Sleep, 20(6):399-40 I © 1997 American Sleep Disorders Association and Sleep Research Society Speed of Mental Processing In the Middle of the Night Timothy H. Monk and Julie Carrier Sleep and Chronobiology Center, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, US.A, Summary: This study aimed to determine whether human mental processing actually slows down during the night hours, separately from the previously documented microsleeps, lapses in attention, and general slowing of motor responses. Eighteen healthy young adults were studied during 36 hours of constant wakeful bedrest. Every 2 hours, they performed a logical reasoning task. Items phrased in the negative voice took reliably longer to respond to than items phrased in the positive voice, indicating the need for more mental processing in those items. By subtracting "negative" from "positive" reaction times at each time of day, we were able to plot a circadian rhythm in the time taken for this extra mental processing to be done separately from microsleeps, psychomotor slowing, and inattention. The extra mental processing took longer at night and on the day following sleep loss than it did during the day before the sleep loss, suggesting that human mental processing slows down during the night under sleep deprivation. Key Words: Human-Sleep-Circadian rhythms-Performance . .. 1'. There are circadian rhythms in human performance much like those in physiology, with peaks at some times of day, troughs at others, and a gradual transition between the two (1). While different tasks can show different time-of-day effects, most tasks show a decrement during the night, which is borne out when the actual "on job" performance of shift workers is studied over 24 hours (2,3). At least some of this decrement can be attributed directly to the pressure to fall asleep, since this has been well documented as a means by which night-worker and night-driver performance and safety are impaired (4,5). Laboratory studies have indicated that poor performance at night can be explained by lapses in attention and/or "response blocks" (unduly long reaction times) that may, in some cases, be associated with microsleeps and also be explained by psychomotor slowing (6). The question remains as to whether all nocturnal performance speed decrements can be so explained. Our aim was to conduct a relatively pure study of the circadian rhythm in the speed of mental processing in order to determine whether people actually think more slowly at night. METHODS As part of a larger study of circadian rhythms in human performance (7), 18 healthy young adults (19-28 Accepted for publication March 1997. Address correspondence and reprint requests to Dr. Timothy H. Monk, WPIC Room E1123, 3811 O'Hara Street, Pittsburgh, PA 15213, U.S.A. years; 8 females, 10 males) each experienced a protocol involving 36 hours of constant wakeful bedrest (starting at 0900 hours), with no knowledge of clock time and meals replaced by hourly nutritional supplements. Outside of the experiment, the subjects lived a normal diurnal routine (mean habitual bedtime 2354 hours, waketime 0737 hours). On each odd-numbered hour, after ingesting the food supplement and being offered the opportunity to void, a computer was used to administer a battery of mood and performance tests that included a brief (approximately 3-minute) modified version of the Baddeley reasoning test (8). The test had 32 items presented in a randomly shuffled order; the computer recorded the speed and accuracy of the response to each item. About 28 practice sessions (896 trials) were given before the sessions reported here. Subjects were required to respond with handheld buttons marked "true" and "false" to indicate whether a sentence was a true or a false description of the letter pair immediately following it. Sixteen of the sentences (eight true, eight false) were framed in the positive voice (e.g. C IS BEFORE MCM; M FOLLOWS C-MC), 16 (eight true, eight false) in the negative voice (e.g. C DOES NOT FOLLOW M-CM; M IS NOT BEFORE C-MC). Trials were then divided into "negative-voice" and "positive-voice" sentences and the mean latency for each calculated per subject-session. RESULTS Negative-voice sentences took longer to respond to than positive-voice ones (3.93 vs. 2.55 seconds; see 399 T. H. MONK AND J. CARRIER 400 6 ~ -0-- 5 N",,,iv. Positive ~ UQ) ~~~ HwWt Q) E 4 i= c .2 t5 3 ro on simple-difference scores (negative voice minus positive voice) revealed that the three sections (day 1, night, day 2) differed reliably [F(2,34) = 4.46, P < 0.02] with significant pairwise comparisons (paired t tests) between day one and night (p < 0.02) and day one and day two (p < 0.02). jl~ DISCUSSION Q) a: 2 « 0« 2.2 Q) UQ) Ern l=~ c> 0'';::: '.t=' U 0 2.0 1.8 'w roo. 1.6 ~~ c c 1.4 'w'E uQ) ~£; 1.2 Q)eO ~g' o~ 1.0 0.0 f '1 ' 9:00 13:0017:0021 :00 1 :00 5:00 9:00 13:0017:0021:00 Time of Day FIG. 1. Top panel: Mean reaction time (:!: I SEM) for the negativevoice items and for the positive-voice items of a modified Baddeley reasoning test, plotted as a function of time of day during 36 hours of constant wakeful bedrest. Slower performance is represented by a rise on the ordinate. Lower panel: Mean difference in reaction time (:!: I SEM) between negative- and positive-voice items, plotted as a function of time of day. Each point represents the mean of 18 difference scores (mean of 16 negative-voice items minus mean of 16 positive-voice items), one from each subject. Fig. 1, upper panel). This implied a greater processing requirement, part of which can be explained by the negative-voice sentences having an average of 23% more syllables. By subtracting each subject's mean response latency for positive-voice sentences from that of negative-voice sentences, we were able to plot a circadian rhythm in the time taken for this extra processing requirement (Fig. 1, lower panel). There was little change over the first day (0900-1900 hours) but with an increase (slowing) during the night (01000700 hours) [day, 1:1.14 seconds::±:: 0.12 (SEM); night, 1.58 seconds::±:: 0.17]. After the lost night of sleep, the second day's daytime (0900-1900 hours) readings had longer latencies than those of the corresponding test sessions before the sleep loss (day 1, 1.14 seconds : ±: 0.12; day 2, 1.52; SEM = 0.15). Analysis of variance (ANOVA) (corrected by Greenhouse-Geisser epsilon) Sleep. Vo!' 20. No.6, 1997 To date, the only suggestions in the literature for a "cognitive slowing" during the night hours have been from studies showing an overall increase of reaction time on self-paced tasks like mental arithmetic, logical reasoning, and tracking (6,9). However, in these studies it is possible that the increase in reaction time was due simply to a change in motivation, drowsiness, inattention, and/or psychomotor slowing. In the present study, it is implausible that these factors were modified by the subject according to whether the sentence was in positive or negative voice. Thus, the data suggest that the extra processing requirement of having to parse a negativevoice sentence rather than a positive-voice one took longer to accomplish at night than during the day, even when motivation, drowsiness, and psychomotor response are controlled. This may either have been due to the brain taking longer to process each step (but doing the same number of steps) or to the adoption of a more timeconsuming information processing strategy (i.e. one with more steps) at night. The latter explanation is not implausible because strategy changes (e.g. to one making more use of subvocal rehearsal) have been used to explain other circadian performance rhythms, and it is quite possible that people approach a given task quite differently at night than during the day. The change in approach may result from the need to fight off sleep or be an adaptive response to the altered "operating characteristics" of the brain at night. Other investigators have described how extremely sleepy individuals can change information-processing strategy so as to maintain accuracy, even if this results in excessively slow response times (10). Interestingly, the present accuracies were uniformly high (mean, 96.4%; SD, 6.7%) with no reliable differences between day one, night, and day two [F(2,34) = 2.15, ns]. Our finding of a slowing in speed of mental processing during the day after the lost night of sleep is in agreement with an earlier study (10) that used a similar technique to demonstrate daytime decrements in information-processing speed following more extreme (two nights) sleep loss. It suggests that in addition to rhythmic determinants of information-processing speed, there are also homeostatic ones relating to the time spent awake. This is in line with our earlier study of circadian performance rhythms in logical reasoning (11). It should also be recognized, of course, that homeostatic factors may MENTAL PROCESSING AT NIGHT have accounted for some of the day versus night differences, since subjects had been awake for longer when the night performance tests were given. From a practical point of view, the present results suggest that in addition to safety concerns resulting from night workers' and night drivers' propensity to fall asleep, we should also recognize that even if they are wide awake, they may be thinking more slowly. ,. Acknowledgements: This work was supported by the National Institute on Aging (AG 06836, AG 13396), the National Institute of Mental Health [MH 01235, MH 30915 (D. J. Kupfer, P.I.)], NASA (NAS 9-18404, NAS 9-19407), and the Canadian MRC. We thank our professional colleagues for their advice on the manuscript and also Mr. Bart Billy, Mr. Jeff Dettling, and our technicians for running the study. REFERENCES 1. Colquhoun WP. Circadian variations in mental efficiency. In: Colquhoun WP, ed. Biological rhythms and human performance. London: Academic Press, 1971:39-107 . 401 2. Monk TH, Folkard S, Wedderburn AI. Maintaining safety and high performance on shift work. Appl Ergonom 1996;27:17-23. 3. Smith L, Folkard S, Poole CJM. 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