Effects of acute sleep deprivation on state anxiety levels: a systematic review and meta-analysis

Pires, Gabriel Natan; Bezerra, Andréia Gomes; Tufik, Sérgio; Andersen, Mônica Levy

doi:10.1016/j.sleep.2016.07.019

Cited by 203 publications

(138 citation statements)

References 45 publications

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Section: Discussionsupporting

confidence: 91%

“…The changes in the other mood measures, foremost in the young group (i.e. the decrease in vigour, and the increases in depression, confusion, tension, anger, fatigue, total mood disturbance and irritability), are in accordance with several previous studies that reported higher fatigue (Drake et al., ; Scott, Mcnaughton, & Polman, ), anxiety (Pires, Bezerra, Tufik, & Andersen, ), depressive symptoms (Paterson et al., ; Scott et al., ) and confusion (Drake et al., ), as well as reduced vigour (Drake et al., ; Scott et al., ), happiness (Paterson et al., ) and activation (Paterson et al., ) after sleep deprivation. In the present study, participants also felt more hungry and cold after sleep deprivation, which could be interpreted in line with the increased appetite (Knutson, Spiegel, Penev, & Van Cauter, ) and altered thermoregulation (Romeijn et al., ) described previously.…”

Section: Discussionsupporting

confidence: 88%

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Mood impairment is stronger in young than in older adults after sleep deprivation

Schwarz

Axelsson

Gerhardsson

et al. 2018

Journal of Sleep Research

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Sleep deprivation commonly impairs affective regulation and causes worse mood. However, the majority of previous research concerns young adults. Because susceptibility to sleep deprivation and emotion regulation change distinctively across adult age, we tested here the hypothesis that the effect of sleep deprivation on mood is stronger in young than in older adults. In an experimental design, young (18–30 years) and older adults (60–72 years) participated in either a sleep control (young, n = 63; older, n = 47) or a total sleep deprivation condition (young, n = 61; older, n = 47). Sleepiness, mood and common symptoms of sleep deprivation were measured using established questionnaires and ratings. Sleep‐deprived participants felt more sleepy, stressed and cold, and reported lower vigour and positive affect, regardless of age. All the other outcome measures (negative affect, depression, confusion, tension, anger, fatigue, total mood disturbance, hunger, cognitive attenuation, irritability) showed a weaker response to sleep deprivation in the older group, as indicated by age*sleep deprivation interactions (ps < 0.05). The results show that older adults are emotionally less affected by sleep deprivation than young adults. This tolerance was mainly related to an attenuated increase in negative mood. This could possibly be related to the well‐known positivity effect, which suggests that older adults prioritize regulating their emotions to optimize well‐being. The results also highlight that caution is warranted when generalizing results from sleep deprivation studies across the adult lifespan.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

Mood impairment is stronger in young than in older adults after sleep deprivation

Schwarz

Axelsson

Gerhardsson

et al. 2018

Journal of Sleep Research

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“…Insufficient sleep can have a detrimental impact on physical functioning, with fatigue being one of the most immediate manifestations of sleep deprivation (e.g., Klumpers et al 2015;Minkel et al 2014). Apart from fatigue, lack of sleep also comes at a considerable psychological cost and has been shown to result in depressed mood (Kahn-Greene et al 2007), elevated anxiety (Pires et al 2016), and impaired cognitive functioning (e.g., Frenda and Fenn 2016). The present study sought to further investigate the psychological effects of sleep deprivation on two important and interrelated predictors of well-being, that is, individuals' capacity to be mindful and the satisfaction of their basic psychological needs for autonomy, competence, and relatedness (Brown and Ryan 2003;Ryan and Deci 2017).…”

mentioning

confidence: 99%

Impact of Partial Sleep Deprivation on Psychological Functioning: Effects on Mindfulness and Basic Psychological Need Satisfaction

et al. 2017

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Extending previous research on the psychological costs of sleep deprivation, the present study examined the impact of insufficient sleep on the capacity to be mindful as well as on the satisfaction of individuals' basic psychological needs, two psychological sources of mental health. The interrelationship between these two psychological resources and fatigue following sleep deprivation was also examined. Participants were 49 adults (77% female; Mage = 32.81 years, SD = 13.09 years) who were randomly assigned to either an experimental (N = 23) or a control (N = 26) group. The study had a 4-day within-person design. In the experimental group, a baseline assessment day was followed by 3 days of partial sleep deprivation (i.e., 5-h sleep per night), whereas participants in the control group slept as usual across the 4-day period. Participants rated their fatigue and psychological functioning each evening and wore an actigraph watch which monitored their sleep. Participants reported increased fatigue after 1 day of sleep deprivation, whereas it took 3 days of sleep deprivation before their mindfulness and need satisfaction deteriorated. Mediational analyses indicated that decreased need satisfaction after 3 days of sleep deprivation was completely accounted for (i.e., explained) by increased fatigue and subsequent decreases in mindfulness. These findings build on previous research by showing that mindfulness and need-based experiences not only precede but also follow from sleep at night.

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“…Previous analyses of other behavioural outcomes, as well as the authors’ experience in the field, indicate that basic sleep deprivation studies have limited external validity. For example, a previous meta-analysis of the effects of sleep deprivation on anxiety-like behaviour has demonstrated that the effects observed in animals are the exact opposite of those observed in clinical settings, showing that lack of sleep leads to a decrease in anxiety-like behaviour in animals,41 50 while it leads to an increase in anxiety in humans 51. The same lack of replicability could occur for other behaviours, such as those described in the current protocol.…”

Section: Discussion and Expected Resultsmentioning

confidence: 74%

Effects of experimental sleep deprivation on aggressive, sexual and maternal behaviour in animals: a systematic review protocol

Pires¹,

Bezerra

Vries

et al. 2018

BMJ Open Science

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ObjectiveBecause of the relevance for the research on sleep deprivation and human behaviour, many preclinical studies have been conducted on aggressive, sexual and maternal behaviours in this field. Considering the available data and the complexity of the factors involved, the most appropriate way to summarise the effects of sleep deprivation on these behaviours is through systematic reviews and meta-analyses. This article describes the protocol for three independent systematic reviews and meta-analyses, evaluating the effects of sleep deprivation on aggressive, sexual and maternal behaviours in animals.Search strategyA bibliographic search will be performed in four databases: Pubmed, Scopus, Web of Science and Psychinfo, searching for three domains: sleep deprivation (as the intervention), animals (as the population) and behaviour (as the outcome).Screening and annotationTitles and abstracts will first be screened, followed by analysis of the full text and data extraction.Data management and reportingSYstematic Review Centre for Laboratory Animal Experimentation ’s risk of bias tool will be used to evaluate risk of bias; visual analysis of funnel plots, Egger’s regression and trim-and-fill will be employed to evaluate publication bias. Effect sizes will be calculated from the articles by either direct or standardised mean difference, depending on the nature of the data. Overall estimates will then be calculated using a random effects model. Heterogeneity will be assessed using both I2 index and Cochran’s Q test. These meta-analyses should be useful to summarise the available data on the relationship between sleep deprivation and behaviour, providing a solid background for future behavioural sleep deprivation experiments, improving their validity.

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Effects of acute sleep deprivation on state anxiety levels: a systematic review and meta-analysis

Cited by 203 publications

References 45 publications

Mood impairment is stronger in young than in older adults after sleep deprivation

Mood impairment is stronger in young than in older adults after sleep deprivation

Impact of Partial Sleep Deprivation on Psychological Functioning: Effects on Mindfulness and Basic Psychological Need Satisfaction

Effects of experimental sleep deprivation on aggressive, sexual and maternal behaviour in animals: a systematic review protocol

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