Auditory Attention and Comprehension During a Simulated Night Shift: Effects of Task Characteristics.

OBJECTIVE: The current study investigated performance on a dual auditory task during a simulated night shift. BACKGROUND: Night shifts and sleep deprivation negatively affect performance on vigilance-based tasks, but less is known about the effects on complex tasks. Because language processing is necessary for successful work performance, it is important to understand how it is affected by night work and sleep deprivation. METHOD: Sixty-two participants completed a simulated night shift resulting in 28 hr of total sleep deprivation. Performance on a vigilance task and a dual auditory language task was examined across four testing sessions. RESULTS: The results indicate that working at night negatively impacts vigilance, auditory attention, and comprehension. The effects on the auditory task varied based on the content of the auditory material. When the material was interesting and easy, the participants performed better. Night work had a greater negative effect when the auditory material was less interesting and more difficult. CONCLUSION: These findings support research that vigilance decreases during the night. The results suggest that auditory comprehension suffers when individuals are required to work at night. Maintaining attention and controlling effort especially on passages that are less interesting or more difficult could improve performance during night shifts. APPLICATION: The results from the current study apply to many work environments where decision making is necessary in response to complex auditory information. Better predicting the effects of night work on language processing is important for developing improved means of coping with shiftwork.

Social context during moral decision-making impacts males more than females.

Moral judgments are often viewed as the outcome of affective and deliberative processes that could be impacted by social factors and individual characteristics. The purpose of this study was to examine the interaction between gender and social context on moral judgment. Participants included 315 undergraduate students (67.3% female). The participants completed the Moral Decision-Making Task while seated at row tables facing the front of the room or round tables facing other participants. The results indicated that males responded in a more utilitarian manner (harm one to save five) than females for moral impersonal (MI) and moral personal (MP) dilemmas regardless of seating arrangements. When seated at round tables, all participants were more likely to respond deontologically (cause no harm) to the moral impersonal dilemmas. In addition, we calculated a moral reasoning difference score for each participant as the difference between the MI and MP scores to represent additional reactivity due to the idea of taking direct action. The moral reasoning difference score was consistent for females but indicated a more deontological response from males at round tables and a more utilitarian response from males at row tables. These results suggest that males are more utilitarian than females and are more likely to be influenced by social context when responding to moral dilemmas. More broadly, the current results indicate that moral judgments are affected by social context particularly in males in ways that have not been incorporated in many models of moral decision making.

Self-Control Measurement Methodologies: An Integrative Approach.

The study of self-control occurs in many different types of experimental settings using a wide range of methodologies. In addition, measures of self-control vary in their procedures and operational definitions from simple questionnaires to complex scenarios where individuals must choose to act or not. The present summary draws on trends within the literature using widely accepted measures of self-control. The measures are organized based on established paradigms in the literature and focus on three categories: executive functioning tasks, delay of gratification tasks, and subjective-report surveys. We also include an "additional measures" category to capture measures that do not readily fit in these three categories. Finally, we discuss recent approaches to the scientific exploration of self-control and integrate the categories of measures used here within these approaches. This integration incorporates a wide range of research paradigms and provides direction for future studies.

Time-of-day effects on speed and accuracy performance during simulated shiftwork.

Performance on tasks involving speed and accuracy fluctuate throughout the 24-h day negatively affecting shift workers and organizations. Two simulated work shifts common in occupational settings were used to assess performance on a vigilance and math task. In study 1, 33 sleep-deprived participants completed a nightshift. In study 2, 32 partially sleep-deprived participants completed a dayshift. These studies found that performance differed between the type of task and the type of simulated shift where performance during the nightshift was worse than during the dayshift. In addition, collapsing speed and accuracy on the math task into inverse efficiency scores provided a unique measure that captured the impact of circadian rhythms during shiftwork. The current study also indicated that participants adopted cognitive strategies including speed-accuracy tradeoff and regulatory foci regarding work motivation (prevention focus and promotion focus) when completing the tasks depending on time-of-day, type of shift, circadian rhythms, and amount of sleep deprivation. This suggests that researchers and organizations should consider cognitive strategies in addition to the physiological components of sleep deprivation and circadian rhythms when investigating and documenting the impact of time-of-day due to different types of shiftwork conditions on performance and safety.

The effect of compression on repetitive behaviors and task participation in children with autism spectrum disorder.

Compression clothes are marketed to relieve anxiety and decrease hyperactivity in children with autism. However, few studies have examined the impact of compression for individuals with autism spectrum disorder (ASD). In this study, nine children with autism were observed during Applied Behavioral Analysis therapy sessions while wearing compression clothing. The participants were randomly assigned to wear compression clothing for either their first five sessions or their last five sessions. Videos of the therapy sessions were reviewed and each child's "off task" behavior was identified in the following domains: motor, verbal, and visual. In addition, frequency of the child's repetitive behaviors and external visual stimuli were recorded. The compression clothes failed to increase task participation or reduce the participants' repetitive behavior suggesting that the clothing may not contribute to professional practice of ABA therapy.

The effect of using activity workstations on heart rate variability during complex cognitive tasks.

ObjectivesThe purpose of the current study was to examine the effects of using an activity workstation on the physiological stress response as measured by heart rate variability while completing cognitively demanding tasks. Participants: Eleven college students (6 females; age: 19.4 ± 0.9 years) participated in the study. Methods: The participants completed three psychologically stressful cognitive tasks while seated at a traditional desk and while using an activity workstation. Heart rate variability was recorded and analyzed with power spectrum density and time-domain analysis. Results: Using activity workstations while completing stressful cognitive tasks did not negatively affect task performance. There was; however, a reduction in low frequency heart rate variability but no change in cardiac sympathovagal balance. Conclusion: The results indicate that using activity workstations while completing difficult tasks reduces sympathetic reactivity to stress in college students. This suggests that using activity workstations could provide a coping mechanism for stress.

Activity Workstations in High Schools: Decreasing Sedentary Behavior Without Negatively Impacting Schoolwork.

High school students are at risk for increased sedentary behavior due in part to a decrease in physical activity throughout adolescence and to required sedentary behavior during much of the school day. The purpose of the current study is to examine the impact of using activity workstations in a high school English class for struggling readers. Twenty high school students participated in the study. The participants completed a 16-week study where each participant used an activity workstation for 8 weeks and a traditional desk for 8 weeks in a crossover design for a 40-min period during normal class. They responded to a series of subjective questions about reading and schoolwork at the beginning and end of each 8-week session and followed the READ 180 program designed to help struggling readers during the study. The results indicated that academic performance increased in both desk conditions during the study and from the beginning to the end of the study. In addition, there was a significant improvement in items in the subjective survey related to reading, motivation, and schoolwork in both desk conditions across the study. The current results suggest that using an activity workstation in the classroom did not negatively affect academic performance or students' perceptions of working on academic assignments compared to the traditional desk condition. These results indicate that activity workstations could be implemented in classrooms to provide students with a non-sedentary option during the school day thus increasing physical activity in students.

The effects of extended work under sleep deprivation conditions on team-based performance.

Teamwork is becoming increasingly common in today's workplaces; however, little research has examined how well teams perform under sleep deprivation conditions. The purpose of the current study was to examine the effect of extended work under sleep deprivation conditions on team performance. A total of 24 participants were sleep deprived for 30 h and completed 16 h of sustained operations during the last portion of the sleep deprivation period. The participants completed the Wombat, a complex task including vigilance and cognitive components, with a partner in four 24-min testing sessions during the sustained operations period. The results indicated that team performance increased during the work period while, within each testing session, team performance on vigilance tasks remained stable and overall performance decreased. The current results suggest that performance on two-person teams results in improved performance but does not fully counteract the decreases in performance within each work period. Performance in two-person teams increased across an extended work shift under sleep deprivation conditions. However, vigilance performance remained stable while overall performance decreased when examining performance in 8-min segments. These results suggest that averaging team-based performance over a longer testing period may mask the negative effects of sleep deprivation. STATEMENT OF RELEVANCE: Performance in two-person teams increased across an extended work shift under sleep deprivation conditions. However, vigilance performance remained stable while overall performance decreased when examining performance in 8-min segments. These results suggest that averaging team-based performance over a longer testing period may mask the negative effects of sleep deprivation.

Fighting the Freshman Fifteen: Sleep, Exercise, and BMI in College Students.

PURPOSE: To examine how sleep and physical activity predict body mass index (BMI) in college students. DESIGN: Cross-sectional. SETTING: Medium-sized public university in the Southeastern United States. SUBJECTS: 386 undergraduate students (245 females; 18-25 years). MEASURES: Surveys included the Pittsburg Sleep Quality Index (PSQI) and Concise Physical Activity Questionnaire (CPAQ). PSQI provided 5 sleep scores: PSQI Global Score, Sleep Quality Factor Score, Sleep Efficiency Factor Score, Sleep Duration, and Habitual Sleep Efficiency. Height and weight measurements were taken to calculate Body Mass Index (BMI). ANALYSIS: Correlational analyses were completed first. Linear and moderation regression models using CPAQ as the moderator were used to predict BMI. The Johnson-Neyman technique determined regions of significance where sleep significantly predicted BMI dependent on CPAQ score. RESULTS: Sleep Duration significantly predicted BMI (ß = -.385, p = .043) while significant interaction terms predicting BMI were found for Global PSQI Score × CPAQ (ß = -.103, p = .015) and Sleep Quality Factor Score × CPAQ (ß = -.233, p = .013). Johnson-Neyman analyses demonstrated that better sleep quality (measured by Global PSQI and Sleep Quality Factor Scores) predict lower BMI when exercise levels are low and higher BMI when exercise levels are high. CONCLUSION: At low levels of exercise, better sleep quality significantly predicts lower BMI, suggesting that interventions designed to increase sleep quality could promote healthy weight maintenance in college students.

Social Isolation and Sleep: Manifestation During COVID-19 Quarantines.

Although researchers have investigated the impact of social isolation on well-being, the recent quarantines due to COVID-19 resulted in a social isolation environment that was unique to any examined in the past. Because sleep is one of the endogenous drives that impacts short and long-term health and well-being, it is important to consider how social isolation during the COVID-19 government-mandated quarantines affected sleep and sleep habits. A number of researchers have addressed this question during the last 2 years by examining several concepts related to possible changes in sleep during the quarantines. To best understand these recent results, the current mini review provides a background on the pre-pandemic literature on the effects of social isolation and loneliness with a focus on sleep and then summarizes the recent literature on sleep and sleep habits. In general, sleep was negatively impacted for many people during the pandemics but not all. One group that seemed to benefit from the pandemic in terms of sleep patterns, were younger people who could more easily adapt their sleep times to match their internal chronobiology. Given the potential broad impact of sleep on health and well-being, better understanding how social isolation impacts sleep is an important consideration for individuals, work organizations, and governments.

Blood pressure increases during a simulated night shift in persons at risk for hypertension.

BACKGROUND: Shift work with sleep disruption is a systemic stressor that may possibly be associated with blood pressure dysregulation and hypertension. PURPOSE: We hypothesize that rotation to a simulated night shift with sleep deprivation will produce blood pressure elevations in persons at risk for development of hypertension. METHOD: We examined the effects of a simulated night shift on resting blood pressure in 51 diurnal young adults without current hypertension. Resting blood pressure was monitored throughout a 24-h period of total sleep deprivation with sustained cognitive work. Twelve participants (23.5%) reported one or more parents with a diagnosis of hypertension. Ten participants were classified as prehypertensive by JNC-7 criteria. Only two prehypertensive subjects reported parental hypertension. RESULTS: Results indicate that, as the night shift progressed, participants with a positive family history of hypertension showed significantly higher resting diastolic blood pressure than those with a negative family history of hypertension (p = 0.007). Prehypertensive participants showed elevated blood pressure throughout the study. CONCLUSION: These data suggest that rotation to a simulated night shift with sleep deprivation may contribute to blood pressure dysregulation in persons with a positive family history of hypertension.

Oculomotor measures as predictors of performance during sleep deprivation.

INTRODUCTION: Studies have indicated that working under sleep deprivation conditions results in deficits in performance on various tasks. Few studies, however, have attempted to find a measure for predicting performance changes under sleep deprivation conditions. The current study examined whether oculomotor measures could predict changes in performance under non-sleep deprivation and acute short-term sleep deprivation conditions. METHODS: Oculomotor measures and performance were examined during five testing sessions in each study. In the non-sleep deprivation study (N = 23) the testing sessions took place during 2 consecutive days. The sleep deprivation study (N = 26) took place in an 18-h sustained operations period during the night of sleep deprivation. RESULTS: Under non-sleep deprivation conditions, pupil diameter significantly predicted performance on grammatical reasoning (B = 0.360) and constriction latency significantly predicted performance on combined tasks (B = 0.182). Under sleep deprivation conditions, diameter, constriction latency, and saccadic velocity significantly predicted performance on a psychomotor vigilance task (B = -21.002, B = -23.126, B = -18.028, respectively). Overall, oculomotor measures better predicted performance changes under sleep deprivation conditions and better predicted performance decrements on vigilance-based tasks than cognitive tasks under acute sleep deprivation conditions. DISCUSSION: The current research suggests saccadic velocity and pupil diameter may be the most useful predictors of performance under sleep deprivation conditions, perhaps because these measures are largely controlled by involuntary neural components that slow during sleep deprivation. These data support research suggesting that saccadic velocity and pupil diameter detect excessive sleepiness and predict performance decrements under sleep deprivation conditions using additional oculomotor measures and a non-sleep deprivation comparison group.

Sleep and Organizational Behavior: Implications for Workplace Productivity and Safety.

The interaction between sleep and work-related behaviors influence many aspects of employee performance, safety, and health as well as organizational-level success. Although it is well established that quantity and quality of sleep can affect different types of task performance and personal health, the interactions between sleep habits and organizational behaviors have received much less attention. It is important to examine how sleep habits and workplace behaviors relate and the role of the underlying circadian rhythm on the potential impact of sleep and sleepiness in the workplace. Developing a deeper understanding of how sleep habits and sleepiness impact workers and the organization can help provide the necessary background for human resource management to develop more progressive support networks for employees that benefit both the worker and the organization. Human resources and employees should emphasize the impact of good sleep and sleep habits on organizational and individual productivity and safety.

Using a task analysis to describe nursing work in acute care patient environments.

To improve the healthcare environment where nurses work and patients receive care, it is necessary to understand the elements that define the healthcare environment. Primary elements include (a) the occupants of the room and what knowledge, skills, and abilities they bring to the situation; (b) what tasks the occupants will be doing in the room; and (c) the characteristics of the built environment. To better understand these components, a task analysis from human factor research was conducted to study nurses as they cared for hospitalized patients. Multiple methods, including a review of nursing textbooks, observations, and interviews, were used to describe nurses' capabilities, nursing activities, and the environmental problems with current patient room models. Findings from this initial study are being used to inform the design and evaluation of an inpatient room prototype and to generate future research in improving clinical environments to support nursing productivity.

Psychometric properties of the Epworth Sleepiness Scale: A factor analysis and item-response theory approach.

The purpose of this study is to examine the psychometric properties of the Epworth Sleepiness Scale (ESS) in two languages, German and English. Students from a university in Austria (N = 292; 55 males; mean age = 18.71 ± 1.71 years; 237 females; mean age = 18.24 ± 0.88 years) and a university in the US (N = 329; 128 males; mean age = 18.71 ± 0.88 years; 201 females; mean age = 21.59 ± 2.27 years) completed the ESS. An exploratory-factor analysis was completed to examine dimensionality of the ESS. Item response theory (IRT) analyses were used to provide information about the response rates on the items on the ESS and provide differential item functioning (DIF) analyses to examine whether the items were interpreted differently between the two languages. The factor analyses suggest that the ESS measures two distinct sleepiness constructs. These constructs indicate that the ESS is probing sleepiness in settings requiring active versus passive responding. The IRT analyses found that overall, the items on the ESS perform well as a measure of sleepiness. However, Item 8 and to a lesser extent Item 6 were being interpreted differently by respondents in comparison to the other items. In addition, the DIF analyses showed that the responses between German and English were very similar indicating that there are only minor measurement differences between the two language versions of the ESS. These findings suggest that the ESS provides a reliable measure of propensity to sleepiness; however, it does convey a two-factor approach to sleepiness. Researchers and clinicians can use the German and English versions of the ESS but may wish to exclude Item 8 when calculating a total sleepiness score.

Assessing subjective sleepiness during a night of sleep deprivation: examining the internal state and behavioral dimensions of sleepiness.

Investigators in previous research have indicated that subjective measures of sleepiness may separate into state- and behavior-based dimensions; however, researchers have not examined this under sleep deprivation conditions. The authors' purpose in this study was to examine several measures of subjective sleepiness under sleep deprivation conditions following completion of various tasks. Fourteen students participated in a 28-hour sleep deprivation study and completed vigilance and cognitive tasks 4 times during the night. The authors administered subjective measures of sleepiness after each task. Factor analyses indicated that when individuals were not excessively sleepy, subjective sleepiness measures separated into 2 dimensions: state and behavioral sleepiness. However, when individuals were more fatigued, there was no distinction between the state and behavior dimensions of sleepiness. The current results suggest that using measures that assess state and behavioral sleepiness separately could be useful in clinical and research settings when extreme levels of sleepiness are not expected.

Human performance under sustained operations and acute sleep deprivation conditions: toward a model of controlled attention.

INTRODUCTION: Although a number of studies have examined the effects of sleep deprivation on performance, the results are not easily explained. The purpose of the current study was to examine the effects of sustained operations and acute sleep deprivation on tasks that require a wide range of information processing. The current study also provided preliminary data on the use of the controlled attention model to better understand the effects of sleep deprivation. METHODS: There were 24 college students who were paid to remain awake for one night and complete a variety of cognitive and vigilance tasks. Each task was administered four times during the night, once in each testing session (17:30-21:30, 21:45-01:45, 02:30-06:30, and 06:45-10:45). All tasks were counterbalanced across the testing sessions. RESULTS: The data were converted to z-scores and repeated-measures ANOVAs were completed. Performance did not significantly decrease on the more complex cognitive tasks over the night of sleep deprivation. Performance on the vigilance tasks decreased significantly across the night. CONCLUSIONS: Examining the characteristics of the cognitive tasks indicated that although they required different types of processing, they encouraged the participants to remain attentive to and engaged in the task. In contrast, the vigilance tasks were less intrinsically interesting and engaging. Thus, it seems likely that the participants were less capable of maintaining attention on the vigilance tasks than the cognitive tasks. These results indicate that a controlled attention model may be useful in better understanding the effects of sustained operations and sleep deprivation on performance.

Language performance under sustained work and sleep deprivation conditions.

INTRODUCTION: Although substantial research has been completed on the effects of sleep deprivation on performance, very little research has focused on language-based tasks. The purpose of the current study was two-fold: 1) to determine the extent to which short-term sleep deprivation affects language performance; and 2) to examine whether relatively short and easy-to-administer "probe" tasks could signal decrements in language performance under sleep deprivation conditions. METHODS: There were 38 non-native English-speaking students who were paid to complete a 28-h sleep deprivation study. The participants completed several potential cognitive and vigilance probe tasks and a variety of language-based tasks. Each task was administered four times, once in each testing session during the night (18:30-22:30, 23:00-03:00, 03: 30-07:30, and 08:00-12:00). All tasks were counterbalanced across the testing sessions. RESULTS: Repeated-measures ANOVAs indicated that language tasks that required sustained attention and higher level processing (e.g., reading comprehension) were negatively affected by sleep deprivation, whereas other tasks that relied primarily on more basic language processing (e.g., antonym identification) were not affected. Hierarchical linear modeling analyses assessed how well the probe tasks predicted language performance. These results indicated that performance accuracy and/or speed on many of the probe tasks predicted decrements in language performance. CONCLUSIONS: These findings suggest that sustained work conditions and sleep deprivation negatively affect some types of language performance. Moreover, the use of probe tasks indicates that easy-to-administer tasks may be useful to identify when detriments are likely to occur in language-based performance under sleep deprivation conditions.

Task-dependent cold stress during expeditions in Antarctic environments.

This study seeks to understand the degree of body cooling, cold perception and physical discomfort during Antarctic tour excursions. Eight experienced expedition leaders across three Antarctic cruise voyages were monitored during occupational tasks: kayaking, snorkelling and zodiac outings. Subjective cold perception and discomfort were recorded using a thermal comfort assessment and skin temperature was recorded using a portable data logger. Indoor cabin temperature and outdoor temperature with wind velocity were used as measures of environmental stress. Physical activity level and clothing insulation were estimated using previous literature. Tour leaders experienced a 6°C (2°C wind chill) environment for an average of 6 hours each day. Leaders involved in kayaking reported feeling colder and more uncomfortable than other leaders, but zodiac leaders showed greater skin temperature cooling. Occupational experience did not predict body cooling or cold stress perception. These findings indicate that occupational cold stress varies by activity and measurement methodology. The current study effectively used objective and subjective measures of cold-stress to identify factors which can contribute to risk in the Antarctic tourism industry. Results suggest that the type of activity may moderate risk of hypothermia, but not discomfort, potentially putting individuals at risk for cognitive related mistakes and cold injuries.

Decreasing Sedentary Behavior: Effects on Academic Performance, Meta-Cognition, and Sleep.

There is growing interest in using activity workstations as a method of increasing light physical activity in normally sedentary environments. The current study (N = 117) compared the effects of studying in college students while slowly pedaling a stationary bike with a desktop with studying at traditional desks across 10 weeks in an academic semester. The students were assigned to study either on the stationary bike or at a traditional desk located in the campus library for a minimum of 2 h a week. During the 10 weeks, the students studied for tests or worked on other required academic activities while working at their assigned desk. In addition, the participants completed a pre survey, weekly surveys, and a post survey. We found that although students studying at the traditional desks reported more ease of studying and more effective studying than those using the stationary bikes, the two groups performed equally well on tests in an introductory psychology course. Moreover, the students using the traditional desks reported a decrease in sleep quality later in the semester while those using the activity workstation reported stable levels of sleep quality. The current results indicate that activity workstations could be implemented in university settings to encourage light physical activity without negatively affecting academic performance while providing possible long-term health and well-being benefits. Furthermore, the results suggests that activity workstations could be a means of combating sedentary behavior in environments where individuals are expected to sit either while waiting (e.g., doctor's waiting rooms, airports) or when completing a necessary task (e.g., the workplace, educational settings).