An Overview of Sleep Deprivation and The Ameliorative Effects of Modafinil

Abstract : An overview of total sleep deprivation is offered that attempts to sample the broad array of studies conducted in the area. A distinction is made between sleepiness and fatigue as explanations for the behavioural effects attributed to sleep loss. The first, sleepiness, concerns itself with the pressure to fall asleep that is moderated by circadian pressures, while the second, fatigue, addresses a hypothesized monotonic (more or less) degradation in capability in the pre-frontal cortex. It is shown that both effects can be influenced by a number of modifier variables each of which can interact with each other to exaggerate or moderate cognitive declines due to sleep loss. The second part of the paper discusses a new pharmaceutical substance known a modafinil and its ability to ameliorate sleep deprivation effects. It is suggested that modafinil may be beneficial for counteracting sleepiness, but that it may not be as successful for counteracting fatigue effects, suggesting that modafinil should be used with caution for tasks requiring high-level cognition.

[1]  H. L. Williams,et al.  Impaired performance with acute sleep loss. , 1959 .

[2]  Julie M. Donnell Performance Decrement as a Function of Total Sleep Loss and Task Duration , 1969, Perceptual and motor skills.

[3]  P. Naitoh,et al.  Psychophysiological changes after prolonged deprivation of sleep. , 1971, Biological psychiatry.

[4]  Charli Spier Deprivation. , 2019, Health visitor.

[5]  W. Dement,et al.  Quantification of sleepiness: a new approach. , 1973, Psychophysiology.

[6]  M. Carskadon,et al.  Effects of Total Sleep Loss on Sleep Tendency , 1979, Perceptual and motor skills.

[7]  F. Rambert,et al.  A possibe alpha-adrenergic mechanism for drug (CRL 40028)-induced hyperactivity. , 1979, European journal of pharmacology.

[8]  M. Carskadon,et al.  The multiple sleep latency test: what does it measure? , 1982, Sleep.

[9]  A. Borbély A two process model of sleep regulation. , 1982, Human neurobiology.

[10]  M. Mitler,et al.  Maintenance of wakefulness test: a polysomnographic technique for evaluation treatment efficacy in patients with excessive somnolence. , 1982, Electroencephalography and clinical neurophysiology.

[11]  Francis Crick,et al.  The function of dream sleep , 1983, Nature.

[12]  Helen C. Sing,et al.  Trend and rhythm analysis of time-series data using complex demodulation , 1985 .

[13]  A. Pettitt,et al.  High incentive effects on vigilance performance during 72 hours of total sleep deprivation. , 1985, Acta psychologica.

[14]  R. Heslegrave,et al.  The effects of task duration and work-session location on performance degradation induced by sleep loss and sustained cognitive work , 1985 .

[15]  B. Saletu,et al.  Pharmaco-EEG, psychometric and plasma level studies with two novel alpha-adrenergic stimulants CRL 40476 and 40028 (adrafinil) in elderlies. , 1986 .

[16]  F. Rambert,et al.  Profil psychopharmacologique original de l'adrafinil chez la souris , 1986 .

[17]  R. Heslegrave,et al.  Psychophysiological Measures of Drowsiness as Estimators of Mental Fatigue and Performance Degradation during Sleep Deprivation , 1988 .

[18]  P. Achermann,et al.  Sleep Initiation and Initial Sleep Intensity: Interactions of Homeostatic and Circadian Mechanisms , 1989, Journal of biological rhythms.

[19]  G. Krueger Sustained work, fatigue, sleep loss and performance: A review of the issues , 1989 .

[20]  P. Achermann,et al.  Concepts and models of sleep regulation: an overview , 1992, Journal of sleep research.

[21]  M. Koslowsky,et al.  Meta-analysis of the relationship between total sleep deprivation and performance. , 1992, Chronobiology international.

[22]  Gregory Belenky,et al.  Stimulant Drug Effects on Performance and Behavior After Prolonged Sleep Deprivation: A Comparison of Amphetamine, Nicotine, and Deprenyl , 1992 .

[23]  S. Cullen,et al.  Development of a measure of symptoms in chronic fatigue syndrome: The profile of fatigue-related symptoms(pfrs) , 1992 .

[24]  G. Klein,et al.  A recognition-primed decision (RPD) model of rapid decision making. , 1993 .

[25]  J. Horne Human Sleep, Sleep Loss and Behaviour , 1993, British Journal of Psychiatry.

[26]  J. Montplaisir,et al.  Effects of modafinil on symptomatology of human narcolepsy. , 1993, Clinical neuropharmacology.

[27]  A. Besset,et al.  Modafinil: a double-blind multicentric study. , 1994, Sleep.

[28]  G. Koob,et al.  Narcolepsy and its treatment with stimulants. ASDA standards of practice. , 1994, Sleep.

[29]  G. Mayer,et al.  Modafinil in diurnal sleepiness. A study of 123 patients. , 1994, Sleep.

[30]  D. Léger The cost of sleep-related accidents: a report for the National Commission on Sleep Disorders Research. , 1994, Sleep.

[31]  J. L. Kavanau,et al.  Sleep and dynamic stabilization of neural circuitry: A review and synthesis , 1994, Behavioural Brain Research.

[32]  C. Guilleminault,et al.  Modafinil binds to the dopamine uptake carrier site with low affinity. , 1994, Sleep.

[33]  A. Wirz-Justice,et al.  Power density in theta/alpha frequencies of the waking EEG progressively increases during sustained wakefulness. , 1995, Sleep.

[34]  J. Baranski,et al.  Modafinil, d‐amphetamine and placebo during 64 hours of sustained mental work. I. Effects on mood, fatigue, cognitive performance and body temperature , 1995, Journal of sleep research.

[35]  M. Corsi-Cabrera,et al.  Effect of total sleep deprivation on reaction time and waking EEG activity in man. , 1995, Sleep.

[36]  E. Mignot,et al.  Comparative effects of modafinil and amphetamine on daytime sleepiness and cataplexy of narcoleptic dogs. , 1995, Sleep.

[37]  I. Mack,et al.  Vigilance Latencies to Aircraft Detection among NORAD Surveillance Operators , 1995, Hum. Factors.

[38]  D. Batejat,et al.  Disrupted Sleep-Wake Rhythm and Performance: Advantages of Modafinil , 1995 .

[39]  W. B. Webb The cost of sleep-related accidents: a reanalysis. , 1995, Sleep.

[40]  K. Fuxe,et al.  The vigilance promoting drug modafinil increases dopamine release in the rat nucleus accumbens via the involvement of a local GABAergic mechanism. , 1996, European journal of pharmacology.

[41]  J. Pilcher,et al.  Effects of sleep deprivation on performance: a meta-analysis. , 1996, Sleep.

[42]  Marvin S. Cohen,et al.  Metarecognition in Time-Stressed Decision Making: Recognizing, Critiquing, and Correcting , 1996, Hum. Factors.

[43]  J. Godfrey,et al.  Influence of locus of control on mood state disturbance after short-term sleep deprivation. , 1996, Sleep.

[44]  K. Fuxe,et al.  The vigilance promoting drug modafinil decreases GABA release in the medial preoptic area and in the posterior hypothalamus of the awake rat: possible involvement of the serotonergic 5-HT3 receptor , 1996, Neuroscience Letters.

[45]  M. Corsi-Cabrera,et al.  Time course of reaction time and EEG while performing a vigilance task during total sleep deprivation. , 1996, Sleep.

[46]  K. Fuxe,et al.  Modafinil: An antinarcoleptic drug with a different neurochemical profile to d-amphetamine and dopamine uptake blockers , 1997, Biological Psychiatry.

[47]  J. Caldwell,et al.  Recovery sleep and performance following sleep deprivation with dextroamphetamine , 1997, Journal of sleep research.

[48]  J. Horne,et al.  Sleep deprivation affects speech. , 1997, Sleep.

[49]  T. Åkerstedt,et al.  Sleep loss and performance: no “safe” duration of a monotonous task , 1998, Physiology & Behavior.

[50]  G. Sassolas,et al.  Effect of modafinil on plasma melatonin, cortisol and growth hormone rhythms, rectal temperature and performance in healthy subjects during a 36 h sleep deprivation , 1998, Journal of sleep research.

[51]  J A Horne,et al.  One night of sleep loss impairs innovative thinking and flexible decision making. , 1999, Organizational behavior and human decision processes.

[52]  Stephen H. Fairclough,et al.  Impairment of Driving Performance Caused by Sleep Deprivation or Alcohol: A Comparative Study , 1999, Hum. Factors.

[53]  J. Krueger,et al.  Why we sleep: a theoretical view of sleep function. , 1999, Sleep medicine reviews.

[54]  Gregory G. Brown,et al.  Sleep deprivation-induced reduction in cortical functional response to serial subtraction. , 1999, Neuroreport.

[55]  J. Horne,et al.  The impact of sleep deprivation on decision making: a review. , 2000, Journal of experimental psychology. Applied.

[56]  P. Philip,et al.  Sleepiness at the wheel: symptom or behavior? , 2000, Sleep.

[57]  M. Jouvet,et al.  Effects of amphetamine and modafinil on the sleep/wake cycle during experimental hypersomnia induced by sleep deprivation in the cat , 2000, Journal of sleep research.

[58]  J. Horne,et al.  Sleep Loss and Temporal Memory , 2000, The Quarterly journal of experimental psychology. A, Human experimental psychology.

[59]  Maria L. Thomas,et al.  Neural basis of alertness and cognitive performance impairments during sleepiness. I. Effects of 24 h of sleep deprivation on waking human regional brain activity , 2000, Journal of sleep research.

[60]  J A Caldwell,et al.  The effects of exercise as a countermeasure for fatigue in sleep-deprived aviators. , 2000, Military psychology : the official journal of the Division of Military Psychology, American Psychological Association.

[61]  J. Caldwell,et al.  A double-blind, placebo-controlled investigation of the efficacy of modafinil for sustaining the alertness and performance of aviators: a helicopter simulator study , 2000, Psychopharmacology.

[62]  J. Chae,et al.  Effect of total sleep deprivation on the dimensional complexity of the waking EEG. , 2001, Sleep.

[63]  M. Beelke,et al.  The contributing role of sleepiness in highway vehicle accidents. , 2001, Sleep.