Auditory psychomotor vigilance testing in older and young adults: a revised threshold setting procedure

Article


Gabel, Virginie, Kass, Mirelle, Joyce, Daniel S., Spitschan, Manuel and Zeitzer, Jamie M.. 2019. "Auditory psychomotor vigilance testing in older and young adults: a revised threshold setting procedure." Sleep and Breathing: international journal of the science and practice of sleep medicine. 23 (3), pp. 1021-1025. https://doi.org/10.1007/s11325-019-01859-7
Article Title

Auditory psychomotor vigilance testing in older and young adults: a revised threshold setting procedure

ERA Journal ID16866
Article CategoryArticle
AuthorsGabel, Virginie, Kass, Mirelle, Joyce, Daniel S., Spitschan, Manuel and Zeitzer, Jamie M.
Journal TitleSleep and Breathing: international journal of the science and practice of sleep medicine
Journal Citation23 (3), pp. 1021-1025
Number of Pages5
YearSep 2019
PublisherSpringer
Place of PublicationGermany
ISSN1520-9512
1522-1709
Digital Object Identifier (DOI)https://doi.org/10.1007/s11325-019-01859-7
Web Address (URL)https://link.springer.com/article/10.1007/s11325-019-01859-7
Abstract

Background: One of the most common ways to examine the daytime impact of sleep loss is the use of the psychomotor vigilance test (PVT). PVT metrics, including median reaction time (RT) and number of lapses, have been examined in a variety of studies in which both acute and chronic sleep times are manipulated. Most of these studies involve young, healthy individuals and use a visual stimulus. As light is a possible countermeasure to sleep loss, and sometimes incompatible with the use of visual PVT, PVT with auditory cues (aPVT) has been used. A threshold of 400 ms is commonly used to delineate lapses from normal RT in the aPVT. As aging can influence a variety of brain functions, we wanted to examine whether this lapse threshold was accurate for use in older adults. Methods: Twenty-eight young and 19 healthy older participants performed a 10-min auditory PVT approximately 90 min before habitual bedtime. The occurrence of lapses was determined by five objective RT thresholds: (1) 400 ms, (2) 500 ms, (3) 2 × median, (4) mean + 2 × SD, and (5) method 4 without outliers. Results of these methods were compared with a triplicate visual inspection of RT histograms to determine RT outside of the expected log normal distribution. Results: In both groups, methods 1, 4, and 5 performed poorly, while methods 2 and 3 were adequate, though method 3 was statistically superior. Conclusion: In both age groups, the use of twice the median as an objective threshold had the best concurrence with visual scoring.

KeywordsSleep; Reaction time; Aging; Alertness; Thresholds; Cognition
ANZSRC Field of Research 2020520406. Sensory processes, perception and performance
520203. Cognitive neuroscience
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Byline AffiliationsStanford University, United States
VA Palo Alto Health Care System, United States
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