TY - JOUR PY - 2010// TI - The Wechsler digit symbol substitution test as the best indicator of the risk of impaired driving in Alzheimer disease and normal aging JO - Dementia and geriatric cognitive disorders A1 - Lafont, S. A1 - Marin-Lamellet, Claude A1 - Paire-Ficout, Laurence A1 - Thomas-Anterion, Catherine A1 - Laurent, Bernard A1 - Fabrigoule, Colette SP - 154 EP - 163 VL - 29 IS - 2 N2 - Aims: Our purpose was to identify cognitive tools associated with unsafe driving among elderly drivers of varying cognitive levels. Methods: Twenty drivers with early-stage dementia of the Alzheimer type and 56 nondemented drivers aged 65-85 were recruited. Various cognitive processes were measured and unsafe driving was evaluated during an in-traffic road test with 3 different indicators and a composite indicator. Results: The Wechsler Digit Symbol Substitution Test score was the best cognitive measure to detect unsafe drivers using the composite driving indicator. Conclusion: The Digit Symbol Substitution Test may be used by physicians for the evaluation and follow-up of older patients, with or without Alzheimer-type dementia, as a screening tool of unsafe driving.

Language: en

LA - en SN - 1420-8008 UR - http://dx.doi.org/10.1159/000264631 ID - ref1 ER -