Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA.
Chronobiol Int. 2010 Aug;27(7):1493-508. doi: 10.3109/07420528.2010.504992.
Aviation, military, police, and health care personnel have been particularly interested in the operational impact of sleep restriction and work schedules given the potential severe consequences of making fatigue-related errors. Most studies examining the impact of sleep loss or circadian manipulations have been conducted in controlled laboratory settings using small sample sizes. This study examined whether the relationship between prior night sleep duration and performance on the psychomotor vigilance task could be reliably detected in a field study of healthy police academy recruits. Subjects (N = 189) were medically and psychiatrically healthy. Sleep-wake activity was assessed with wrist actigraphy for 7 days. Subjects performed the psychomotor vigilance task (PVT) for 5 min on a personal digital assistant (PDA) device before and after their police academy workday and on comparable times during their days off. Mixed-effects logistic regression was used to estimate the probability of having > or =1 lapse on the PVT as a function of the previous night sleep duration during the 7 days of field testing. Valid estimates of sleep duration were obtained for 1082 nights of sleep. The probability of a lapse decreased by 3.5%/h sleep the night prior to testing. The overall probability of having a lapse decreased by 0.9%/h since awakening, holding hours of sleep constant. Perceived stress was not associated with sleep duration or probability of performance lapse. These findings demonstrate the feasibility of detecting sleep and circadian effects on cognitive performance in large field studies. These findings have implications regarding the daytime functioning of police officers.
航空、军事、警察和医疗保健人员对睡眠限制和工作时间表对操作的影响特别感兴趣,因为疲劳相关错误可能会产生严重后果。大多数研究睡眠剥夺或昼夜节律操纵对认知表现的影响的研究都是在控制实验室环境中,使用小样本量进行的。本研究旨在检验在健康警察学院新兵的现场研究中,前一晚睡眠时间与精神运动警觉任务表现之间的关系是否可以可靠地检测到。研究对象(N=189)身体健康,无精神病史。通过腕动仪对睡眠-觉醒活动进行了 7 天的评估。在警察学院工作日前后和休息日的类似时间,研究对象在个人数字助理(PDA)设备上执行了 5 分钟的精神运动警觉任务(PVT)。混合效应逻辑回归用于估计在 7 天的现场测试中,前一晚睡眠时间与 PVT 上出现>或=1 次失误的概率之间的关系。在 1082 个晚上的有效睡眠时间中获得了睡眠时长的有效估计值。在测试前一天晚上,睡眠时间每增加 1 小时,失误的概率就会降低 3.5%。在保持睡眠时间不变的情况下,自醒来以来,失误的总概率每小时降低 0.9%。感知压力与睡眠持续时间或表现失误的概率无关。这些发现证明了在大型现场研究中检测睡眠和昼夜节律对认知表现影响的可行性。这些发现对警察的日间功能有影响。