Evidence map›Paper›PMID 31837049›Full record

ArticleHuman psychopharmacology2019

Driving performance and neurocognitive skills of long-term users of benzodiazepine anxiolytics and hypnotics.

Nick N J J M van der Sluiszen, Annemiek Vermeeren, Joris C Verster, Aurora J A E van de Loo, Joke H van Dijken, Janet L Veldstra, Karel A Brookhuis, Dick de Waard, Johannes G Ramaekers

Abstract readMulticenter Study
In one paragraph

Article in Human psychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Review
  9. Interpol review of toxicology 2019-2022.Forensic science international. Synergy · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nick N J J M van der SluiszenDepartment of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-4523-4519
Annemiek VermeerenDepartment of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-9504-1184
Joris C VersterDivision Pharmacology, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0002-6455-2096
Aurora J A E van de LooDivision Pharmacology, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0002-0016-9151
Joke H van DijkenDepartment of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-5368-9353
Janet L VeldstraDepartment of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-1604-5321
Karel A BrookhuisDepartment of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0001-5124-437X
Dick de WaardDepartment of Clinical and Developmental Neuropsychology, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-0262-4573
Johannes G RamaekersDepartment of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-4553-376X

Funding

Dutch Ministry of Infrastructure and Water Management
6 · The paper itself

Abstract

objectiveThe aim of this study is to compare actual driving performance and skills related to driving of patients using benzodiazepine anxiolytics or hypnotics for at least 6 months to that of healthy controls.

methodsParticipants were 44 long-term users of benzodiazepine and benzodiazepine-related anxiolytics (n = 12) and hypnotics (n = 32) and 65 matched healthy controls. Performance was assessed using an on-the-road driving test measuring standard deviation of lateral position (SDLP, in cm) and a battery of neurocognitive tasks. Performance differences between groups were compared with a blood alcohol concentration of 0.5 mg/ml to determine clinical relevance.

resultsCompared with controls, SDLP was significantly increased in hypnotic users (+1.70 cm) but not in anxiolytic users (+1.48 cm). Anxiolytic and hypnotic users showed significant and clinically relevant impairment on neurocognitive task measuring executive functioning, vigilance, and reaction time. For patients using hypnotics for at least 3 years, no significant driving impairment was observed.

conclusionImpairing effects of benzodiazepine hypnotics on driving performance may mitigate over time following longer term use (i.e. 3 years or more) although neurocognitive impairments may remain.

Indexed as

Anti-Anxiety AgentsAutomobile DrivingBenzodiazepinesBlood Alcohol ContentCase-Control StudiesCognitionDrug UsersFemaleHealthy VolunteersHumansHypnotics and SedativesMaleMiddle AgedPsychological TestsTime FactorsAnti-Anxiety AgentsBenzodiazepinesBlood Alcohol ContentHypnotics and Sedativesanxiolyticsbenzodiazepinesdriving performancehypnoticslong-term use

Identifiers

PMID31837049
PMCPMC7003498

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.