Van Dongen Hans P A, Maislin Greg, Dinges David F
Division of Sleep and Chronobiology, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021, USA.
Aviat Space Environ Med. 2004 Mar;75(3 Suppl):A147-54.
Inter-individual differences in performance impairment from sleep loss are substantial and consistent, as demonstrated and quantified here by means of the intraclass correlation coefficient (ICC) in two laboratory-based sleep deprivation studies. There is an urgent need, therefore, to consider inter-individual variability in biomathematical models of fatigue and performance, which currently treat individuals as being all the same. Traditional regression techniques do not handle inter-individual variability, but cutting-edge mixed-effects modeling techniques have recently become available to deal with inter-individual differences in the temporal dynamics of fatigue and performance. The standard two stage (STS), restricted maximum likelihood (REML), and non-linear mixed-effects modeling (NMEM) approaches to mixed-effects models are compared here using data from a chronic partial sleep deprivation experiment. Mixed-effects modeling can be incorporated in the two distinct steps (the direct and inverse problems) of biomathematical model development in order to deal with inter-individual differences. This paper demonstrates that inter-individual variability accounts for a large percentage of observed variance in neurobehavioral responses to sleep deprivation, and describes tools that model developers will need to produce a new generation of fatigue and performance models capable of incorporating inter-individual variability and useful for subject-specific prediction.
正如在两项基于实验室的睡眠剥夺研究中通过组内相关系数(ICC)所证明和量化的那样,睡眠不足导致的个体间表现受损差异很大且具有一致性。因此,迫切需要在疲劳和表现的生物数学模型中考虑个体间的变异性,而目前这些模型将个体视为完全相同。传统回归技术无法处理个体间的变异性,但最近出现了前沿的混合效应建模技术来处理疲劳和表现的时间动态中的个体间差异。本文使用慢性部分睡眠剥夺实验的数据,比较了混合效应模型的标准两阶段(STS)、限制最大似然(REML)和非线性混合效应建模(NMEM)方法。混合效应建模可以纳入生物数学模型开发的两个不同步骤(直接问题和逆问题)中,以处理个体间差异。本文表明,个体间变异性在睡眠剥夺的神经行为反应中观察到的方差中占很大比例,并描述了模型开发者为生成能够纳入个体间变异性并用于个体特异性预测的新一代疲劳和表现模型所需的工具。