Abstract
Purpose
The effect of sleep deprivation on cognitive functions associated with the frontal lobe, such as attention, executive functions, and working memory, is not well known. This study aimed to investigate the effect of partial sleep deprivation in adolescents on the cognitive tasks of the frontal lobe, including visuospatial working memory, processing speed, sustained attention, executive functions, and short-term visual memory.
Methods
Participants were recruited from voluntary students of Çukurova University. Eighteen adolescents underwent four consecutive nights of monitored sleep restriction (6–6.5 h/night) and four nights of sleep extension (10–10.5 h/night) in a counterbalanced order and separated by a washout period. Following each sleep period, the cognitive performance was assessed, at a fixed morning time, using a computerized neuropsychological test battery based on frontal lobe functions tasks, which was a timed test providing both accuracy and reaction time outcome measures.
Results
Only the spatial working memory performance of cognitive tasks was found to be statistically lower in the restricted-sleep condition than in the extended-sleep condition (p < 0.05). No significant difference was found in the performance of cognitive tasks evaluating simple attention, constant attention, executive functions, and cognitive flexibility.
Conclusions
The findings of this study indicated that partial sleep restriction negatively affects specifically working memory and strategic thinking skills among cognitive functions based on the frontal lobe. Especially the visuospatial working memory and strategic thinking skills of adolescents might be susceptible to chronic partial sleep deprivation.
Similar content being viewed by others
References
Carskadon MA. Sleep in adolescents: the perfect storm. Pediatr Clin North Am. 2011;58:637–47.
Wong ML, Lau EYY, Wan JHY, Cheung SF, Hui CH, Mok DSY. The interplay between sleep and mood in predicting academic functioning, physical health and psychological health: a longitudinal study. J Psychosom Res. 2013;74(4):271–7.
Klerman EB, Dijk DJ. Interindividual variation in sleep duration and its association with sleep debt in young adults. Sleep. 2005;28(10):1253–9.
Lo JC, Ong JL, Leong RLF, Gooley JJ, et al. Cognitive performance, sleepiness, and mood in partially sleep deprived adolescents: the need for sleep study. Sleep. 2016;39(3):687–98.
Lim J, Dinges DF. A meta-analysis of the impact of short-term sleep deprivation on cognitive variables. Psychol Bull. 2010;136(3):375–89.
Harrison Y, Horne JA. Sleep loss and temporal memory. Q J Exp Psychol. 2000;53(1):271–9.
Jones K, Harrison Y. Frontal lobe function, sleep loss and fragmented sleep. Sleep Med Rev. 2001;5(6):463–75.
Muzur A, Pace-Schott EF, Hobson JA. The prefrontal cortex in sleep. Trends Cogn Sci. 2002;6(11):475–81.
Wickens CD, Hutchins SD, Laux L, Sebok A. The impact of sleep disruption on complex cognitive tasks: a meta analysis. Hum Factors. 2015;57(6):930–46.
Killgore WD, Kahn-Greene ET, Lipizzi EL, Newman RA, et al. Sleep deprivation reduces perceived emotional intelligence and constructive thinking skills. Sleep Med. 2008;9(5):517–26.
Dutil C, Walsh JJ, Featherstone RB, Gunnell KE, et al. Influence of sleep on developing brain functions and structures in children and adolescents: a systematic review. Sleep Med Rev. 2018;42:184–201. https://doi.org/10.1016/j.smrv.2018.08.003.
Voderholzer U, Piosczyk H, Holz J, Landmann N, et al. Sleep restriction over several days does not affect long-term recall of declarative and procedural memories in adolescents. Sleep Med. 2011;12(2):170–8. https://doi.org/10.1016/j.sleep.2010.07.017.
Salfi F, Lauriola M, Tempesta D, Calanna P, et al. Effects of total and partial sleep deprivation on reflection impulsivity and risk-taking in deliberative decision-making. Nat Sci Sleep. 2020;27(12):309–24. https://doi.org/10.2147/NSS.S250586.
Carskadon MA, Harvey K, Dement WC. Sleep loss in young adolescents. Sleep. 1981;4(3):299–312. https://doi.org/10.1093/sleep/4.3.299.
Kopasz M, Loessl B, Valerius G, Koenig E, et al. No persisting effect of partial sleep curtailment on cognitive performance and declarative memory recall in adolescents. J Sleep Res. 2010;19(1):71–9. https://doi.org/10.1111/j.1365-2869.2009.00742.x.
Dewald-Kaufmann JF, Oort FJ, Meijer AM. The effects of sleep extension on sleep and cognitive performance in adolescents with chronic sleep reduction: an experimental study. Sleep Med. 2013;14(6):510–7. https://doi.org/10.1016/j.sleep.2013.01.012.
Cousins JN, van Rijn E, Ong JL, Wong KF, et al. Does splitting sleep improve long-term memory in chronically sleep deprived adolescents? NPJ Sci Learn. 2019;4:8.
June CL, Chee MWL. Cognitive effects of multi-night adolescent sleep restriction: current data and future possibilities. Curr Opin Behav Sci. 2020;33:34–41.
Johnson NL, Kirchner HL, Rosen CL, Storfer-Isser A, et al. Sleep estimation using wrist actigraphy in adolescents with and without sleep disordered breathing: a comparison of three data modes. Sleep. 2007;30(7):899–905. https://doi.org/10.1093/sleep/30.7.899.
Robbins TW, James M, Owen AM, Sahakian BJ, et al. A study of performance on tests from the CANTAB battery sensitive to frontal lobe dysfunction in a large sample of normal volunteers: implications for theories of executive functioning and cognitive aging. Cambridge Neuropsychological Test Automated Battery. J Int Neuropsychol Soc. 1998;4(5):474–90.
Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97–110.
Pündük Z, Gür H, Ercan I. Sabahçil-Akşamcil Anketi Türkçe Uyarlamasinda Güvenilirlik Calişmasi [A reliability study of the Turkish version of the mornings-evenings questionnaire]. Turk Psikiyatri Derg (Ankara). 2005 Spring 16(1): 40–5.
Agargün MY, Çilli AS, Kara H, Bilici M, et al. Epworth Uykululuk Ölçeği’nin Geçerliği ve Güvenirliği (in Turkish). Türk Psikiyatri Dergisi (Ankara). 1999;10(4):261–7.
Agargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksinin Geçerliği ve Güvenirliği (in Turkish). Türk Psikiyatri Dergisi (Ankara). 1996;7:107–15.
Hisli N. Beck depresyon envanterinin geçerliliği üzerine bir çalışma (in Turkish). Türk Psikoloji Dergisi (Ankara). 1988;6(22):118–22.
Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerlilik ve güvenirliği (in Turkish). Türk Psikoloji Dergisi (Ankara). 1988;6(23):3–13.
Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, et al. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1983.
Öner N, Le Compte A. State-Trait Anxiety Inventory Handbook. Istanbul: Boğaziçi University Publications; 1985.
Crowley SJ, Acebo C, Carskadon MA. Sleep, circadian rhythms, and delayed phase in adolescence. Sleep Med. 2007;8(6):602–12. https://doi.org/10.1016/j.sleep.2006.12.002.
Cohen-Zion M, Shabi A, Levy S, Glasner L, et al. Effects of partial sleep deprivation on information processing speed in adolescence. J Int Neuropsychol Soc. 2016;22(4):388–98. https://doi.org/10.1017/S1355617716000072.
Randazzo AC, Muehlbach MJ, Schweitzer PK, Walsh JK. Cognitive function following acute sleep restriction in children ages 10–14. Sleep. 1998;21(8):861–8.
Sadeh A, Gruber R, Raviv A. The effects of sleep restriction and extension on school-age children: what a difference an hour makes. Child Dev. 2003;74(2):444–55.
Jiang F, VanDyke RD, Zhang J, Li F, et al. Effect of chronic sleep restriction on sleepiness and working memory in adolescents and young adults. J Clin Exp Neuropsychol. 2011;33(8):892–900.
de Bruin EJ, van Run C, Staaks J, Meijer AM. Effects of sleep manipulation on cognitive functioning of adolescents: a systematic review. Sleep Med Rev. 2017;32:45–57.
Beebe DW, Difrancesco MW, Tlustos SJ, McNally KA, et al. Preliminary fMRI findings in experimentally sleep-restricted adolescents engaged in a working memory task. Behav Brain Funct. 2009;19(5):9. https://doi.org/10.1186/1744-9081-5-9.
Louca M, Short MA. The effect of one night’s sleep deprivation on adolescent neurobehavioral performance. Sleep. 2014;37(11):1799–807. https://doi.org/10.5665/sleep.4174.
World Health Organisation. Adolescent health. World Health Organization 2015. Available from: https://www.who.int/topics/adolescent_health/en/. Accessed 27 Mar 2022
Gariepy G, Danna S, Gobiņa I, Rasmussen M, et al. How are adolescents sleeping? Adolescent sleep patterns and sociodemographic differences in 24 European and North American Countries. J Adolesc Health. 2020;66(6S):S81–8. https://doi.org/10.1016/j.jadohealth.2020.03.013.
Yang CM, Wu CH, Hsieh MH, Liu MH, et al. Coping with sleep disturbances among young adults: a survey of first-year college students in Taiwan. Behav Med. 2003;29(3):133–8. https://doi.org/10.1080/08964280309596066.
Tsai LL, Li SP. Sleep patterns in college students: gender and grade differences. J Psychosom Res. 2004;56:231–7.
Acknowledgements
I would like to express my gratitude to our undergraduate students and research assistants who helped increase the number of participants as volunteer participants in this study and to follow-up on the cognitive assessment appointments.
Funding
This study was supported by Çukurova University Scientific Research Projects Unit. (Project Ref. SBA-2017–8729).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
I confirm that there is no actual or potential conflict of interest in relation to this article.
Ethical approval
The study protocol was approved by the Ethical Committee of Çukurova University Faculty of Medicine Non-invasive Clinical Research. Ethical Committee Permission Number: 2017–62/21.
Informed consent
All participants gave their written informed consent.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Kiriş, N. Effects of partial sleep deprivation on prefrontal cognitive functions in adolescents. Sleep Biol. Rhythms 20, 499–508 (2022). https://doi.org/10.1007/s41105-022-00396-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s41105-022-00396-3