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Sleep deprivation potentiates HPA axis stress reactivity in healthy adults.
Abstract
OBJECTIVE: This article describes an experiment that was designed to investigate the effects of sleep deprivation on physiological stress responses in healthy adults. METHOD: Twenty-six participants, ages 22-49, completed a 3-night laboratory experiment with randomization to one night of sleep-deprivation or a normal-sleep control condition. After a night of baseline sleep, 12 participants were sleep deprived and 14 were not. After the sleep manipulation, each participant completed the Trier Social Stress Test, a task that requires delivering a speech and performing difficult arithmetic in front of a stern, three-person panel. The stressor was administered from 5:00 p.m.-5:30 p.m. and saliva samples were collected 20 and 5 min before (baseline) and 5, 20, and 40 min after the stressor. Samples were assayed for cortisol (a biomarker for the HPA axis) and alpha-amylase (a putative biomarker for the sympatho-adrenal medullar system). RESULTS: Sleep deprivation was associated with higher cortisol levels at baseline (p < .0001) and an amplified cortisol response to the stressor relative to control participants (pinteraction = 0.0039). Alpha-amylase showed a significant main effect of the stressor (p = .0026), but there was no effect of sleep loss at baseline or in response to the stressor. CONCLUSIONS: Sleep deprivation is associated with both elevated resting cortisol release and with an exaggerated cortisol response to a stressor indicative of elevated HPA axis responses in healthy adults. Individual differences in the magnitude of this response may represent a risk factor for psychological and physical health consequences associated with heightened cortisol exposure.
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“A recent human study has described an exaggerated cortisol response to a complex psychosocial stressor presented in the late afternoon following one night of total sleep deprivation.30”
From Effects of Insufficient Sleep on Pituitary–Adrenocortical Response to CRH Stimulation in Healthy Men (2017) · cites this paper as [30]
In the citing paper
“a recent study has described an exaggerated cortisol response to a complex psychosocial stressor presented in the late afternoon following one night of total sleep deprivation.30”
From Effects of Insufficient Sleep on Pituitary–Adrenocortical Response to CRH Stimulation in Healthy Men (2017) · cites this paper as [30]
In the citing paper
“In humans, acute total sleep deprivation in the laboratory increases levels of stress hormones, such as catecholamines and cortisol (e.g., refs.20 and 21).”
From Oxalic acid and diacylglycerol 36:3 are cross-species markers of sleep debt (2015) · cites this paper as [21]
In the citing paper
“For instance, there is some evidence that humans are more responsive to the effects of psychological stress when sleepdeprived compared to when they are well-rested (Cedernaes et al., 2015b;Minkel et al., 2014).”
From Sleep restriction alters plasma endocannabinoids concentrations before but not after exercise in humans (2016) · cites this paper as Minkel et al., 2014
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Nakagawa, Y., & Yamada, S. (2023) · The Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.122.001482 · Cited by 20
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Metadata
- Authors
- Minkel, J., Moreta, M., Muto, J., Htaik, O., Jones, C., Basner, M., & Dinges, D.
- Affiliations
- University of Pennsylvania (US)
- Venue
- Health Psychology
- Published
- 2014
- Volume
- 33
- Issue
- 11
- Pages
- 1430-1434
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2115078258
- Cited by
- 261
- References
- 23
- Citations by year
- 2026: 25 · 2025: 27 · 2024: 27 · 2023: 24 · 2022: 25 · 2021: 25 · 2020: 23 · 2019: 21 · 2018: 21 · 2017: 16 · 2016: 11 · 2015: 16
- FWCI
- 6.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NASA (NCC 9-58)
- Sponsor name not included (F31 MH079604)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep deprivation, hypothalamic-pituitary-adrenal axis, stress reactivity, cortisol, alpha-amylase, Trier Social Stress Test, physiological stress response, individual differences, healthy adults
- MeSH terms
- Adult, Female, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Male, Middle Aged, Pituitary-Adrenal System, Saliva, Sleep Deprivation, Stress, Physiological, Young Adult
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