.Google Scholar
  36. Kleinhans, N., Akshoomoff, N., & Delis, D. (2005). Executive functions in autism and asperger’s syndrome: Flexibility, fluency and inhibition. Developmental Neuropsychology, 27(3), 379–401.CrossRefPubMedGoogle Scholar
  37. Legge, M., Kirov, C., & Cercarelli, R. (2000). Reported road crashes in Western Australia. In R. S. C. O. W. Australia (Ed.). Perth: Road Safety Council of Western Australia.Google Scholar
  38. Lejuez, C., Read, J. P., Kahler, C. W., Richards, J. B., Ramsey, S. E., Stuart, G. L., et al. (2002). Evaluation of a behavioral measure of risk taking: The balloon analogue risk task (BART). Journal of Experimental Psychology: Applied, 8(2), 75–84. doi: 10.1037/1076-898X.8.2.75.PubMedGoogle Scholar
  39. Lindsay, S. (2016). Systematic review of factors affecting driving and motor vehicle transportation among people with autism spectrum disorder. Disability and Rehabilitation, 4, 1–10. doi: 10.3109/09638288.2016.1161849.CrossRefGoogle Scholar
  40. Macdonald, W., Joseph M Pellerito, J., & Stefano, M. D. (2006). Introduction to driver rehabilitation and community mobility. In K. Falk (Ed.), Driver rehabilitation and community mobility: Principles and practice (pp. 3–22). St. Louis, Missouri: Elsevier Mosby.CrossRefGoogle Scholar
  41. Markram, K., & Markram, H. (2010). The intense world theory-a unifying thoery of the neurobiology of autism. Frontiers in Human Neuroscience, 4(224), 1–29.Google Scholar
  42. Matson, J. L., Rieske, R. D., & Williams, L. W. (2013). The relationship between autism spectrum disorders and attention-deficit/hyperactivity disorder: An overview. Research in Developmental Disabilities, 34(9), 2475–2484. doi: 10.1016/j.ridd.2013.05.021.CrossRefPubMedGoogle Scholar
  43. Michon, J. (1985). A critical view of driver behavioural models: What do we know, what should we do? New York: Plenium.Google Scholar
  44. Morris, B. K. (2008). Routines, rituals & compulsions: Discussion & practical strategies for parents. http://autism-help.org/behavior-compulsions-routines-rituals.htm. Accessed Dec 2, 2016.
  45. Patomella, A., & Bundy, A. (2015). P-Drive: Implementing an assessment of on-road driving in clinical settings and investigating its internal and predictive validity. The American Journal of Occupational Therapy, 69(4), 1–8. doi: 10.5014/ajot.2015.015131.CrossRefGoogle Scholar
  46. Patomella, A., Caneman, G., Kottorp, A., & Tham, K. (2004). Identifying scale and person response validity of a new assessment of driving ability. Scandanavian Journal of Occupational Therapy, 11(2), 70–77. doi: 10.1080/11038120410020520.CrossRefGoogle Scholar
  47. Patomella, A., Tham, K., & Kottorp, A. (2006). P-Drive: Assessment of driving performance after stroke. Journal of Rehabilitation Medicine, 38, 273–279. doi: 10.1080/16501970600632594.CrossRefPubMedGoogle Scholar
  48. Rehfeldt, R. A., Dillen, J. E., Ziomek, M. M., & Kowalchuk, R. K. (2007). Assessing relational learning deficits in perspective-taking in children with high-functioning autism spectrum disorder. The Psychological Record, 57(1), 23–47.CrossRefGoogle Scholar
  49. Reimer, B., Fried, R., Mehler, B., Joshi, G., Bolfek, A., Godfrey, K. M., et al. (2013). Brief report: Examining driving behavior in young adults with high functioning autism spectrum disorders: A pilot study using a driving simulation paradigm. Journal of Autism and Developmental Disorders, 43, 2211–2217. doi: 10.1007/s10803-013-1764-4.CrossRefPubMedGoogle Scholar
  50. Sheppard, E., Ropar, D., Underwood, G., & Van Loon, E. (2010). Brief report: Driving hazard perception in autism. Journal of Autism and Devevelopmental Disorders, 40(4), 504–508. doi: 10.1007/s10803-009-0890-5.CrossRefGoogle Scholar
  51. Shope, J. T., Waller, P. F., Raghunathan, T. E., & Patil, S. M. (2001). Adolescent antecedents of high-risk driving behaviour into young adulthood: Substance use and parental influences. Accident Analysis & Prevention, 33(5), 649–658.CrossRefGoogle Scholar
  52. Stewart, M. E., Watson, J., Allcock, A. J., & Yaqoob, T. (2009). Autistic traits predict performance on the block design. [Research Support, Non-U.S. Gov't]. Autism, 13(2), 133–142. doi: 10.1177/1362361308098515.
  53. Unsworth, C. A. (2007). Development and current status of occupational therapy driver assessment and rehabilitation in Victoria, Australia. Australian Occupational Therapy Journal, 54(2), 153–156. doi: 10.1111/j.1440-1630.2006.00617.x.CrossRefGoogle Scholar
  54. Virue´s-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: Meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes. Clinical Psychology Review, 30(4), 387–399.CrossRefGoogle Scholar
  55. Wechsler, D. (1997). Wechsler adult intelligence scale (3rd ed.). San Antonio, TX: Pearson.Google Scholar
  56. White, T. L., Lejuez, C. W., & de Wit, H. (2008). Test-retest characteristics of the balloon analogue risk task (BART). Experimental and Clinical Psychopharmacology, 16(6), 565–570. doi: 10.1037/a0014083.CrossRefPubMedPubMedCentralGoogle Scholar
  57. Wood, J. M., & Owsley, C. (2014). Useful field of view test. Gerontology, 60(4), 315–318. doi: 10.1159/000356753.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.School of Occupational Therapy and Social Work, Faculty of Health SciencesCurtin UniversityPerthAustralia
  2. 2.Department of Neurobiology, Care Science and Society, Division of Occupational TherapyKarolinska InstitutetStockholmSweden
  3. 3.Rehabilitation Medicine Unit, Department of Medicine and Health Sciences (IMH), Faculty of Health SciencesLinkoping University & Pain and Rehabilitation CentreLinkopingSweden

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