Return to Driving in Mild Traumatic Brain Injury: Evaluation of Coping Strategies, Resilience, and Psychological Distress

Tisha J Ornstein; Erica S Reyvas; Maire L O’Hagan; Samantha R Pejic

Abstract

Review Article

Return to Driving in Mild Traumatic Brain Injury: Evaluation of Coping Strategies, Resilience, and Psychological Distress

Tisha J Ornstein*, Erica S Reyvas, Maire L O’Hagan and Samantha R Pejic

Published: 03 July, 2025 | Volume 9 - Issue 1 | Pages: 001-011

Background: This study explored whether emotional distress, coping, and/or resilience contributed to return to driving (RTD) following experienced mild traumatic brain injury, and whether these variables of interest differed among those who had and had not RTD.
Methods: The present study evaluated de-identified archival data of 65 patients with mTBI following an MVA. Patients were either the driver, passenger, /or pedestrian struck by a motor vehicle, and aged 22 to 69 years. The sample consisted of 36 men and 29 women with an average education. The mean months elapsed between the accident and the assessment was 16.82 months. Pearson correlations were used to test for associations between all explanatory and outcome variables. Separate linear and hierarchical regressions were carried out to evaluate whether variables of interest were significant predictors of RTD.
Results: Findings revealed that the presence of depressive symptoms was associated with coping, irrespective of style, resilience, driving-related anxiety, and RTD. Moreover, RTD was related to driving-related anxiety, too, and in fact, anxiety (considering the presence of depressive symptoms) appeared to be an even greater limiting factor when considering RTD in this population. Age, gender, and education did not influence RTD.
Conclusion: The present study revealed that depressive symptoms and driving-related anxiety in particular contribute to whether patients with mTBI RTD, irrespective of time since injury, age, and gender. Coping styles and resilience did not predict RTD. Further work is warranted to address the paucity of research investigating RTD parameters that contribute to and/or hinder RTD among mTBI sufferers.

Read Full Article HTML DOI: 10.29328/journal.ida.1001043 Cite this Article Read Full Article PDF

Keywords:
Return to driving; Mild traumatic brain injury; Coping styles; Resilience; Emotional distress

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Assistant Professor, UCLAS Uttaranchal University, Dehradun, India

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New Delhi, India

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Aksenov V.V

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University of Agriculture, Pakistan

Muhammad Sarwar Khan

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University of Jacqmar, Inc., USA

John St. Cyr

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College of Fisheries, CAU(I), Tripura, India

Ajit Kumar Roy

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Assaf Harofeh Medical Center, Israel

Leonid Feldman

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University of Tubingen, Germany

Yvonne Mast

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Eastern Mediterranean University, Cyprus

Zehra Guchan TOPCU

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USA

Igor Klepikov

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Russia

Victor V Apollonov

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India

Rohit Kulshrestha

University of Port Harcourt Teaching Hospital, Nigeria

Dr. Elizabeth A Awoyesuku

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NC A&T State University, USA

Moran Sciamama-Saghiv

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Ekiti State University Teaching Hospital, Nigeria

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Ido-Ekiti/Afe Babalola University, Nigeria

Dr. Shuaib Kayode Aremu

Ekiti State University, Nigeria

Adebukola Ajite

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Wollo University, Ethiopia

Atsedemariam Andualem

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Ivano- Frankivsk National Medical University, Ukraine

Nataliya Kitsera

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Diaverum: PADC, Jeddah, Saudi Arabia

Nasrulla Abutaleb

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Department of Biotechnology, Uttaranchal college of Applied and Life Sciences, Uttaranchal University, Dehradun, Uttarakhand, India

Archna Dhasmana

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BS, PharmD., MBA, CPHIMS, FHIMSS, Adjunct Professor, Global Healthcare Management, MCPHS University, Chief Strategy Offi cer, MedicaSoft, Senior Advisor, National Health IT (NHIT) Collaborative for Underserved, New York HIMSS, National Liaison, Health 2.0 Boston, Past Chair, Chair Innovation, USA

Helen Figge

Ph.D, Boston University Department of Communication Sciences and Disorders and Knowledge Research Institute, Inc., 2131 Reflection Bay Drive, Arlington, Texas 76013, USA