Alertness and memory after sleep deprivation and diazepam intake

Effects of the use of hypnotics on cognition

Hypnotic drugs are intended to induce sedation and promote sleep. As a result, they have deteriorating effects on cognitive performance following intake. Most hypnotics are benzodiazepine receptor agonists which can have effects on memory in addition to their sedative effects. Other sedating drugs, such as histamine H1 antagonists or melatonin agonists, may have less effect on memory and learning. Hypnotics with other mechanisms of action are currently being investigated for efficacy and safety. For patients using hypnotic drugs, the effects on cognition are relevant to the extent that a drug dose affects daytime performance. Use of benzodiazepine hypnotics is associated with increased risk of car accidents and falling. Therefore, most hypnotics are studied to determine whether they produce residual sedation and impairing effects on performance the morning after bedtime use. Experimental studies using a standardized driving test clearly show that some drugs and doses produce severe residual effects, whereas others seem to have no or only minor impairing effects on next-day performance. No hypnotic has been found yet to improve daytime performance. Studies on long-term use of benzodiazepine hypnotics suggest that effects on daytime performance may diminish over time due to tolerance. However, there are also studies showing that performance may improve after discontinuation of chronic benzodiazepine use, which suggests that tolerance may not be complete.

Mental and physical effort affect vigilance differently

Both physical and mental effort are thought to affect vigilance. Mental effort is known for its vigilance declining effects, but the effects of physical effort are less clear. This study investigated whether these two forms of effort affect the EEG and subjective alertness differently. Participants performed a physical task and were subsequently presented with a mental task, or vice versa. Mental effort decreased subjective alertness and increased theta power in the EEG. Both results suggest a vigilance decline. Physical effort, however, increased subjective alertness and alpha and beta1 power in the EEG. These findings point towards an increase in vigilance. Beta2 power was reduced after physical effort, which may reflect a decrease in active cognitive processing. No transfer effects were found between the effort conditions, suggesting that the effects of mental and physical effort are distinct. It is concluded that mental effort decreases vigilance, whereas physical effort increases vigilance without improving subsequent task performance.

Mental effort affects vigilance enduringly: after-effects in EEG and behavior

Vigilance is assumed to decline with sustained task performance. The EEG-effects during performance on mental tasks, however, cannot be ascribed indisputably to vigilance decline per se. During task performance itself, effects of information processing and vigilance decline may be confounded. In this study, effects of sustained mental effort were studied in the absence of specific information processing, after sustained information processing had taken place, namely after an effortful 70-min intelligence test. Vigilance was determined by means of EEG-measures in a rest condition. Furthermore, behavioral performance was assessed on two different tasks, the traditional Clock test and the SART. After mental effort, theta power in the EEG and errors on the SART were increased. Beta2 power, however, also appeared enhanced. We conclude that sustained mental effort produces an enduring decrease in vigilance, but that some active processing is enhanced at the same time. A second study replicated the EEG-results after mental effort.

Effekte von L-Dopa auf die Speicherung und den Abruf verbaler Informationen bei Schlaganfallpatienten

Zusammenfassung: In einer Doppel-Blind-Studie wurde geprüft, ob das katecholaminerg stimulierende Medikament L-Dopa die Gedächtnisleistungen von Schlaganfallpatienten steigern kann. 37 Patienten wurden zur On-Time und Off-Time des Medikaments einer neuropsychologischen Untersuchung unterzogen. Mittels Varianzanalysen konnte gezeigt werden, dass L-Dopa die verbalen episodischen Gedächtnisleistungen verbessern kann, und zwar offenbar speziell die Reproduktion und weniger die Rekognition von Informationen. Analysen auf der Grundlage des Speicherungs-Abruf-Modells von Batchelder und Riefer (1980 , 1986 ) demonstrierten darüber hinaus, dass eher die itemspezifische als die semantisch-relationale Verarbeitung von Itemgruppen profitiert. Eine Steigerung der Aufmerksamkeitsleistung im Sinne der “Alertness” konnte nicht ausgemacht werden, ebenso wenig ein bedeutsamer Zusammenhang von Aufmerksamkeits- und Gedächtnisleistungen. Die Ergebnisse können zusammenfassend dahingehend interpretiert werden, dass insbesondere der Abruf itemspezifischer Informationen durch L-Dopa selektiv gefördert werden kann. Die mögliche vermittelnde Rolle des Neurotransmitters Noradrenalin wird diskutiert.

Clinical pharmacology of psychotropic drugs

No Abstract

Effects of a new slow release formulation of caffeine on EEG, psychomotor and cognitive functions in sleep-deprived subjects

Caffeine is a widely-consumed psychoactive substance whose stimulant effects on mood, attention and performance are largely recognised. The central nervous system pharmacodynamic profile of a single oral dose of a new slow release (SR) caffeine formulation (600 mg) was assessed in a randomised, double-blind, crossover, placebo-controlled study. Twelve young, health, male, sleep-deprived (for 36 h) subjects were studied using EEG and various measures of psychomotor and cognitive functions, including critical flicker fusion (CFF), choice reaction task (CRT), tracking, continuous performance task (CPT), Stroop test, body sway and subjective evaluation (Stanford Sleepiness Scale). Caffeine significantly ( < 0/05) antagonised the detrimental effects of sleep-deprivation on EEG (i.e. produced a significant decrease in delta and theta relative power and a significant increase in alpha and beta (12-40 Hz) relative power) and psychomotor performance (significant increase in speed of reaction on the CRT and Stroop tests, significant decrease in body sway, significant increase in accuracy of the CPT and significant reduction in subjective sedation) compared to placebo. The effect peaked 4 h after dosing and was maintained until the end of sleep deprivation (i.e. 24 h after dosing). In conclusion, the present results demonstrate that a single dose of caffeine SR possesses alerting effects which are able to reverse the deleterious effect of 36 h sleep deprivation for at least 24 h. Copyright 2000 John Wiley & Sons, Ltd.

Effects of delta 9-tetrahydrocannabinol and diazepam on feeding behavior in mice

The present study examined effects of diazepam (DZP) alone or in combination with delta 9-tetrahydrocannabinol (THC) on feeding behavior as well as body weight in male ddY strain mice at 5 weeks of age. Because we saw no hyperphagic effect of DZP with or without THC in mice, we explored the hyperphagia elicitable by DZP. THC [2 (THC2) or 4 (THC4) mg/kg/day s.c.] was given daily for 7 days. For the last day the mice were starved and injected i.p. with DZP (2 mg/kg) 10 min prior to a food or maze test. Controls received vehicle injections. Feeding behavior was measured after giving food for 2 hr. THC4 significantly reduced body weight gain. DZP, with or without THC, induced hyperphagia. THC4 alone also induced hyperphagia that was not significantly affected by DZP. Time taken to find food was extended by DZP and further with THC. Both DZP and THC can therefore interact on food ingestion but synergize on food seeking in mice through different mechanisms.