攻击性驾驶行为与交通事故的关系研究
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
在人-车-道路环境系统中,人是影响交通事故的主要因素。随着道路交通环境日益拥挤,驾驶者紧张和攻击性驾驶问题越来越突出。攻击性驾驶行为是指有意图、有目的地对驾驶环境中他人进行身体、心理或情感伤害的驾驶行为。如:有意追尾、堵截、骂人、鸣笛等,这种伤害一般情况下较轻,不易引起人们的警惕,因而更加泛滥。在美国每年平均至少有1500人受伤或死于攻击性驾驶;30%~40%的人承认曾经有过攻击性驾驶行为。美国道路安全部门的专家认为,攻击性驾驶与酒后驾驶一样,已成为危害交通安全的一种重要因素。2002年4月,发展中国家道路交通伤害和健康公平国际学术会议资料表明:中国的交通伤害发生率和死亡率位居参会各国之首。而攻击性驾驶行为在中国的影响尚未见报道,探讨攻击性驾驶行为的心理、生理影响因素以及与交通事故的关系,无疑具有重要的现实意义。
     此次与美国纽约布法罗州大学Hennessy博士合作,引进一套评定攻击性驾驶行为的心理量表,结合中国的人文环境、道路情况和交通管理模式等加以修订,并进行效度和信度验证,首次在国内开展攻击性驾驶行为的系统研究,目的是探讨攻击性驾驶行为与交通事故的关系,采用人群流行病学调查方法,并结合血清睾酮、单胺氧化酶A(MAOA)基因的检测和自主神经平衡功能测试,分析攻击性驾驶行为的心理、生理影响因素,从攻击性驾驶角度出发,确定事故倾向性驾驶员的心理、生理评价指标,为筛选交通事故高危人群,减少事故伤
Personal factors are more important to traffic accidents than the vehicle and road. With driving congestion in large cities being worsening, stress and aggressive driving among drivers are widespread. Aggressive driving (or driver aggression) has been defined as any behavior intended to physically, psychologically, or emotionally, harm others within the driving environment, including drivers, passengers, and pedestrians, such as tailgating to punish another driver, swearing, and yelling. The immediate outcome of aggressive driving is less severe than that with violence, so we call them Mild Aggression, but aggressive driving is typically more common among drivers. In American, there are at least 1500 people had been injured or killed by aggressive driving every year, and approximately 30% of the drivers accepted that they have engaged in aggressive driving some times. The authorities dealing with automobile travel and traffic safety have identified aggressive driving as a risky factor for motor vehicle accident morbidity and mortality on a par with alcohol impaired driving. China is one of the most dangerous countries to drive with regards to collision and deaths due to collisions. There is comparatively little current knowledge of the process and results of aggressive driving in China. With the growing trend of vehicle ownership, there is an increased need to understand the processes and results of
    aggressive driving in China. Therefore, there are more practical value to study effects of aggressive driving on traffic safety and the social-psych-physical affection of aggressive driving.Cooperating with Dr. Hennessy, we translated a series of aggressive driving measures in China, and revised it to suit the Chinese culture and traffic environment, and tested the reliability and validity. Studied the aggressive driving at first time in China is to determine the relationship between the aggressive driving and traffic accidents. In present study, we investigated the demographic and psychological characteristics of aggressive drivers by means of the crowd epidemiological survey. We further detected polymorphic variation in the gene for Monoamine Oxidase-A, Serum testosterone, and autonomic balance index test, to find their relationship with aggressive driving. The study would be helpful for screening aggressive driver, and help to preventing the traffic collisions.1 The Reliability and Validity of Aggressive Driving Measures in Chinese VersionGiven China's unique cultural perspective from western cultures, the present studies were designed to test the reliability and validity of the Driving Vengeance Questionnaires (DVQ), Self-Report Driver Behavior (Aggression and Assertiveness subscales), the Violent Driving Questionnaires, Deffenbacher's Driving Anger Scale, and Driver Stress Scale in Chinese version. A total of 353 automobile drivers were investigated with aggressive driving measures, 41 individuals took the tests twice with two week between tests. Result showed that: (D the aggressive driving measures embodied the affective aggression theory,
    evaluated a general susceptibility to driving stress, anger, vengeful driving reactions, and aggressive behavior. ?Drivers with type A behavior indicated high level of aggressive driving than type B. (3)We also found significant correlation between the scales scores and number of self-reported vehicle accidents over the past 12 months. ?Scores of each scale correlated significant with scores on Seigel's Multidimensional Anger Inventory which was taken as the criterion. (5) The factor structures of each scale was consistent with the content means that these variables represent distinct constructs. ?The test-retest reliability of the scales, varying from 0.84 to 0.93, seemed acceptable. ?Cronbach alpha of 0.76-0.92 indicate a good internal consistency.To sum up, the aggressive driving measures were reliable, valid and wieldy and could be applied to assessing the driver's aggression in Chinese.2 The Demographic and Psychological Characteristics of Aggressive DriverWith the cluster random sampling method, a total of 1631 automobile drivers were investigated with scales of Driving Vengeance Questionnaire (DVQ), self-report Driver Behavior, Driver Violence, Driver Anger, Driver Stress, Type A Behavior Pattern, and demographic characteristics, driving experience, et al. Firstly, make the Composite Driver Aggression Index by means of principal component analysis. Secondly, analysis the demographic and psychological characteristics of aggressive driver. Result showed that the scores of Self-report Driver Behavior (Xi), and Driver Violence (X2), Driver Vengeance (X3)
    correlated significantly with each other (Pearson=0.41~0.51? P<0.01). Each of these scales also differentiated the driver with or without aggressive driving. A Principal Component Analysis abstracted one principal component from the three aggressive behavior measures, it's 00.102 Xi+0.367 X2+0.089 X3-2.337, according to the equation, a composite driver aggression index was derived.A Multiple Linear Regression Analysis (Stepwise) found out that the composite driver aggression index was predicted by main effects of driver anger, driver stress, type A hostility, type A time hurry. We also found that the smokers and drinkers were more aggressive than the nonsmoker and nondrinker group, as well as the young drivers were more aggressive than the old. Suggestions were made for the use of the composite aggressive driving index in the screening of aggressive drivers. Exploring the demographic and psychological characteristic of aggressive driver, it was advantageous to study the interfere method to prevent the traffic collisions.3 The Biological Characteristics of Aggressive DriversAccording to the results from studies mentioned above, this study presented preliminary evidence of an association between aggressive driving and functional polymorphism in the promoter of Monoamine Oxidase-A (MAOA) gene, serum testosterone and autonomic balance ability. A total of 348 automobile drivers were investigated with driving vengeance questionnaires (DVQ), self-report driver behavior questionnaires, and violent driving questionnaires. We selected the more and less aggressive drivers (88 each) as subjects. Polymerase Chain
    Reaction (PCR) and 2.5% agarose gel was adopted to detect the genotype of functional 30bp-uVNTR in the promoter region of the X-chromosomal MAOA gene. MAOA is a mitochondrial enzyme that oxidizes 5-HT and Norepinephine as well as Dopamine. A functional 30bp variable number of tandem repeats (30bp-uVNTR) polymorphism was identified in the promoter region of the human MAOA gene that differentially modulated gene transcription. The transcriptional efficiency of the three-repeat allele was two-fold lower than those with longer repeats, and enzyme activity was correlated with repeat length. Result showed that two alleles (3 or 4 repeats) were detected in our study. Among the more aggressive group, 3 repeats of 30 bp-uVNTR (63/88) were significantly more frequent than 4 repeats (25/88) ( -*-2=10.21, P<0.01) , and the scores of 3 repeats of 30bp-uVNTR group were significantly higher than that of 4 repeats. It indicated that driver aggressive was correlated with the MAOA enzyme lower activity. The drivers with three repeats of 30bp-uVNTR were prone to more aggressive than with four repeats. Besides the MAOA gene, we also found that serum testosterone was positive correlated with driver aggression in men. Balance index tests showed that the aggressive group had less autonomic balance than the control.4 The relationship of aggressive driving and traffic accidentsWith the case-control study, the accident was defined as any type of crash for which the driver had born responsibility in the last 3 years. 429 drivers with accidents were sampled in a group as observed subjects, and 643 drivers without accidents were sampled as control group. They were investigated with the scales of being studied in section 1, as well as
    driver drowsing questionnaires. Results showed that the scores of aggressive driving index, driver drowsing, driver stress, driver anger, and smoking, drinking in accidents group were significant higher than that of the controls. The number of vehicle accidents correlated significantly with the scores of driver aggression index, driver drowsing, drinking, and driving hours of every week, et al (PO.05). A logistic analysis (Forward: LR) found out that aggressive driving index (xi), drinking (X2), education (X3), the driving hour (x4), and drowsing (x5) could be used to predict the traffic accidents (PO.01). The equation is Logit (P)=0.25 xi + 0.68 x2— 0.10 X3+0.07 X4+0.02 x5—0.68, It could be seen from the equation that the more aggressive the driver was, the more prone to accident.In short, we persisted that the human was the first, and found out the relations between traffic accidents and human factors such as aggressive driving, driving drowsing, drinking, et al. and had made up a composite aggressive driving index to screen the aggressive drivers. The drivers with three repeats of 30bp-uVNTR were prone to more aggressive than others. The study would help to select the driver with accident proneness, and prevent the traffic collisions.
引文
1.梁友信主编.劳动卫生与职业病学(第4版).北京:人民卫生出版社;2000,p8.
    2.2002年安全形势通报,中国国家安全生产监督管理局http://www.chinasafety.gov.cn/anquanfenxi/2002-12/31/content_29.htm
    3.发展中国家道路交通伤害和健康公平国际学术会议纪要.中华流行病学杂志,2002.23(4):280
    4.李昌吉.从预防医学角度研究汽车运输交通事故的危险因素及预防对策.中华劳动卫生职业病杂志,2002,20(1):66-67.
    5.金会庆编著.驾驶适性.合肥:安徽人民出版社,1996.2-13.
    6.王锦文,张殿业,李昌吉等.机动车驾驶员身心条件及测评研究.职业卫生与病伤,1999,14:215-219.
    7.金会庆,张树森,戴平等.机动车驾驶员心理素质综合评价的研究.中华流行病学杂志,2000,21:369-371.
    8. Snyder, DS. The statement of Divid S. Snyder, assistant general counsel, American insurance association, representing advocates for highway and auto safety before the sub-committee on surface transportation, committee on transportation and infrastructure, U. S. House of representative. 1997, 11, 17.
    9. Sivak, M. recent psychological literature on driving behavior: what, where, and by whom? Appl Psychol Int Rev, 1997, 46, 303-310.
    10. Hennessy DA, Wiesenthal DL. The relationship between driver aggression, violence and vengeance, Violence & victims, 2002, 17, 356-372
    11.李凤芝,李昌吉,詹承烈.寻衅性驾驶的研究现况.中华劳动卫生与职业病杂志,2003,21(5);393-390.
    12. Miller M, Azrael D, Hemenway D. 'Road rage' in Arizona: armed and dangerous. Accid Anal Prev. 2002, 36(6): 807-814.
    13. Fakhry SM, Salaita K. Aggressive driving: A preliminary analysis of a serious threat to motorists in a large metropolitan area. J Trauma. 2002, 52:217-224.
    14. Scarpa A, Raine A. Psychophysiology of anger and violent behavior. Psychiatry Clin North Am. 1997, 20 (2): 375-94
    15. Deffenbacher JL, Huff ME, Lynch, R.S, et al. Characteristics and treatment of high anger drivers, Journal of counseling psychology, 2001,47: 5-17.
    16. Hennessy D A, Wiesenthal D L, Kohn P M. The influence of traffic congestion, daily hassles, and trait stress susceptibility on state driver stress: an interactive perspective. Journal of applied bio-behavioral research, 2000, 5(2): 162-179
    17. Grey EM, Triggs TJ, Haworth NL. Driver aggression: the role of personality, social characteristics, risk and motivation. Transport and communications, report No. CR 81, 1989,3.
    18. Ellingrod VL, Perry PJ, Yates WR, et al. The effects of anabolic steroids on driving performance as assessed by the Iowa driver simulator. Am J Drug and alcohol abuse, 1997, 23(4): 623-636
    19. Lesch KP, Merschdorf U. Impulsivity, aggression, and serotonin: A molecular psychobiological perspective. Behav Sci Law, 2000, 18: 581-604.
    20. Manuck SB, Flory JD, Ferrell RE, et al. A regulatory polymorphism of the monoamine oxides-A gene may be associated with variability in aggression, impulsivity, and central nervous system serotonergic responsivity. Psychiatry Res, 2000, 95:9-23
    21.郑日昌,蔡永红,周益群著.心理测量学.北京:人民教育出版社.1998,p8.
    22.Phillips,MR.西文量表翻译本评价和修订.国外医学精神病学分册,1987, 14: 135-144.
    23. Wiesenthal DL, Hennessy DA, Gibson P. The Driving Vengeance Questionnaire (DVQ): The development of a scale to measure deviant drivers' attitudes. Violence and Victims, 2000,15:115-136.
    24. Deffenbacher JL, Oetting ER, Lynch RS. Developments of driving anger scale. Psychological Reports, 1994, 74(1): 83-91.
    25.张伯源等修订.A型行为问卷.心理卫生评定量表手册(增订版),中国心理卫生杂志,1999,增刊.
    26. Siegel, J.M (1986). The Multidimensional Anger Inventory. Journal of personality and social psychology, 51, 191-200.
    27.栾荣生编著.心血管疾病与心理社会因素.北京:北京医科大学中国协和医科大学联合出版社,1994,266-268.
    28.陈峰编著.医用多元统计分析方法,北京:中国统计出版社,2000,65—82.
    29. Anderson CA, Bushman BJ. Human aggression. Annu Rev Psychol, 2002, 53: 27-51.
    30. Blanchard EB, Barton KA, & Malta L. Psychometric of a measure of aggressive driving: The Larson driver's stress profile. Psychological reports, 2000, 87, 881-892.
    31.池桂波,王声慂,刘润幸.我国道路伤害与交通环境因素关系的流行病学分析.中华流行病学杂志,2000,21(5):330—332
    32. Hennessy DA & Wiesenthal DL. Gender, Driver Aggression, and Driver Violence: An Applied Evaluation. Sex Roles, (2001) 44: 661-676
    33.王小平,攻击行为的研究进展,国外医学精神病学分册.1995,22(1):23-27.
    34. Deffenbacher JL, Oetting ER, Lynch RS. Development of a driving anger scale. Psychological Reports, 1994, 74(1): 83-91
    35. James L, Nahl D. Road Rage and Aggressive Driving: Steering Clear of Highway Warfare. New York: John gienn drive Amherst, 2000, 46-67.
    36. Wiesenthal DL, Hennessy DA, Gibson P. The Driving Vengeance Questionnaire (DVQ): The development of a scale to measure deviant drivers' attitudes. Viol& Victims, 2000, 15(4): 115-136.
    37. Stokols D, Novaco RW, Stokols J, et al. Traffic congestion, type A behavior, and stress. J Appl Psy. 1978, 63: 467-480.
    38. Hennessy D A, Wiesenthal D L, Kohn P M. The influence of traffic congestion, daily hassles, and trait stress susceptibility on state driver stress: an interactive perspective. Journal of applied bio-behavioral research, 2000, 5(2): 162-179
    39. Harris LR, Bohnhoff K. Gender and aggression: 11.Personal aggressiveness. Sex roles, 1996, 35(5): 27-42
    40. Blanchard EB, Barton KA, Malta L. Psychometric of a measure of aggressive driving: The Larson driver's stress profile. Psychological reports, 2000, 87(3 pt1): 881-892.
    41. Turner C, McClure R. Age and gender differences in risk-taking behaviour as an explanation for high incidence of motor vehicle crashes as a driver in young males. Inj Control Saf Promot. 2003, 10 (3): 123-30.
    42. Malter LS, Blanchard EB, Freidenberg BM, et al. psycho-physiological reactivity of aggressive drivers: an exploratory study. Appl Psychophysiol Biofeedback. 2001, 26(2): 95-116.
    43. Ellingrod VL, Perry PJ, Yates WR, et al. The effects of anabolic steroids on driving performance as assessed by the Iowa driver simulator. Am J Drug and alcohol abuse, 1997, 23(4): 623-636
    44.徐科主编.神经生物学纲要.北京:科学出版社,2003,179-194.
    45. Sabol SZ, Hamer D, Hu S. A functional polymorphism in the monoamine oxides A gene promoter. Hum Genet, 1998, 103:273-27
    46. Manuck SB, Flory JD, Ferrell RE, et al. A regulatory polymorphism of the monoamine oxidase-A gene may be associated with variability in aggression, impulsivity, and central nervous system serotonergic responsivity. Psychiatry Research, 2000, 95: 9-23.
    47. Lesch KP, Merschdorf U. Impulsivity, aggression, and serotonin: a molecular psychobiological perspective. Behav Sci Law, 2000, 18: 581-604
    48.梁月华,孙尚拱.植物神经平衡的综合指标测定法.北京医学院学报,1979,4:239—242.
    49. Hennessy DA. The interaction of person and situation within the driving environment: daily hassles, traffic congestion, driver stress, aggression, vengeance and past performance. Dissertation abstracts international: section B: The science and engineering, 2000, 60,813,4301
    50.傅晓晴,白平,陈惠颖等。46例暴力型犯罪的中医辨证及与神经—肾上腺功能的关系。福建中医学院学报,2002,12(2):8-9
    51. Mazur A, Booth A. Testosterone and dominance in men. Behav Brain Sci. 1998 Jun;21 (3):353-63; discussion 363-97.
    52. Michael SD, Charles E. Psychological and behavioral effects of endogenous testosterone levels and anabolic-androgenic steroids among males: A Review. Sports Medicine, 1990, 10, 303-337.
    53.沈广虎译.血清睾丸酮水平与精神病和犯罪行为.国外医学精神病学分册,2000,27(1):61—63
    54. Bahrke MS, Yesalis CE 3rd, Wright JE.: Psychological and behavioural effects of endogenous testosterone and anabolic-androgenic steroids. An update. Sports Med. 1996 Dec; 22(6): 367-90
    55. Cologer-Clifford A, Simon NG, Richter ML, et al. Androgens and estrogens modulate 5-HT1A and 5-HT1B agonist effects on aggression. Physiol Behav. 1999 Jan 1-15; 65(4-5): 823-8.
    56. Denney RM, Koch H, Craig IW. Association between monoamine oxidase A activity in human male skin fibroblasts and genotype of the MAOA promoter-associated variable number tandem repeat. Hum Genet, 1999, 105: 542-551.
    57. Cases O, Seif I, Grimsby J, et al. Aggressive behavior and altered amounts of brain serotonin and norepinephrine in mice lacking MAOA. Science, 1995, 268: 1763-1766.
    58. Brunner HG, Nelen MR, van Zandvoort P, et al. X-linked borderline mental retardation with prominent behavioral disturbance: phenotype, genetic localization, and evidence for disturbed monoamine metabolism. Am J Hum Genet, 1993, 52: 1032-1039.
    59. Caspi A, McClay J, Moffitt TE, et al. Role of genotype in the cycle of violence in maltreated children. Science, 2002, 297: 851-854.
    60.张晓琴,孙桂华,任梦.道路交通事故与驾驶员心理素质的研究.职业与健康,1999,15(12),2-4.
    61. Snyder, DS. The statement of Divid S. Snyder, assistant general counsel, American insurance association, representing advocates for highway and auto safety before the sub-committee on surface transportation, committee on transportation and infrastructure, U. S. House of representative.1997, 11, 17
    62. Barry H. Motivational and cognitive effects of alcohol. J Safety Res, 1973, 5: 200-221.
    63. Melvin, L.S, Amiram, V.(1974): Life events, subjective stress, and traffic accidents. AM J Psychiatry, 131(8): 903-906.
    64. Beirness DJ. Do we really drive as we live? The role of personality factors in road crashes. Alcohol drugs driving, 1993; 9: 129-143
    65. Deffenbacher JL, Huff ME, Lynch, R.S, et al. Characteristics and treatment of high anger drivers. Journal of counseling psychology, 2001,47: 5-17
    66. Anderson CA, Bushman BJ. Human aggression. Annu Rev Psychol, 2002, 53: 27-51.
    67. Lawton R, Parker D. Individual differences in accident liability: a review and integrative approach. Hum factors, 1998; 40: 655-672.
    68. Summer N. personality and behavioral predictors of traffic accidents: testing a contextual mediated model. Accid Anal Prev. 2003, 35(6): 949-964.