The effects of poor quality sleep on brain function and risk taking in adolescence
Open accessAbstract
Insufficient sleep and poor quality sleep are pervasive during adolescence and relate to impairments in cognitive control and increased risk taking. However, the neurobiology underlying the association between sleep and adolescent behavior remains elusive. In the current study, we examine how poor sleep quality relates to cognitive control and reward related brain function during risk taking. Forty-six adolescents participated in a functional magnetic imaging (fMRI) scan during which they completed a cognitive control and risk taking task. Behaviorally, adolescents who reported poorer sleep also exhibited greater risk-taking. This association was paralleled by less recruitment of the dorsolateral prefrontal cortex (DLPFC) during cognitive control, greater insula activation during reward processing, and reduced functional coupling between the DLPFC and affective regions including the insula and ventral striatum during reward processing. Collectively, these results suggest that poor sleep may exaggerate the normative imbalance between affective and cognitive control systems, leading to greater risk-taking in adolescents.
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Written from the paper’s full text.
TL;DR
In 46 adolescents, poorer subjective sleep quality was associated with greater self-reported and behavioral risk taking, less right DLPFC recruitment during cognitive control, greater left insula activation during reward processing, and reduced DLPFC–affective functional coupling. The authors interpret this as poor sleep exaggerating the normative affective–cognitive control imbalance in adolescence.
Key findings
- Poorer sleep quality was associated with greater risk-taking likelihood (β=.40, p<.01), greater perceived positive consequences of risk taking (β=.44, p<.005), and more adjusted pumps on the BART (β=.40, p<.01).
- Poorer sleep quality correlated with decreased right DLPFC activation during No-go>Go trials; this reduced DLPFC response was associated with more BART pumps (β=.58, p<.001), more decision-making complacency (β=−.50, p<.001), and less decision-making vigilance (β=.43, p<.005).
- Poorer sleep quality was associated with increased left insula activation during cash-out trials as rewards increased; insula activation related to more BART pumps (β=.41, p<.005), greater risk-taking likelihood (β=.37, p<.05), and greater positive consequences for risk taking (β=.32, p<.05).
- Poor sleep was associated with reduced functional coupling between DLPFC and right insula (Z=3.78, p<.05) and ventral striatum (Z=4.21, p<.05) during cash-outs; reduced DLPFC activation accounted for 53.86% of the effect of poor sleep on insula activation.
Methods
- Forty-six adolescents aged 14–16 years (Mage=15.23; 19 males, 27 females) completed fMRI during a Go–No-Go cognitive control task and the Balloon Analogue Risk Task (BART); participants were not taking medications and did not report mood or sleep disorders.
- Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI; mean=5.3, range=2–16); risk perceptions and decision making were measured with modified CARE and Flinders Adolescent Decision Making Questionnaire.
- Analyses used FSL whole-brain regression with sleep quality as a regressor, psychophysiological interaction (PPI) analyses for functional coupling, and mediation analyses; thresholding used Z>2.3 and p<.05 familywise error corrected.
Limitations
- The paper states it cannot delineate the direction of effects: poor sleep may increase risk-related brain function, or adolescents already oriented toward rewards may obtain poorer sleep.
- The paper states it cannot be certain findings are specific to adolescence or whether similar effects occur at other developmental periods; future experimental and longitudinal work is needed.
- Evident from the text: the design is cross-sectional and correlational, sleep quality is subjective, and the sample is a modest-sized healthy non-clinical group, so causal and clinical generalizations are limited.
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Claims the paper makes
0 of 51 cited sources checked · 0 supported · 0 flagged
- Findingown data
Poorer sleep quality is associated with lower decision-making self-esteem in adolescents.
“Adolescents who reported poorer sleep quality reported more decision making complacency (β=.54, p<.001) and lower decision making self-esteem (β=−.30, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Poorer sleep quality is associated with more decision-making complacency in adolescents.
“Adolescents who reported poorer sleep quality reported more decision making complacency (β=.54, p<.001) and lower decision making self-esteem (β=−.30, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Poorer sleep quality is associated with a greater perception of positive consequences for engaging in risk-taking behaviors in adolescents.
“Adolescents who reported greater sleep problems reported a greater likelihood of engaging in risk taking behaviors (β=.40, p<.01) and a greater perception of positive consequences for engaging in risk taking behaviors (β= .44, p<.005).”
Quote in the paperSubstantial claim - Findingown data
Adolescents with poorer sleep show less recruitment of the dorsolateral prefrontal cortex during cognitive control.
“This association was paralleled by less recruitment of the dorsolateral prefrontal cortex (DLPFC) during cognitive control, greater insula activation during reward processing, and reduced functional coupling between the DLPFC and affective regions including the insula and ventral striatum during reward processing.”
Quote in the paperSubstantial claim - Findingown data
Poor sleep quality is associated with greater risk-taking behavior in adolescents.
“Behaviorally, adolescents who reported poorer sleep also exhibited greater risk-taking.”
- Also stated in: § Behavioral results · plain
“Adolescents who reported greater sleep problems reported a greater likelihood of engaging in risk taking behaviors (β=.40, p<.01) and a greater perception of positive consequences for engaging in risk taking behaviors (β= .44, p<.005).”
- Also stated in: § Behavioral results · plain
“Adolescents who reported poorer sleep quality had greater mean adjusted pumps (β=.40, p<.01).”
Quote in the paperSubstantial claim - Also stated in: § Behavioral results · plain
- Findingown data
Poorer sleep quality is associated with a greater likelihood of engaging in risk-taking behaviors in adolescents.
“Adolescents who reported greater sleep problems reported a greater likelihood of engaging in risk taking behaviors (β=.40, p<.01) and a greater perception of positive consequences for engaging in risk taking behaviors (β= .44, p<.005).”
Quote in the paperSubstantial claim - Findingown data
Poorer sleep quality is associated with greater mean adjusted pumps on the BART in adolescents.
“Adolescents who reported poorer sleep quality had greater mean adjusted pumps (β=.40, p<.01).”
Quote in the paperSubstantial claim - Findingown data
Adolescents with poorer sleep show reduced functional coupling between the DLPFC and affective regions including the insula and ventral striatum during reward processing.
“This association was paralleled by less recruitment of the dorsolateral prefrontal cortex (DLPFC) during cognitive control, greater insula activation during reward processing, and reduced functional coupling between the DLPFC and affective regions including the insula and ventral striatum during reward processing.”
Quote in the paperSubstantial claim - Findingown data
Poorer sleep quality is marginally associated with slower reaction time on go trials in adolescents.
“Poorer sleep quality was marginally associated with slower reaction time on go trials (β=.26, p=.09).”
Quote in the paperNot a substantial claim - Findingown data
Adolescents with poorer sleep show greater insula activation during reward processing.
“This association was paralleled by less recruitment of the dorsolateral prefrontal cortex (DLPFC) during cognitive control, greater insula activation during reward processing, and reduced functional coupling between the DLPFC and affective regions including the insula and ventral striatum during reward processing.”
Quote in the paperSubstantial claim - Findingown data
Reduced functional coupling between the insula and DLPFC was associated with more decision making complacency (β=−.34, p<.05).
“Reduced functional coupling between the insula and DLPFC was associated with greater pumps on the BART (β=−.49, p<.001), more decision making complacency (β=−.34, p<.05), less decision making self esteem (β=.43, p<.005), and less decision making vigilance (β=.41, p=.005).”
Quote in the paperSubstantial claim - Findingown data
Increased BOLD response in the left insula during cash outs was significantly associated with greater risk taking likelihood (β=.37, p<.05).
“Results indicate that increased BOLD response in the left insula during cash outs was significantly associated with greater pumps on the BART (β=.41, p<.005), greater risk taking likelihood (β=.37, p<.05), greater positive consequences for risk taking (β=.32, p<.05), more decision making complacency (β=.55, p<.001), and more decision making panic (β=.29, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Sleep quality was not associated with enhanced functional coupling between the DLPFC and other neural regions during cash-outs.
“Sleep quality was not associated with enhanced functional coupling between the DLPFC and other neural regions during cash-outs.”
Quote in the paperNot a substantial claim - Findingown data
Increased BOLD response in the left insula during cash outs was significantly associated with greater pumps on the BART (β=.41, p<.005).
“Results indicate that increased BOLD response in the left insula during cash outs was significantly associated with greater pumps on the BART (β=.41, p<.005), greater risk taking likelihood (β=.37, p<.05), greater positive consequences for risk taking (β=.32, p<.05), more decision making complacency (β=.55, p<.001), and more decision making panic (β=.29, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Increased BOLD response in the left insula during cash outs was significantly associated with more decision making complacency (β=.55, p<.001).
“Results indicate that increased BOLD response in the left insula during cash outs was significantly associated with greater pumps on the BART (β=.41, p<.005), greater risk taking likelihood (β=.37, p<.05), greater positive consequences for risk taking (β=.32, p<.05), more decision making complacency (β=.55, p<.001), and more decision making panic (β=.29, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Poorer sleep quality was associated with increased activation in the left insula during cash out trials when adolescents gained increasing monetary rewards.
“We found a significant association during the cash out trials, such that when adolescents gained increasing monetary rewards, poorer sleep quality was associated with increased activation in the left insula (see Fig. 4).”
Quote in the paperSubstantial claim - Findingown data
Reduced functional coupling between the insula and DLPFC was associated with less decision making vigilance (β=.41, p=.005).
“Reduced functional coupling between the insula and DLPFC was associated with greater pumps on the BART (β=−.49, p<.001), more decision making complacency (β=−.34, p<.05), less decision making self esteem (β=.43, p<.005), and less decision making vigilance (β=.41, p=.005).”
Quote in the paperSubstantial claim - Findingown data
Sleep quality was not associated with neural activation during pumps>control pumps.
“Sleep quality was not associated with neural activation during pumps>control pumps or explosions>baseline.”
Quote in the paperNot a substantial claim - Findingown data
Poorer sleep quality was correlated with decreased activation in the right dorsolateral prefrontal cortex (DLPFC) during No-go>Go trials.
“In whole brain regression analyses, poorer sleep quality was correlated with decreased activation in the right dorsolateral prefrontal cortex (DLPFC) during No-go>Go trials (see Fig. 3).”
Quote in the paperSubstantial claim - Findingown data
Decreased BOLD response in the right DLPFC during response inhibitions was significantly associated with more decision making complacency (β=−.50, p<.001).
“Results indicate that decreased BOLD response in the right DLPFC during response inhibitions was significantly associated with more pumps on the BART (β=.58, p<.001) more decision making complacency (β=−.50, p<.001), and less decision making vigilance (β=.43, p<.005).”
Quote in the paperSubstantial claim - Findingown data
Reduced functional coupling between the insula and DLPFC was associated with less decision making self esteem (β=.43, p<.005).
“Reduced functional coupling between the insula and DLPFC was associated with greater pumps on the BART (β=−.49, p<.001), more decision making complacency (β=−.34, p<.05), less decision making self esteem (β=.43, p<.005), and less decision making vigilance (β=.41, p=.005).”
Quote in the paperSubstantial claim - Findingown data
During cash-outs, poor sleep quality was related to reduced functional coupling between the DLPFC and the ventral striatum (xyz=14 18 −2, Z=4.21, p<.05).
“As shown in Figs. 5b–c, during cash-outs, poor sleep quality was related to reduced functional coupling between the DLPFC and the right insula (xyz=36 20 0, Z=3.78, p<.05) and the ventral striatum (xyz=14 18 −2, Z=4.21, p<.05).”
Quote in the paperSubstantial claim - Findingown data
During cash-outs, poor sleep quality was related to reduced functional coupling between the DLPFC and the right insula (xyz=36 20 0, Z=3.78, p<.05).
“As shown in Figs. 5b–c, during cash-outs, poor sleep quality was related to reduced functional coupling between the DLPFC and the right insula (xyz=36 20 0, Z=3.78, p<.05) and the ventral striatum (xyz=14 18 −2, Z=4.21, p<.05).”
Quote in the paperSubstantial claim - Findingown data
The original effect (total effect) of poor sleep quality on insula activation is reduced and becomes non-significant when DLPFC activation is entered into the model (direct effect).
“As shown in Table 2, the original effect (i.e., total effect) of poor sleep quality on insula activation is reduced and becomes non-significant when DLPFC activation is entered into the model (i.e., direct effect).”
Quote in the paperSubstantial claim- Rests on an assumption: The mediation analysis assumes no unmeasured confounding and correct temporal ordering of sleep quality, DLPFC activation, and insula activation.
- Findingown data
Reduced DLPFC activation accounted for 53.86% of the original effect of poor sleep quality on insula activation.
“Reduced DLPFC activation accounted for 53.86% of the original effect of poor sleep quality on insula activation.”
Quote in the paperSubstantial claim- Rests on an assumption: The mediation analysis assumes no unmeasured confounding and correct temporal ordering of sleep quality, DLPFC activation, and insula activation.
- Findingown data
Reduced functional coupling between the insula and DLPFC was associated with greater pumps on the BART (β=−.49, p<.001).
“Reduced functional coupling between the insula and DLPFC was associated with greater pumps on the BART (β=−.49, p<.001), more decision making complacency (β=−.34, p<.05), less decision making self esteem (β=.43, p<.005), and less decision making vigilance (β=.41, p=.005).”
Quote in the paperSubstantial claim - Findingown data
The DLPFC was associated with reduced functional coupling with the anterior cingulate cortex (xyz=0 12 40, Z=2.89, p<.05).
“The DLPFC was also associated with reduced functional coupling with the anterior cingulate cortex (xyz=0 12 40, Z=2.89, p<.05).”
Quote in the paperNot a substantial claim - Findingown data
Decreased BOLD response in the right DLPFC during response inhibitions was significantly associated with more pumps on the BART (β=.58, p<.001).
“Results indicate that decreased BOLD response in the right DLPFC during response inhibitions was significantly associated with more pumps on the BART (β=.58, p<.001) more decision making complacency (β=−.50, p<.001), and less decision making vigilance (β=.43, p<.005).”
Quote in the paperSubstantial claim - Findingown data
Decreased BOLD response in the right DLPFC during response inhibitions was significantly associated with less decision making vigilance (β=.43, p<.005).
“Results indicate that decreased BOLD response in the right DLPFC during response inhibitions was significantly associated with more pumps on the BART (β=.58, p<.001) more decision making complacency (β=−.50, p<.001), and less decision making vigilance (β=.43, p<.005).”
Quote in the paperSubstantial claim - Findingown data
Increased BOLD response in the left insula during cash outs was significantly associated with greater positive consequences for risk taking (β=.32, p<.05).
“Results indicate that increased BOLD response in the left insula during cash outs was significantly associated with greater pumps on the BART (β=.41, p<.005), greater risk taking likelihood (β=.37, p<.05), greater positive consequences for risk taking (β=.32, p<.05), more decision making complacency (β=.55, p<.001), and more decision making panic (β=.29, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Increased BOLD response in the left insula during cash outs was significantly associated with more decision making panic (β=.29, p<.05).
“Results indicate that increased BOLD response in the left insula during cash outs was significantly associated with greater pumps on the BART (β=.41, p<.005), greater risk taking likelihood (β=.37, p<.05), greater positive consequences for risk taking (β=.32, p<.05), more decision making complacency (β=.55, p<.001), and more decision making panic (β=.29, p<.05).”
Quote in the paperSubstantial claim - Findingown data
Sleep quality was not associated with neural activation during explosions>baseline.
“Sleep quality was not associated with neural activation during pumps>control pumps or explosions>baseline.”
Quote in the paperNot a substantial claim - Findingown data
Poor sleep quality was associated with riskier behavior on the BART.
“In addition, we found that poor sleep quality was associated with greater self-reported likelihood of engaging in risk taking, greater positive consequences for risky behaviors, and riskier behavior on the BART.”
Quote in the paperSubstantial claim - Findingown data
Poorer sleep quality was associated with more apathy when making decisions.
“Behaviorally, we found that poorer sleep quality was associated with more apathy and less self-esteem when making decisions as well as marginally slower reaction time during go trials on the GNG.”
Quote in the paperSubstantial claim - Findingown data
Sleep quality was not associated with differences in false alarm rates.
“Although we did not find differences in false alarm rates as a function of sleep, this may be due to adolescents with poorer sleep taking more time on go trials and thus having to inhibit less on the no-go trials.”
Quote in the paperSubstantial claim - Findingown data
Reduced functional coupling between the VS and DLPFC was associated with greater reported likelihood of engaging in risk taking (β=−.37, p<.05).
“Reduced functional coupling between the VS and DLPFC was associated with greater pumps on the BART (β=−.36, p<.05), greater reported likelihood of engaging in risk taking (β=−.37, p<.05), and more decision making complacency (β=−.29, p=.05).”
Quote in the paperSubstantial claim - Findingown data
Poor sleep quality was associated with greater self-reported likelihood of engaging in risk taking.
“In addition, we found that poor sleep quality was associated with greater self-reported likelihood of engaging in risk taking, greater positive consequences for risky behaviors, and riskier behavior on the BART.”
Quote in the paperSubstantial claim - Findingown data
Poorer sleep quality was associated with marginally slower reaction time during go trials on the GNG.
“Behaviorally, we found that poorer sleep quality was associated with more apathy and less self-esteem when making decisions as well as marginally slower reaction time during go trials on the GNG.”
Quote in the paperNot a substantial claim - Findingown data
Poorer sleep quality was associated with less self-esteem when making decisions.
“Behaviorally, we found that poorer sleep quality was associated with more apathy and less self-esteem when making decisions as well as marginally slower reaction time during go trials on the GNG.”
Quote in the paperSubstantial claim - Findingown data
Poor sleep quality was associated with greater positive consequences for risky behaviors.
“In addition, we found that poor sleep quality was associated with greater self-reported likelihood of engaging in risk taking, greater positive consequences for risky behaviors, and riskier behavior on the BART.”
Quote in the paperSubstantial claim - Findingown data
Reduced functional coupling between the VS and DLPFC was associated with greater pumps on the BART (β=−.36, p<.05).
“Reduced functional coupling between the VS and DLPFC was associated with greater pumps on the BART (β=−.36, p<.05), greater reported likelihood of engaging in risk taking (β=−.37, p<.05), and more decision making complacency (β=−.29, p=.05).”
Quote in the paperSubstantial claim - Findingown data
Reduced functional coupling between the VS and DLPFC was associated with more decision making complacency (β=−.29, p=.05).
“Reduced functional coupling between the VS and DLPFC was associated with greater pumps on the BART (β=−.36, p<.05), greater reported likelihood of engaging in risk taking (β=−.37, p<.05), and more decision making complacency (β=−.29, p=.05).”
Quote in the paperSubstantial claim - Findingown data
Sleep quality was not associated with ventral striatum activation during reward processing.
“Interestingly, we did not find that sleep quality was associated with ventral striatum activation during reward processing even though studies of sleep deprived adults have shown increased striatal reactivity during reward receipt or when observing pleasant images (Gujar et al., 2011; Venkatraman et al., 2007, 2011), and studies of adolescents have shown irregular sleep to relate to reduced striat”
Quote in the paperSubstantial claim - Interpretationown data
Poor sleep may exaggerate the normative imbalance between affective and cognitive control systems, leading to greater risk-taking in adolescents.
“Collectively, these results suggest that poor sleep may exaggerate the normative imbalance between affective and cognitive control systems, leading to greater risk-taking in adolescents.”
Quote in the paperSubstantial claim- Rests on an assumption: The sample of 46 adolescents is representative of the broader adolescent population.
- Interpretationcitation
The BART provides a scanner-compatible proxy for measuring real-world risky behaviors.
“Moreover, behavioral performance on the BART correlates with real-life risk behaviors such as adolescent smoking, sexual promiscuity, addiction, and drug use (Bornovalova et al., 2009; Lejuez et al., 2003) suggesting that this task provides a scanner-compatible proxy for measuring real-world risky behaviors.”
Quote in the paperSubstantial claim- Rests on an assumption: The BART task models unpredictable rewards and punishments that characterize real-world risky behaviors.
- Interpretationown data
Poorer sleep is associated with inflating balloons more, which is an index of riskier behavior and an orientation towards greater rewards.
“In other words, poorer sleep was associated with inflating the balloons more, which is an index of riskier behavior and an orientation towards greater rewards.”
Quote in the paperSubstantial claim - Premisecitation
Behavioral performance on the BART correlates with real-life risk behaviors such as adolescent smoking, sexual promiscuity, addiction, and drug use.
“Moreover, behavioral performance on the BART correlates with real-life risk behaviors such as adolescent smoking, sexual promiscuity, addiction, and drug use (Bornovalova et al., 2009; Lejuez et al., 2003) suggesting that this task provides a scanner-compatible proxy for measuring real-world risky behaviors.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Bornovalova et al., 2009
Not checked in the free run.
- cites Lejuez et al., 2003 source
Not checked in the free run.
- Premisecitation
The BART involves both affective and cognitive control regions.
“We focused the PPI analyses on the BART task, given that both affective and cognitive control regions are involved during the task (Schonberg et al., 2012), whereas the GNG task targets primarily cognitive control-related brain function.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Schonberg et al., 2012 source
Not checked in the free run.
- Interpretationown data
The normative imbalance between affective and cognitive control systems may be exaggerated by poor sleep.
“Our findings suggest that the normative imbalance between affective and cognitive control systems may be exaggerated by poor sleep, such that adolescents show less DLPFC activation during cognitive control, greater insula activation during reward processing, and reduced functional coupling between the DLPFC and affective regions.”
Quote in the paperSubstantial claim - Interpretationown data
The insula appears to be tracking the amount of reward during the BART.
“Given that we performed a parametric analysis examining how the brain responds to increasing monetary rewards, the insula appears to be tracking the amount of reward during the BART.”
Quote in the paperSubstantial claim - Interpretationown data
The dampened DLPFC response may represent a decreased motivation to put effort into decisions.
“Moreover, the dampened DLPFC activation during response inhibition was associated with greater decision-making complacency (i.e., more apathy and less care in decision-making) and less decision making vigilance (i.e., not taking care when making decisions), suggesting that the dampened DLPFC response may represent a decreased motivation to put effort into decisions.”
Quote in the paperSubstantial claim - Interpretationreasoning
Dampened DLPFC activation following poor sleep may be indicative of the relatively immature use of this region.
“Therefore, dampened DLPFC activation following poor sleep may be indicative of the relatively immature use of this region.”
Quote in the paperSubstantial claim - Interpretationreasoning
Adolescents with poorer sleep quality may demonstrate decreased motivation to engage in cognitive control and therefore recruit the DLPFC to a lesser extent during cognitive control.
“Thus, adolescents with poorer sleep quality may demonstrate decreased motivation to engage in cognitive control and therefore recruit the DLPFC to a lesser extent during cognitive control.”
Quote in the paperSubstantial claim - Premisecitation
Insufficient sleep and poor quality sleep are pervasive during adolescence.
“Insufficient sleep and poor quality sleep are pervasive during adolescence (Carskadon, 2011; Dahl and Lewin, 2002) and relate to impairments in cognitive regulation and increases in health compromising behaviors such as substance use (Hasler et al., 2012; Kenney et al., 2012; McKnight-Eily et al., 2011; O'Brien and Mindell, 2005).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Carskadon, 2011 source
Not checked in the free run.
- cites Dahl and Lewin, 2002
Not checked in the free run.
- Premisecitation
The insula is a brain region involved in tracking risk in the environment.
“Indeed, the insula is a brain region involved in tracking risk in the environment (Singer et al., 2009) and has shown heightened activation among adults during the BART (Schonberg et al., 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Singer et al., 2009 source
Not checked in the free run.
- Interpretationown data
Normative levels of poor sleep quality among a healthy sample of adolescents are related to risk-related behavior and brain function.
“It is striking that normative levels of poor sleep quality among a healthy sample of adolescents are related to risk-related behavior and brain function.”
Quote in the paperSubstantial claim - Study design and conductown data
The study cannot delineate the direction of the effects.
“Our study cannot delineate the direction of the effects.”
Quote in the paperSubstantial claim - Interpretationown data
Trials resulting in greater rewards and heightened striatal reactivity are associated with less PFC activation in adolescents with poorer sleep.
“Thus, trials resulting in greater rewards and heightened striatal reactivity are associated with less PFC activation in adolescents with poorer sleep.”
Quote in the paperSubstantial claim - Premisecitation
Most prior work has examined more extreme levels of sleep problems by using sleep deprivation in a sleep lab or by examining sleep disorders.
“Most prior work has examined more extreme levels of sleep problems by using sleep deprivation in a sleep lab or by examining sleep disorders (Beebe et al., 2009; Dagys et al., 2012).”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationown data
Adolescents with poorer sleep may engage in more risk taking because of a failure of prefrontal, top-down regulation during affective arousal.
“Thus, adolescents with poorer sleep may engage in more risk taking because of a failure of prefrontal, top-down regulation during affective arousal.”
Quote in the paperSubstantial claim - Premisecitation
Sleep deprivation is related to reduced functional connectivity between affective and regulatory regions.
“These findings are consistent with adult work showing that sleep deprivation is related to reduced functional connectivity between affective and regulatory regions (Gujar et al., 2011; Yoo et al., 2007).”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationown data
Sleep may increase the relative salience of rewards pushing adolescents towards riskier behavior.
“Thus, sleep may increase the relative salience of rewards pushing adolescents towards riskier behavior.”
Quote in the paperSubstantial claim - Interpretationreasoning
Reduced PFC coupling may result in an inability to refrain from riskier behavior during high reward trials.
“This reduced PFC coupling may result in an inability to refrain from riskier behavior during high reward trials.”
Quote in the paperSubstantial claim - Premisecitation
Risk taking arises, in part, due to a cortical-subcortical imbalance, in which a relatively immature PFC is less effective at regulating a sensitive and more rapidly developing ventral striatum.
“These findings are consistent with the dual system model of neural development, which suggests that risk taking arises, in part, due to a cortical–subcortical imbalance, in which a relatively immature PFC is less effective at regulating a sensitive and more rapidly developing ventral striatum (Somerville et al., 2010; Steinberg, 2010).”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationreasoning
Altered brain function following high levels of sleep deprivation or among adolescents with sleep disorders may not translate to less extreme forms of sleep problems.
“Altered brain function following high levels of sleep deprivation or among adolescents with sleep disorders may not translate to less extreme forms of sleep problems.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Sleep affects a large population of adolescents.
“This highlights how impactful sleep can be during adolescence and how likely it is that sleep affects a large population of adolescents.”
Quote in the paperSubstantial claim
- May combine two claims. 21
- Classified as probably not a substantial claim. 17
May combine two claims.
Findingown dataNo brain regions were significantly activated to cash outs>baseline or explosions>baseline on the BART.
“No brain regions were significantly activated to cash outs>baseline or explosions>baseline.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe confidence interval of the indirect effect does not include zero, consistent with a statistically significant mediation.
“As shown in Table 2, the confidence interval of the indirect effect does not include zero, consistent with a statistically significant mediation.”
Quote in the paperSubstantial claim- Rests on an assumption: The mediation analysis assumes no unmeasured confounding and correct temporal ordering of sleep quality, DLPFC activation, and insula activation.
May combine two claims.
PremisecitationSleep deprivation in adults impacts brain function related to reward processing, risk-taking, and cognition.
“Although neuroimaging research in adults has shown that sleep deprivation impacts brain function related to reward processing, risk-taking, and cognition (Chee et al., 2011; Gujar et al., 2011; Libedinsky et al., 2011; Venkatraman et al., 2011), only a few developmental studies have examined how sleep influences reward-related brain function in adolescents (Hasler et al., 2012; Holm et al., 2009)”
Quote in the paperNot a substantial claim0 of 3 sources checkedClassified as probably not a substantial claim.
PremisecitationDual system theories of adolescent neurodevelopment posit that risk taking increases during adolescence due to a competition between the affective reward sensitivity system and the cognitive control system.
“Dual system theories of adolescent neurodevelopment posit that risk taking increases during adolescence due to a competition between two neural systems — the affective system, which is involved in reward sensitivity, and the cognitive control system, which is involved in cognitive regulation (Somerville et al., 2010; Steinberg, 2010).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationPoor sleep quality is related to cognitive and emotional deficits, including a bias towards high risk behaviors, diminished attentional and behavioral control, and poor emotion regulation.
“Poor sleep quality is related to a host of cognitive and emotional deficits, including a bias towards high risk behaviors, diminished attentional and behavioral control, and poor emotion regulation (Dahl, 1996; Harrison and Horne, 2000), making poor sleep a significant public health and developmental concern that may impact high risk behaviors during adolescence.”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationVariability in weekend-weeknight sleep time and insufficient sleep (<8 h on school nights) are associated with tobacco, alcohol, and drug use, unsafe sex, poorer safety behaviors, and aggressive behaviors in adolescents.
“In terms of risky behavior, variability in weekend–weeknight sleep time and insufficient sleep (i.e., <8 h on school nights) are associated with tobacco, alcohol, and drug use, unsafe sex, poorer safety behaviors, and aggressive behaviors (McKnight-Eily et al., 2011; O'Brien and Mindell, 2005).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationFunctional connectivity analyses in adults reveal that poor sleep impairs brain function in affective and cognitive control regions and disrupts cross-talk between these neural networks.
“Indeed, functional connectivity analyses in adults reveal that poor sleep not only impairs brain function in affective and cognitive control regions but also disrupts cross-talk between these neural networks (Gujar et al., 2011; Venkatraman et al., 2011; Yoo et al., 2007).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
PremisecitationSleep-deprived adolescents and adolescents who report high levels of sleepiness show detriments in higher-level executive functioning, decreased cognitive modulation of drives, impulses, and emotions, and less effortful control of attention.
“For example, sleep-deprived adolescents and adolescents who report high levels of sleepiness show detriments in higher-level executive functioning, decreased cognitive modulation of drives, impulses, and emotions, and less effortful control of attention (Anderson et al., 2008; Beebe et al., 2008; Dahl, 1996).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
PremisecitationReward sensitivity shows curvilinear developmental patterns peaking in mid adolescence, while impulse control gradually increases throughout adolescence into adulthood.
“Whereas reward sensitivity shows curvilinear developmental patterns, peaking in mid adolescence, impulse control gradually increases throughout adolescence, showing linear improvements into adulthood (Bunge et al., 2002; Galván et al., 2006; Geier et al., 2010).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
PremisecitationOnly a few developmental studies have examined how sleep influences reward-related brain function in adolescents, and none have examined how sleep impacts risk taking behavior, cognitive control, and related neural circuitry.
“Although neuroimaging research in adults has shown that sleep deprivation impacts brain function related to reward processing, risk-taking, and cognition (Chee et al., 2011; Gujar et al., 2011; Libedinsky et al., 2011; Venkatraman et al., 2011), only a few developmental studies have examined how sleep influences reward-related brain function in adolescents (Hasler et al., 2012; Holm et al., 2009)”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataNo participants exceeded 2 mm in movement.
“No participants exceeded >2 mm in movement.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductnone givenParticipants were not currently taking any medications and did not report being diagnosed with any mood or sleep disorder.
“Participants were not currently taking any medications and did not report being diagnosed with any mood or sleep disorder.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductcitationStatistical maps were thresholded using a corrected cluster-forming threshold of Z>2.3 and an extent threshold of p<.05 familywise error corrected using Gaussian random fields.
“Thresholded Z statistic images were prepared to show clusters determined by a corrected, cluster-forming threshold of Z>2.3 and an extent threshold of p<.05 familywise error corrected using the theory of Gaussian random fields (Poline et al., 1997).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Poline et al., 1997 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationOutliers were de-weighted in the multi-subject statistics using mixture modeling.
“Outliers were de-weighted in the multi-subject statistics using mixture modeling (Woolrich, 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Woolrich, 2008 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrior research has found an association between sleep deprivation and risk taking on the BART in adults.
“Prior research has used the BART in adults to examine risk taking and sleep and has found an association between sleep deprivation and risk taking on the task (Killgore et al., 2011).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Killgore et al., 2011 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAdults recruit the lateral PFC to a greater extent than adolescents during risk taking.
“Prior work has found that adults recruit the lateral PFC to a greater extent than adolescents during risk taking (Chein et al., 2011; Eshel et al., 2007), and children show decreased activation in the lateral PFC compared to adults when matched on performance during a cognitive control task (Bunge et al., 2002).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationPoor sleep relates to impairments in cognitive regulation and increases in health compromising behaviors such as substance use.
“Insufficient sleep and poor quality sleep are pervasive during adolescence (Carskadon, 2011; Dahl and Lewin, 2002) and relate to impairments in cognitive regulation and increases in health compromising behaviors such as substance use (Hasler et al., 2012; Kenney et al., 2012; McKnight-Eily et al., 2011; O'Brien and Mindell, 2005).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
Interpretationown dataAdolescents who obtain poorer quality sleep are more oriented towards rewards, which may account for their riskier behavior.
“These behavioral findings suggest that adolescents who obtain poorer quality sleep are more oriented towards rewards, which may account for their riskier behavior.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe lack of differences in false alarm rates may be due to adolescents with poorer sleep taking more time on go trials and thus having to inhibit less on no-go trials.
“Although we did not find differences in false alarm rates as a function of sleep, this may be due to adolescents with poorer sleep taking more time on go trials and thus having to inhibit less on the no-go trials.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataAdolescents with poorer sleep quality may have both a greater orientation towards risk and compromised decision making abilities.
“Thus, adolescents with poorer sleep quality may have both a greater orientation towards risk and compromised decision making abilities.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationSleep deprived adults show hyperactivation in the insula when processing positive stimuli.
“During risk taking, adolescents who reported poorer sleep quality showed greater activation in the insula during cash out trials as the reward increased, findings that are consistent with research on sleep deprived adults who show hyperactivation in the insula when processing positive stimuli (Gujar et al., 2011).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gujar et al., 2011 source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationChildren show decreased activation in the lateral PFC compared to adults when matched on performance during a cognitive control task.
“Prior work has found that adults recruit the lateral PFC to a greater extent than adolescents during risk taking (Chein et al., 2011; Eshel et al., 2007), and children show decreased activation in the lateral PFC compared to adults when matched on performance during a cognitive control task (Bunge et al., 2002).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bunge et al., 2002 source
Not checked in the free run.
May combine two claims.
InterpretationreasoningAdolescents with poorer sleep may be more apathetic, less confident, and take less care during decision making, demonstrating lower motivation to engage in the cognitive control task.
“These associations suggest that adolescents with poorer sleep may be more apathetic, less confident, and take less care during decision making thus demonstrating lower motivation to engage in the cognitive control task.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe insula has shown heightened activation among adults during the BART.
“Indeed, the insula is a brain region involved in tracking risk in the environment (Singer et al., 2009) and has shown heightened activation among adults during the BART (Schonberg et al., 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Schonberg et al., 2012 source
Not checked in the free run.
May combine two claims.
PremisecitationThe lateral PFC is involved in cognitive control, goal directed behavior, and impulse control, and is one of the last brain regions to develop both structurally and functionally.
“The lateral PFC is involved in cognitive control, goal directed behavior, and impulse control, and is one of the last brain regions to develop both structurally and functionally (Gogtay et al., 2004).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gogtay et al., 2004 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationCognitive control capacities may be highly flexible and depend on the social and motivational context rather than being immature during adolescence.
“In addition, researchers have recently suggested that rather than being immature during adolescence, cognitive control capacities may be highly flexible and depend on the social and motivational context (Crone and Dahl, 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Crone and Dahl, 2012 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe insula plays a role in reactivity to and encoding of positive stimuli, supporting motivated behaviors.
“The insula also plays a role in reactivity to and encoding of positive stimuli, supporting motivated behaviors (Camara et al., 2008; Gujar et al., 2011).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningThe findings cannot be certain to be specific to adolescence, or whether similar effects would be found at other developmental periods.
“We cannot be certain that our findings are specific to adolescence, or whether similar effects would be found at other developmental periods.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSleep and reward-related brain function differ in early versus late pubertal adolescents.
“There is some initial evidence that sleep and reward-related brain function differ in early versus late pubertal adolescents (Hasler et al., 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hasler et al., 2012 source
Not checked in the free run.
May combine two claims.
Interpretationown dataSleep is associated with greater arousal to rewards and a potential lack of motivation to engage in cognitive control.
“Our findings suggest that sleep is associated with greater arousal to rewards and a potential lack of motivation to engage in cognitive control.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationThe insula integrates emotional information to and from limbic and cortical areas and is involved in the representation of interoceptive responses to emotionally salient and rewarding stimuli, such as drug craving, urgency, and impulsivity.
“Moreover, the insula integrates emotional information to and from limbic and cortical areas and is involved in the representation of interoceptive responses to emotionally salient and rewarding stimuli, such as drug craving, urgency, and impulsivity (Bonson et al., 2002; Naqvi and Bechara, 2009; Villafuerte et al., 2011).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
Interpretationown dataEven relatively small, normative levels of poor sleep can disrupt brain function and make adolescents even more vulnerable to suboptimal decision making.
“Our findings underscore how important sleep is during adolescence, and that even relatively small, normative levels of poor sleep can disrupt brain function and make adolescents even more vulnerable to suboptimal decision making.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
InterpretationreasoningThe interaction between poor sleep, heightened arousal, and dampened cognitive control may create a negative spiral of events whereby sleep increases arousal and decreases regulation which then pushes adolescents towards more arousing stimuli and thereby are less likely to obtain sleep at night.
“The interaction between poor sleep, heightened arousal, and dampened cognitive control may create a negative spiral of events whereby sleep increases arousal and decreases regulation which then pushes adolescents towards more arousing stimuli and thereby are less likely to obtain sleep at night.”
Quote in the paperSubstantial claim
The paper relies on this without support.
The neurobiology underlying the association between sleep and adolescent behavior remains elusive.
“However, the neurobiology underlying the association between sleep and adolescent behavior remains elusive.”
The paper relies on this without support.
The Go–No-Go task targets primarily cognitive control-related brain function.
“We focused the PPI analyses on the BART task, given that both affective and cognitive control regions are involved during the task (Schonberg et al., 2012), whereas the GNG task targets primarily cognitive control-related brain function.”
The paper relies on this without support.
The sample of 46 adolescents is representative of the broader adolescent population.
“Participants included forty-six adolescents from a larger sample of adolescents who participated in an fMRI scan during which they completed a risk taking task and a cognitive control task.”
The paper relies on this without support.
The BART task models unpredictable rewards and punishments that characterize real-world risky behaviors.
“This pattern models the unpredictable rewards and punishments that characterize real-world risky behaviors.”
The paper relies on this without support.
The mediation analysis assumes no unmeasured confounding and correct temporal ordering of sleep quality, DLPFC activation, and insula activation.
“Mediation analyses were conducted in SPSS by regressing sleep quality on percent BOLD signal change in the insula to cash outs, and entering percent BOLD signal change in the DLPFC during No-go>Go trials as the mediator.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Sleep deprivation disrupts reward neural circuitry, usually enhancing brain reactivity to positive experiences.
“Sleep deprivation also disrupts reward neural circuitry, usually enhancing brain reactivity to positive experiences.”
From Impact of Sleep and Circadian Rhythms on Addiction Vulnerability in Adolescents (2018) · cites this paper as [89]
Typically-developing adolescents with shorter sleep duration and lower sleep quality exhibit lower caudate response to reward anticipation, greater insula response to risk-taking, and lower functional connectivity between DLPFC and both insula and ventral striatum during risk taking.
“Typically-developing adolescents with shorter sleep duration and lower sleep quality exhibit lower caudate response to reward anticipation (85), greater insula response to risk-taking, and lower functional connectivity between DLPFC and both insula and VS during risk taking (89)”
From Impact of Sleep and Circadian Rhythms on Addiction Vulnerability in Adolescents (2018) · cites this paper as [89]
As youth transition to adolescence, their sleep patterns undergo important changes that may exacerbate the cognitive-affective imbalance and contribute to risky behavior.
“As youth transition to adolescence, their sleep patterns also undergo important changes that may exacerbate this cognitiveaffective imbalance and contribute to risky behavior (Telzer et al. 2013).”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Telzer et al. 2013
Lower sleep quality was associated with reduced dorsolateral PFC activation on a Go/No Go task in healthy adolescents 14-16, suggesting impaired cognitive control.
“A study of healthy adolescents (14–16 years old) found that lower sleep quality was associated with reduced dorsolateral PFC activation on a Go/No Go task, suggesting impaired cognitive control.”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Telzer, Fuligni, Lieberman, & Galván, 2013
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(45) = 7.67reported p < .001 · recomputed p < .001
“t(45)=7.67, p < .001”
- Consistentt(45) = 3.96reported p < .001 · recomputed p < .001
“t(45)=3.96, p < .001”
- Consistentz = 3.78reported p < .05 · recomputed p < .001
“Z=3.78, p < .05”
- Consistentz = 4.21reported p < .05 · recomputed p < .001
“Z=4.21, p < .05”
- Consistentz = 2.89reported p < .05 · recomputed p = .004
“Z=2.89, p < .05”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Explosion point assigned two different distributions
MajorThe number of pumps before explosion and the explosion point describe the same threshold, but one is said to follow a Poisson distribution and the other a uniform distribution.
“The number of pumps before explosion was varied probabilistically according to a Poisson distribution.”
“The explosion point of each balloon was drawn from a uniform distribution from 1 to 12 pumps.”
PPI physiological regressor does not match the stated seed
MinorThe PPI description defines the seed as a DLPFC region and identifies its time course as a design-matrix regressor, but then says the physiological regressor is the time series of the ventral striatum or insula.
“The seed region for the PPI analysis was defined as the area in the DLPFC that correlated with sleep quality during the GNG task.”
“The physiological regressor comprised the time-series for the ventral striatum or insula.”
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Bernier, A., Cimon‐Paquet, C., & Tétreault, É. (2020) · Advances in child development and behavior · doi:10.1016/bs.acdb.2020.08.005 · Cited by 26 · see citing works
Lassmann, Ł., Pollis, M., Żółtowska, A., & Manfredini, D. (2022) · Biomedicines · doi:10.3390/biomedicines10071528 · Cited by 25 · see citing works
Association of sleep with mental health in Chinese high school students: a cross‐sectional study
Xue, B., Xue, Y., Zheng, X., Shi, L., Liang, P., Dong, F., Xiao, S., Zhang, J., Qin, Z., Xu, Y., et al. (2022) · Journal of Sleep Research · doi:10.1111/jsr.13697 · Cited by 25 · see citing works
- Authors
- Telzer, E. H., Fuligni, A. J., Lieberman, M. D., & Galván, A.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- University of California, Los Angeles (US)
- Corresponding author
- Telzer, Eva H.
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 71
- Pages
- 275-283
- ISSN
- 1053-8119 (ISSN-L)
- PMC
- PMC3865864
- OpenAlex
- W2139046563
- Semantic Scholar
- f84711d4dd99d3b7453519b8b150cf070d11b4d0
- Cited by
- 296
- References
- 57
- Citations by year
- 2026: 17 · 2025: 30 · 2024: 26 · 2023: 19 · 2022: 33 · 2021: 21 · 2020: 23 · 2019: 31 · 2018: 20 · 2017: 13 · 2016: 22 · 2015: 21 · 2014: 13 · 2013: 6 · 2012: 1
- FWCI
- 11.29
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- NeuroImage (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NICHD (R01HD057164-S, R01HD057164)
- UCLA Center for Culture, Brain and Development Research Grant
- NSF Doctoral Dissertation Improvement Grant
- SRCD Dissertation Fund Award
- APF and COGDOP Graduate Research Grant
- University of California Institute for Mexico and the United States Dissertation Research Grant
- National Research Service Award Graduate Fellowship
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep quality, insufficient sleep, adolescence, risk-taking, cognitive control, reward processing, dorsolateral prefrontal cortex, insula, ventral striatum, functional connectivity
- MeSH terms
- Adolescent, Brain, Brain Mapping, Decision Making, Female, Humans, Magnetic Resonance Imaging, Male, Reward, Risk-Taking, Sleep
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
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