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Impacts of anger on driving performance: A comparison to texting and conversation while driving

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Abstract

Traditionally, driver distraction has been categorized into four types: visual, biomechanical, auditory, and cognitive. However, the place of emotion in driving research is largely undefined. The present study investigates the specific influences of anger – representative emotion arisen while driving, on driving performance, compared to those of traditional distraction tasks. In total, seventy-eight participants were recruited and placed into one of four driving conditions: physical (visual-biomechanical) distraction, cognitive (cognitive-auditory) distraction, emotional (anger), and control conditions. The results demonstrated that anger degrades driving performance as much as or more than other distraction types, specifically, in a yellow traffic signal situation. The causes for these results, underlying mechanisms, and other considerations are discussed with implications for future research.

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... Potentially the most common distracting factor is the use of mobile phones, explored in a previous study by Sterkenburg and Jeon [12]. The use of such devices reduces driving precision and causes up to 50% slower responses to risks, thus causing a deterioration in performance [13]. ...
... These practices cause the drivers to take their eyes off the road, their attention away from the task of driving, and their hands off the wheel, which would increase crash risks. This finding is also consistent with Sterkenburg and Jeon [12], and Niu et al. [27], who highlighted the very negative impact of mobile phones on performance. ...
... Based on the previous discussion, generally a good agreement can be observed between the analyzed perceptions of Jordanian drivers and findings in the literature regarding distractions rankings, the impact of using mobile phones, wireless technologies and hand-free systems, eating, drinking, or smoking, and road and environmental factors [12,13,17,25,[27][28][29]. ...
Article
Citation: Al-Rousan, T.M.; Umar, A.A.; Al-Omari, A.A.; Khalaylah, Y.A.; Alkuime, H.M.; Al-Rousan, A.H.
... Potentially the most common distracting factor is the use of mobile phones, explored in a previous study by Sterkenburg and Jeon [12]. The use of such devices reduces driving precision and causes up to 50% slower responses to risks, thus causing a deterioration in performance [13]. ...
... These practices cause the drivers to take their eyes off the road, their attention away from the task of driving, and their hands off the wheel, which would increase crash risks. This finding is also consistent with Sterkenburg and Jeon [12], and Niu et al. [27], who highlighted the very negative impact of mobile phones on performance. ...
... Based on the previous discussion, generally a good agreement can be observed between the analyzed perceptions of Jordanian drivers and findings in the literature regarding distractions rankings, the impact of using mobile phones, wireless technologies and hand-free systems, eating, drinking, or smoking, and road and environmental factors [12,13,17,25,[27][28][29]. ...
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Distracting activities while driving are common and can result in errors that threaten road users’ safety. The main objectives of this study were to investigate drivers’ perspectives of the factors contributing to distraction, determine the relative rank of types of distractions, recognize the road factors and environmental effects that make distractions more dangerous, and identify the most effective measures to reduce driver distractions. A survey was conducted to assess Jordanian drivers’ experiences with distracted driving, and what solutions they believed could be implemented to solve the problems. The study’s outcomes revealed that drivers perceive visual distractions as the most dangerous, followed by cognitive, manual, and auditory distractions, respectively. It was also found that “mobile phone texting or dialing” was ranked the top most dangerous visual and manual distracting factor. “Baby is crying or kids are fighting in the back seat” was perceived by all demographic groups as the riskiest auditory factor. Regarding cognitive distraction, four factors were perceived as the most serious, of which “Baby is crying”, “Driving while angry or sad or agitated”, “Talking on a cell phone—even a hands-free one” and “Conversing with passengers” were determined to be the top four distracting factors. The results also revealed that drivers believe that “laws and enforcement” is the most effective measure to reduce distractions while driving.
... Moreover, the complexity of drivers' tasks may influence their ability to perceive tactile stimuli (Tang et al., 2023). Considering that task difficulty is considered a critical factor affecting driver interaction with in-vehicle infotainment systems (Ban and Park, 2024;Jakus et al., 2015;Sterkenburg and Jeon, 2020), further exploration is needed to investigate whether the impact of TFM and TFI is subject to modulation by non-driving related task difficulty (NTD) levels. ...
... Positive emotions like pleasure and confidence enhance the driving experience and road safety. In contrast, negative emotions like anger and frustration can lead to aggressive driving behaviour, driver distraction, increased hazard perception, and an increased risk of road safety incidents (Chan and Singhal, 2015;Sterkenburg and Jeon, 2020). ...
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Touchscreen in-vehicle central control interfaces are rapidly replacing traditional physical buttons. However, the differences in the effects of tactile feedback between touchscreens and physical buttons on driver emotions are unclear. This study used a simulated driving experiment to investigate the effects of tactile feedback mode and intensity on driver emotion using the Self-Assessment Manikin (SAM). The results showed that tactile feedback mode, intensity, and difficulty of non-driving-related tasks (NDRTs) significantly affected drivers' emotional states. Touchscreen tactile feedback elicited a more positive emotional state than physical button tactile feedback. The intensity of touchscreen tactile feedback is positively correlated with driver emotional valence. However, higher-intensity physical button feedback decreases driver emotional valence, particularly when drivers are engaged in complex NDRTs, and the difference due to feedback intensity is insignificant. The study's results could help automakers intervene by designing tactile feedback to enhance the emotional experience of the driver's in-vehicle interaction interface.
... Trust, in this case, is critically important to ensure proper use of these systems to their greatest extent. Previous studies have identified that the emotions of a user can have a significant influence on trust development (Dunn and Schweitzer, 2005) and on driving performance (Jeon et al., 2014a,b;Jeon, 2016;Sterkenburg and Jeon, 2020). However, few studies have investigated how these emotions influence trust in a CAV context. ...
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The advancement of Conditionally Automated Vehicles (CAVs) requires research into critical factors to achieve an optimal interaction between drivers and vehicles. The present study investigated the impact of driver emotions and in-vehicle agent (IVA) reliability on drivers’ perceptions, trust, perceived workload, situation awareness (SA), and driving performance toward a Level 3 automated vehicle system. Two humanoid robots acted as the in-vehicle intelligent agents to guide and communicate with the drivers during the experiment. Forty-eight college students participated in the driving simulator study. The participants each experienced a 12-min writing task to induce their designated emotion (happy, angry, or neutral) prior to the driving task. Their affective states were measured before the induction, after the induction, and after the experiment by completing an emotion assessment questionnaire. During the driving scenarios, IVAs informed the participants about five upcoming driving events and three of them asked for the participants to take over control. Participants’ SA and takeover driving performance were measured during driving; in addition, participants reported their subjective judgment ratings, trust, and perceived workload (NASA-TLX) toward the Level 3 automated vehicle system after each driving scenario. The results suggested that there was an interaction between emotions and agent reliability contributing to the part of affective trust and the jerk rate in takeover performance. Participants in the happy and high reliability conditions were shown to have a higher affective trust and a lower jerk rate than other emotions in the low reliability condition; however, no significant difference was found in the cognitive trust and other driving performance measures. We suggested that affective trust can be achieved only when both conditions met, including drivers’ happy emotion and high reliability. Happy participants also perceived more physical demand than angry and neutral participants. Our results indicated that trust depends on driver emotional states interacting with reliability of the system, which suggested future research and design should consider the impact of driver emotions and system reliability on automated vehicles.
... However, continuous stress during travel may lead to more complex emotions, such as anger or frustration. Previous research [15] proposed that "anger degrades driving performance," such continuous stress may cause a decrease in driving performance. ...
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... Human factors comprise different topics, e.g., alcohol-impaired or drug-impaired driving; sleepiness; fatigue; reckless driving; speeding; mood, attention, and risky road behaviors (Horberry et al., 2006;Lu et al., 2020;Mirón-Juárez et al., 2020;Sterkenburg and Jeon, 2020). This is partly because they increase the likelihood of a crash, but it's also because they're closely linked to contemporary transportation dynamics, one of which is distracted driving (Useche et al., 2021a;Pavlidis et al., 2016). ...
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... On the other hand, the presence of external stressors, but not exercise complexity, did affect shooting performance (defined as the amount of incorrect and/or unnecessary movements/procedures observed by the shooting instructor), showing an increment of procedural errors for the emotionally induced arousal group, independently from the exercise complexity. This is in line with our hypothesis and with previous evidence that reported a detrimental effect of emotional arousal on operator performance (e.g., Oudejans, 2010, 2011;Nieuwenhuys et al., 2012;Serrano et al., 2014;Sterkenburg and Jeon, 2020), independently from the complexity of the task (see also Liu and Li, 2012 for a review of task complexity as a predictor of human behavior). In our study, it seems that external stressors might have interfered with preparatory movements (i.e., rituals or mannerisms, such as keeping the finger on the trigger when not engaging a target) without compromising shooting accuracy. ...
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There is little agreement in the scientific literature about what the terms "driver distraction" and "driver inattention" mean, and what the relationship is between them. In 2011, Regan, Hallett and Gordon proposed a taxonomy of driver inattention in which driver distraction is conceptualized as just one of several processes that give rise to driver inattention. Since publication of that paper, two other papers have emerged that bear on the taxonomy. In one, the Regan et al taxonomy was used, for the first time, to classify data from an in-depth crash investigation in Australia. In the other, another taxonomy of driver inattention was proposed and described. In this paper we revisit the original taxonomy proposed by Regan et al. in light of these developments, and make recommendations for how the original taxonomy might be improved to make it more useful as a tool for classifying and coding crash and critical incident data. In addition, we attempt to characterize, theoretically, the processes within each category of the original taxonomy that are assumed to give rise to driver inattention. Recommendations are made for several lines of research: to further validate the original taxonomy; to understand the impact of each category of inattention in the taxonomy on driving performance, crash type and crash risk; and to revise and align with the original taxonomy existing crash and incident investigation protocols, so that they provide more comprehensive, reliable and consistent information regarding the contribution of inattention to crashes of all types.
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The term working memory refers to a brain system that provides temporary storage and manipulation of the information necessary for such complex cognitive tasks as language comprehension, learning, and reasoning. This definition has evolved from the concept of a unitary short-term memory system. Working memory has been found to require the simultaneous storage and processing of information. It can be divided into the following three subcomponents: (i) the central executive, which is assumed to be an attentional-controlling system, is important in skills such as chess playing and is particularly susceptible to the effects of Alzheimer's disease; and two slave systems, namely (ii) the visuospatial sketch pad, which manipulates visual images and (iii) the phonological loop, which stores and rehearses speech-based information and is necessary for the acquisition of both native and second-language vocabulary.
Conference Paper
This research is a part of the IVAT (In-Vehicle Assistive Technology) project, an in-dash interface design project to help drivers who have various disabilities, including deficits in emotion regulation. While there have been several studies on emotion detection for drivers, few studies have seriously addressed what to detect and why. Those are crucial issues to consider when implementing an effective affect management system. Phase 1 of our study gathered a total of 33 different driving situations that can induce emotions and 56 plausible affective keywords to describe such emotions. Phase 2 analyzed factor structures of affect for driving contexts through user ratings and Factor Analysis, and obtained nine factors: fearful, happy, angry, depressed, curious, embarrassed, urgent, bored, and relieved. These factors accounted for 65.1% of the total variance. Results are discussed in terms of designing the IVAT emotion detection and regulation system for driving contexts.
Article
The aim of the current chapter is to share eight fundamental insights that have been gleaned from over fifty years of social psychological theorizing and research relating to justice. These insights are that: 1. Justice is an important subjective phenomenon 2. People have a need to believe in a just world 3. Outcomes, procedures, and treatment impact perceptions of justice 4. Perceptions of justice are important for both individuals and groups 5. People care about justice for a number of different reasons 6. Feelings of injustice are tied to notions of accountability and blame 7. Justice judgments are formed through social comparisons 8. Justice judgments are shaped by cultural values
Conference Paper
NASA-TLX is a multi-dimensional scale designed to obtain workload estimates from one or more operators while they are performing a task or immediately afterwards. The years of research that preceded subscale selection and the weighted averaging approach resulted in a tool that has proven to be reasonably easy to use and reliably sensitive to experimentally important manipulations over the past 20 years. Its use has spread far beyond its original application (aviation), focus (crew complement), and language (English). This survey of 550 studies in which NASA-TLX was used or reviewed was undertaken to provide a resource for a new generation of users. The goal was to summarize the environments in which it has been applied, the types of activities the raters performed, other variables that were measured that did (or did not) covary, methodological issues, and lessons learned
Article
Background: The use of a cell phone or communication device while driving is illegal in many jurisdictions, yet evidence evaluating the crash risk associated with cell phone use in naturalistic settings is limited. This article aims to determine whether cell phone use while driving increases motor vehicle crash culpability. Method Drivers involved in crashes where police reported cell phone use (n = 312) and propensity matched drivers (age, sex, suspect alcohol/drug impairment, crash type, date, time of day, geographical location) without cell phone use (n = 936) were drawn from Insurance Corporation of British Columbia Traffic Accident System data. A standardized scoring tool, modified to account for Canadian driving conditions, was used to determine crash culpability from police reports on all drivers from the crashes. The association between crash culpability and cell phone use was determined, with additional subgroup analyses based on crash severity, driver characteristics and type of licence. Results: A comparison of crashes with vs without cell phones revealed an odds ratio of 1.70 (95% confidence interval 1.22-2.36; P = 0.002). This association was consistent after adjustment for matching variables and other covariates. Subgroup analyses demonstrated an association for male drivers, unimpaired drivers, injured and non-injured drivers, and for drivers aged between 26 and 65 years. Conclusions: Crash culpability was found to be significantly associated with cell phone use by drivers, increasing the odds of a culpable crash by 70% compared with drivers who did not use a cell phone. This increased risk was particularly high for middle-aged drivers.
Article
Driving performance in an instrumented vehicle was compared with performance in a low-cost, fixed-based driving simulator. Six men and six women drove a freeway route while periodically dialling simulated phone calls. The same subjects drove a laboratory driving simulator using two visual fidelity levels: a colour scene with relatively high detail, and a monochrome (night) scene showing only road-edge markings. Lane position, speed, steering-wheel angle and throttle position were recorded in both contexts. Lane-keeping in the simulator was less precise than on the road, but speed control performance was comparable. The SD of lane position in normal driving was about twice as large, on average, in the simulator (0.360 versus 0.165 m). Lane keeping and speed control were less precise when dialling the phone than in normal driving, both in the simulator and on the road, but the performance decrement was greater in the simulator. The addition of the phone task increased the mean lateral speed in the car by about 43%, while in the simulator the mean lateral speed increased by 158% with the addition of the phone task. Subjects >60 years of age showed larger performance decrements during a concurrent phone dialling task than did subjects 20–30 years of age both in the simulator and on-road. No important differences in driving performance were found between the high and low simulator scene fidelity levels. The simulator demonstrated good absolute validity for measures of speed control and good relative validity for the effects of the phone task and age on driving precision.
Article
This was only a conference paper (i.e. ppt slides). For a full-text version of the same topic please read: https://www.researchgate.net/publication/312488348_The_Lane-Change-Task_as_a_tool_for_driver_distraction_evaluation
Article
Studies have shown that the inappropriate use of in-vehicle technology may lead to hazardous disruption of driver performance. This paper reports an investigation into the socio-technical implications of maintaining a difficult conversation while driving. Twenty romantically involved couples participated in a driving-simulator experiment. The participants engaged in emotionally difficult conversations while one partner drove. The contentious conversation topics were identified using a revealed differences protocol, requiring partners to discuss sources of ongoing disagreement in their relationship. The conversations were conducted either using handsfree telephone or with both parties present in the simulator. Results indicate that the revealed differences tasks were subjectively viewed as emotionally more difficult than a control. Driver performance was found to be adversely effected for both longitudinal and lateral vehicle control. Performance was worst during contentious conversations with the partner present, suggesting the drivers may be better able to regulate driving task demands with the partner not in the vehicle during difficult discussions.
Article
On-the-road driving records of Sports Car Club of America national competition license holders from three states were compared with the records of other drivers of the same age and sex. In each state the race drivers had a greater number of crashes per driver, and a greater number of speeding violations, other moving violations, and non-moving violations per driver, than the drivers comprising the matched comparison group. The results cast considerable doubt as to the validity of the Master Driver's License concept, which has been given serious consideration by the National Highway Traffic Safety Administration. The results also suggest a need for caution regarding the assumption that advanced driver education crash-avoidance techniques can he translated into reduced crash experience.
Article
Little work has empirically examined the cognitive construct of situation awareness (SA) in driving tasks involving the use of advanced in-vehicle automated technologies and personal communication devices. This research investigated the effects of an adaptive cruise control (ACC) system, and cell phone use in driving, on a direct and objective measure of SA, and assessed the competition of multiple driving and communication tasks for limited mental resources in terms of driving performance. Eighteen participants drove a virtual car in a driving simulation and performed a following task involving changes in speed and lateral position. Half of the participants were required to respond to cell phone calls and all completed trials with and without use of the ACC system. Task performance was measured in terms of lane deviations and speed control in tracking a lead vehicle, as well as headway distance in the following task. SA was measured using a simulation freeze technique and SA queries on the driving situation. Subjective workload was measured using a uni-dimensional mental workload rating. Results indicated use of the ACC system to improve driving task SA under typical driving conditions, and to reduce driver mental workload. However, the cell phone conversation caused deleterious effects on driving SA and increased driver mental load. The cell phone conversation (secondary task) competed for limited mental resources of drivers, leading to less attention to, and accurate knowledge of, the driving situation. Results also revealed the ACC system to improve driving performance along multiple dimensions; however, the cell phone did not have an effect. The latter result may be attributed to a short duration of the cell phone conversations during the experiment. This study has implications for the implementation of in-vehicle automation to support driver SA under normal driving conditions and regulations on the use of cell phones while driving.
Article
This study examined the causal factors associated with anger while driving and the possible consequences of that anger on driving behaviour. Drivers kept diaries over a period of two weeks, detailing the events occurring during each journey in that time, with notes on events such as near accidents and on feelings of anger. The study examined the diaries of 100 drivers, who reported a total of 293 near accidents and 383 occasions when they experienced anger. The drivers also completed questionnaires that assessed a number of individual differences such as propensity towards mild social deviance and towards committing traffic violations. On a journey by journey basis drivers were more likely to report anger when congestion was present, but there was no evidence that the drivers who generally experienced higher levels of congestion also experienced more anger. The study found a strong association between the number of near accidents and occasions of anger a person experiences while driving, but this concealed two separate relationships. Near accidents frequently provoked feelings of anger, particularly where the driver felt that they were not at fault in the incident. However, there was also a separate link between the experience of anger in other situations and reports of near accidents where the driver was to blame. Such anger also appeared to be linked to mild social deviance and the commission of driving violations.
Article
There is accumulating evidence that driver distraction and driver inattention are leading causes of vehicle crashes and incidents. However, as applied psychological constructs, they have been inconsistently defined and the relationship between them remains unclear. In this paper, driver distraction and driver inattention are defined and a taxonomy is presented in which driver distraction is distinguished from other forms of driver inattention. The taxonomy and the definitions provided are intended (a) to provide a common framework for coding different forms of driver inattention as contributing factors in crashes and incidents, so that comparable estimates of their role as contributing factors can be made across different studies, and (b) to make it possible to more accurately interpret and compare, across studies, the research findings for a given form of driver inattention.
Article
In this study, 150 subjects observed a 25-minute video driving sequence containing 45 highway traffic situations to which they were expected to respond by manipulation of simulated vehicle controls. Each situation occurred under five conditions of distraction: placing a cellular phone call, carrying on a causal cellular phone conversation, carrying on an intense cellular phone conversation, tuning a radio, and no distraction. All of the distractions led to significant increases in the proportion of situations to which subjects failed to respond. However, significant age differences of nonresponse appeared. Among subjects over age 50, nonresponses increased by about one-third under all of the telephone distractions. The response rate of younger subjects increased by a lesser degree except under intense conversation. Results were not influenced by gender or prior experience with cellular phones. The authors conclude that older drivers might reduce their accident risk during attention-demanding traffic conditions by avoiding use of cellular phones and that other drivers might do so by refraining from calls involving intense conversation.
Article
The effects of a mobile telephone task on young and elderly drivers' choice reaction time, headway, lateral position, and workload were studied when the subjects were driving in a car-following situation, in the VTI driving simulator. It was found that a mobile telephone task had a negative effect upon the drivers' choice reaction time, and that the effect was more pronounced for the elderly drivers. Furthermore, the subjects did not compensate for their increased reaction time by increasing their headway during the phone task. The subjects' mental workload, as measured by the NASA-TLX, increased as a function of the mobile telephone task. No effect on the subjects' lateral position could be detected. Taken together, these results indicate that the accident risk can increase when a driver is using the mobile telephone in a car following situation. The reasons for the increased risk, and possible ways to eliminate it, are also discussed.
Article
This study was aimed at investigating drivers' ability to detect a car ahead decelerating, while doing mobile phone related tasks. Nineteen participants aged between 20 and 29 years, (2000-125000 km driving experience) drove at 80 km/h, 50 m behind a lead car, on a 30 km section of motorway in normal traffic. During each trial the lead car started to decelerate at an average of 0.47 m/s2 while the participant either looked at the car in front (control), continuously dialed series of three random integers on a numeric keypad (divided visual attention), or performed a memory and addition task (non-visual attention). The results indicated that drivers' detection ability was impaired by about 0.5 s in terms of brake reaction time and almost 1 s in terms of time-to-collision, when they were doing the non-visual task whilst driving. This impairment was similar to when the drivers were dividing their visual attention between the road ahead and dialing numbers on the keypad. It was concluded that neither a hands-free option nor a voice controlled interface removes the safety problems associated with the use of mobile phones in a car.
Article
Drawing on an appraisal-tendency framework (J. S. Lerner & D. Keltner, 2000), the authors predicted and found that fear and anger have opposite effects on risk perception. Whereas fearful people expressed pessimistic risk estimates and risk-averse choices, angry people expressed optimistic risk estimates and risk-seeking choices. These opposing patterns emerged for naturally occurring and experimentally induced fear and anger. Moreover, estimates of angry people more closely resembled those of happy people than those of fearful people. Consistent with predictions, appraisal tendencies accounted for these effects: Appraisals of certainty and control moderated and (in the case of control) mediated the emotion effects. As a complement to studies that link affective valence to judgment outcomes, the present studies highlight multiple benefits of studying specific emotions.
Article
Forty-two licensed drivers were tested in an experiment that required them to respond to an in-vehicle phone at the same time that they were faced with making a crucial stopping decision. Using test track facilities, we also examined the influence of driver gender and driver age on these dual-task response capacities. Each driver was given task practice and then performed a first block of 24 trials, where one trial represented one circuit of the test track. Half of the trials were control conditions in which neither the stop-light was activated nor was the in-vehicle phone triggered. Four trials required only stop-light response and a further four, phone response only. The remaining four trials required the driver to complete each task simultaneously. The order of presentation of specific trials was randomized and the whole sequence was repeated in a second block giving 48 trials per driver. In-vehicle phone response also contained an embedded memory task that was evaluated at the end of each trial circuit. Results confirmed our previous observation that in the dual-task condition there was a slower response to the light change. To compensate for this slowed response, drivers subsequently brake more intensely. Most importantly, we recorded a critical 15% increase in non-response to the stop-light in the presence of the phone distraction task which equates with increased stop-light violations on the open road. These response patterns varied by driver age and driver gender. In particular, age had a large effect on task components that required speed of response to multiple, simultaneous demands. Since driving represents a highly complex and interactive environment, it is not possible to specify a simplistic relationship between these distraction effects and outcome crash patterns. However, we can conclude that such in-vehicle technologies erode performance safety margin and distract drivers from their critical primary task of vehicle control. As such it can be anticipated that a causal relation exists to collision events. This is a crucial concern for all in-vehicle device designers and for the many safety researchers and professionals seeking to reduce the adverse impacts of vehicle collisions.
Article
This research tested hypotheses from state-trait anger theory applied to anger while driving. High and low anger drivers drove equally often and as many miles, but high anger drivers reported more frequent and intense anger and more aggression and risky behavior in daily driving, greater anger in frequently occurring situations, more frequent close calls and moving violations, and greater use of hostile/aggressive and less adaptive/constructive ways of expressing anger. In low impedance simulations, groups did not differ on state anger or aggression; however, high anger drivers reported greater state anger and verbal and physical aggression in high impedance simulations. High anger drivers drove at higher speeds in low impedance simulations and had shorter times and distances to collision and were twice as likely to crash in high impedance simulations. Additionally, high anger drivers were more generally angry. Hypotheses were generally supported, and few gender differences were noted for anger and aggression.
Article
To quantify the central attention-diverting effect of hands-free cellular phone conversation on visual field awareness. Experimental study. Twenty male and 21 female healthy participants performed a pretest and baseline Esterman visual field examinations with the Humphrey Systems Visual Field Analyzer II. During the consequent third examination, each participant engaged in a hands-free conversation using a cellular phone. The conversation was the same for all participants. Visual field performance parameters were compared between the second (baseline) examination, and the third (test) examination for each eye. During phone conversation, missed points increased from mean 1.0 +/- 1.5 to 2.6 +/- 3.4 (P < or =.001) in the right eye and from 1.1 +/- 1.53 to 3.0 +/- 3.4 (P <.001) in the left eye. Fixation loss increased from mean 7.8% to 27.4% (P <.0001) and from 7.2% to 34.8% (P <.0001) for the right and left eyes, respectively. Test duration increased by a mean of 0.28 seconds (15%) per stimulus (P <.0001). Approximately half of missed points were inside the central 30 degrees. There was no significant difference in the performance of male and female participants. We describe a new model for the quantification of the attention-diverting effect of cellular-phone conversation on the visual field. In the current study, cellular hands-free conversation caused some subjects to miss significantly more points, react slower to each stimulus, and perform with reduced precision. Legislative restrictions on concomitant cellular-phone conversation and driving may need to be based on individual performance rather than a general ban on cellular phone usage.