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Cited by 46Sleep and Work-Related FatigueSleep and Wakefulness ResearchCircadian rhythm and melatonin

Increased vulnerability to attentional failure during acute sleep deprivation in women depends on menstrual phase

Open access
Vidafar, Parisa, Gooley, Joshua J, Burns, Angus C, Rajaratnam, Shantha M W, Rueger, Melanie, Van Reen, Eliza, Czeisler, Charles A, Lockley, Steven W +1 more·2018·Sleep
DOI 10.1093/sleep/zsy098PMC PMC6093460
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Abstract

Study Objectives: To investigate sex differences in the effect of sleep deprivation on performance, accounting for menstrual phase in women. Methods: We examined alertness data from 124 healthy women and men (40 women, 84 men; aged 18-30 years) who maintained wakefulness for at least 30 hr in a laboratory setting using a constant routine protocol. Objective alertness was assessed every 2 hr using a 10 min psychomotor vigilance task. Subjective alertness was assessed every hour via the Karolinska Sleepiness Scale. Results: Women in the follicular phase of the menstrual cycle demonstrated the poorest level of performance. This poor performance was most pronounced at times corresponding to the typical sleep episode, demonstrating a window of vulnerability at night during this menstrual phase. At 24 hr awake, over 60 per cent of their responses were lapses of >500 ms and over one-third of their responses were longer lapses of at least 3 s in duration. Women in the luteal phase, however, were relatively protected from alertness failure, performing similar or better than both follicular-phase women and men. Conclusions: These results have important implications for education and intervention programs for shift workers, specifically during times of vulnerability to attentional failure that increase risk of injury.

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  • Studies using constant routine or rapid ultradian nap protocols to expose the endogenous circadian core body temperature rhythm have confirmed that the circadian amplitude of core body temperature in the luteal phase is blunted.

    “Studies that have applied constant routine protocols or rapid ultradian nap protocols to expose the endogenous circadian core body temperature rhythm have confirmed that the circadian amplitude of core body temperature in the luteal phase is blunted [73–76]”

    From Temperature regulation in women: Effects of the menstrual cycle (2020) · cites this paper as [75]

  • Cognitive performance on a simple reaction task differed in association with core body temperature across the circadian cycle in women on a constant routine, with better performance in the luteal phase when core body temperature was higher.

    “researchers have found that cognitive performance on a simple reaction task differed in association with core body temperature across the circadian cycle in women on a constant routine, with better performance in the luteal phase when core body temperature was higher [75,76,78].”

    From Temperature regulation in women: Effects of the menstrual cycle (2020) · cites this paper as [75]

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Research works printed but not linked: 2

  1. Monk TH, et al. Making Shift Work Tolerable. London: Taylor & Francis; 1992.
  2. Dekker DK, et al. Gender differences in permanent sleep behaviour. In: Costa G, Cesana G, Kogi K, Wedderburn A, eds. Shiftwork: Sleep, Work and Performance. Frankfurt: Peter Lang; 1990:77-82.

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Authors
Vidafar, P., Gooley, J. J., Burns, A. C., Rajaratnam, S. M. W., Rueger, M., Van Reen, E., Czeisler, C. A., Lockley, S. W., & Cain, S. W.
Affiliations
  • Monash University (AU)
  • Brigham and Women's Hospital (US)
  • Alpert Medical School of Brown University, Providence, RI
Corresponding author
Cain, Sean W
ORCID
Venue
Sleep
Publisher
Oxford University Press (OUP)
Published
2018-05-22
Volume
41
Issue
8
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
DOI
10.1093/sleep/zsy098
PMC
PMC6093460
OpenAlex
W2803465721
Cited by
46
References
48
Citations by year
2026: 2 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 8 · 2021: 9 · 2020: 4 · 2019: 6 · 2018: 1
FWCI
6.55
Type
journal article
Language
en
Open access
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • SLEEP (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Monash University Research Portal (Monash University) (submittedVersion, other-oa)
  • Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
Funders
  • National Institute of Mental Health (R01 MH45130)
  • National Center for Complementary and Alternative Medicine (R01 AT002129)
  • National Institute of Neurological Disorders and Stroke (R01NS36590)
  • Brigham and Women’s Hospital (M01 RR02635, T32 HL079010)
  • Translational Science Center (1 UL1 RR025758)
  • National Center for Research Resources
  • National Heart, Lung, and Blood Institute
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords
acute sleep deprivation, menstrual cycle, menstrual cycle phases, sex differences, attentional failures, alertness, psychomotor vigilance task, subjective sleepiness, luteal phase, follicular phase, shift work
MeSH terms
Adolescent, Adult, Attention, Female, Follicular Phase, Humans, Luteal Phase, Male, Psychomotor Performance, Sleep, Sleep Deprivation, Wakefulness, Young Adult

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