Teilhabe an Verkehr und Mobilität bei Patienten mit Schizophrenie
Participation of people with schizophrenia in individual mobility is an important aspect of inclusion according to the UN convention of human rights of persons with disabilities. However, driving motorized vehicles can be dangerous due to positive, negative, and cognitive symptoms, side effects of antipsychotic drugs and concomitant substance abuse. The objective of this study was to explore the patterns of individual mobility in a representative patient population and to determine predictors for active use of motorized vehicles. Methods: We interviewed N=150 participants with schizophrenic disorders (ICD-10 F20, F25), 66 in-patients and 84 out-patients, in different types of out-patient services. A questionnaire developed for this purpose was used in interviews. Results: 64% of the participants had a driving licence, 32 % had driven a motorized vehicle in the past year, 31.3 % owned a car, 2 % a motor bike. The driving licence had been withdrawn from 24.7 % of participants, 32.7 % reported having been involved in a road accident. Significant predictors for the active use of motorized vehicles in a logistic regression model were Global Assessment of Functioning (GAF) (OR 1.04), number of previous admissions (OR 0.52) and history of driving under alcohol or drugs (OR 0.18). Conclusions: Driving motorized vehicles with schizophrenia is mainly hampered by substance abuse, relapses, and functional deficits.
Subject HeadingsArzneimittel [GND]
Antipsychotic agents [MeSH]
Automobile driving [MeSH]
Drug interactions [MeSH]