@article{ref1,
title="Alcohol and sleep restriction combined reduces vigilant attention, whereas sleep restriction alone enhances distractibility",
journal="Sleep",
year="2014",
author="Lee, James and Manousakis, Jessica and Fielding, Joanne and Anderson, Clare",
volume="38",
number="5",
pages="765-775",
abstract="STUDY OBJECTIVES: Alcohol and sleep loss are leading causes of motor vehicle crashes, whereby attention failure is a core causal factor. Despite a plethora of data describing the effect of alcohol and sleep loss on vigilant attention, little is known about their effect on voluntary and involuntary visual attention processes. DESIGN: Repeated-measures, counterbalanced design. SETTING: Controlled laboratory setting. PARTICIPANTS: Sixteen young (18-27 y; M = 21.90 ± 0.60 y) healthy males. INTERVENTIONS: Participants completed an attention test battery during the afternoon (13:00-14:00) under four counterbalanced conditions: (1) baseline; (2) alcohol (0.05% breath alcohol concentration); (3) sleep restriction (02:00-07:00); and (4) alcohol/sleep restriction combined. This test battery included a Psychomotor Vigilance Task (PVT) as a measure of vigilant attention, and two ocular motor tasks-visually guided and antisaccade-to measure the involuntary and voluntary allocation of visual attention. MEASUREMENTS AND RESULTS: Only the combined condition led to reductions in vigilant attention characterized by slower mean reaction time, fastest 10% responses, and increased number of lapses (P < 0.05) on the PVT. In addition, the combined condition led to a slowing in the voluntary allocation of attention as reflected by increased antisaccade latencies (P < 0.05). Sleep restriction alone however increased both antisaccade inhibitory errors [45.8% errors versus < 28.4% all others; P < 0.001] and the involuntary allocation of attention, as reflected by faster visually guided latencies (177.7 msec versus > 185.0 msec all others) to a peripheral target (P < 0.05). CONCLUSIONS: Our data reveal specific signatures for sleep related attention failure: the voluntary allocation of attention is impaired, whereas the involuntary allocation of attention is enhanced. This provides key evidence for the role of distraction in attention failure during sleep loss. © 2015 Associated Professional Sleep Societies, LLC.   Keywords: Driver distraction; alcohol; sleep restriction, vigilance<p /> <p>Language: en</p>",
language="en",
issn="0161-8105",
doi="",
url="http://dx.doi.org/"
}