Visual search performance across 40 h of continuous wakefulness: Measures of speed and accuracy and relation with oculomotor performance

Abnormal amplitude of low-frequency fluctuations associated with sleep efficiency in major depressive disorder

BACKGROUND

Sleep disturbance is one of the most frequent somatic symptoms in major depressive disorder (MDD), but the neural mechanisms behind it are not well understood. Sleep efficiency (SE) is a good indicator of early awakening and difficulty falling asleep in MDD patients. Our study aimed to investigate the relationship between sleep efficiency and brain function in MDD patients.

METHODS

We recruited 131 MDD patients from the Fourth People's Hospital in Hefei, and 71 well-matched healthy controls who were enrolled from the community. All subjects underwent resting-state functional MRI. Brain function was measured using the fractional amplitude of low-frequency fluctuation (fALFF), sleep efficiency was objectively measured by polysomnography (PSG), and clinical scales were used to evaluate depressive symptoms and sleep status. Multivariate regression analysis was performed to assess the relationship between the amplitude of the low frequency fluctuation fraction and sleep efficiency.

RESULT

Three brain regions with relevance to sleep efficiency in MDD patients were found: inferior occipital gyrus (Number of voxels = 25, peak MNI coordinate x/y/z = -42/-81/-6, Peak intensity = 4.3148), middle occipital gyrus (Number of voxels = 55, peak MNI coordinate x/y/z = -30/-78/18, Peak intensity = 5.111), and postcentral gyrus (Number of voxels = 26, peak MNI coordinate x/y/z = -27/-33/60, Peak intensity = 4.1263). But there was no significant relationship between fALFF and SE in the healthy controls.

CONCLUSION

The reduced sleep efficiency in MDD may be related to their lower neural activity in the inferior occipital gyrus, middle occipital gyrus, and postcentral gyrus. The findings may provide a potential neuroimaging basis for the clinical intervention in patients with major depressive disorder with sleep disturbances.

The effect of total sleep deprivation on working memory: evidence from diffusion model

STUDY OBJECTIVES

Working memory is crucial in human daily life and is vulnerable to sleep loss. The current study investigated the impact of sleep deprivation on working memory from the information processing perspective, to explore whether sleep deprivation affects the working memory via impairing information manipulation.

METHODS

Thirty-seven healthy adults attended two counterbalanced protocols: a normal sleep night and a total sleep deprivation (TSD). The N-back and the psychomotor vigilance task (PVT) assessed working memory and sustained attention. Response time distribution and drift-diffusion model analyses were applied to explore cognitive process alterations.

RESULTS

TSD increased the loading effect of accuracy, but not the loading effect of response time in the N-back task. TSD reduced the speed of information accumulation, increased the variability of the speed of accumulation, and elevated the decision threshold only in 1-back task. Moreover, the slow responses of PVT and N-back were severely impaired after TSD, mainly due to increased information accumulation variability.

CONCLUSIONS

The present study provides a new perspective to investigate behavioral performance by using response time distribution and drift-diffusion models, revealing that sleep deprivation affected multicognitive processes underlying working memory, especially information accumulation processes.

Recovery of Cognitive Performance Following Multi-Stressor Military Training

OBJECTIVE

This project aimed to assess the impact of an 8-day military training exercise on cognitive performance, and track its recovery in periods of reduced training load and partially restored sleep.

BACKGROUND

Military personnel often work in challenging multi-stressor environments, where sleep loss is inevitable. Sleep loss can impair multiple cognitive domains, which can have disastrous consequences in military contexts.

METHOD

A total of 57 male and female soldiers undergoing the Australian Army combat engineer Initial Employment Training course were recruited and tracked over a 16-day study period which included an 8-day field-based military training exercise. Cognitive performance was assessed via a computerised battery at seven time points across four sequential study periods; 1) baseline (PRE), 2) military field training exercise which included total sleep deprivation (EX-FIELD), 3) training exercise at simulated base with restricted sleep opportunities (EX-BASE), and 4) a 3-day recovery period (REC). Subjective load, fatigue, and sleep were evaluated continuously via questionnaire and actigraphy.

RESULTS

Psychomotor speed, reaction time, visual tracking and vigilance were impaired following the EX-FIELD period (p < 0.05). The majority of affected measures recovered 2 days following EX-FIELD, being no different in EX-BASE compared to PRE.

CONCLUSION

The sensitivity of the cognitive tests to sleep restriction, and recovery, indicates they can help assess operational readiness in military personnel. Future studies should explore other indicators of, and strategies to preserve, operational readiness in military personnel.

APPLICATION

This study highlights the impact of work-induced fatigue on cognitive performance, and would interest authorities seeking to preserve operational readiness.

Time-of-day effects on speed and accuracy performance during simulated shiftwork

Performance on tasks involving speed and accuracy fluctuate throughout the 24-h day negatively affecting shift workers and organizations. Two simulated work shifts common in occupational settings were used to assess performance on a vigilance and math task. In study 1, 33 sleep-deprived participants completed a nightshift. In study 2, 32 partially sleep-deprived participants completed a dayshift. These studies found that performance differed between the type of task and the type of simulated shift where performance during the nightshift was worse than during the dayshift. In addition, collapsing speed and accuracy on the math task into inverse efficiency scores provided a unique measure that captured the impact of circadian rhythms during shiftwork. The current study also indicated that participants adopted cognitive strategies including speed-accuracy tradeoff and regulatory foci regarding work motivation (prevention focus and promotion focus) when completing the tasks depending on time-of-day, type of shift, circadian rhythms, and amount of sleep deprivation. This suggests that researchers and organizations should consider cognitive strategies in addition to the physiological components of sleep deprivation and circadian rhythms when investigating and documenting the impact of time-of-day due to different types of shiftwork conditions on performance and safety.

Conscientiousness protects visual search performance from the impact of fatigue

Visual search-looking for targets among distractors-underlies many critical professions (e.g., radiology, aviation security) that demand optimal performance. As such, it is important to identify, understand, and ameliorate negative factors such as fatigue-mental and/or physical tiredness that leads to diminished function. One way to reduce the detrimental effects is to minimize fatigue itself (e.g., scheduled breaks, adjusting pre-shift behaviors), but this is not always possible or sufficient. The current study explored whether some individuals are less susceptible to the impact of fatigue than others; specifically, if conscientiousness, the ability to control impulses and plan, moderates fatigue's impact. Participants (N = 374) self-reported their energy (i.e., the inverse of fatigue) and conscientiousness levels and completed a search task. Self-report measures were gathered prior to completing the search task as part of a large set of surveys so that participants could not anticipate any particular research question. Preregistered linear mixed-effect analyses revealed main effects of energy level (lower state energy related to lower accuracy) and conscientiousness (more trait conscientiousness related to higher accuracy), and, critically, a significant interaction between energy level and conscientiousness. A follow-up analysis, that was designed to illustrate the nature of the primary result, divided participants into above- vs. below-median conscientiousness groups and revealed a significant negative relationship between energy level and accuracy for the below median, but not above-median, group. The results raise intriguing operational possibilities for visual search professions, with the most direct implication being the incorporation of conscientiousness measures to personnel selection processes.

Relationship between circadian rhythm and brain cognitive functions

Circadian rhythms are considered a masterstroke of natural selection, which gradually increase the adaptability of species to the Earth's rotation. Importantly, the nervous system plays a key role in allowing organisms to maintain circadian rhythmicity. Circadian rhythms affect multiple aspects of cognitive functions (mainly via arousal), particularly those needed for effort-intensive cognitive tasks, which require considerable top-down executive control. These include inhibitory control, working memory, task switching, and psychomotor vigilance. This mini review highlights the recent advances in cognitive functioning in the optical and multimodal neuroimaging fields; it discusses the processing of brain cognitive functions during the circadian rhythm phase and the effects of the circadian rhythm on the cognitive component of the brain and the brain circuit supporting cognition.

Saccadic adaptation in the presence of artificial central scotomas

Saccadic adaptation can occur over a short period of time through a constant adjustment of the saccade target during the saccade, resulting in saccadic re-referencing, which directs the saccade to a location different from the target that elicited the saccade. Saccade re-referencing could be used to help patients with age-related macular degeneration to optimally use their residual visual function. However, it remains unknown whether saccade adaptation can take place in the presence of central scotomas (i.e., without central vision). We tested participants in two experiments in a conventional double-step paradigm with a central gaze-contingent artificial scotoma. Experiment 1 (N = 12) comprised a backward adaptation paradigm with no scotoma control, visible, and invisible 3° diameter scotoma conditions. Experiment 2 (N = 13) comprised a forward adaptation paradigm with no scotoma control, invisible 2°, and 4° diameter scotoma conditions. In Experiment 1, we observed significant adaptation in both the visible and invisible scotoma conditions comparable to the control condition with no scotoma. This was the case even when the saccade landed such that the target was occluded by the scotoma. We observed that adaptation occurred based on peripheral viewing of the stepped target during the deceleration period. In Experiment 2, we found that both scotoma conditions showed adaptation again comparable to the control condition with no scotoma. We conclude that saccadic adaptation can occur with central scotomas, showing that it does not require central vision and can be driven primarily by peripheral retinal error.

Changes in Subjective Motivation and Effort During Sleep Restriction Moderate Interindividual Differences in Attentional Performance in Healthy Young Men

PURPOSE

The effects of sleep restriction on subjective alertness, motivation, and effort vary among individuals and may explain interindividual differences in attention during sleep restriction. We investigated whether individuals with a greater decrease in subjective alertness or motivation, or a greater increase in subjective effort (versus other participants), demonstrated poorer attention when sleep restricted.

PARTICIPANTS AND METHODS

Fifteen healthy men (M±SD, 22.3±2.8 years) completed a study with three nights of 10-hour time in bed (baseline), five nights of 5-hour time in bed (sleep restriction), and two nights of 10-hour time in bed (recovery). Participants completed a 10-minute psychomotor vigilance task (PVT) of sustained attention and rated alertness, motivation, and effort every two hours during wake (range: 3-9 administrations on a given day). Analyses examined performance across the study (first two days excluded) moderated by per-participant change in subjective alertness, motivation, or effort from baseline to sleep restriction. For significant interactions, we investigated the effect of study day² (day*day) on the outcome at low (mean-1 SD) and high (mean+1 SD) levels of the moderator (N = 15, all analyses).

RESULTS

False starts increased across sleep restriction in participants who reported lower (mean-1 SD) but not preserved (mean+1 SD) motivation during sleep restriction. Lapses increased across sleep restriction regardless of change in subjective motivation, with a more pronounced increase in participants who reported lower versus preserved motivation. Lapses increased across sleep restriction in participants who reported higher (mean+1 SD) but not preserved (mean-1 SD) effort during sleep restriction. Change in subjective alertness did not moderate the effects of sleep restriction on attention.

CONCLUSION

Vigilance declines during sleep restriction regardless of change in subjective alertness or motivation, but individuals with reduced motivation exhibit poorer inhibition. Individuals with preserved subjective alertness still perform poorly during sleep restriction, while those reporting additional effort demonstrate impaired vigilance.

Effects of time of day on radiological interpretation

Accurate interpretation of radiological images involves a complex visual search that relies on several cognitive processes, including selective attention, working memory, and decision-making. Patient outcomes often depend on the accuracy of image interpretations, and yet research has revealed that conclusions vary significantly from one radiologist to another. A myriad of factors has been shown to contribute to the likelihood of interpretative errors and discrepancies, including the radiologist's level of experience and fatigue, and these factors are well reported elsewhere; however, a potentially important factor that has been given little previous consideration is how radiologists' interpretations might be impacted by the time of day at which the reading takes place, a factor that other disciplines have shown to be a determinant of competency. The available literature shows that while the time of day is known to significantly impact some cognitive functions that likely relate to reading competence, including selective visual attention and visual working memory, little is known about the impact of the time of day on radiology interpretation performance. This review explores the evidence regarding the relationship between time of day and performance, with a particular emphasis on radiological activities.

Distinct pattern of oculomotor impairment associated with acute sleep loss and circadian misalignment

Key points

Inadequate sleep and irregular work schedules have not only adverse consequences for individual health and well‐being, but also enormous economic and safety implications for society as a whole.

This study demonstrates that visual motion processing and coordinated eye movements are significantly impaired when performed after sleep loss and during the biological night, and thus may be contributing to human error and accidents.

Because affected individuals are often unaware of their sensorimotor and cognitive deficits, there is a critical need for non‐invasive, objective indicators of mild, yet potentially unsafe, impairment due to disrupted sleep or biological rhythms.

Our findings show that a set of eye‐movement measures can be used to provide sensitive and reliable indicators of such mild neural impairments.

Abstract

Sleep loss and circadian misalignment have long been known to impair human cognitive and motor performance with significant societal and health consequences. It is well known that human reaction time to a visual cue is impaired following sleep loss and circadian misalignment, but it has remained unclear how more complex visuomotor control behaviour is altered under these conditions. In this study, we measured 14 parameters of the voluntary ocular tracking response of 12 human participants (six females) to systematically examine the effects of sleep loss and circadian misalignment using a constant routine 24‐h acute sleep‐deprivation paradigm. The combination of state‐of‐the‐art oculometric and sleep‐research methodologies allowed us to document, for the first time, large changes in many components of pursuit, saccades and visual motion processing as a function of time awake and circadian phase. Further, we observed a pattern of impairment across our set of oculometric measures that is qualitatively different from that observed previously with other mild neural impairments. We conclude that dynamic vision and visuomotor control exhibit a distinct pattern of impairment linked with time awake and circadian phase. Therefore, a sufficiently broad set of oculometric measures could provide a sensitive and specific behavioural biomarker of acute sleep loss and circadian misalignment. We foresee potential applications of such oculometric biomarkers assisting in the assessment of readiness‐to‐perform higher risk tasks and in the characterization of sub‐clinical neural impairment in the face of a multiplicity of potential risk factors, including disrupted sleep and circadian rhythms.

Inadequate sleep and irregular work schedules have not only adverse consequences for individual health and well‐being, but also enormous economic and safety implications for society as a whole.

This study demonstrates that visual motion processing and coordinated eye movements are significantly impaired when performed after sleep loss and during the biological night, and thus may be contributing to human error and accidents.

Because affected individuals are often unaware of their sensorimotor and cognitive deficits, there is a critical need for non‐invasive, objective indicators of mild, yet potentially unsafe, impairment due to disrupted sleep or biological rhythms.

Our findings show that a set of eye‐movement measures can be used to provide sensitive and reliable indicators of such mild neural impairments.

Effects of circadian misalignment on cognition in chronic shift workers

Shift work is associated with increased human operational errors, presumably due to the circadian timing system that inhibits optimal cognitive function during the night. Circadian misalignment, which is the misalignment between the circadian pacemaker and behavioral/environmental cycles, impairs cognitive performance in non-shift workers. However, it remains uncertain whether the adverse cognitive consequences of circadian misalignment are also observed in chronic shift workers. Thus, we investigated the effects of circadian misalignment on cognitive performance in chronic shift workers. Using a randomized, cross-over design that simulated day shift work (circadian alignment) and night shift work (circadian misalignment), we show that circadian misalignment increases cognitive vulnerability on sustained attention, information processing and visual-motor performance, particularly after more than 10 hours of scheduled wakefulness. Furthermore, their increased levels of subjective sleepiness and their decreased sleep efficiency were significantly associated with impaired sustained attention and visual-motor performance. Our data suggest that circadian misalignment dramatically deteriorates cognitive performance in chronic shift workers under circadian misalignment. This increased cognitive vulnerability may have important safety consequences, given the increasing number of nighttime jobs that crucially rely on the availability of cognitive resources.

Sleep Data, Physical Performance, and Injuries in Preparation for Professional Mixed Martial Arts

The purpose of this investigation is to present observational data regarding sleep variables in professional Mixed Martial Arts (MMA) athletes. These sleep performance measures were related to physical performance and injury in MMA athletes. Eight professional athletes were placed into a quasi-controlled, multivariable fight-camp environment for a six-week period in preparation for fight competition. Throughout a six-week fight camp environment, athletes were continuously monitored for sleep performance measures (sleep latency, sleep efficiency, onset, and wake variances) via validated wearable sleep monitoring technology. Athletes were tested seven days prior to competition on measures of physical performance (vertical jump, VO₂max, heart rate recovery, prowler sled push, and pull-ups). Multiple correlational analyses were utilized to assess relationships between all sleep and physical performance measures. There were significant (P < 0.05) correlations between sleep latency and VO₂max, heart rate recovery, prowler sled push, vertical jump, and missed practice sessions. There were also significant (P < 0.05) correlations between average fall asleep time and heart rate recovery. Lastly, there were significant (P < 0.05) correlations between sleep efficiency, heart rate recovery, and missed practice sessions. MMA athletes who exhibited consistency in sleep demonstrated stronger relationships with performance testing during the fight-camp period.

Saccadic eye movements estimate prolonged time awake

Prolonged time awake increases the need to sleep. Sleep pressure increases sleepiness, impairs human alertness and performance and increases the probability of human errors and accidents. Human performance and alertness during waking hours are influenced by homeostatic sleep drive and the circadian rhythm. Cognitive functions, especially attentional ones, are vulnerable to circadian rhythm and increasing sleep drive. A reliable, objective and practical metrics for estimating sleepiness could therefore be valuable. Our aim is to study whether saccades measured with electro-oculography (EOG) outside the laboratory could be used to estimate the overall time awake without sleep of a person. The number of executed saccades was measured in 11 participants during an 8-min saccade task. The saccades were recorded outside the laboratory (Naval Academy, Bergen) using EOG every sixth hour until 54 hr of time awake. Measurements were carried out on two occasions separated by 10 weeks. Five participants participated in both measurement weeks. The number of saccades decreased during sustained wakefulness. The data correlated with the three-process model of alertness; performance differed between participants but was stable within individual participants. A mathematically monotonous relation between performance in the saccade task and time awake was seen after removing the circadian rhythm component from measured eye movement data. The results imply that saccades measured with EOG can be used as a time-awake metric outside the laboratory.

Daily variation of visual sensitivity to luminance contrast: Effects of time of measurement and circadian typology

This study analyzed the fluctuation of the achromatic visual contrast sensitivity (CS) of adult males (M = 23.42 ± 2.6 years) during a daily period. Twenty-eight volunteers were divided into three groups according to circadian typology (CT): moderate morning (MM; n = 8); intermediate (I; n = 10) and moderate evening (ME; n = 10). The Pittsburgh Sleep Quality Index was used to evaluate sleep quality, and the Horne and Ostberg Morningness-Eveningness Questionnaire was used to measure CT. To measure CS, we used Metropsis software version 11.0 with vertical sinusoidal grids of 0.2, 0.6, 1, 3.1, 6.1, 8.8, 13.2 and 15.6 cycles per degree of visual angle (cpd). The stimuli were presented on a cathode ray tube (CRT) color video monitor with a 19-inch flat screen, a 1024 × 786 pixel resolution, a 100 Hz refresh rate and a photopic luminance of 39.6 cd/m². It was inferred that there is a tendency for visual contrast to vary according to daily rhythmicity and CT, mainly for the median spatial frequencies (1.0 cpd, χ² = 9.93, p < 0.05 and 3.1 cpd, χ² = 10.33, p < 0.05) and high spatial frequencies (13.2 cpd, χ² = 11.54, p < 0.05) of ME participants. ME participants had minimal visual contrast sensitivity during the morning shift and a progressive increase from afternoon to night.

Novel Measures to Assess the Effects of Partial Sleep Deprivation on Sensory, Working, and Permanent Memory

Sleepiness has repeatedly been demonstrated to affect performance on a variety of cognitive tasks. While the effects of total sleep deprivation (TSD) have been extensively studied, acute partial sleep deprivation (PSD), a more frequent form of sleep loss, has been studied much less often. The present study examined the effects of sleep deprivation on novel tasks involving classic sensory, working, and permanent memory systems. While the tasks did implicate different memory systems, they shared a need for effortful, sustained attention to maintain successful performance. Because of the novelty of the tasks, an initial study of the effects of TSD was carried out. The effects of PSD were subsequently examined in a second study, in which subjects were permitted only 4 h of sleep. A general detrimental effect of both total and PSD on accuracy of detection was observed and to a lesser extent, a slowing of the speed of responding on the different tasks. This overall effect is best explained by the often-reported inability to sustain attention following sleep loss. Specific effects on distinct cognitive processes were also observed, and these were more apparent following total than PSD.

Impaired visual processing in patients with insomnia disorder revealed by a dissociation in visual search

Insomnia disorder is associated with both subjective and objective daytime impairments. In particular, cognitive impairments are frequently reported. However, little is known about the effects of this pathology on perceptual processes. In this study we aim at evaluating the effect of insomnia disorder on visual processing by employing a visual search paradigm. Twenty-three patients with insomnia disorder and 20 healthy age- and sex-matched control subjects participated in the study. After a polysomnographic recording night patients performed a visual search task in which they had to respond to the presence/absence of a target (letter T) embedded into a set of distractors (letters Os, Xs or Ls). Target's salience and distractors' numerosity were manipulated, while accuracy and reaction times were recorded as dependent variables. The results mainly confirmed the typical effects of a visual search task. An overall delay in performing the task was observed for patients with insomnia disorder. However, distinguishing the reaction times to stimuli containing the target from reaction times to stimuli in which the target was absent, the clinical group differed from controls solely in the condition of target absent. The performance (reaction times) of the subjects correlated with the age in the control group, whereas no correlation between reaction times and age, disease duration and quality of sleep was found in patients with insomnia disorder. These results experimentally demonstrate the presence of a daytime impairment in patients with insomnia disorder revealed by a dissociation in visual search, and are discussed in the light of the hyperarousal concept of insomnia.

Performance on a Simple Reaction Time Task While Sleep Deprived

Divergent results have been reported on the effect of a night's sleep loss on performance of a single monotonous task. The present experiment examined the effect that partial sleep deprivation had on 10 participants' performance on a simple reaction time task requiring low responding for 120 min. compared to performance on the same task when well rested. Participants missed significantly more signals and had slower reaction times when sleep deprived. Reaction times increased with time when participants were both sleep deprived and rested, but the number of misses did not significantly change over time. Reaction time was significantly correlated with subjective ratings of sleepiness and heart rate in both conditions. EEG and heart-rate variability measures did not correlate significantly with reaction time. Misses correlated significantly with subjective ratings and heart rate but only in the rested condition.

Sleep restriction may lead to disruption in physiological attention and reaction time

Sleepiness is the condition where for some reason fails to go into a sleep state and will have difficulty in remaining awake even while carrying out activities. Sleep restriction occurs when an individual fails to get enough sleep due to high work demands. The mechanism between sleep restriction and underlying brain physiology deficits is not well assumed. The objective of the present study was to investigate the mental attention (P300) and reaction time [visual (VRT) and auditory (ART)] among night watchmen, at subsequent; first (1st) day, fourth (4th) day and seventh (7th) day of restricted sleep period. After exclusion and inclusion criteria, the study was performed among 50 watchmen (age=18-35 years) (n=50) after providing written informed consent and divided into two group. Group I-(Normal sleep) (n=28) working in day time and used to have normal sleep in night (≥8 h); Group II-(Restricted sleep) (n=22) - working in night time and used to have less sleep in night (≤3 h). Statistical significance between the different groups was determined by the independent student 't' test and the significance level was fixed at p≤0.05. We observed that among all normal and restricted sleep watchmen there was not any significant variation in Karolinska Sleepiness Scale (KSS) score, VRT and ART, along with latency and amplitude of P300 on 1st day of restricted sleep. However at subsequent on 4th day and 7th day of restricted sleep, there was significant increase in (KSS)score, and prolongation of VRT and ART as well as alteration in latency and amplitude of P300 wave in restricted sleep watchmen when compare to normal sleep watchmen. The present finding concludes that loss of sleep has major impact in dynamic change in mental attention and reaction time among watchmen employed in night shift. Professional regulations and work schedules should integrate sleep schedules before and during the work period as an essential dimension for their healthy life.

Effects of Partial Sleep Deprivation on Information Processing Speed in Adolescence

OBJECTIVES

Although chronic sleep loss is highly common among teens, few objective sleep studies have examined its effects on cognitive performance, and specifically on information processing speed (IPS), a measure of cognitive proficiency.

METHODS

Forty-five adolescents underwent four consecutive nights of monitored sleep restriction (6-6.5 hr/night) and four nights of sleep extension (10-10.5 hr/night), in counterbalanced order, and separated by a washout period. Following each sleep period, cognitive performance was assessed, at a fixed morning time, using a computerized neuropsychological battery including an IPS task, a timed test providing both accuracy and reaction time outcome measures.

RESULTS

Overall IPS performance was poorer in the restricted when compared to the extended condition. Increasing task load and pace were associated with increased accuracy for both sleep conditions. However, a significant pace by load interaction effect was only found in the extended condition, with post hoc tests showing that for medium and hard loads, IPS accuracies were better with increasing pace of task. Differences in IPS reaction times were not found between the sleep conditions. In addition, sleep-related changes in IPS indices were correlated with changes in executive function, motor skill, and attention performance.

CONCLUSIONS

Adolescents' ability to process information may be especially vulnerable to sleep loss. Under ideal sleep conditions, however, they seem to be able to achieve optimal performance, particularly on more challenging problems. The functional implications of these findings may be particularly relevant to teens, who are often sleep deprived and are constantly required to process academic, social, and emotional input.

Contrast sensitivity and the effect of 60-hour sleep deprivation

PURPOSE

The study aimed to evaluate the possible influence of prolonged sleep deprivation on achromatic and chromatic (red-green and blue-yellow) contrast sensitivity (CS).

METHODS

During 60-hr sleep deprivation, CS was measured in 11 naval officers every sixth hour using videographic (Vigra-C) sine-wave-generated stimuli.

RESULTS

When comparing the CS measurements obtained in the first and last 24 hr of the study, no statistically significant mean changes of achromatic CS (2.0, 5.9 and 11.8 cpd) or yellow-blue CS (0.6, 2.0 and 4.7 cpd) were found, while a significantly increased mean red-green CS at 2.0 and 4.7 cpd was recorded in the last 24 hr (p = 0.003 in both). The variance of achromatic and chromatic CS measurements in the group did not differ significantly in the first and last 24 hr test periods.

CONCLUSIONS

Prolonged sleep deprivation does apparently not cause clinically or occupationally significant changes of contrast sensitivity in otherwise healthy subjects with normal visual acuity.

Visually guided tracking on a handheld device: can it be used to measure visuomotor skill in shift workers?

OBJECTIVE

We introduced a new visually controlled tracking task that can be assessed on a handheld device in shift workers to evaluate time-of-day dependent modulations in visuomotor performance.

BACKGROUND

Tracking tasks have been used to predict performance fluctuations depending on time of day mainly under laboratory conditions. One challenge to an extended use at the actual working site is the complex and fixed test setup consisting of a test unit, a monitor, and a manipulation object, such as a joystick.

METHOD

Participants followed an unpredictably moving target on the screen of a handheld device with an attachable stylus. A total of 11 shift workers (age range: 20-59, mean: 33.64, standard deviation: 10.56) were tested in the morning, the evening, and the night shift in 2-hr intervals with the tracking task and indicated their fatigue levels on visual analogue scales. We evaluated tracking precision by calculating the mean spatial deviation from the target for each session.

RESULTS

Tracking precision was significantly influenced by the interaction between shift and session, suggesting a clear time-of-day effect of visuomotor performance under real-life conditions. Tracking performance declined during early-morning hours whereas fatigue ratings increased.

CONCLUSION

These findings suggest that our setup is suitable to detect time-of-day dependent performance changes in visually guided tracking.

APPLICATION

Our task could be used to evaluate fluctuations in visuomotor coordination, a skill that is decisive in various production steps at the actual working place to assess productivity.

Morning/Evening differences in somatosensory inputs for postural control

The underlying processes responsible for the differences between morning and afternoon measurements of postural control have not yet been clearly identified. This study was conducted to specify the role played by vestibular, visual, and somatosensory inputs in postural balance and their link with the diurnal fluctuations of body temperature and vigilance level. Nineteen healthy male subjects (mean age: 20.5 ± 1.3 years) participated in test sessions at 6:00 a.m. and 6:00 p.m. after a normal night's sleep. Temperature was measured before the subjects completed a sign cancellation test and a postural control evaluation with eyes both open and closed. Our results confirmed that postural control improved throughout the day according to the circadian rhythm of body temperature and sleepiness/vigilance. The path length as a function of surface ratio increased between 6:00 a.m. and 6:00 p.m. This is due to a decrease in the centre-of-pressure surface area, which is associated with an increase in path length. Romberg's index did not change throughout the day; however, the spectral analysis (fast Fourier transform) of the centre-of-pressure excursions (in anteroposterior and mediolateral directions) indicated that diurnal fluctuations in postural control may occur via changes in the different processes responsible for readjustment via muscle contractions.

Eye movements discriminate fatigue due to chronotypical factors and time spent on task--a double dissociation

Systematic differences in circadian rhythmicity are thought to be a substantial factor determining inter-individual differences in fatigue and cognitive performance. The synchronicity effect (when time of testing coincides with the respective circadian peak period) seems to play an important role. Eye movements have been shown to be a reliable indicator of fatigue due to sleep deprivation or time spent on cognitive tasks. However, eye movements have not been used so far to investigate the circadian synchronicity effect and the resulting differences in fatigue. The aim of the present study was to assess how different oculomotor parameters in a free visual exploration task are influenced by: a) fatigue due to chronotypical factors (being a 'morning type' or an 'evening type'); b) fatigue due to the time spent on task. Eighteen healthy participants performed a free visual exploration task of naturalistic pictures while their eye movements were recorded. The task was performed twice, once at their optimal and once at their non-optimal time of the day. Moreover, participants rated their subjective fatigue. The non-optimal time of the day triggered a significant and stable increase in the mean visual fixation duration during the free visual exploration task for both chronotypes. The increase in the mean visual fixation duration correlated with the difference in subjectively perceived fatigue at optimal and non-optimal times of the day. Conversely, the mean saccadic speed significantly and progressively decreased throughout the duration of the task, but was not influenced by the optimal or non-optimal time of the day for both chronotypes. The results suggest that different oculomotor parameters are discriminative for fatigue due to different sources. A decrease in saccadic speed seems to reflect fatigue due to time spent on task, whereas an increase in mean fixation duration a lack of synchronicity between chronotype and time of the day.

Integration of biological clocks and rhythms

Animals, plants, and microorganisms exhibit numerous biological rhythms that are generated by numerous biological clocks. This article summarizes experimental data pertinent to the often-ignored issue of integration of multiple rhythms. Five contexts of integration are discussed: (i) integration of circadian rhythms of multiple processes within an individual organism, (ii) integration of biological rhythms operating in different time scales (such as tidal, daily, and seasonal), (iii) integration of rhythms across multiple species, (iv) integration of rhythms of different members of a species, and (v) integration of rhythmicity and physiological homeostasis. Understanding of these multiple rhythmic interactions is an important first step in the eventual thorough understanding of how organisms arrange their vital functions temporally within and without their bodies.

The effect of sleep deprivation on choice reaction time and anaerobic power of college student athletes

Purpose

The aim of this study was to determine the effect of one night's sleep deprivation on anaerobic performance and Reaction time of subjects in the morning of the following day.

Methods

Eighteen male college student athletes were studied twice in a balanced, randomized design. Subjects were measured for peak power, mean power and Reaction time.

Results

The performance showed no significant difference in both tests of anaerobic power (peak power, mean power) over the sleep deprivation period (P= 0.3; P= 0.4 respectively), but reaction time differed significantly from baseline (P=0.003). Results support the hypothesis that sleep serves a function of cognitive restitution, particularly in the maintenance of attentional mechanisms. In the light of the above considerations.

Conclusions

It was concluded that short-term sleep deprivation is not effective on anaerobic performance, but adversely affects cognitive function such as Reaction Time.

Sleep insufficiency, sleep health problems and performance in high school students

A survey on sleep schedule, sleep health, school performance and school start times was conducted in 1,941 adolescents. A high level of early and circadian-disadvantaged sleep/wake schedules during weekdays was observed. Shorter sleep duration on weekdays was reported, especially in upper classmen. Complaints of inadequate sleep and sleepiness during weekdays, alarm clock use, and napping were prevalent. Night awakening and prolonged sleep onset were common and associated with poor school performance. Students with a sleep length of less than 7 hours on both weekdays and weekends exhibited poorer performance, while those who made up this sleep loss on weekends did not. The total number of poor sleep factors in an individual also correlated with poor school performance. Earlier school start times were associated with a perception of poor sleep quality, shorter sleep duration and more sleep health problems. We conclude that sleep inadequacies and sleep health problems were prevalent in this population, especially in those who started school earlier in the morning, and that these poor sleep factors were associated with school performance.

Neuropsychological effects of sleep loss: implication for neuropsychologists

There is rapidly accumulating evidence of a close relationship between sleep loss and cognition. Neuropsychologists need to become aware of this body of knowledge as the effects of sleep loss on brain functions are significant. The current study (a) outlines the extent to which insufficient sleep affects performance on cognitive tasks in otherwise healthy people, (b) discusses the relationship between sleep and neurocognitive disorders, and (c) highlights key issues that merit consideration for neuropsychologists. This review shows that sleep loss has a measurable impact on performance through decreases in cognitive functions and effects on biological pathways that support cognitive performance. Sleep loss reliably produces reductions in speed of processing and attention. Higher order cognitive functions are affected to a lesser extent, and there is sparing on tasks of crystallized abilities. Deficits worsen with increasing time awake, but may be overturned after normal sleep is resumed. The review also shows that sleep disorders are a major feature of neuropsychological conditions contributing to the pattern of cognitive impairment. Overall, neuropsychologists must be alert to sleep problems in their clients, so that sleep interventions, or referrals, are put in place in the rehabilitation plan of individuals with cognitive dysfunctions. Recommendations also include routine screening of sleep as part of cognitive assessment.

A meta-analysis of the impact of short-term sleep deprivation on cognitive variables

A substantial amount of research has been conducted in an effort to understand the impact of short-term (<48 hr) total sleep deprivation (SD) on outcomes in various cognitive domains. Despite this wealth of information, there has been disagreement on how these data should be interpreted, arising in part because the relative magnitude of effect sizes in these domains is not known. To address this question, we conducted a meta-analysis to discover the effects of short-term SD on both speed and accuracy measures in 6 cognitive categories: simple attention, complex attention, working memory, processing speed, short-term memory, and reasoning. Seventy articles containing 147 cognitive tests were found that met inclusion criteria for this study. Effect sizes ranged from small and nonsignificant (reasoning accuracy: g = -0.125, 95% CI [-0.27, 0.02]) to large (lapses in simple attention: g = -0.776, 95% CI [-0.96, -0.60], p < .001). Across cognitive domains, significant differences were observed for both speed and accuracy; however, there were no differences between speed and accuracy measures within each cognitive domain. Of several moderators tested, only time awake was a significant predictor of between-studies variability, and only for accuracy measures, suggesting that heterogeneity in test characteristics may account for a significant amount of the remaining between-studies variance. The theoretical implications of these findings for the study of SD and cognition are discussed.

PVT lapses differ according to eyes open, closed, or looking away

STUDY OBJECTIVES

A lapse during the psychomotor vigilance task (PVT) is usually defined as a response longer than 500 ms; however, it is currently unknown what psychobiological phenomena occur during a lapse. An assessment of what a participant is doing during a lapse may depict varying levels of "disengagement" during these events and provide more insight into the measurement of both a lapse and sleepiness.

DESIGN

Repeated measures.

SETTING

Participants underwent extended 30-min PVT sessions twice, at 22:00 and 04:00, under: (i) typical non-distractive laboratory conditions, and (ii) an additional distractive condition.

PARTICIPANTS

Twenty-four healthy young adults (mean age: 23.2 y +/- 2 y; range 21-25 y [12 m; 12 f]) without any sleep or medical problems and without any prior indication of daytime sleepiness.

INTERVENTIONS

One night of sleep loss. Distraction comprised a TV located at 90 degrees in the visual periphery showing a popular TV program. For the non-distraction condition, the TV was turned off.

MEASUREMENTS & RESULTS

Video data (bird's-eye and frontal view) were used to classify each lapse (> or = 500 ms) as occurring with eyes open (EO), eyes closed (EC), or due to a head turn (HT). EO lapses were more prevalent, with all lapses (EO, EC, and HT) increasing with sleepiness. There was a significant effect of distraction for HT lapses which was exacerbated when sleepy. For lapse duration there was little effect of sleepiness for EO lapses but a significant effect for EC and HT. The 95% confidence intervals for lapse duration and associated behavior showed those lapses greater than 2669 ms were 95% likely to be EC, whereas those 500-549 ms were 95% likely to be EO. Response times of 1217 ms had a 50:50 probability of being EO:EC.

CONCLUSIONS

Discriminating the varying causes of lapses whether due to visual inattention (eyes open), microsleep (eyes closed), or distraction (head turn) may provide further insight into levels of disengagement from the PVT and further insight into developing sleepiness.

Investigation of task performance variations according to task requirements and alertness across the 24-h day in shift workers

The study investigated time-of-day effects on task performance in shift workers in different tasks (reaction time, discrimination, probe recognition, free recall), by varying task-specific features. On each of six recordings, each programmed on a different day and in a randomised order, operators rated alertness and performed different tasks. Self-rated alertness varied according to a typical diurnal trend. Time of day also affected reaction time (slower responses at 03:00 hours), discrimination performance (lower accuracy at 03:00 hours in the most difficult condition) and recall (superior recall at 07:00 and 11:00 hours following deeper processing at encoding). The data demonstrated time-of-day effects on cognitive processes also involved in many real-job activities, despite the lack of control for a number of exogenous factors known to interfere with performance in work settings. Since in the cognitively more loaded tasks, time-of-day effects depended on task conditions, the findings are of operational concern in shift-work situations involving differential task requirements. In a real-job setting, performance variations were observed according to time of day and task requirements in a set of cognitively more or less demanding tasks. Task-specific research across the 24-h day enables a better understanding of operators' tasks and the development of supporting technology.

An assessment of the relevance of laboratory and motorcycling tests for investigating time of day and sleep deprivation influences on motorcycling performance

The aim of this study was to assess time of day and sleep deprivation impacts on motorcycling performance taking into consideration key variables, such as reaction time, motor coordination and vigilance that are principally involved in a riding task. Eight subjects participated in different tests sessions planned at 06:00 and 18:00h after a normal night's sleep and after a night of total sleep deprivation. During each session all subjects completed "laboratory" and "motorcycling" tests that were designed to assess each of the variables tested. As classically observed in sport performance, motorcycling performance demonstrates a time of day fluctuation by increasing from 06:00 to 18:00h during the day after a normal night's sleep. For each variable tested, the effects of sleep deprivation depend on the design of the test conditions. Thus, the data collected in laboratory specific conditions are more affected than those noted in arranged motorcycling situations. Taking into account that the sample size used in this study was limited, which may limit the results interpretations, these discrepancies suggest that during complex tasks, compensation mechanisms may be set up between different resources so as to maintain a good level of performance.

Acute sleep deprivation and circadian misalignment associated with transition onto the first night of work impairs visual selective attention

Background

Overnight operations pose a challenge because our circadian biology promotes sleepiness and dissipates wakefulness at night. Since the circadian effect on cognitive functions magnifies with increasing sleep pressure, cognitive deficits associated with night work are likely to be most acute with extended wakefulness, such as during the transition from a day shift to night shift.

Methodology/Principal Findings

To test this hypothesis we measured selective attention (with visual search), vigilance (with Psychomotor Vigilance Task [PVT]) and alertness (with a visual analog scale) in a shift work simulation protocol, which included four day shifts followed by three night shifts. There was a nocturnal decline in cognitive processes, some of which were most pronounced on the first night shift. The nighttime decrease in visual search sensitivity was most pronounced on the first night compared with subsequent nights (p = .04), and this was accompanied by a trend towards selective attention becoming ‘fast and sloppy’. The nighttime increase in attentional lapses on the PVT was significantly greater on the first night compared to subsequent nights (p<.05) indicating an impaired ability to sustain focus. The nighttime decrease in subjective alertness was also greatest on the first night compared with subsequent nights (p<.05).

Conclusions/Significance

These nocturnal deficits in attention and alertness offer some insight into why occupational errors, accidents, and injuries are pronounced during night work compared to day work. Examination of the nighttime vulnerabilities underlying the deployment of attention can be informative for the design of optimal work schedules and the implementation of effective countermeasures for performance deficits during night work.

Circadian rhythms in cognitive performance: Methodological constraints, protocols, theoretical underpinnings

The investigation of time-of-day effects on cognitive performance began in the early days of psychophysiological performance assessments. Since then, standardised, highly controlled protocols (constant routine and forced desynchrony) and a standard performance task (psychomotor vigilance task) have been developed to quantify sleep-wake homeostatic and internal circadian time-dependent effects on human cognitive performance. However, performance assessment in this field depends on a plethora of factors. The roles of task difficulty, task duration and complexity, the performance measure per se, practice effects, inter-individual differences, and ageing are all relevant aspects. Therefore, well-defined theoretical approaches and standard procedures are needed for tasks pinpointing higher cortical functions along with more information about time-dependent changes in the neural basis of task performance. This promises a fascinating challenge for future research on sleep-wake related and circadian aspects of different cognitive domains.

Hormone treatment gives no benefit against cognitive changes caused by acute sleep deprivation in postmenopausal women

The objective was to evaluate whether hormone therapy (HT) gives any benefit against the possible impairment of cognitive performance when challenged by acute sleep deprivation. Twenty postmenopausal women volunteered (age range 59-72 years, mean=64.4 years, SD=4.4): 10 HT users and 10 nonusers. Eleven young women served as a control group for the cognitive age effect (age range 20-26 years, mean age 23.1 years, SD=1.6). The subjects spent four consecutive nights at the sleep laboratory and were exposed to acute sleep deprivation of 40 h. Measures of attention (reaction speed and vigilance), alertness, and mood were administered every 2 h during the daytime and every hour during the sleep deprivation night. Postmenopausal women performed slower than young controls, whereas young controls made more errors. In HT users, the recovery night did not fully restore the performance in the simple and two-choice reaction time tasks, but in nonusers it did so. Sleep deprivation had a detrimental, yet reversible effect on vigilance in all groups. In all groups, sleepiness started to increase after 15 h of sleep deprivation and remained elevated in the morning after the recovery night. Prolonged wakefulness or HT had no effect on mood. In conclusion, sleep deprivation impaired cognitive performance in postmenopausal as well as young women. Postmenopausal women kept up their performance at the expense of reaction speed and young women at the expense of accuracy. One night was not enough for HT users to recover from sleep deprivation. Thus, HT gave no benefit in maintaining the attention and alertness during sleep deprivation.

Searching for signs, symbols, and icons: effects of time of day, visual complexity, and grouping

Searching for icons, symbols, or signs is an integral part of tasks involving computer or radar displays, head-up displays in aircraft, or attending to road traffic signs. Icons therefore need to be designed to optimize search times, taking into account the factors likely to slow down visual search. Three factors likely to adversely affect visual search were examined: the time of day at which search was carried out, the visual complexity of the icons, and the extent to which information features in the icon were grouped together. The speed with which participants searched icon arrays for a target was slower early in the afternoon, when icons were visually complex and when information features in icons were not grouped together to form a single object. Theories of attention that account for both feature-based and object-based search best explain these findings and are used to form the basis for ways of improving icon design.

A quantitative measure for the uniformity of fixation density: The Voronoi method

In order to characterize the uniformity of fixation density, we propose aquantitative measure based on Voronoi diagrams, in which cells are defined around fixation locations. We examined how normalized cell size distributions are related to homogeneous and inhomogeneous fixation densities. Two possible measures for use with the Voronoi method are discussed. Both show good correlation with subjective visual evaluations of the uniformity of fixation densities. Not only are these measures objective and quantitative, they also have a simple intuitive meaning: They may be thought of as reflecting the clustering of fixations.

Sleep loss-related decrements in planning performance in healthy elderly depend on task difficulty

Prefrontal cortex (PFC)-related functions are particularly sensitive to sleep loss. However, their repeated examination is intricate because of methodological constraints such as practice effects and loss of novelty. We investigated to what extent the circadian timing system and the sleep homeostat influence PFC-related performance in differently difficult versions of a single task. Parallel versions of a planning task combined with a control group investigation were used to control for practice effects. Thirteen healthy volunteers (five women and eight men, range 57-74 years) completed a 40-h sleep deprivation (SD) and a 40-h multiple nap protocol (NAP) under constant routine conditions. Each participant performed 11 easy and 11 difficult task versions under either SD or NAP conditions. The cognitive and motor components of performance could be distinguished and analysed separately. Only by thoroughly controlling for superimposed secondary factors such as practice or sequence effects, could a significant influence of circadian timing and sleep pressure be clearly detected in planning performance in the more difficult, but not easier maze tasks. These results indicate that sleep loss-related decrements in planning performance depend on difficulty level, and that apparently insensitive tasks can turn out to be sensitive to sleep loss and circadian variation.