Driving skills in unmedicated first- and recurrent-episode schizophrenic patients

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• 作者：Felix M. Segmiller ; Verena Buschert…
• 关键词：Driving performance ; Traffic safety ; First ; episode schizophrenia ; Recurrent ; episode schizophrenia
• 刊名：European Archives of Psychiatry and Clinical Neuroscience
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：267
• 期：1
• 页码：83-88
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Psychiatry; Neurosciences; Neurology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1433-8491
• 卷排序：267

文摘

The present study was designed to examine driving skills according to regulations of the German guidelines for road and traffic safety in unmedicated schizophrenic inpatients. A total of 13 first-episode (FES) and 13 recurrent-episode (RES) schizophrenic inpatients were included in the analysis and compared with a group of 20 healthy controls (HC). Data were collected with the computerised Wiener Testsystem measuring visual perception, reactivity and stress tolerance, concentration and vigilance. Analysis of data indicates that a great proportion (58 %) of schizophrenic patients were impaired in psychomotor functions related to driving skills. FES and RES significantly differed with respect to driving ability with a greater proportion in the FES (38 %) showing severe impairments when compared with RES (25 %). Differences with respect to HC performance were most pronounced in concentration and for the FES additionally in visual perception. Analysis of our data indicates that a great proportion of schizophrenic patients are impaired in psychomotor functions related to driving skills that cannot be attributed to adverse side effects of psychopharmacological treatment. Besides, we cannot confirm a chronical decline of psychomotor functions related to driving skills at least in the early course of schizophrenic illness.