Diurnal variation in mood and performance in a time-isolated environment

Working around the Clock: Is a Person’s Endogenous Circadian Timing for Optimal Neurobehavioral Functioning Inherently Task-Dependent?

Neurobehavioral task performance is modulated by the circadian and homeostatic processes of sleep/wake regulation. Biomathematical modeling of the temporal dynamics of these processes and their interaction allows for prospective prediction of performance impairment in shift-workers and provides a basis for fatigue risk management in 24/7 operations. It has been reported, however, that the impact of the circadian rhythm—and in particular its timing—is inherently task-dependent, which would have profound implications for our understanding of the temporal dynamics of neurobehavioral functioning and the accuracy of biomathematical model predictions. We investigated this issue in a laboratory study designed to unambiguously dissociate the influences of the circadian and homeostatic processes on neurobehavioral performance, as measured during a constant routine protocol preceded by three days on either a simulated night shift or a simulated day shift schedule. Neurobehavioral functions were measured every 3 h using three functionally distinct assays: a digit symbol substitution test, a psychomotor vigilance test, and the Karolinska Sleepiness Scale. After dissociating the circadian and homeostatic influences and accounting for inter-individual variability, peak circadian performance occurred in the late biological afternoon (in the “wake maintenance zone”) for all three neurobehavioral assays. Our results are incongruent with the idea of inherent task-dependent differences in the endogenous circadian impact on performance. Rather, our results suggest that neurobehavioral functions are under top-down circadian control, consistent with the way they are accounted for in extant biomathematical models.

The Pulse-Respiration Quotient: A Powerful but Untapped Parameter for Modern Studies About Human Physiology and Pathophysiology

A specific and unique aspect of cardiorespiratory activity can be captured by dividing the heart rate (HR) by the respiration rate (RR), giving the pulse-respiration quotient (PRQ = HR/RR). In this review article, we summarize the main findings of studies using and investigating the PRQ. We describe why the PRQ is a powerful parameter that captures complex regulatory states of the cardiorespiratory system, and we highlight the need to re-introduce the use of this parameter into modern studies about human physiology and pathophysiology. In particular, we show that the PRQ (i) changes during human development, (ii) is time-dependent (ultradian, circadian, and infradian rhythms), (iii) shows specific patterns during sleep, (iv) changes with physical activity and body posture, (v) is linked with psychophysical and cognitive activity, (vi) is sex-dependent, and (vii) is determined by the individual physiological constitution. Furthermore, we discuss the medical aspects of the PRQ in terms of applications for disease classification and monitoring. Finally, we explain why there should be a revival in the use of the PRQ for basic research about human physiology and for applications in medicine, and we give recommendations for the use of the PRQ in studies and medical applications.

Changes in the Performance of a Synthetic Work Task as a Function of Age, Gender, and Sleep Deprivation

A 34-hour sleep-loss study was conducted as part of a larger Department of Transportation-Federal Aviation Administration (DOT/FAA) fatigue research program to assess the ability of traditional and innovative measures to track drowsiness and fatigue. Twenty-seven subjects were grouped by age and gender, and randomly paired for weekend testing. Performance testing using a synthetic work task was completed 4, 10, 16, 22, 28, and 34 hr after waking at 6 am. The pattern of significant effects indicated that performance changes were associated with age, gender, and sleep loss. Significant age differences were found across sessions for a number of measures. Generally, the younger group demonstrated better overall performance than the older group; however, the performance of the younger group declined across sessions while the older group's performance remained relatively stable. Like previous research, the complex, time-sharing, synthetic work-task may have contributed to the age group differences. Two simple cognitive and psychomotor tasks also used in this study showed a significant age-related difference in only one measure. A better tolerance to the sleep-loss condition may explain the stable performance of the older group across sessions. Gender differences occurred during the latter sessions for several measures. The younger female group demonstrated the most significant decline in task performance across the last three sessions, presumably due to sleep loss-induced fatigue.

The effect of self-awakening from nocturnal sleep on sleep inertia

The present study examined the effects of self-awakening on sleep inertia after nocturnal sleep. Ten undergraduate and graduate students participated in the study. Their polysomnograms were recorded for five consecutive nights; the first, second, and third to fifth nights were adaptation, forced-awakening, and self-awakening nights, respectively. Participants rated sleepiness, fatigue, comfort, and work motivation, and these ratings were followed by switching (7 min) and auditory reaction time tasks (6 min), both before bedtime (15 min) and immediately after awakening (4 min x 15 min). Although reaction times on the auditory were task prolonged, and participants complained of feeling uncomfortable immediately after forced-awakening, reaction times were shortened after self-awakening, and the participants did not complain of feeling uncomfortable on these nights. The results of this study suggest that sleep inertia occurs after forced-awakening and that it can be prevented by self-awakening.

Circadian Components in Energy and Tension and Their Relation to Physiological Activation and Performance

The purpose of the study was to examine validity of R. Thayer's activation model regarding 24h variations of two subjective dimensions of activation (Energy and Tension), and their 24 h relations with indices of physiological activation and performance efficiency. The participants of the study (n = 28 females) spent 26 h under controlled laboratory conditions. Self-ratings of subjective activation and measurements of oral temperature, electrodermal activity, and performance on a visual vigilance task were done every 4 h. Twenty-four-hour variations were examined by means of repeated measures analyses of variance and by group mean cosinor analyses before and after controlling for the data trends. Self-ratings on both dimensions of subjective activation showed significant 24 h variation. Energy showed both nonrhythmic and endogenously determined circadian variation, while 24h variation of tension was dominantly nonrhythmic and most probably determined by exogenous factors. Significant 24 h covariation was found between energy and body temperature. A negative correlation between 24 h variation of energy and tension was also found. Considering low and intermediate levels of subjective activation established over the 24 h in this study, the association of the two dimensions of subjective activation did not prove to be consistent with the assumptions of Thayer's model.

Olfactory Discrimination and Transient Mood Change in Young Men and Women: Variation by Season, Mood State, and Time of Day

Odor performance varies by clinical state and gender, though little is known about its variation by season or time of day. Many odors, including lavender, induce transient mood changes. This study explored discrimination differences between various lavender oil blends and their effects on transient mood in the morning and evening in depressed and nondepressed adults. We also determined seasonal influences on these measures. A total of 169 subjects, 98 women and 71 men (mean age +/- SD, 19.3 +/- 1.6 y) participated, with different subjects studied at different times of the year. The Beck Depression Inventory (BDI) classified subjects as depressed (score > or =10; N= 57) or nondepressed (score <10; N= 112). In the discrimination test, subjects compared pairs of two different lavender oil blends or a control. Transient change in mood was assessed by the Profile of Mood States (POMS) after each trial of five lavender blends interspersed by three control odors. Tests were conducted in the morning (08:00-10:00 h) and evening (18:00-20:00h). In all subjects, discrimination was significantly better for some odor pairs than for others, thus demonstrating test specificity. Discrimination was better overall in the fall than winter/spring and better in depressed than nondepressed subjects for specific odor pairs. No significant gender or time-of-day differences in discriminability were detected. There were, however, significant group differences in transient mood profiles. Current depressed state affected mood response, with lavender increasing anger in depressed subjects only. In addition, depressed subjects and men, whether or not depressed, exhibited diurnal mood variation, with better mood in the evening; the former group also showed more evening energy. All subjects were more confused in the morning than evening. Season also affected transient mood; winter/spring-tested subjects reported more vigor than fall-tested subjects. In addition, summer-tested subjects showed more tension in the morning, whereas fall-tested subjects showed the opposite pattern in the evening. In all subjects, lavender increased fatigue, tension, confusion, and total mood disturbance, and it decreased vigor. The study showed that both chronobiological (seasonal and time-of-day) and clinical factors modify discrimination and mood response to odors. Brief lavender odor presentation may serve as a nonphotic method for altering mood in young depressed and nondepressed adults particularly during the fall, a time of heightened discriminability.

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.

A population approach to the study of emotion: diurnal rhythms of a working day examined with the Day Reconstruction Method

To date, diurnal rhythms of emotions have been studied with real-time data collection methods mostly in relatively small samples. The Day Reconstruction Method (DRM), a new survey instrument that reconstructs the emotions of a day, is examined as a method for enabling large-scale investigations of rhythms. Diurnal cycles were observed for 12 emotion adjectives in 909 women over a working day. Bimodal patterns with peaks at noon and evenings were detected for positive emotions; peaks in negative emotions were found at mid-morning and mid-afternoon. A V-shaped pattern was found for tired and an inverted U-shaped pattern for competent. Several diurnal patterns from prior studies were replicated. The DRM appears to be a useful tool for the study of emotions.

Sustained sleep restriction reduces emotional and physical well-being

BACKGROUND

Chronic insufficient sleep is a common finding in many pain-related and other medical diseases and is frequently experienced in the general population. Prolonged curtailment of nocturnal sleep has been studied for its adverse effect on cognitive functioning and subjective tiredness, but relatively little is known about its effect on mood and physical symptoms.

OBJECTIVE

In order to test whether sleep restriction to 50% of the habitual time over 12 days affects diurnal and day-to-day variation of subjective ratings of mood and physical symptoms, 108 adjectives and statements were self-rated using visual analog scales every 2h during the waking period.

DESIGN

Randomized, 16-day controlled in-laboratory study.

SETTING

General Clinical Research Center (GCRC).

PARTICIPANTS

Forty healthy subjects aged 21-40 years (14 females, 26 males).

INTERVENTION

Subjects were randomized to either 4h of sleep per night (11 pm-3 am, N=22) or 8h of sleep per night (11 pm-7 am, N=18) for 12 consecutive days.

MAIN OUTCOME MEASURE

Changes in the factor-derived variables optimism-sociability, tiredness-fatigue, anger-aggression, bodily discomfort, and items constituting bodily discomfort were compared between groups.

RESULTS

Optimism-sociability progressively declined over consecutive days of sleep restriction by 15%. Bodily discomfort showed a slight, but significant interindividual increase of 3% across days of sleep restriction due to significant increases of generalized body pain, back pain, and stomach pain. Optimism-sociability and tiredness-fatigue showed diurnal variations with a quadratic function period within each day in both conditions.

CONCLUSION

The data suggest that chronic insufficient sleep may contribute to the onset and amplification of pain and affect health by compromising optimistic outlook and psychosocial functioning.

An event-related fMRI study of the neurobehavioral impact of sleep deprivation on performance of a delayed-match-to-sample task

Eighteen subjects (ages 18-35) underwent event-related functional magnetic resonance imaging (efMRI) while performing a delayed-match-to-sample (DMS) task before and immediately after 48 h of sustained wakefulness. The DMS trial events were: a 3-s study period of either a one-, three-, or six-letter visual array; a 7-s retention interval; and a 3-s probe period, where a button press indicated whether the probe letter was in the study array. Ordinal Trend Canonical Variates Analysis (OrT CVA) was applied to the data from the probe period for trials with six-letter study lists prior to and immediately following sleep deprivation to find an activation pattern whose expression decreased with sleep deprivation in as many subjects as possible, while being present in both conditions. The first principal component of the OrT analysis identified a covariance pattern whose expression decreased as a function of sleep deprivation in 17 of 18 subjects (p<0.001). While overall expression of the pattern showed a systematic decrease with sleep deprivation, the brain regions that make up the pattern show covarying increases and decreases in activation. Regions that decreased their activation were noted in the parietal (BA 7 and 40), temporal (BA 37, 38 and 39) and occipital (BA 18 and 19) lobes; regions that increased their activation were noted in the cerebellum, basal ganglia, thalamus and the anterior cingulate gyrus (BA 32). The reduction in pattern expression with sleep deprivation for each subject was related to the change in performance on the DMS task. Subject decreases in pattern expression were correlated with reductions in recognition accuracy (p<0.05), increased intra-individual variability in reaction time (p<0.005) and increased lapsing (p<0.005).

Sleepiness: evaluating and quantifying methods

The aim of this literature review is to analyze the methods mainly used for evaluating and quantifying the complex phenomenon of sleepiness. The most common distinction is between subjective measures or self-evaluations, performance decrement measures, measures for evaluating sleep propensity and measures of arousal decrease. Techniques mainly used in specialized literature will be briefly presented and commented upon, evaluating their sensitivity, advantages and limitations. We conclude that: (a) different measures inevitably are differently sensitive to sleepiness fluctuations; (b) the amount of prior sleep is strongly relevant in quantifying sleepiness levels; (c) subjective and behavioral measures show a higher level of vulnerability to external and motivational factors.

Circadian determinants of subjective alertness

Four healthy male subjects each experienced a temporal isolation experiment lasting several months. During part of each experiment (2-5 weeks), the subject's entire imposed daily routine (including light-dark, rest-activity, and meal routines) was either stretched (two subjects: T = 25.8 hr, 26.0 hr) or reduced (two subjects: T = 22.8 hr, 23.1 hr) to beyond the range of entrainment of the endogenous circadian pacemaker (ECP), which then ran at a different period (tau). Subjective alertness was measured approximately three times per hour (during wakefulness), using a computerized visual analogue scale technique. Circadian rhythms in subjective alertness were then plotted both at tau, the period length of the ECP, and at T, the period length of the imposed sleep-wake cycle (SWC) and light-dark cycle. At tau, the alertness rhythm was closely in phase with the temperature rhythm. At T, the alertness rhythm showed an "inverted-U" function with a peak toward the middle of the subjective day, upon which was superimposed a "postlunch dip" for one subject. Thus, subjective alertness would appear to be under the control fo both ECP and SWC mechanisms, which combine to produce the composite time-of-day function normally observed in a diurnal setting.

[Utilization of theta/alpha spectral range as an indicator of vigilance: pharmacological applications during repeated sleep latency tests]

Three successive double-blind, cross-over vs placebo trials with amphetamine 10 mg, amineptine 200 mg, clonidine 150 mcg were made in 12 x 3 healthy volunteers by means of a multiple sleep latency test (MSLT) associated with quantitative EEG. Data were evaluated by a 3-way ANOVA for repeated measurement. The aim of the study was to find out the most efficient parameters from theta/alpha ratio to exhibit a "time effect", i.e. the physiological variation of vigilance during the daytime and a "drug effect", i.e. a stimulant or sedative effect. The best parameter was the difference between the maximum and the minimum values of the theta/alpha ratio during the recording session. The time after which the theta/alpha doubled and the time after which the subject was the most relaxed (theta/alpha minimum) exhibited significant variations due to time effect and only sedative drug effect. The results of the other classical parameters from MSLT, visual analogue scales and sleep questionnaires were discussed as was the use of parameters from quantified EEG in order to make up homogeneous groups of healthy volunteers.