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Journal of Geriatric Psychiatry and Neurology
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Driving and Dementia: A Review of the Literature

Laura B. Brown, PhD

Department of Psychiatry and Human Behavior, Brown Medical School; Rhode Island Hospital Neuropsychology Program, 593 Eddy Street, Physician’s Office Building, Providence, RI 02903.

Brian R. Ott, MD

Department of Clinical Neurosciences, Brown Medical School, and the Department of Neurology, Memorial Hospital of Rhode Island, Providence, Rhode Island.

The purpose of this article is to review the literature on the ability of individuals with dementia to drive an automobile. Based on a review of the literature, several factors were identified that may be useful in differentiating between people with dementia who presently remain safe drivers from those who have progressed to impaired driving. These factors include disease duration and severity, sex, patient self-assessment, family assessment, neuropsychological measures, findings on road evaluations, and driving simulator testing. The approach of the physician to driving and dementia is addressed, including in-office screening, referral for on-road driving assessments, and the potential for physician reporting to state agencies.

Key Words: dementia • driving • competence • impairment

Journal of Geriatric Psychiatry and Neurology, Vol. 17, No. 4, 232-240 (2004)
DOI: 10.1177/0891988704269825


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