An Evaluation of the Relationship between Mental Disorders and Driving Accidents among Truck Drivers

Siamak Pourabdian, Saeid Lotfi, Saeid Yazdanirad, Parastoo Golshiri, Akbar Hassanzadeh

Abstract


Introduction: A review of the existing literature shows the importance of mental health in preventing traffic accidents. Therefore, the current study aims to determine the mentioned mental disorders in relation with the history of accidents among truck drivers. Methods: This cross‑sectional study was done with two groups of truck drivers (with and without a history of accidents) in Iran. 56 people with a history of accidents and 410 people without a history of accidents participated in this study. At first, using questionnaires, the demographic information of the participants including age, education level, cigarette use, and addiction to drug was collected. Then, the mental disorders of the participants were evaluated by a 71‑question, short form of the multidimensional Minnesota Multiphasic Personality Inventory (MMPI). The evaluated disorders are the HS or hypochondria, D or depression, HY or hysteria, Pd or social mental deviation, Pa or paranoia, Pt or mental weakness, Sc or schizophrenia, and Ma or hypomania. The tests used for data analysis include descriptive tests and Chi square. Results: Man–Whitney U test showed that status of mental disorders, as revealed by the MMPI questionnaire, had a significant difference between the two groups with and without history of driving accidents (P ˂ 0.001). The results showed that mental disorders of depression, hysteria, social mental deviation, paranoia, schizophrenia, and hypomania in individuals with history of driving accidents led to meaningful differences from individuals without history of driving accidents (P ˂ 0.048). Conclusion: The results of the current study showed that generally, individuals with history of driving accidents had significantly more mental disorders than people without history of driving accidents.

Keywords


Driving accident; mental disorders; MMPI; truck drivers

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References


Facts on global road safety. 2016. Available from: http://www.

who.int/features/factfiles/roadsafety/en. [Last accessed on 2018

Dec 17].

Peden M. World report on road traffic injury prevention. World

Health Organization, Geneva. 2004.

World Health Organization. Global status report on road safety.

World Health Organization, Genova. 2015.

Naghavi M, Abolhassani F, Pourmalek F, Lakeh M, Jafari N,

Vaseghi S, et al. The burden of disease and injury in Iran 2003.

Popul Health Metr 2009;7:1‑9.

Hasanzadeh J, Moradinazar M, Najafi F, Ahmadi‑Jouybary T.

Trends of mortality of road traffic accidents in Fars

Province, Southern Iran, 2004‑2010. Iran J Public Health

;43:1259.

Moafian G, Aghabeigi MR, Hoseinzadeh A, Lankarani KB,

Sarikhani Y, Heydari ST. An epidemiologic survey of road

traffic accidents in Iran: Analysis of driver‑related factors. Chin J

Traumatol 2013;16:140‑4.

Iranian Legal Medicine organization. Available from: http://

www.lmo.ir. [Last accessed on 2014 Nov 10].

Connelly LB, Supangan R. The economic costs of road traffic

crashes: Australia, states and territories. Accid Anal Prev

;38:1087‑93.

Jacobs G, Aeron‑Thomas A, Astrop A. Estimating Global Road

Facilities. Crowthorne: Transp Res Lab; 2000. p. 445‑51.

Attarchi MS, Dehghan F, Seyedmehdi SM, Mohammadi S.

Traffic accidents and related injuries in Iranian professional

drivers. J Public Health 2012;20:499‑503.

Girotto E, de Andrade SM, González AD, Mesas AE.

Professional experience and traffic accidents/near‑miss accidents

among truck drivers. Accid Anal Prev 2016;95:299‑304.

Chen GX, Sieber WK, Lincoln JE, Birdsey J, Hitchcock EM,

Nakata A, et al. NIOSH national survey of long‑haul truck

drivers: Injury and safety. Accid Anal Prev 2015;85:66‑72.

Evans L. The dominant role of driver behavior in traffic safety.

Am J Public Health 1996;86:784‑6.

Kopits E, Cropper ML, World Bank, Development Research

Group. Environment and Infrastructure. Traffic fatalities and

economic growth. Washington DC: World Bank, Development

Research Group, Infrastructure and Environment. 2003.

Bener A, Haigney D, Crundal D. Driving Behavior stress error

and violations on the road: A cross cultural comparison study.

“3” International conference on traffic of Transport Psychology,

‑9, September, Nottingham UK. 2004.

Wang P, Rau P, Salvendy G. Road safety research in China:

Review and appraisal. Traffic Inj Prev 2010;11:425‑32.

Ledesma RD MS, Poó FM, López‑Ramón MF. Individual

differences in driver inattention: The attention‑related driving

errors scale. Traffic Inj Prev 2010;11:142‑50.

Taylor AH, Dorn L. Stress, fatigue, health, and risk of road

traffic accidents among professional drivers: The contribution of

physical inactivity. Annu Rev Public Health 2006;27:371‑91.

Hammar A, Lund A, Hugdahl K. Selective impairment in

effortful information processing in major depression. J Int

Neuropsychol Soc 2003;9:954‑9.

Hilton MF, Staddon Z, Sheridan J, Whiteford HA. The impact

of mental health symptoms on heavy goods vehicle drivers’

performance. Accid Anal Prev 2009;41:453‑61.

Okhovat V, Daneshmand L. Personality Assessment. Tehran:

Tehran University Press; 1990. [Persian]

Hiller JB, Rosenthal R, Bornstein RF, Berry DT, Brunell‑Neuleib S. A comparative meta‑analysis of Rorschach

and MMPI validity. Psychol Assess 1999;11:278‑86.

Mootabi F. Preparation and Normalization of MMPI‑2

Questionnaire in Tehran City. M.Sc. thesis, Iran University of

Medical Sciences, Tehran. 1995. [Persian]

Ketabi D, Barkhordari A, Mirmohammadi SJ, Mehrparvar AH.

Aberrant behaviors and road accidents among Iranian truck

drivers, 2010. Health Promot Perspect 2011;1:130.

Blanchard EB, Veazey CH. Mental disorders resulting from road

traffic accidents. Curr Opin Psychiatry 2001;14:143‑7.

Fuller R. toward a general theory of driver behaviour. Accid

Anal Prev 2005;37:461‑72.

Mohammadi MR, Alavi SS, Jannatifard F,

Mohammadi Kalhory S, Babareisi M, Khodakarami R, et al.

Bipolar disorders in truck drivers with driving licence gategory

D and C. 5th congress of Iranian Psychological association,

Tehran. 2015. p. 1411‑4.

Luk JW, Worley MJ, Winiger E, Trim RS, Hopfer CJ, Hewitt JK,

et al. Risky driving and sexual behaviors as developmental

outcomes of co-occurring substance use and antisocial behavior.

Drug Alcohol Depend 2016;169:19-25.

Alavi SS, Mohammadi MR, Souri H, Kalhori SM, Jannatifard F,

Sepahbodi G. Personality, driving behavior and mental disorders

factors as predictors of road traffic accidents based on logistic

regression. Iran J Med Sci 2017;42:24.

Inversen H, Rundmo T. Personality, risk behavior and accident

involvement among norwegian drivers. Pers Individ Dif

;33:1251‑63.

Zolghi A, Maleki H. Taking incident (Review of research on

the role of human factors in accidents, to develop a model to

explaination). Daneshe Entezami 2006;8:100‑21. [Persian]

Alavi SS, Mohammadi MR, Soori H, Jannatifard F,

Mohammadi‑Kalhory S. The determination of

Cognitive‑behavioral features of bus and Truck drivers

during road accidents in 2013‑2014. Inj Control Saf Promot

;3:223‑32.

Lam LT, Norton R, Connor J, Ameratunga S. Suicidal ideation,

antidepressive medication and car crash injury. Accid Anal Prev

;37:335‑9.

Ansari H, Jadidfard K, Karami Dehbigi M. Comparison

of the symptoms of mental disorders of high risk events

drivers in the general population of tehran. J Police Med

;5:265‑72. [Persian]

Elisabeth Wells J, Oakley Browne MA, Scott KM, Mcgee MA,

Baxter J, Kokaua J, New Zealand Mental Health Survey

Research Team. Te Rau Hinengaro: The New Zealand mental

health survey: Overview of methods and findings. Aust N Z J

Psychiatry 2006;40:835‑44.

Shattell M, Apostolopoulos Y, Collins C, Sönmez S,

Fehrenbacher C. Trucking organization and mental health

disorders of truck drivers. Issues Ment Health Nurs

;33:436‑44.