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Impaired decision making following 49 h of sleep deprivation
Abstract
Summary: Sleep deprivation reduces regional cerebral metabolism within the prefrontal cortex, the brain region most responsible for higher‐order cognitive processes, including judgment and decision making. Accordingly, we hypothesized that two nights of sleep loss would impair decision making quality and lead to increased risk‐taking behavior on the Iowa Gambling Task (IGT), which mimics real‐world decision making under conditions of uncertainty. Thirty‐four healthy participants completed the IGT at rested baseline and again following 49.5 h of sleep deprivation. At baseline, volunteers performed in a manner similar to that seen in most samples of healthy normal individuals, rapidly learning to avoid high‐risk decks and selecting more frequently from advantageous low‐risk decks as the game progressed. After sleep loss, however, volunteers showed a strikingly different pattern of performance. Relative to rested baseline, sleep‐deprived individuals tended to choose more frequently from risky decks as the game progressed, a pattern similar to, though less severe than, previously published reports of patients with lesions to the ventromedial prefrontal cortex. Although risky decision making was not related to participant age when tested at rested baseline, age was negatively correlated with advantageous decision making on the IGT, when tested following sleep deprivation (i.e. older subjects made more risky choices). These findings suggest that cognitive functions known to be mediated by the ventromedial prefrontal cortex, including decision making under conditions of uncertainty, may be particularly vulnerable to sleep loss and that this vulnerability may become more pronounced with increased age.
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“Few studies have investigated the effects of sleep deprivation on the IGT (e.g., Killgore et al., 2006, 2007), however none have compared decision making on the basis of both the attributes.”
From Dual conception of risk in the Iowa Gambling Task: effects of sleep deprivation and test-retest gap (2013) · cites this paper as Killgore et al., 2006
In the citing paper
“Killgore et al. (2006) found that a short (1 day) test-retest gap, when combined with sleep deprivation, impaired decision making and increased risky choices in the IGT (greater number of choices made from the short-term advantageous decks).”
From Dual conception of risk in the Iowa Gambling Task: effects of sleep deprivation and test-retest gap (2013) · cites this paper as Killgore et al., 2006
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Metadata
- Authors
- KILLGORE, W. D. S., BALKIN, T. J., & WESENSTEN, N. J.
- Venue
- Journal of Sleep Research
- Publisher
- Wiley
- Published
- 2006-02-20
- Volume
- 15
- Issue
- 1
- Pages
- 7-13
- ISSN
- 0962-1105
- 1365-2869
- Cited by
- 446
- References
- 7
- Language
- en
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