The effectiveness of a brief psychological intervention on court-referred and self-referred aggressive drivers

This study tested the efficacy of a cognitive-behavioral psychological intervention (CBT) targeting aggressive driving behaviors within both a court-referred (N=20) and a self-referred community (N=8) sample as compared to a symptom monitoring (SM) only control condition. Treatment outcome was assessed through the use of daily driving diaries, standard psychological tests, and a global rating of change scale. The CBT treatment condition improved more than the SM condition as assessed through the daily driving diaries. Although the court-referred and self-referred samples showed equivalent improvement on the driving diaries, the self-referred group improved more on measures of general anger. Standardized measures of driving anger, state anxiety and measures of general anger indicated significant change in the expected direction. Aggressive drivers who met criteria for Intermittent Explosive Disorder (IED) showed a trend to improve less than non-IED aggressive drivers. Treatment gains were maintained at the 2-month follow-up point.     

Associations between self-reported mindfulness,driving anger and aggressive driving

Anger and aggression on the roads is associated with how drivers evaluate the driving situation and the behaviour of other drivers. Consequently, both can be exacerbated when these evaluations are made superficially and/or when drivers have pre-existing negative schemas regarding certain types of road situations or users. Mindfulness is likely to have negative associations with anger and aggression because it promotes opposing appraisals. That is, it encourages emotion-regulation and involves acceptance of, but not reaction to, the current situation. To examine these associations, a total of 309 drivers responded to an online questionnaire assessing mindfulness, driving anger and aggressive driving. The results showed that mindfulness shared negative relationships with driving anger and self-reported aggressive driving. However, when these relationships were examined simultaneously using Structural Equation Modelling, mindfulness was found to relate only to anger and this, in turn, predicted aggressive driving. Further analysis showed that driving anger mediates the relationship between mindfulness and aggressive driving. These results suggest that mindfulness training may provide a promising intervention for drivers prone to driving anger and subsequent aggression.     

Psychological characteristics of aggressive drivers with and without intermittent explosive disorder

We compared two groups of aggressive drivers, those who met criteria for Intermittent Explosive Disorder (IED) (n=10) and comparable aggressive drivers who did not meet IED criteria (n=20), to a group of non-aggressive driving controls (n=20) on measures of psychological distress, anger, hostility, and Type A behavior as well as measures of aggressive driving and driving anger and their driving records. There were few differences between the aggressive drivers with IED and those without IED. The IED positive aggressive drivers endorsed more assaultiveness and resentment as well as more impatience and showed trends to have more hostility and angry temperament. When all aggressive drivers were compared to controls, differences emerged on anxiety, hostility, and anger as well as on measure specific to aggressive driving (competitiveness) and driving anger (at slow drivers and traffic obstructions).     

Getting mad may not mean getting even: The influence of drivers’ ethical ideologies on driving anger and related behaviour

The current study explored the influence of moral values (measured by ethical ideology) on self-reported driving anger and aggressive driving responses. A convenience sample of drivers aged 17–73 years (n = 280) in Queensland, Australia, completed a self-report survey. Measures included sensation seeking, trait aggression, driving anger, endorsement of aggressive driving responses and ethical ideology (Ethical Position Questionnaire, EPQ). Scores on the two underlying dimensions of the EPQ idealism (highI/lowI) and relativism (highR/lowR) were used to categorise drivers into four ideological groups: Situationists (highI/highR); Absolutists (highI/lowR); Subjectivists (lowI/highR); and Exceptionists (lowI/lowR). Mean aggressive driving scores suggested that exceptionists were significantly more likely to endorse aggressive responses. After accounting for demographic variables, sensation seeking and driving anger, ethical ideological category added significantly, though modestly to the prediction of aggressive driving responses. Patterns in results suggest that those drivers in ideological groups characterised by greater concern to avoid affecting others negatively (i.e. highI, Situationists, Absolutists) may be less likely to endorse aggressive driving responses, even when angry. In contrast, Subjectivists (lowI, HighR), reported the lowest levels of driving anger yet were significantly more likely to endorse aggressive responses. This provides further insight into why high levels of driving anger may not always translate into more aggressive driving.     

Aggressive driving: Do driving overconfidence and aggressive thoughts behind the wheel,drive professionals off the road?

Aggressive driving has emerged as one of the most studied behaviors in the traffic psychology context due to its association with odds of motor vehicle crashes (MVCs) and especially fatal ones. Nevertheless, behavioral (aggression) and affective (anger) aspects of aggressive driving have been deeply studied; its cognitive part hasn’t gained much attention; However, its role in understanding the process of aggression and designing interventions couldn’t be neglected. This research investigated the contribution of overconfidence (as the driver’s cognitive bias), aggressive thoughts, driver’s aggression, and risk perception in driver’s performance and the number of self-reported active accidents. The unique contribution of this study is its sample of urban bus drivers that have less been studied to date. Structural equation modeling (SEM), and mediation analysis revealed that overconfidence contributes to aggressive driving through aggressive thoughts behind the wheel. Moreover, overconfidence decreased the risk perception and driving performance of individuals, which were associated with a higher number of driver’s accidents. Besides, aggressive thoughts behind the wheel predicted physically aggressive expression and using the vehicle to express anger, which were associated with a decreased level of driving performance and an increased number of accidents. This study brings further evidence, supporting the importance of cognition in understanding and preventing aggressive driving and its adverse outcomes.     

Anger,aggression, risky behavior,and crash-related outcomes in three groups of drivers

High anger drivers who acknowledged problems with driving anger and were interested in treatment were compared to high and low anger drivers who did not acknowledge problems with driving anger or want treatment. Although high anger drivers who acknowledged problems reported greater anger on two measures than high anger drivers who did not acknowledge problems, both high anger groups tended not to differ from one another and were more frequently and intensely angered when driving, reported more aggressive and less adaptive/constructive forms of expressing anger while driving, engaged in more aggressive and risky behavior on the road, and experienced more of some accident-related outcomes than low anger drivers. High anger groups did not differ from each other, but reported more trait anxiety and anger and more outward negative and less controlled general anger expression than the low anger group. The two groups of high anger drivers, however, require different types of interventions given their state of readiness for driving anger reduction. Results were also interpreted as supportive of the state-trait model of anger and construct validity of the Driving Anger Scale.     

Gendered Self-Concept and the Aggressive Expression of Driving Anger: Positive Femininity Buffers Negative Masculinity

The aggressive expression of driving anger is a risk factor for aggressive and dangerous driving behavior and is associated with a greater risk of accident involvement. The present study related positive and negative facets of a masculine and feminine self-concept to aggressive and adaptive forms of anger expression while driving. A sample of 417 drivers (194 women, 46.5%) in Germany completed the Positive-Negative Sex Role Inventory (PN-SRI) as a measure of positive and negative masculinity and femininity and the Driving Anger Expression Inventory (DAX) as a measure of driving anger expression. Aggressive forms of expressing driving anger were unrelated to gender but differed significantly in relation to gendered self-concept. Negative but not positive masculinity was found to predict higher aggressive and lower adaptive anger expression. No main effects of positive or negative femininity were found. However, the link between negative masculinity and aggressive anger expression was buffered by positive femininity: Negative masculinity was unrelated to aggressive anger expression when accompanied by positive femininity. Adaptive anger expression showed negative links with negative masculinity and positive links with positive masculinity. The findings held for both men and women and support the theoretical distinction between positive and negative facets of the gendered self-concept. The implications for the conceptualization of both gendered self-concept and anger expression on the road are discussed.     

Drinking,drug use and road rage in Turkish drivers

Alcohol or drug use and road rage behaviors in drivers are threats to traffic safety. The purpose of this research is to examine the relationship between alcohol or drug use and aggression in Turkish drivers, and to evaluate the mediating role of driving anger in this relationship. 270 amateur and professional Turkish drivers (170 male, 100 female) have filled up Driving Anger Scale (DAS), Driver Aggression Indicators Scale (DAIS), Alcohol Use Disorders Identification Test (AUDIT) and the Questionnaire Form. 15.9% of the participants scored 8 and higher on the AUDIT scale (alcohol problem). The most prevalent substance is cannabis, used at least once in a lifetime (20%). The results of mediated regression analysis indicates that driving anger has an increasing mediating role in the relationship between alcohol use and driver aggression. Due to limitations in the data, we could not reveal the relationship between substance use and driver aggression. These findings have led us to think that drinking use may contribute to being a perpetrator and/or a victim of the road rage. Taking precautions against drinking driving and road rage and going over the current implementations is important in order to create a safer traffic environment. Scientific researches carried out in this field must aim to provide the desired efficiency on prevention and intervention programs that reduce the prevalance of such dangerous acts.     

Cognitive-behavioral treatment of high anger drivers

Relaxation and cognitive-relaxation interventions were compared to a no treatment control in the treatment of high anger drivers. The cognitive portion of the cognitive-relaxation condition adapted the style of Beck's cognitive therapy, particularly use of Socratic questions and behavioral experiments and tryouts, to driving anger reduction. Both interventions lowered indices of driving anger and hostile and aggressive forms of expressing driving anger and increased adaptive/constructive ways of expressing driving anger. The cognitive-relaxation intervention also lowered the frequency of risky behavior. Both interventions lowered trait anger as well. Limitations and implications for treatment and research were discussed.     

Virtual Reality and Cognitive-Behavioral Therapy for Driving Anxiety and Aggression in Veterans: A Pilot Study

Within the U.S. military, motor vehicle accidents (MVAs) are the leading cause of preventable morbidity and mortality. Prior combat exposure and anxiety symptoms are associated with risky and aggressive driving, which is responsible for over half of MVA fatalities. Therefore, interventions are needed to reduce driving anxiety and aggression in veterans in order to mitigate the public health impact of MVAs. Virtual reality exposure therapy (VRET) offers safe, controlled exposure to distressing stimuli. The current study piloted a novel virtual reality and cognitive behavioral intervention (VRET + CBT) for veterans that integrated both anxiety and anger management components. Virtual reality driving scenarios were delivered in a driving simulator and tailored for the military population. Six previously deployed veterans completed eight intervention sessions, as well as pre/post, one month follow-up and six to nine month follow-up assessments. Repeated measures ANOVAs demonstrated significant decline and large effect sizes for PTSD symptoms, driving phobia, hyperarousal in driving situations, anxiety/anger-related thoughts and behaviors, and risky driving. Hyperarousal in driving situations declined by 69%, aggressive driving declined by 29%, and risky driving declined by 21%. Treatment gains were maintained at follow-up. Recruitment, retention, immersion, simulator sickness scores, and qualitative feedback demonstrated feasibility of the intervention. Implications for future research and adaptation are discussed.     

Cognitive biases in aggressive drivers: Does illusion of control drive us off the road?

Anger has been shown to be a motivating factor in aggression and it is widely accepted that driving anger may lead to aggressive driving. However, the link between anger and aggressive driving is likely to be mediated by drivers’ pre-existing cognitive biases and the subsequent situational evaluations made. This study investigated the extent to which optimism bias, illusion of control beliefs and driver anger predict self-reported hostile driving behaviours. A total of 220 licensed drivers (106 men; 114 women) completed a self-report questionnaire measuring trait driving anger, optimism bias, illusion of control and driving behaviour. Structural Equation Modelling showed that trait driving anger and illusion of control beliefs account for 37% of the variance in hostile driving behaviour scores. Optimism biases were unrelated to hostile driving behaviours. Thus, driving anger propensities and feelings of control over the situation, but not a general tendency to underestimate the likelihood of adverse outcomes, predict aggressive driving.     

The mediation effect of emotion dysregulation in the relationship between anger and aggression on the road in a sample of Spanish drivers

Aggressive behaviour on the road is one of the most studied topics in human factors, given it has been related to both risky behaviour and traffic crashes. While previous research has proposed trait driving anger as one of the better predictors, mediation variables which could explain this relationship have not deserved attention. The current research aimed to explore the mediation effect of emotion regulation in this relationship. The sample consisted of 472 Spanish drivers, who completed a set of self-reports regarding trait driving anger, frequency of aggressive behaviours at the wheel, and difficulties in emotion regulation. The results showed significant relationship among the variables in almost all the cases. Furthermore, a SEM analysis showed that difficulties in emotion regulation significantly mediated the relationship between trait driving anger and each way of the aggressive behaviours (verbal, physical, using own vehicle, and displaced). These results have important implications in the design of strategies focused on the improvement of emotion regulation to reduce aggressive behaviours in drivers. Finally, the limitations of the study are commented.     

Driving violations,aggression and perceived consensus

A questionnaire survey of 171 English drivers investigated the relationships between trait aggressiveness, self-reported driving violations, and perceptions of the commission of driving violations by others, using the extended violation scale of the Manchester Driver behaviour Questionnaire (DBQ). Drivers who were relatively high on trait aggressiveness reported committing more traffic violations than those who had lower scores. Both aggressive and non aggressive drivers believed that others committed the driving offences more often than they did themselves, although those with a higher score for trait aggressiveness had a greater tendency to do so. The commission of both aggressive and Highway Code violations was predicted by trait anger. Those high on anger and hostility were also more likely to have been involved in a road traffic accident. The implications for road safety interventions are discussed.     

Anger,aggression, and risky behavior: a comparison of high and low anger drivers

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.     

Dimensions of driver anger, aggressive and highway code violations and their mediation by safety orientation in UK drivers

Aggressive behaviour on the roads is reported to be on the increase. This study administered Driving Anger Scale (Deffenbacher et al. (1994). Development of a driving anger scale. Psychological Reports, 74, 83–91.), the Driver Behaviour Questionnaire, and the Driving Skill Inventory to a sample of 270 British drivers. Factor analysis of the Driving Anger Scale items yielded three factors measuring anger generated by the reckless driving, direct hostility and impeded progress by others—contrary to the six subscales found with the original US sample. Younger drivers and low mileage drivers were more likely to exhibit all three types of driving anger, but no differences between male and female drivers were found. In addition, a driver’s safety orientation predicted (negatively) anger evoked by impeded progress and direct hostility whereas self-assessed perceptual-motor skills were positively related to anger generated by impeded progress. Both Highway Code and aggressive violations were significantly related to the anger factors, and, using the procedure by Baron and Kenny (Baron & Kenny (1986). The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.), the prediction of violating behaviour (Driver Behaviour Questionnaire) by reported anger was shown to be mediated by the self-assessed safety skill scale but not the perceptual-motor skill scale (Driver Skill Inventory), and moderated by neither. Implications for driver education countermeasures are noted.     

A matter of style? Driver attributional ‘style’ in accounting for the driving of others as protective or as predisposing drivers towards retaliatory aggressive driving

Driver cognitions about aggressive driving of others are potentially important to the development of evidence-based interventions. Previous research has suggested that perceptions that other drivers are intentionally aggressive may influence recipient driver anger and subsequent aggressive responses. Accordingly, recent research on aggressive driving has attempted to distinguish between intentional and unintentional motives in relation to problem driving behaviours. This study assessed driver cognitive responses to common potentially provocative hypothetical driving scenarios to explore the role of attributions in driver aggression. A convenience sample of 315 general drivers 16–64 yrs (M = 34) completed a survey measuring trait aggression (Aggression Questionnaire AQ), driving anger (Driving Anger Scale, DAS), and a proxy measure of aggressive driving behaviour (Australian Propensity for Angry Driving AusPADS). Purpose designed items asked for drivers’ ‘most likely’ thought in response to AusPADS scenarios. Response options were equivalent to causal attributions about the other driver. Patterns in endorsements of attribution responses to the scenarios suggested that drivers tended to adopt a particular perception of the driving of others regardless of the depicted circumstances: a driving attributional style. No gender or age differences were found for attributional style. Significant differences were detected between attributional styles for driving anger and endorsement of aggressive responses to driving situations. Drivers who attributed the on-road event to the other being an incompetent or dangerous driver had significantly higher driving anger scores and endorsed significantly more aggressive driving responses than those drivers who attributed other driver’s behaviour to mistakes. In contrast, drivers who gave others the ‘benefit of the doubt’ endorsed significantly less aggressive driving responses than either of these other two groups, suggesting that this style is protective.     

Development and Evaluation of a Measure of Dangerous,Aggressive, Negative Emotional,and Risky Driving1

The Dula Dangerous Driving Index (DDDI) was created to measure drivers’ self‐reported likelihood to drive dangerously. Each DDDI scale (DDDI Total, Aggressive Driving, Negative Emotional Driving, and Risky Driving scales) had strong internal reliability and there was also evidence for the construct validity of the scales. The DDDI was used to examine the relation between dangerous and aggressive driving and dispositional aggression and anger among 119 college students. Males reported significantly more aggressive, risky, and angry driving than did females. Males and females reported similar levels of dangerous driving and negative emotions while driving. Dangerous driving was positively related to traffic citations and causing accidents. The DDDI will be useful as a research instrument to examine dangerous driving.     

Motorcycle riders’ self-reported aggression when riding compared with car driving

Aggressive driving has been shown to be related to increased crash risk for car driving. However, less is known about aggressive behaviour and motorcycle riding and whether there are differences in on-road aggression as a function of vehicle type. If such differences exist, these could relate to differences in perceptions of relative vulnerability associated with characteristics of the type of vehicle such as level of protection and performance. Specifically, the relative lack of protection offered by motorcycles may cause riders to feel more vulnerable and therefore to be less aggressive when they are riding compared to when they are driving. This study examined differences in self-reported aggression as a function of two vehicle types: passenger cars and motorcycles. Respondents (n = 247) were all motorcyclists who also drove a car. Results were that scores for the composite driving aggression scale were significantly higher than on the composite riding aggression scale. Regression analyses identified different patterns of predictors for driving aggression from those for riding aggression. Safety attitudes followed by thrill seeking tendencies were the strongest predictors for driving aggression, with more positive safety attitudes being protective whilst greater thrill seeking was associated with greater self-reported aggressive driving behaviour. For riding aggression, thrill seeking was the strongest predictor (positive relationship), followed by self-rated skill, such that higher self-rated skill was protective against riding aggression. Participants who scored at the 85th percentile or above for the aggressive driving and aggressive riding indices had significantly higher scores on thrill seeking, greater intentions to engage in future risk taking, and lower safety attitude scores than other participants. In addition participants with the highest aggressive driving scores also had higher levels of self-reported past traffic offences than other participants. Collectively, these findings suggest that people are less likely to act aggressively when riding a motorcycle than when driving a car, and that those who are the most aggressive drivers are different from those who are the most aggressive riders. However, aggressive riders and drivers appear to present a risk to themselves and others on road. Importantly, the underlying influences for aggressive riding or driving that were identified in this study may be amenable to education and training interventions.     

Interpersonal Skills Training to Reduce Aggressive and Delinquent Behavior: Limited Evidence and the Need for an Evidence-Based System of Care

The prevention of aggressive and delinquent behavior during childhood and adolescence is one of the highest priorities for public health and crime prevention. The most common approach to preventing or treating these conduct problems has been to provide interpersonal skills training to the affected youth. This paper reviews all randomized controlled trials evaluating interpersonal skills training programs as an intervention to reduce conduct problems. Research shows that such programs have weak empirical support as isolated interventions. An alternative evidence-based system of care is described. Such a system would include behavioral parent training and behavioral classroom-based interventions for young children at risk of developing problems, as well as multisystemic family therapy or multidimensional treatment foster care for chronic delinquents. Within such a network of services, interpersonal skills training could play an important supportive role. Such a system holds the greatest promise for reducing the prevalence of aggressive and delinquent behavior in communities.