We aimed to build upon the state of knowledge about the impacts of sleep disruption into the domain of complex cognitive task performance for three types of sleep disruption: total sleep deprivation, sleep restriction, and circadian cycle.
Background:
Sleep disruption affects human performance by increasing the likelihood of errors or the time it takes to complete tasks, such as the Psychomotor Vigilance Task. It is not clear whether complex tasks are affected in the same way. Understanding the impact of sleep disruption on complex cognitive tasks is important for, and in some instances more relevant to, professional workers confronted with unexpected, catastrophic failures following a period of disrupted sleep.
Method:
Meta-analytic review methods were applied to each of the three different areas of sleep disruption research.
Results:
Complex cognitive task performance declines over consecutive hours of continuous wakefulness as well as consecutive days of restricted sleep, is worse for severely restricted sleep (4 or fewer hours in bed), is worse during the circadian nadir than apex, and appears less degraded than simple task performance.
Conclusion:
The reviews suggest that complex cognitive task performance may not be impacted by disrupted sleep as severely as simple cognitive task performance.
Application:
Findings apply to predicting effects of sleep disruption on workers in safety-critical environments, such as health care, aviation, the military, process control, and in particular, safety-critical environments involving shiftwork or long-duration missions.
AlholaP.Polo-KantolaP. (2007). Sleep deprivation: Impact on cognitive performance. Neuropsychiatric Disease and Treatment, 3, 553–567.
2.
AngusR. G.HeslegraveR. J. (1985). Effects of sleep loss on sustained cognitive performance during a command and control simulation. Control Simulation, Behavior Research Methods, Instruments, & Computers, 17, 55–67.
3.
Australian Council of Trade Unions, Occupational Health and Safety Unit. (2000). Health and safety guidelines for shift work and extended working hours. Retrieved from http://predoc.org/docs/index-134237.html#1502997
4.
BahnerJ. E.ElepfandtM. F.ManzeyD. (2008). Misuse of diagnostic aids in process control: The effects of automation misses on complacency and automation bias. In Proceedings of the Human Factors and Ergonomics Society 52nd Annual Meeting (pp. 1330–1334). Santa Monica, CA: Human Factors and Ergonomics Society.
5.
BargerL. K.AyasN. T.CadeB. E.CroninJ. W.RosnerB.SpeizerF. E.CzeislerC. A. (2006). Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med, 3, 2440–2448.
6.
BlagroveM.AlexanderC.HorneJ. A. (1995). The effects of chronic sleep reduction on the performance of cognitive tasks sensitive to sleep deprivation. Applied Cognitive Psychology, 9, 21–40.
7.
BorensteinM.HedgesL.HigginsJ.RothsteinH. (2009). Introduction to meta-analysis. West Sussex, UK: Wiley.
8.
BratzkeD.SteinbornM. B.RolkeB.UlrichR. (2012). Effects of sleep loss and circadian rhythm on executive inhibitory control in the Stroop and Simon tasks. Chronobiology International, 29, 55–61.
9.
BraudeD.GoldsmithT. E.WeissS. (2011). Assessing air medical crew real-time readiness to perform critical tasks. Prehospital Emergency Care, 15, 254–260.
10.
CaldwellJ.CaldwellL.BrownD.SmytheN.SmithJ.MylarJ.MandichakM.SchroederC. (2003). The effects of 37 hours of continuous wakefulness on the physiological arousal, cognitive performance, self-reported mood, and simulator flight performance of F-117A pilots (AFRL-HE-BR-TR-2003-0086). Brooks AFB, TX: Air Force Research Lab.
11.
CooperH. M. (1982.). Scientific guidelines for conducting integrative research reviews. Review of Educational Research, 52, 291–302.
12.
DingesD. F.OrneM. T.OrneE. C. (1985). Assessing performance upon abrupt awakening from naps during quasi-continuous operations. Behavior Research Methods, Instruments, & Computers, 17, 37–45.
13.
DorrianJ.RogersN. L.DingesD. F. (2005). Psychomotor vigilance performance: A neurocognitive assay sensitive to sleep loss. In KushidaC. A. (Ed.), Sleep deprivation (pp. 39–71). New York, NY: Marcel Dekker.
14.
DrummondS. P. A.GillinJ. C.BrownG. G. (2001). Increased cerebral response during a divided attention task following sleep deprivation. Journal of Sleep Research, 10, 85–92.
15.
FlinR.SlavenG.StewartK. (1996). Emergency decision making in the offshore oil and gas industry. Human Factors, 38, 262–277.
16.
GriffithC.MahadevanS. (2006). Sleep deprivation effect on human performance: A meta-analysis approach. In Proceedings of the Eighth International Conference on Probabilistic Safety Assessment & Management (PSAM 0010). doi:10.1115/1.802442.paper185
17.
GunzelmannG.GrossJ.GluckK.DingesD. (2009). Sleep deprivation and sustained attention performance: Integrating mathematical and cognitive modeling. Cognitive Science, 33, 880–910.
18.
HarrisonY.HorneJ. (2000). The impact of sleep deprivation on decision making: A review. Journal of Experimental Psychology: Applied, 6, 236–249.
19.
HockeyG. R. J. (1986). Changes in operator efficiency as a function of environmental stress, fatigue and circadian rhythms. In BoffK. R.KaufmanL.ThomasJ. (Eds.), Handbook of perception and human performance (Vol. 2, pp. 44-1–44-9). New York, NY: Wiley.
20.
HorneJ. (2012). Working throughout the night: Beyond “sleepiness.” Impairments to critical decision making. Neuroscience and Biobehavioral Reviews, 36, 2226–2231.
21.
HurshS. R.BalkinT.MillerJ.EddyD. (2004, March). The fatigue avoidance scheduling tool: Modeling to minimize the effects of fatigue on cognitive performance (Paper 04DHM14). Paper presented at 2004 SAE International, Detroit, MI.
22.
HutchinsS. D.LauxL.WickensC. D.SebokA. (2013). The effect of continuous wakefulness on complex cognitive task performance: A quantitative synthesis of research. In Proceedings of the Human Factors and Ergonomics Society 56th Annual Meeting (pp. 793–797). Santa Monica, CA: Human Factors and Ergonomics Society.
23.
KoslowskyM.BabkoffH. (1992). Meta-analysis of the relationship between total sleep deprivation and performance. Chronobiology International, 9, 132–136.
24.
KruegerG. (1989). Sustained work, fatigue, sleep loss and performance: A review of the issues (USAARL Report No. 89-22). Fort Rucker, AL: U.S. Army Aeromedical Research Laboratory.
25.
LandriganC. (2005). Editorial: Sliding down the bell curve. Effects of 24-hour work shifts on physicians’ cognition and performance. Sleep, 28, 1351–1353.
26.
LandriganC. P.RothschildJ. M.CroninJ. W.KaushalR.BurdickE.KatzJ. T.LillyC. M.StoneP. H.LockleyS. W.BatesD. W.CzeislerC. (2004). Effect of reducing interns’ work hours on serious medical errors in intensive care units. New England Journal of Medicine, 351, 1838–1848.
27.
LauxL.LaneD. (1985). Information processing components of substitution test performance. Intelligence, 9, 111–136.
28.
LimJ.DingesD. F. (2010). A meta-analysis of the impact of short-term sleep deprivation on cognitive variables. Psychological Bulletin, 136, 375–389.
29.
LoJ. C.GroegerJ. A.SanthiN.ArbonE. L.LazarA. S.HasanS.von SchantzM.ArcherS. N.DijkD.-J. (2012). Effects of partial and acute total sleep deprivation on performance across cognitive domains, individuals, and circadian phase. PLoS ONE, 7(9), e45987. doi:10.1371/journal.pone.0045987
30.
MatthewsG.DesmondP. A. (2002). Task induced fatigue states and simulated driving performance. Quarterly Journal of Experimental Psychology, 55A, 659–686.
31.
MayJ. F.BaldwinC. L. (2009). Driver fatigue: The importance of identifying causal factors of fatigue when considering detection and countermeasure technologies. Transportation Research, 12, 218–224.
32.
MolliconeD. (2008). Sleep and neurobehavioral performance during a 14 day laboratory study of split sleep/wake schedules for space operations (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (HMI No. 3301024)
33.
MonkT. H.BuysseD. J.BillyB. D.KennedyK. S.WillrichL. M. (1998). Sleep and circadian rhythms in four orbiting astronauts. Journal of Biological Rhythms, 13, 188–201.
34.
PhilibertI. (2005). Sleep loss and performance in residents and nonphysicians: A meta-analytic examination. Sleep, 28, 1392–1402.
35.
PilcherJ. J.HuffcuttA. I. (1996). Effects of sleep deprivation on performance: A meta-analysis. Sleep, 19, 318–326.
36.
ReedD.FletcherK.AroraV. (2010). Systematic review: Association of shift length, protected sleep time, and night float with patient care, residents’ health, and education. Annals of Internal Medicine, 153, 829–842.
37.
RosenthalR. (1991). Meta-analytic procedures for social research (Rev ed.). Beverly Hills, CA: Sage.
38.
RubinsteinE.MasonJ. F. (1979). An analysis of Three Mile Island: The accident that shouldn’t have happened. IEEE Spectrum, 16(11), 33–42.
39.
ScheerF. A.SheaT. J.HiltonM. F.SheaS. A. (2008). An endogenous circadian rhythm in sleep inertia results in greatest cognitive impairment upon awakening during the biological night. Journal of Biological Rhythms, 23, 353–361.
40.
TuckerA.WhitneyP.BelenkyG.HinsonJ. M.Van DongenH. P. A. (2010). Effects of sleep deprivation on dissociated components of executive functioning. Sleep, 33, 47–57.
41.
Van DongenH. P. A.MaislinG.MullingtonJ. M.DingesD. F. (2003). The cumulative cost of additional wakefulness: Dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep, 2, 117–126.
42.
WickensC. D.LauxL.HutchinsS. D.SebokA. (2014). Effects of sleep restriction and sleep inertia and overload on complex cognitive performance before and after workload transition: A meta-analysis and two models. In Proceedings of the Human Factors and Ergonomics Society 58th Annual Meeting (pp. 839–843). Santa Monica, CA: Human Factors and Ergonomics Society.
43.
WickensC. D.SebokA.HutchinsS. D.LauxL.SantamariaA.CleggB.WolfsonN.SargentR. (2013). Space Performance Research Integration Tool (S-PRINT): Development and validation of a model-based tool to predict, evaluate and mitigate excessive workload effects. Year 1 literature review and meta-analyses summary report. Submitted to the NASA Human Research Program and the National Space Biomedical Research Institute, Grant No. NNX12AE69G.
44.
WilliamsonA.LombardD. A.FolkardS.StuttsJ.CourtneyT. K.ConnorJ. L. (2011). The link between fatigue and safety. Accident Analysis & Prevention, 43, 498–515.
