Pål Ulleberg

Personality subtypes of young drivers. Relationship to risk-taking preferences, accident involvement, and response to a traffic safety campaign.

The present study aimed at identifying subtypes of young drivers (N=2524) and evaluate how these responded to a traffic safety campaign. On basis of a cluster analysis of personality measures, six subtypes of young drivers were identified. The subtypes were found to differ on self-reported risky driving behaviour, attitudes towards traffic safety, risk perception, estimation of own driving skills, and accident involvement. Two of the subtypes were identified as high-risk groups in traffic. The first high-risk group consisted of mostly men, characterised by low levels of altruism and anxiety, and high levels of sensation-seeking, irresponsibility, and driving related aggression. The second high-risk group reported high sensation seeking, aggression, anxiety, and driving anger. The subtypes were also found to differ on how they evaluated and responded to the traffic safety campaign. The results indicated that the campaign seemed to appeal most to the low-risk subtypes. Gender differences within each subtype were also found on the different traffic related measures, as well as on response to the campaign. It is concluded that young drivers should not be treated as a homogenous group pertaining to road safety. Practical suggestions on how to promote safe driving among these subtypes are also discussed.

Meta-analysis of the effect of road safety campaigns on accidents

A meta-analysis of 67 studies evaluating the effect of road safety campaigns on accidents is reported. A total of 119 results were extracted from the studies, which were reported in 12 different countries between 1975 and 2007. After allowing for publication bias and heterogeneity of effects, the weighted average effect of road safety campaigns is a 9% reduction in accidents (with 95% confidence that the weighted average is between -12 and -6%). To account for the variability of effects measured across studies, data were collected to characterise aspects of the campaign and evaluation design associated with each effect, and analysed to identify a model of seven campaign factors for testing by meta-regression. The model was tested using both fixed and random effect meta-regression, and dependency among effects was accounted for by aggregation. These analyses suggest positive associations between accident reduction and the use of personal communication or roadside media as part of a campaign delivery strategy. Campaigns with a drink-driving theme were also associated with greater accident reductions, while some of the analyses suggested that accompanying enforcement and short campaign duration (less than one month) are beneficial. Overall the results are consistent with the idea that campaigns can be more effective in the short term if the message is delivered with personal communication in a way that is proximal in space and time to the behaviour targeted by the campaign.

Organisational factors, safety attitudes and workload among offshore oil personnel

Abstract The aim of this article is to show how job stress, physical working conditions, commitment and involvement in safety work, and attitudes towards safety and accident prevention work among employees on offshore petroleum platforms have changed from 1990 to 1994. In 1990 a self-completion questionnaire survey was carried out among personnel on offshore oil installations in the Norwegian part of the North Sea. The sample consisted of eight installations and five companies. A new study was conducted in 1994, consisting of 12 installations and nine companies. The response rate was 92% in 1990 and 87% in 1994. Results published previously have shown that the personnel felt safer in 1994 compared to 1990 ( Rundmo, 1996 Safety Science 21, 205–221). The personnel experienced job stress more often in 1990 than in 1994. The percentage of the personnel who experienced physical workload was also greater in 1990 compared to 1994. Likewise, a greater percentage of the respondents were satisfied with the safety and contingency measures in 1994 compared to 1990. All of these factors seemed to affect risk perception and risk behaviour among the personnel.

Attentional functions in major depressive disorders with and without comorbid anxiety.

The aim of this study was to explore if the divergent results regarding attentional functions in patients with mood disorders are due to selective impairments in higher level or more basic and distinctive attentional subcomponents. We compared outpatients with current major depressive disorders (MDD; n = 37) and MDD with comorbid anxiety disorder (MDDA; n = 24) with healthy controls (n = 92) on Stroop and Attentional Network Test (ANT). The current data indicate that significant impairment in attentional functions corresponds to the presence of MDD and MDDA. MDDA displayed significantly lower performance on the Stroop variables, and MDD were significantly impaired in the alerting function in ANT. These results show impairments on different levels of attention in mood disorders. MDDA show impairments on higher level executive attention functions, whereas MDD display deficits at the basic attentional level. These findings suggest that including comorbid anxiety disorder in MDD is important for future research.

Social design feedback: evaluations with users in online ad-hoc groups

Social design feedback is a novel approach to usability evaluation where user participants are asked to comment on designs asynchronously in online ad-hoc groups. Two key features of this approach are that (1) it supports interaction between user participants and development team representatives and (2) user participants can see and respond to other participants’ comments. Two design cases, involving 250 user participants, were studied to explore the output of social design feedback and investigate the effect of the two key features of this approach. Of all the design feedback, 17% was rated highly useful, and 21% contained change suggestions. The presence of an active moderator, representing the development team and interacting with the user participants, increased the usefulness of the design feedback. The opportunity to see and respond to others’ design feedback had a minor effect on the kind of design feedback provided, but no effect on usefulness. Based on the findings, we offer advice on how to implement social design feedback and suggest future research.

Compulsory admissions to psychiatric hospitals in Norway - international comparisons and regional variations

Internationally there has been a long debate regarding the use, and potential misuse, of coercion in psychiatry. One of the topics that has gained most attention is compulsory admissions. Only a few studies have published cross-country comparisons on the magnitude of compulsory admissions. This study presents data on voluntary and compulsory admissions to psychiatric hospitals in Norway in 1996. Approx 47% of all admissions were compulsory, and the rates were 147 per 100 000 inhabitants. These are both high figures compared to other countries. Regarding patient characteristics, our study confirms the international findings in most fields, except for a higher proportion of women and nonpsychotic patients admitted compulsory. The observed substantial regional differences in compulsory admission are primarily explained by variations in diagnoses. Whether the recent changes in the Norwegian Mental Health Act will reduce these figures are discussed.

Behavioural ratings of self-regulatory mechanisms and driving behaviour after an acquired brain injury

Abstract Objective: To explore whether measurements of self-regulatory mechanisms and cognition predict driving behaviour after an acquired brain injury (ABI). Design: Consecutive follow-up study. Participants: At baseline participants included 77 persons with stroke and 32 persons with a traumatic brain injury (TBI), all of whom completed a multidisciplinary driving assessment (MDA). A follow-up cohort of 34 persons that succeeded the MDA was included. Baseline measurements: Neuropsychological tests and measurements of self-regulatory mechanisms (BRIEF-A and UPPS Impulsive Behaviour Scale), driving behaviour (DBQ) and pre-injury driving characteristics (mileage, compensatory driving strategies and accident rates). Follow-up measurements: Post-injury driving characteristics were collected by mailed questionnaires from the participants who succeeded the MDA. Methods: A MDA, which included a medical examination, neuropsychological testing and an on-road driving test, was considered in the decision for or against granting a driver’s license. Self-regulatory mechanisms and driving behaviour were examined for research purposes only. Results: At baseline, self-regulatory mechanisms were significantly associated to aberrant driving behaviour, but not with neuropsychological data or with the outcome of the on-road driving test. Aspects of self-regulation were associated to driving behaviour at follow-up. Conclusion: It is recommended that self-regulatory measurements should regularly be considered in the driving assessments after ABI.

Verbal Memory Functions in Unipolar Major Depression With and Without Co-Morbid Anxiety

The aim of this study was to examine both executive control of verbal working memory and verbal learning as well as long-term storage function in outpatients with major depressive disorder (n = 61) compared to healthy controls (n = 92). A total of 37 patients had no co-morbid anxiety disorder, whereas 24 had a co-morbid anxiety disorder. Both patient groups showed impaired working memory test performance compared to healthy controls. Patients with co-morbid depression and anxiety disorder performed significantly below the depression group. Only patients with depression and co-morbid anxiety displayed deficient long-term memory function compared to healthy controls. The present results show impairments in various memory functions in patients presenting depression and depression with co-morbid anxiety disorder.

Depressive Symptoms in People with and without Alcohol Abuse: Factor Structure and Measurement Invariance of the Beck Depression Inventory (BDI-II) Across Groups

This study explored differences in the factor structure of depressive symptoms in patients with and without alcohol abuse, and differences in the severity of depressive symptoms between the two groups. In a sample of 358 patients without alcohol problems and 167 patients with comorbid alcohol problems, confirmatory factor analysis revealed that the same factor structures, Beck et al.s two-factor Somatic Affective-Cognitive (SA-C) model, and Buckley et al.s three-factor Cognitive-Affective- Somatic (C-A-S) model, demonstrated the best fit to the data in both groups. The SA-C model was preferred due to its more parsimonious nature. Evidence for strict measurement invariance across the two groups for the SA-C model was found. MIMIC (multiple-indicator-multiple-cause) modeling showed that the level of depressive symptoms was found to be highest on both factors in the group with comorbid alcohol problems. The magnitude of the differences in latent mean scores suggested a moderate difference in the level of depressive symptoms between the two groups. It is argued that patients with comorbid depression and alcohol abuse should be offered parallel and adequate treatment for both conditions.

Cognitive Control Functions in Unipolar Major Depression with and without Co-Morbid Anxiety Disorder.

Background: Impaired cognitive control functions have been demonstrated in both major depression (MDD) and anxiety disorder (A), but few studies have systematically examined the impact of MDD with co-morbid A (MDDA), which is the main aim of this study. Method: We compared patients with MDD with (MDDA; n = 24) and without co-morbid A (n = 37) to a group of healthy controls (HC; n = 92) on three subtests from the Cambridge Neuropsychological Test Automated Battery; intra–extra dimensional, stop signal task, and spatial working memory. These tasks correspond to a theoretical model consisting of three separable but interrelated executive control functions: Shifting, Inhibition, and Updating. A simple psychomotor speed measure was also included. Results: After controlling for age, gender, and education level, the results showed that the MDDA group displayed significantly impaired performance on the functions Shifting and Updating compared to HC. There emerged no significant differences between any of the patient groups and HC regarding Inhibition. The pure MDD group did not display dysfunctions relative to the HC group on the main executive control variables, but displayed slowed psychomotor speed. Contrary to expectation there were no significant differences between the MDDA and the MDD groups. Conclusion: Co-morbid anxiety should be taken into account when studying cognitive control functions in major depression.