Daytime cognitive performance and sleep/wake cycles are strongly interrelated, and cognitive dysfunction has been extensively investigated in relation to insomnia. However, methods and outcomes vary widely by study, making comparison difficult without more systematic evaluation. Review of the literature reveals discrepant findings for the relationship between both subjective and objective measures of cognitive performance and insomnia. The current meta-analysis included 42 studies investigating the relationship between insomnia and cognitive performance. Results confirmed the discrepant nature of previous findings and suggest that type of cognitive performance (e.g., simple attention, procedural memory, verbal functions) is important to consider when discussing the impact of insomnia. Mixed-effect meta-analysis of aggregate effect sizes suggest impairments in working memory, complex attention, and episodic memory are significantly associated with insomnia. Analysis of the grouped subjective cognitive performance effect size revealed no significant impact of insomnia. Average age and gender makeup of the sample, study quality, and type of insomnia measure (i.e., clinical or diagnostic criteria, validated scale, or single unvalidated item) did not consistently moderate findings. These results confirm the equivocal nature of the relationship between insomnia and cognitive performance. Overall, about 44% of the studies included in the analysis failed to use DSM or ICSD criteria when categorizing insomnia. Additionally, the cognitive measures used varied widely and certain measures may not be sensitive enough to detect the degree of cognitive deficit that may be present for individuals with insomnia. This indicates a need for the standardization of methods used when assessing both insomnia and cognitive performance to elucidate these relationships.
| Identifer | oai:union.ndltd.org:unt.edu/info:ark/67531/metadc1505168 |
| Date | 05 1900 |
| Creators | Pinkston, Sophie Wardle |
| Contributors | Taylor, Daniel J., Callahan, Jennifer L., Hook, Joshua N. |
| Publisher | University of North Texas |
| Source Sets | University of North Texas |
| Language | English |
| Detected Language | English |
| Type | Thesis or Dissertation |
| Format | vii, 64 pages, Text |
| Rights | Use restricted to UNT Community, Pinkston, Sophie Wardle, Copyright, Copyright is held by the author, unless otherwise noted. All rights Reserved. |
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