The Efficacy of Naps as a Fatigue Countermeasure: A Meta-Analytic Integration

Modern requirements for extended operations in aviation, transportation, the military, and industry have led to extensive research on countermeasures to mitigate the adverse effects of fatigue. The goals of this research were to (a) summarize and integrate existing research on naps as a fatigue countermeasure using metaanalysis, (b) identify the strength and significance of the effects of naps on performance and feelings of fatigue, and (c) identify factors that may moderate the effects of napping as a fatigue countermeasure. The results of these analyses can be used to predict nap efficacy as a function of length of the nap and the postnap interval. The results of these analyses also suggest an approach to work design that takes into account the optimal effects of naps as a fatigue countermeasure. Actual or potential applications of this research include the development of optimal work schedules to minimize fatigue and increase safety.

[1]  Raymond Cluydts,et al.  Effects of Slow-Release Caffeine and a Nap on Driving Simulator Performance after Partial Sleep Deprivation , 2003, Perceptual and motor skills.

[2]  B. Barzansky,et al.  Sleep loss and fatigue in residency training: a reappraisal. , 2002, JAMA.

[3]  Laura M. Colletti,et al.  Controlled breaks as a fatigue countermeasure on the flight deck. , 2002, Aviation, space, and environmental medicine.

[4]  In Summary: Caffeine for the Sustainment of Mental Task Performance: Formulations for Military Operations. , 2002, Nutrition today.

[5]  L. Lack,et al.  The short-term benefits of brief and long naps following nocturnal sleep restriction. , 2001, Sleep.

[6]  H. Arito,et al.  Maintenance of alertness and performance by a brief nap after lunch under prior sleep deficit. , 2000, Sleep.

[7]  T Hori,et al.  The effects of a 20-min nap at noon on sleepiness, performance and EEG activity. , 1999, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[8]  M. Hayashi,et al.  The effects of a 20 min nap in the mid-afternoon on mood, performance and EEG activity , 1999, Clinical Neurophysiology.

[9]  Eduardo Salas,et al.  Meta-analysis and the study of group dynamics. , 1998 .

[10]  J. Caldwell,et al.  Recovery of Sleep, Performance, and Mood Following 38 Hours of Sleep Deprivation Using Naps as a Countermeasure , 1998 .

[11]  Masaya Takahashi,et al.  Brief naps during post-lunch rest: effects on alertness, performance, and autonomic balance , 1998, European Journal of Applied Physiology and Occupational Physiology.

[12]  J A Caldwell,et al.  Fatigue in the aviation environment: an overview of the causes and effects as well as recommended countermeasures. , 1997, Aviation, space, and environmental medicine.

[13]  T. Roth,et al.  The alerting effects of short and long naps in narcoleptic, sleep deprived, and alert individuals. , 1997, Sleep.

[14]  J. Caldwell,et al.  The Efficacy of Hypnotic-Induced Prophylactic Naps for the Maintenance of Alertness and Performance in Sustained Operations, , 1997 .

[15]  G Kecklund,et al.  The effects of a short daytime nap after restricted night sleep. , 1996, Sleep.

[16]  J. Horne,et al.  Counteracting driver sleepiness: effects of napping, caffeine, and placebo. , 1996, Psychophysiology.

[17]  Donna L. Miller,et al.  Alertness management: strategic naps in operational settings , 1995, Journal of sleep research.

[18]  C. Creighton Effects of afternoon rest on the performance of geriatric patients in a rehabilitation hospital;: a pilot study. , 1995, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[19]  M. Bonnet,et al.  Consolidated and distributed nap schedules and performance , 1995, Journal of sleep research.

[20]  M. Bonnet,et al.  The use of caffeine versus prophylactic naps in sustained performance. , 1995, Sleep.

[21]  Mark R. Rosekind,et al.  Crew factors in flight operations 9: Effects of planned cockpit rest on crew performance and alertness in long-haul operations , 1994 .

[22]  K Baker,et al.  Work Practices, Fatigue, and Nuclear Power Plant Safety Performance , 1994, Human factors.

[23]  J C Duchon,et al.  Extended Workdays in an Underground Mine: A Work Performance Analysis , 1994, Human factors.

[24]  R U Bisson,et al.  Subjective Fatigue of C-141 Aircrews during Operation Desert Storm , 1994, Human factors.

[25]  Kenneth L. McNally,et al.  Fatigue in Operational Settings: Examples from the Aviation Environment , 1994, Human factors.

[26]  J K Walsh,et al.  Two- and 4-hour bright-light exposures differentially effect sleepiness and performance the subsequent night. , 1994, Sleep.

[27]  B. Mullen,et al.  The relation between group cohesiveness and performance: An integration. , 1994 .

[28]  R. Broughton Important underemphasized aspects of sleep onset. , 1994 .

[29]  R. Ogilvie,et al.  Sleep onset: Normal and abnormal processes. , 1994 .

[30]  J. Walsh,et al.  Countermeasures for night work performance deficits: The effect of napping or caffeine on continuous performance at night , 1992 .

[31]  Bonnet Mh,et al.  The effect of varying prophylactic naps on performance, alertness and mood throughout a 52-hour continuous operation. , 1991 .

[32]  M H Bonnet,et al.  The effect of varying prophylactic naps on performance, alertness and mood throughout a 52-hour continuous operation. , 1991, Sleep.

[33]  M. Bonnet,et al.  Dealing with shift work: physical fitness, temperature, and napping , 1990 .

[34]  W. Phoon,et al.  Sleep-wake patterns and subjective sleep quality of day and night workers: interaction between napping and main sleep episodes. , 1989, Sleep.

[35]  P. Lavie,et al.  Timing of naps: effects on post-nap sleepiness levels. , 1989, Electroencephalography and clinical neurophysiology.

[36]  Brian Mullen,et al.  Advanced BASIC meta-analysis , 1989 .

[37]  David F. Dinges,et al.  Sleep and alertness : chronobiological, behavioral, and medical aspects of napping , 1989 .

[38]  L. Johnson,et al.  The Relationship between Subjective and Objective Measures of Sleepiness , 1988 .

[39]  M. Orne,et al.  Temporal placement of a nap for alertness: contributions of circadian phase and prior wakefulness. , 1987, Sleep.

[40]  W B Webb,et al.  The proximal effects of two and four hour naps within extended performance without sleep. , 1987, Psychophysiology.

[41]  Paul Naitoh,et al.  Napping and Human Functioning during Prolonged Work , 1987 .

[42]  M H Bonnet,et al.  Performance and sleepiness as a function of frequency and placement of sleep disruption. , 1986, Psychophysiology.

[43]  S. Daiss,et al.  Napping versus resting: effects on performance and mood. , 1986, Psychophysiology.

[44]  J. Harsh,et al.  Auditory Evoked Potentials as a Function of Sleep Deprivation and Recovery Sleep , 1985 .

[45]  T. Åkerstedt,et al.  Napping in shift work. , 1985, Sleep.

[46]  Mats Gillberg,et al.  The effects of two alternative timings of a one-hour nap on early morning performance , 1984, Biological Psychology.

[47]  A. Tilley,et al.  The effects of a restricted sleep regime on the composition of sleep and on performance. , 1984, Psychophysiology.

[48]  Carl E. Englund,et al.  Extending Human Effectiveness during Sustained Operations through Sleep Management , 1983 .

[49]  J. Taub Effects of scheduled afternoon naps and bedrest on daytime alertness. , 1982, International Journal of Neuroscience.

[50]  A. Bertelson Effects of napping and bedrest on performance and mood , 1979 .

[51]  J. Taub,et al.  Effects of habitual variations in napping on psychomotor performance, memory and subjective states. , 1979, The International journal of neuroscience.

[52]  P. Opstad,et al.  Performance, mood, and clinical symptoms in men exposed to prolonged, severe physical work and sleep deprivation. , 1978, Aviation, space, and environmental medicine.

[53]  P. Naitoh,et al.  Circadian variation in performance, subjective sleepiness, sleep, and oral temperature during an altered sleep-wake schedule , 1978, Biological Psychology.

[54]  L R Hartley,et al.  A Comparison of Continuous and Distributed Reduced Sleep Schedules , 1974, The Quarterly journal of experimental psychology.

[55]  Charles A. Lindbergh The Spirit of St. Louis , 1953 .

[56]  F R Moulton,et al.  In the Spirit: 1976 , 2006 .

[57]  M. Ohayon,et al.  Prevalence of Naps in the General Population , 2022 .