수면정신생리

수면정신생리 (7권2호 88-95)

Effects of Total Sleep Deprivation on Mood States of Normal Adults

전수면박탈이 정상성인의 기분상태에 미치는 영향

Kim, Hyun;Kim, Leen;Suh, Kwang-Yoon;

Department of Neuropsychiatry, Korea University, College of Medicine;Department of Neuropsychiatry, Korea University, College of Medicine;Department of Neuropsychiatry, Korea University, College of Medicine;

Abstract

Objectives: The object of this experiment was to evaluate the effect of sleep deprivation on mood states of normal adults using a subjective scale and an objective scale, minimizing the effect of other factors other than that of sleep deprivation. Methods: Seventy volunteers were first participated in this sleep deprivation schedule, and 36 of them completed this experiment. The subjects and the control group members were all in their early 20''s (mean $age=20.8{pm}1.35$ vs $20.6{pm}1.10$) and in good health. A log was checked by these subjects from a week before the laboratory study started. Drugs, alcohol and beverages containing any caffeine had been prohibited for a week before and during sleep deprivation periods. The study was performed only in summer to control other factors like sunlight, temperature and moisture. Before this experiment, the subjects had slept adequately for a week at least. On day 1 of the experiment the subjects got up at 6 a.m. and stayed in a sleep laboratory without sunlight or external noises. They could only go about their daily routines. They were forbidden to have a nap and be drowsy. GVA (Global Vigor and Affect) and MADRS (Montgomery-Asberg Depression Rating Scale) were checked 11 times. The data was analysed focusing on the changing mood states. Results: The mood during sleep deprivation became worse as the sleep deprivation time progressed. Especially 20 hours ($GA=59.25{pm}8.06$, $MADRS=3.43{pm}1.25$) and 40 hours ($GA=38.83{pm}9.22$, $MADRS=6.08{pm}1.46$) after sleep deprivation, there were significant changes compared to the control group ($MADRS=6.08{pm}1.46$ vs $1.07{pm}1.18$, p<0.001). Conclusions: While controlling factors other than sleep deprivation might have had some influence on mood changes, significant mood changes during sleep deprivation were observed. The mood states became worse as the sleep deprivation progressed.

Keywords

Total sleep deprivation;Mood change;Normal adult;