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Prevalence and Perception of Depressive Symptomatology Among Spanish Drivers and Its Relation to Driving Safety
International Journal of Psychological and Brain Sciences
Volume 1, Issue 3, December 2016, Pages: 54-61
Received: Oct. 27, 2016; Accepted: Nov. 5, 2016; Published: Dec. 12, 2016
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Francisco Alonso, DATS (Development and Advising in Traffic Safety) Research Group - INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
Cristina Esteban, DATS (Development and Advising in Traffic Safety) Research Group - INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
Sergio A. Useche, DATS (Development and Advising in Traffic Safety) Research Group - INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
Mireia Faus, DATS (Development and Advising in Traffic Safety) Research Group - INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
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Depression is currently the most frequent mental disorder and one of the main causes of losing years of healthy life. This disorder entails a cognitive and motor deterioration that is seriously detrimental to driving. From the analysis of the interviewed drivers’ attitudes, knowledge and behaviors, the objective of this paper was the following one: detect the impact of depressive symptoms on a driver’s sample and its relationship with several variables related to driving and road safety. A sample of 1.200 Spanish drivers ranging from 18 to 64 years was used, 666 men and 534 women were asked to answer a questionnaire composed by a set of items structured in different sections. The only selection criteria were to be in possession of any type of driving license for vehicles other than motorcycles and drive frequently. 21.9% of the drivers showed signs or symptoms linked with a depressive disorder. There were found significant contingences between the presence of depressive symptoms and a lower risk-taking while driving. It is necessary to propose establishing systems that fulfil two essential requirements: on the one hand, to inform, train and make the drivers aware of detecting and managing the symptoms linked to depression; on the other hand, to detect the drivers that show cognitive and motor deterioration linked to depressive symptoms, and to promote their self-regulation, taking into account the negative implications of driving under depressive symptomatology for performance and road safety in general.
Depression, Drivers, Epidemiology, Public Health, Driving Safety, Road Safety
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Francisco Alonso, Cristina Esteban, Sergio A. Useche, Mireia Faus, Prevalence and Perception of Depressive Symptomatology Among Spanish Drivers and Its Relation to Driving Safety, International Journal of Psychological and Brain Sciences. Vol. 1, No. 3, 2016, pp. 54-61. doi: 10.11648/j.ijpbs.20160103.13
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
W. Weiten, D. S. Dunn, E. Y. Hammer, “Psychology applied to modern life. Adjustment in the 21st century”. Wadsworth. Belmont, 2006.
R. A. Sansone, L. A. Sansone, “Driving on antidepressants: cruising for a crash?”. Psychiatry, 2009, 6, pp. 13-16.
V. Lehtinen, M. Joukamaa, “Epidemiology of depression: Prevalence, risk factors and treatment situation”. Acta Psychiatrica Scandinavica, 1994, 89(377), pp. 7-10.
P. Cassano, M. Fava, “Depression and public health: An overview”. Journal of Psychosomatic Research, 2002, 53, pp. 849-857.
J. P. Lepine, M. Gastpar, J. Mendlewicz, A. Tylee, “Depression in the community: the first pan-European study DEPRES [Depression Research in European Society]”. International Clinical Psychopharmacology, 1997, 12(1), pp. 19-29.
D. Mischoulon, R. McColl, S. Howarth, I. T. Lagomasino, J. E. Alpert, A. A. Nierenberg, M. Fava, “Management of major depression in the primary care setting”. Psychotherapy and Psychosomatics, 2001, 70, pp. 103-107.
E. Silverstone, “The influence of psychiatric disease and its treatment on driving performance”. International Clinical Psychopharmacology, 1988, 3(1), pp. 59-66.
M. P. Paulus, A. J. Yu, “Emotion and decision-making: affect-driven belief systems in anxiety and depression”. Trends in Cognitive Sciences, 2012, 16, pp. 476-483. doi: 10.1016/j.tics.2012.07.009.
K. Sanderson, G. Andrews, “Common mental disorders in the workforce: recent findings from descriptive and social epidemiology”. Canadian Journal of Psychiatry, 2006, 51, pp. 63-75.
D. Chisholm, K. Sanderson, J. L. Ayuso-Mateos, S. Saxena, “Reducing the global burden of depression: population-level analysis of intervention cost-effectiveness in 14 world regions”. British Journal of Psychiatry, 2004, 184, pp. 393-403. doi: 10.1192/bjp.184.5.393.
J. Rubinsztein, C. A. Lawton, “Depression and driving in the elderly”. International Journal of Geriatric Psychiatry 1995, 10, pp. 15-17. doi: 10.1002/gps.930100104.
E. L. Bulmash, H. J. Moller, L. Kayumov, J. Shen, X. Wang, C. M. Shapiro, “Psychomotor disturbance in depression: assessment using a driving simulator paradigm”. Journal of Affective Disorders, 2006, 93(1-3), pp. 213-8. doi: 10.1016/j.jad.2006.01.015.
I. H. Gotlib, E. Krasnoperova, “Biased information processing as a vulnerability factor for depression”. Behavior Therapy 1998, 29, pp. 603-617. doi: 10.1016/S0005-7894(98)80020-8
L. G. Chepenik, L. A. Cornew, M. J. Farah, “The influence of sad mood on cognition”. Emotion, 2007, 7, pp. 802-811. doi: 10.1037/1528-3542.7.4.802.
G. H. Bower, “Mood and memory”. American Psychologist, 1981, 36, pp. 129-148. doi: 10.1037/0003-066X.36.2.129.
J. J. Gross, “The emerging field of emotion regulation: An integrative review”. Review of General Psychology, 1998, 2, pp. 271-279. doi: 10.1007/s10862-009-9161-1.
T. L. Chartrand, R. B. VanBaaren, J. A. Bargh, “Linking automatic evaluation to mood and information processing style: consequences for experienced affect, impression formation, and stereotyping”. Journal of Experimental Psychology General, 2006, 135, pp. 70-77. doi: 10.1037/0096-3445.135.1.70.
F. Alonso, C. Esteban, S. A. Useche, E. López de Cózar, “Prevalence of Physical and Mental Fatigue Symptoms on Spanish Drivers and Its Incidence on Driving Safety”. Advances in Psychology and Neuroscience, 2016, 1(2), pp. x-x. doi: 10.11648/
J. Charlton, S. Koppel, M. O’Hare, D. Andrea, G. Smith, B. Khodr, J. Langford, H. Odell, B. Fildes, “Influence of chronic illness on crash involvement of motor vehicle drivers”. Accident Research Centre - Monash University. Victoria, 2004.
J. Mesken, M. P. Hagenzieker, T. Rothengatter, D. de Waard, “Frequency, determinants, and consequences of different drivers’ emotions: an on-the-road study using self-reports, (observed) behaviour, and physiology”. Transportation Research Part F, 2007, 10, pp. 458-475. doi: 10.1016/j.trf.2007.05.001.
J. Mesken, “Determinants and consequence of drivers’ emotions”. PhD. Thesis. University of Groningen and SWOV Institute for Road Safety Research. Groningen, 2006.
G. J. Armstrong, A. Whitlock, “Psychiatric illness and motor accidents”. Australia and New Zealand Journal of Psychiatry 1980, 14, pp. 53-60.
P. Brown, “Mental illness and motor insurance”. Psychiatric Bulletin, 1993, 17, pp. 620-621. doi: 10.1192/pb.17.10.620
F. P. Da Silva, R. S. N. de Pinho, M. T. De Mello, V. M. S. De Bruin, “Risk factors for depression in truck drivers”. Social Psychiatry and Psychiatric Epidemiology, 2009, 44, pp. 125-129. doi: 10.1007/s00127-008-0412-3.
S. Ravera, J. G. Ramaekers, L. T. J. Jon-van den Berg, J. J. Gier, “Are selective serotonin reuptake inhibitors safe for drivers? What is the evidence?” Clinical Therapeutics, 2012, 34, pp. 1070-1083. doi: 10.1016/j.clinthera.2012.04.002.
G. C. Gee, D. T. Takeuchi, “Traffic stress, vehicular burden and well-being: A multilevel analysis”. Social Science & Medicine, 2004, 59(2), pp. 405-414. doi: 10.1016/j.socscimed.2003.10.027
F. Alonso, C. Esteban, C. Calatayud, B. Alamar, A. Egido, “Salud vial. Teoría y prácticas de los trastornos físicos y psíquicos en la conducción”. University Research Institute on Traffic and Road Safety (INTRAS). Valencia, 2008.
F. Alonso, J. Sanmartín, C. Esteban, C. Calatayud, B. Alamar, E. López, “Salud Vial. Diagnóstico de los conductores españoles”. University Research Institute on Traffic and Road Safety (INTRAS). Valencia, 2008.
F. Alonso, C. Esteban, C. Calatayud, B. Alamar, C. Fernández, J. E. Medina, “Salud vial: ¿El conductor a terapia?”. University Research Institute on Traffic and Road Safety (INTRAS). Valencia, 2008.
C. Monton, M. J. Pérez-Echevarría, R. Campos, J. García-Campayo, A. Lobo, “Escalas de ansiedad y depresión de Goldberg: Una guía de entrevista eficaz para la detección del malestar psicológico”. Atención Primaria, 1993, 12, pp. 345-349.
P. E. Barjonet, T. Benjamin, R. D. Huguenin, R. D. Witting, “SARTRE: Social Attitudes to Road Traffic Risk in Europe: Towards a new policy-relevant understanding of Europe's drivers”. Institut National de Recherche sur les Transports et leur Sécurité (INRETS). Brussels, 1994.
INRETS, “European drivers and road risk. Part 1: Report on principal results”. Institut national de recherche sur les transports et leur sécurité. Paris, 2004.
INRETS, “European drivers and road risk. Part 2: Report on in-depth analyses”. Institut national de recherche sur les transports et leur sécurité. Paris, 2004.
M. F. Hilton, Z. Staddon, J. Sheridan, H. A. Whiteford, “The impact of mental health symptoms on heavy goods vehicle drivers' performance”. Accident Analysis and Prevention, 2009, 41(3), pp. 453-61. doi: 10.1016/j.aap.2009.01.012.
G. Niveau, M. Kelley-Puskas, “Psychiatric disorders and fitness to drive”. Journal of Medical Ethics, 2001, 27, pp. 36-39. doi: 10.1136/jme.27.1.36.
B. Cendales-Ayala, S. A. Useche, V. Gómez-Ortiz, J. P. Bocarejo, “Bus Operators’ Responses to Job Strain: An Experimental Test of the Job Demand–Control Model”. Journal of Occupational Health Psychology, 2016. Advance online publication. http://
R. Lancaster, R. Ward, “The contribution of individual factors to driving behaviour: Implications for managing work-related road safety”. HSE Books. Norwich, 2002.
C. De las Cuevas, E. J. Sanz, “Fitness to Drive of Psychiatric Patients”. The Primary Care Companion to The Journal of Clinical Psychiatry, 2008, 10(5), pp. 384-390.
C. M. Wickens, R. G. Smart, R. E. Mann, “The Impact of Depression on Driver Performance”. International Journal of Mental Health and Addiction, 2014, 12(4), pp. 524-537. doi: 10.1007/s11469-014-9487-0.
R. C. Eelkema, J. Brosseau, R. Koshnick, C. McGee, “A statistical study on the relationship between mental illness and traffic accidents–a pilot study”. American Journal of Public Health, 1970, 60, pp. 459-469.
M. T. Tsuang, M. Boor, J. A. Fleming, “Psychiatric aspects of traffic accidents”. American Journal of Psychiatry, 1985, 142, pp. 538-46.
G. S. Larue, A. Rakotonirainy, A. N. Pettitt, “Driving performance impairments due to hypovigilance on monotonous roads”. Accident Analysis & Prevention, 2011, 43(6), pp. 2037-2046. doi: 10.1016/j.aap.2011.05.023
N. Haworth, C. Tingvall, N. Kowaldo, “Review of best practice road safety initiatives in the corporate and/or business environment”. Accident Research Centre – Monash University. Clayton, 2000.
C. C. McDonald, M. S. Sommers, J. D. Fargo, “Risky Driving, Mental Health, and Health-Compromising Behaviors: Risk Clustering in Late Adolescents and Adults”. Injury Prevention, 2014, 20(6), pp. 365–372.
A. Kasten, “Depression and Driving: A Literature Review”. IJOT: The Israeli Journal of Occupational Therapy, 2009, 1(18), pp. E3-E12.
F. Alonso, C. Esteban, J. Sanmartin, S. A. Useche, “Consistency Between the Subjective Perception of Feeling Indisposed, the Decision to Drive and Driving Performance”. Science Journal of Public Health, 2016, 4(6), pp. 482-488. doi: 10.11648/j.sjph.20160406.21
M. Wingen, J. A. J. Schmitt, J. G. Ramaekers, “Depression, antidepressants and driving ability”. Brain and Behavior Institute - Maastricht University. Maastricht, 2004.
J. Shen, H. J. Moller, X. Wang, S. A. Chung, G. K. Shapiro, X. Li, C. M. Shapiro, “Mirtazapine, a sedating antidepressant, and improved driving safety in patients with major depressive disorder: a prospective, randomized trial of 28 patients”. Journal of Clinical Psychiatry, 2009, 70(3), pp. 370-377.
S. A. Useche, A. Serge, F. Alonso, “Risky Behaviors and Stress Indicators between Novice and Experienced Drivers”. American Journal of Applied Psychology, 2015, 3(1), pp. 11-14. doi: 10.12691/ajap-3-1-3.
T. D. Windsor, K. J. Anstey, J. G. Walker, “Ability perceptions, perceived control, and risk avoidance among male and female older drivers”. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2008, 63(2), pp. 75-83.
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