Evidence map›Paper›PMID 39169457›Full record

ArticleBrain and behavior2024

Lived experience of driving in individuals with functional neurological disorder.

Tjerk J Lagrand, Iris van der Hoeven, Atiyeh Vaezipour, David D G Palmer, Andrew Hill, Mark S Horswill, Alexander C Lehn

Abstract read
In one paragraph

Article in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Tjerk J LagrandDepartment of Neurology, Alrijne Ziekenhuis, Leiderdorp, Zuid-Holland, The Netherlands.ORCID https://orcid.org/0000-0002-4967-866X
Iris van der HoevenDepartment of Neurology, Alrijne Ziekenhuis, Leiderdorp, Zuid-Holland, The Netherlands.
Atiyeh VaezipourRECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia.
David D G PalmerDepartment of Neurology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Andrew HillMinerals Industry Safety and Health Centre, Sustainable Minerals Institute, The University of Queensland, Brisbane, Australia.
Mark S HorswillSchool of Psychology, The University of Queensland, Brisbane, Australia.
Alexander C LehnDepartment of Neurology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.ORCID https://orcid.org/0000-0003-3551-7010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional neurological disorder (FND) is a common neurological diagnosis that encapsulates a range of incapacitating clinical presentations. These include functional seizures, movement disorders, and sensory disturbances. Safe driving requires both cognitive skills and physical abilities, which may be impacted by FND symptoms. The primary objective of this study was to gain deeper insights into the challenges faced by people with FND when driving.

methodsA qualitative study and interpretative phenomenological analysis were conducted. Individuals experiencing functional seizures and/or movement disorders completed both questionnaires and semi-structured interviews about FND symptoms, driving behavior, and crashes.

resultsA total of 26 patients with FND participated in this study. Based on the interviews, four key themes were identified: (1) driving difficulties experienced by individuals with FND; (2) strategies utilized by people with FND to overcome difficulties experienced while driving; (3) barriers preventing driving challenges being addressed in this population; and (4) crashes and perceived dangerous driving events experienced by individuals with FND. All participants reported that driving a car provoked FND symptoms and this affected their driving ability. FND sufferers reported using a number of strategies such as limiting how far they drive and relying on advanced driver assistance system features to help manage their associated symptoms, such as fatigue and/or pain. Several participants reported crashes and perceived dangerous driving events since developing FND.

conclusionIndividuals experiencing FND often employ self-regulation techniques, yet the extent to which these methods enhance driving safety remains uncertain. The variable nature of the disorder makes judging an individual's driving risk particularly difficult. The themes emerging from the interviews highlighted the need for further empirical research to inform guidelines and best practice when determining the impact of FND on an individual's driving safety .

Indexed as

Automobile DrivingQualitative ResearchAccidents, TrafficAdultAgedConversion DisorderFemaleHumansMaleMiddle AgedNervous System DiseasesYoung Adultdrivingdriving safetyfunctional neurological disorderlived experiencequalitative study

Identifiers

PMID39169457
PMCPMC11338837

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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.