Impact of experimentally manipulated sleep on adolescent simulated driving.

Impact of experimentally manipulated sleep on adolescent simulated driving.
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DOI:
10.1016/j.sleep.2015.03.003
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发表时间:
2015-06
期刊:
影响因子:
4.8
通讯作者:
Beebe DW
Beebe DW
中科院分区:
医学2区
文献类型:
--
作者:
Garner AA;Miller MM;Field J;Noe O;Smith Z;Beebe DW

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睡眠不足(SR)会损害青少年的注意力,这可能会导致高车祸率。在这里,我们研究了实验性睡眠对青少年司机的影响,考虑了这种影响是否受到驾驶性质(城市/郊区与农村)的调节,或者在17名健康的16-18岁的有执照的司机按平衡顺序完成两晚、五晚睡眠条件:睡眠(6.5小时)与延长睡眠(ES; 10小时)后,每个青少年对注意力下降的脆弱性。之后,参与者在驾驶模拟器中完成了农村和城市/郊区的课程,家长们对参与者在日常环境中的注意力进行了评分。对SR的脆弱性通过父母评分的交叉条件变化来计算。因变量包括横向车道位置标准差(SDLP)、平均车速、车速标准差和碰撞事故。多变量模型检验了睡眠状况、驾驶环境和易患SR的主要影响和相互作用,共变数年。虽然其他结果的影响不显著,但平均速度和SDLP之间存在三方相互作用(睡眠-驾驶-脆弱性)(p<.02)。在农村驾驶中,尽管在报告容易发生SR的青少年中驾驶速度较慢,但在农村驾驶中,青少年在SR中对横向车辆的控制不如ES中一致。在城市/郊区驾驶中,SR仅在报告容易发生SR的青少年中恶化了SDLP。这些初步研究结果表明,即使是中度SR也可能是一些青少年驾驶问题的可改变因素。这种影响在单调的农村驾驶中广泛存在,在有趣的城市/郊区驾驶中也有一小部分。
Sleep restriction (SR) impairs adolescents’ attention, which could contribute to high rates of driving crashes. Here, we examine the impact of experimental SR on adolescent drivers, considering whether that impact is moderated by the nature of the drive (urban/suburban vs. rural) or how vulnerable each adolescent is to attentional decline after SR. 17 healthy 16-18-year-old licensed drivers completed two, five-night sleep conditions: SR (6.5 hours in bed) vs. Extended Sleep (ES; 10 hours in bed) in counterbalanced order. After each, participants completed rural and urban/suburban courses in a driving simulator, and parents rated participants’ attention in day-to-day settings. Vulnerability to SR was computed as cross-condition change in parent ratings. Dependent variables included standard deviation of lateral lane position (SDLP), mean speed, SD of speed, and crashes. Multivariate models examined the main and interaction effects of sleep condition, driving environment, and vulnerability to SR, covarying for years licensed. Although effects for the other outcomes were non-significant, there were three-way interactions (sleep-by-drive-by-vulnerability) for mean speed and SDLP (p<.02). During the rural drive, adolescents had less consistent lateral vehicle control in SR than ES, despite slower driving among those reported to be vulnerable to SR. During the urban/suburban drive, SR worsened SDLP only among adolescents reported to be vulnerable to SR. These preliminary findings suggest that even a moderate degree of SR may be a modifiable contributor to adolescent driving problems for some. This impact is widely present during monotonous rural drives and in a subgroup during interesting urban/suburban drives.
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