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Neurocognitive Consequences of Sleep Deprivation
Open accessAbstract
Sleep deprivation is associated with considerable social, financial, and health-related costs, in large measure because it produces impaired cognitive performance due to increasing sleep propensity and instability of waking neurobehavioral functions. Cognitive functions particularly affected by sleep loss include psychomotor and cognitive speed, vigilant and executive attention, working memory, and higher cognitive abilities. Chronic sleep-restriction experiments--which model the kind of sleep loss experienced by many individuals with sleep fragmentation and premature sleep curtailment due to disorders and lifestyle--demonstrate that cognitive deficits accumulate to severe levels over time without full awareness by the affected individual. Functional neuroimaging has revealed that frequent and progressively longer cognitive lapses, which are a hallmark of sleep deprivation, involve distributed changes in brain regions including frontal and parietal control areas, secondary sensory processing areas, and thalamic areas. There are robust differences among individuals in the degree of their cognitive vulnerability to sleep loss that may involve differences in prefrontal and parietal cortices, and that may have a basis in genes regulating sleep homeostasis and circadian rhythms. Thus, cognitive deficits believed to be a function of the severity of clinical sleep disturbance may be a product of genetic alleles associated with differential cognitive vulnerability to sleep loss.
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“The negative effect of poor sleep quality on student learning can be explained by the function of sleep on cognition and memory.”
From A serial mediation model of social media addiction and college students' academic engagement: the role of sleep quality and fatigue (2023) · cites this paper as [69]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Poor sleep quality impairs attention and affects cognitive functions governed by the brain, including language learning and abstract logical thinking, which are extremely important for learning inputs [69].”
From A serial mediation model of social media addiction and college students' academic engagement: the role of sleep quality and fatigue (2023) · cites this paper as [69]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“From the perspective of overall functional performance, the degree of cognitive dysfunction in patients with MDD is comparable to that after 24 h of sleep deprivation or with blood alcohol levels sufficient to be considered legally impaired (driving, and so on) (Goel et al, 2009).”
From A Randomized, Placebo-Controlled, Active-Reference, Double-Blind, Flexible-Dose Study of the Efficacy of Vortioxetine on Cognitive Function in Major Depressive Disorder (2015) · cites this paper as Goel et al, 2009
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“Experimental studies support a detrimental effect of acute sleep deprivation on immediate cognitive performance.(311)”
From Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission (2024) · cites this paper as [311]
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“These studies show that as sleep time declines, attentional lapses increase in a somewhat dose-dependent manner.86,89”
From Sleep, Health, and Society (2017) · cites this paper as [86]
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“Indeed, data from unrelated individuals further indicate that common genetic polymorphisms involved in sleep–wake, circadian, and cognitive regulation may underlie these large interindividual differences in neurobehavioral vulnerability to sleep deprivation in healthy adults.164,181,183”
From Circadian rhythms, sleep deprivation, and human performance (2013) · cites this paper as [164]
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Chiang, J. J., Kim, J. J., Almeida, D. M., Bower, J. E., Dahl, R. E., Irwin, M. R., McCreath, H. E., & Fuligni, A. J. (2017) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2017.04.011 · Cited by 52
Bunford, N., Reicher, V., Kis, A., Pogány, Á., Gombos, F., Bódizs, R., & Gácsi, M. (2018) · Scientific Reports · doi:10.1038/s41598-018-25546-x · Cited by 53
Optimizing Sleep in the Military
Capaldi, V. F., Balkin, T. J., & Mysliwiec, V. (2018) · CHEST Journal · doi:10.1016/j.chest.2018.08.1061 · Cited by 49
Preparing for Mars: human sleep and performance during a 13 month stay in Antarctica
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Effects of Acute Sleep Deprivation Resulting from Night Shift Work on Young Doctors
Sanches, I., Teixeira, F., dos Santos, J. M., & Ferreira, A. J. (2015) · Acta Médica Portuguesa · doi:10.20344/amp.5777 · Cited by 49
Thomas, K. P., Salas, R. M. E., Gamaldo, C. E., Chik, Y., Huffman, L., Rasquinha, R. J., & Hoesch, R. E. (2012) · Journal of Hospital Medicine · doi:10.1002/jhm.1934 · Cited by 48
Czisch, M. (2012) · Frontiers in Neurology · doi:10.3389/fneur.2012.00067 · Cited by 51
Sex Differences in Circadian Dysfunction in the BACHD Mouse Model of Huntington’s Disease
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Long-term total sleep deprivation reduces thalamic gray matter volume in healthy men
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Performance monitoring following total sleep deprivation: Effects of task type and error rate
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Sleep Health Issues for Children with FASD: Clinical Considerations
Jan, J. E., Asante, K. O., Conry, J. L., Fast, D. K., BAX, M. C. O., Ipsiroglu, O., Bredberg, E., Loock, C., & Wasdell, M. B. (2010) · International Journal of Pediatrics · doi:10.1155/2010/639048 · Cited by 48
Effects of α-2A adrenergic receptor agonist on time and risk preference in primates
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Peltz, J. S., Rogge, R. D., Bodenlos, J. S., Kingery, J. N., & Pigeon, W. R. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.12.003 · Cited by 47
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Metadata
- Authors
- Goel, N., Rao, H., Durmer, J., & Dinges, D.
- Affiliations
- University of Pennsylvania (US)
- Venue
- Seminars in Neurology
- Publisher
- Georg Thieme Verlag KG
- Published
- 2009-09
- Volume
- 29
- Issue
- 04
- Pages
- 320-339
- ISSN
- 0271-8235 (ISSN-L)
- 1098-9021
- PMC
- PMC3564638
- OpenAlex
- W2159662907
- Semantic Scholar
- dd398cca60b7ed396eca8d7eccf48e3f431499d2
- Cited by
- 2,154
- References
- 245
- Citations by year
- 2026: 47 · 2025: 100 · 2024: 75 · 2023: 81 · 2022: 124 · 2021: 130 · 2020: 156 · 2019: 137 · 2018: 132 · 2017: 120 · 2016: 149 · 2015: 147 · 2014: 137 · 2013: 126 · 2012: 89
- FWCI
- 139.84
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Seminars in Neurology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Aeronautics and Space Administration
- National Institutes of Health
- National Institute of Nursing Research (NR004281, R01NR004281)
- National Center for Research Resources (UL1RR024134)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep deprivation, cognitive impairment, sleep fragmentation, cognitive vulnerability, individual differences, prefrontal cortex, parietal cortex, thalamus, executive attention, working memory, sustained attention, circadian rhythm genes, sleep homeostasis, chronic sleep restriction
- MeSH terms
- Animals, Attention, Brain, Cognition Disorders, Humans, Neuropsychological Tests, Problem Solving, Sleep Deprivation, Wakefulness
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