This project continues an innovative line of research on how to optimally use sleep as an intervention to promote cognitive recovery from, and resistance to, the neurobehavioral risks posed by chronic partial sleep deprivation. Chronic insufficient sleep is estimated to affect at least 20 percent of adults. It can result from medical conditions and sleep disorders, as well as work demands, and social or domestic responsibilities. It is associated with significant clinical morbidity, and directly causes errors and accidents that are due to its adverse neurobehavioral effects on alertness, mood, and cognitive functions. In seminal experiments conducted under this grant, we showed that the neurobehavioral effects of chronic sleep restriction accumulate to severe levels in a few days, without the full awareness of the affected individuals, and that recovery from chronic sleep restriction requires more sleep than previously assumed. We also discovered that recovery from chronic sleep was illusory, because it masked a heightened neurobehavioral vulnerability to even a single post-recovery night of sleep restriction. The implications of these findings are that apparent recovery from chronic sleep restriction masks a more severe cognitive response to subsequent sleep restriction suggesting that there are longer time constants in the brain for neurobehavioral recovery from chronic sleep restriction. In light of this finding, we now seek to determine whether additional nights of extended recovery sleep will reduce the heightened vulnerability induced by prior exposure to sleep restriction. A total of 110 adults will be studied in the laboratory during a 17-day protocol evaluating cognitive, psychological and physiological responses to varying recovery days between two sleep-restriction periods. The results will establish the number of nights of recovery sleep needed to prevent accelerated deterioration during a subsequent period of sleep restriction. The findings will advance theoretical understanding of sleep homeostasis and its relationship to cognitive functions, as well as inform theories of sleep need, and have substantial implications for sleep biology, for the treatment of clinical disorders that regularly disrupt sleep, and for managing lifestyle factors that frequently restrict sleep.

Public Health Relevance

Chronic partial sleep loss afflicts millions of Americans as a result of a wide range of medical conditions and behavioral demands that disrupt or curtail sleep. It causes excessive sleepiness, cognitive deficits and accidents. This project seeks to find optimal ways to use prolonged sleep opportunities as an intervention to promote cognitive recovery from, and resistance to, the effects of chronic intermittent sleep restriction.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Research Project (R01)
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Psychosocial Risk and Disease Prevention Study Section (PRDP)
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Matocha, Martha F
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University of Pennsylvania
Schools of Medicine
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Dennis, Laura E; Wohl, Rachael J; Selame, Lauren A et al. (2017) Healthy Adults Display Long-Term Trait-Like Neurobehavioral Resilience and Vulnerability to Sleep Loss. Sci Rep 7:14889
Basner, Mathias; Dinges, David F; Shea, Judy A et al. (2017) Sleep and Alertness in Medical Interns and Residents: An Observational Study on the Role of Extended Shifts. Sleep 40:
Spaeth, Andrea M; Dinges, David F; Goel, Namni (2017) Objective Measurements of Energy Balance Are Associated With Sleep Architecture in Healthy Adults. Sleep 40:
Zhang, Shirley L; Bai, Lei; Goel, Namni et al. (2017) Human and rat gut microbiome composition is maintained following sleep restriction. Proc Natl Acad Sci U S A 114:E1564-E1571
Perlis, Michael L; Grandner, Michael A; Chakravorty, Subhajit et al. (2016) Suicide and sleep: Is it a bad thing to be awake when reason sleeps? Sleep Med Rev 29:101-7
Perlis, Michael L; Grandner, Michael A; Brown, Gregory K et al. (2016) Nocturnal Wakefulness as a Previously Unrecognized Risk Factor for Suicide. J Clin Psychiatry 77:e726-33
Patel, Viral C; Spaeth, Andrea M; Basner, Mathias (2016) Relationships between time use and obesity in a representative sample of Americans. Obesity (Silver Spring) 24:2164-75
Liu, Jianghong; Liu, Xianchen; Pak, Victoria et al. (2015) Early Blood Lead Levels and Sleep Disturbance in Preadolescence. Sleep 38:1869-74
Fang, Zhuo; Spaeth, Andrea M; Ma, Ning et al. (2015) Altered salience network connectivity predicts macronutrient intake after sleep deprivation. Sci Rep 5:8215
Goel, Namni; Basner, Mathias; Dinges, David F (2015) Phenotyping of neurobehavioral vulnerability to circadian phase during sleep loss. Methods Enzymol 552:285-308

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