Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While Intoxicated

The Introduction. The frequency of alcohol-impaired driving accidents has decreased both in Russia and around the world; however, the indicators remain high. Many researchers tend to believe that effective prevention of drunk driving should include not only legal measures but also medical-psychologi...

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Main Authors: A. V. Masyakin, A. S. Sazonova, E. G. Demenko, V. V. Arshinova, M. S. Radionova, S. V. Safontseva, I. Yu. Suvorova, E. M. Korzh, V. M. Kuraeva
Format: Article
Language:Russian
Published: Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department 2025-03-01
Series:Здоровье мегаполиса
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Online Access:https://www.city-healthcare.com/jour/article/view/192
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author A. V. Masyakin
A. S. Sazonova
E. G. Demenko
V. V. Arshinova
M. S. Radionova
S. V. Safontseva
I. Yu. Suvorova
E. M. Korzh
V. M. Kuraeva
author_facet A. V. Masyakin
A. S. Sazonova
E. G. Demenko
V. V. Arshinova
M. S. Radionova
S. V. Safontseva
I. Yu. Suvorova
E. M. Korzh
V. M. Kuraeva
author_sort A. V. Masyakin
collection DOAJ
description The Introduction. The frequency of alcohol-impaired driving accidents has decreased both in Russia and around the world; however, the indicators remain high. Many researchers tend to believe that effective prevention of drunk driving should include not only legal measures but also medical-psychological and social influence.The aim of the study was to explore predictors of traffic violations related to driving under the influence.Materials and methods. The sample included drivers having driving licenses revoked due to alcohol-impaired driving who contacted addiction treatment services in order to apply for a driving license after the end of a withdrawal period due to driving while intoxicated (427 participants aged 20-72), as well as drivers with no administrative penalty who contacted addiction treatment services to renew a driving license after its expiration date (84 participants aged 18-70). The data was recorded using the NS-Psychotest Medical computer complex. Statistical data processing performed in IBM SPSS 23 included descriptive statistics, the Mann-Whitney U test for large samples, Pearson's chi-square test (differences in the distribution of nominal data), exploratory factor analysis, and regression analysis.Results. Deep statistical analysis allowed to identify predictors of driving under the influence: high levels of distress and stress overload, difficulties with emotional self-regulation, and demonstrative behavior with hyperthymia as a personality type increased the risk of illegal driving behavior, while changes in some cognitive functions and slower reaction times reduced the risk of traffic violation related to intoxication.Conclusion. Risk and protective factors for driving under the influence were identified. A recommendation to include prognostic variables related to personal and moral values that correspond to the biological, psychological, social, and moral model of addictive behavior in the analysis of predictors was given.
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spelling doaj-art-75f475bbd34b440cbf41ced7b3be9e902025-08-20T03:42:38ZrusResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentЗдоровье мегаполиса2713-26172025-03-0161294110.47619/2713-2617.zm.2025.v.6i1;29-41179Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While IntoxicatedA. V. Masyakin0A. S. Sazonova1E. G. Demenko2V. V. Arshinova3M. S. Radionova4S. V. Safontseva5I. Yu. Suvorova6E. M. Korzh7V. M. Kuraeva8Moscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentMoscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentMoscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentMoscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentMoscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentMoscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentMoscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentMoscow Scientific and Practical Center for Narcology of Moscow Healthcare DepartmentResearch Institute of Healthcare Organization and Medical Management of the Moscow Healthcare DepartmentThe Introduction. The frequency of alcohol-impaired driving accidents has decreased both in Russia and around the world; however, the indicators remain high. Many researchers tend to believe that effective prevention of drunk driving should include not only legal measures but also medical-psychological and social influence.The aim of the study was to explore predictors of traffic violations related to driving under the influence.Materials and methods. The sample included drivers having driving licenses revoked due to alcohol-impaired driving who contacted addiction treatment services in order to apply for a driving license after the end of a withdrawal period due to driving while intoxicated (427 participants aged 20-72), as well as drivers with no administrative penalty who contacted addiction treatment services to renew a driving license after its expiration date (84 participants aged 18-70). The data was recorded using the NS-Psychotest Medical computer complex. Statistical data processing performed in IBM SPSS 23 included descriptive statistics, the Mann-Whitney U test for large samples, Pearson's chi-square test (differences in the distribution of nominal data), exploratory factor analysis, and regression analysis.Results. Deep statistical analysis allowed to identify predictors of driving under the influence: high levels of distress and stress overload, difficulties with emotional self-regulation, and demonstrative behavior with hyperthymia as a personality type increased the risk of illegal driving behavior, while changes in some cognitive functions and slower reaction times reduced the risk of traffic violation related to intoxication.Conclusion. Risk and protective factors for driving under the influence were identified. A recommendation to include prognostic variables related to personal and moral values that correspond to the biological, psychological, social, and moral model of addictive behavior in the analysis of predictors was given.https://www.city-healthcare.com/jour/article/view/192medical support in road safetyrevocation of driving licenseprevention of drunk drivingpsychoactive substancesroad traffic accidentsstress resistanceaccentuation of personality traitscognitive functionspredictors of traffic violations
spellingShingle A. V. Masyakin
A. S. Sazonova
E. G. Demenko
V. V. Arshinova
M. S. Radionova
S. V. Safontseva
I. Yu. Suvorova
E. M. Korzh
V. M. Kuraeva
Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While Intoxicated
Здоровье мегаполиса
medical support in road safety
revocation of driving license
prevention of drunk driving
psychoactive substances
road traffic accidents
stress resistance
accentuation of personality traits
cognitive functions
predictors of traffic violations
title Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While Intoxicated
title_full Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While Intoxicated
title_fullStr Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While Intoxicated
title_full_unstemmed Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While Intoxicated
title_short Medical, Social and Psychological Predictors of an Individual's Readiness to Drive a Vehicle While Intoxicated
title_sort medical social and psychological predictors of an individual s readiness to drive a vehicle while intoxicated
topic medical support in road safety
revocation of driving license
prevention of drunk driving
psychoactive substances
road traffic accidents
stress resistance
accentuation of personality traits
cognitive functions
predictors of traffic violations
url https://www.city-healthcare.com/jour/article/view/192
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