Skip to main content
Log in

The Effects of Poor Sleep on Cognitive, Affective, and Physiological Responses to a Laboratory Stressor

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Recent research suggests that poor sleep may be associated with altered stress regulation.

Purpose

This study aims to examine the associations between prior-night and prior-month sleep measures and affective, cognitive, and physiological responses to a laboratory stressor.

Methods

Ninety-eight (50 % female) young adults completed measures of sleep quality in the context of a laboratory stress study. Measures included positive (PA) and negative affects (NA) and blood pressure (BP) reactivity, as well as change in pre-sleep arousal.

Results

Prior-month poor sleep quality and sleep disturbances predicted dampened BP reactivity. Both prior-night and prior-month sleep quality predicted greater decrease in PA. Sleep-associated monitoring predicted NA reactivity and prolonged cognitive and affective activation. Prior-month sleep continuity predicted greater cognitive pre-sleep arousal change, and prior-month sleep quality, daytime dysfunction, and disturbances predicted prolonged cognitive and affective activation.

Conclusion

Findings suggest that inadequate sleep confers vulnerability to poor cognitive, affective, and physiological responses to stress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Walsh JK, Engelhardt CL. The direct economic costs of insomnia in the United States for 1995. Sleep. 1999;22:S386-S393.

    PubMed  Google Scholar 

  2. Roth T, Coulouvrat C, Hajak G, et al. Prevalence and perceived health associated with insomnia based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and research diagnostic criteria/International Classification of Sleep Disorders, second edition criteria: Results from the America insomnia survey. Biol Psychiatr. 2011;69:592-600.

    Article  Google Scholar 

  3. Daley M, Morin CM, LeBlanc M, Gregoire JP, Savard J. The economic burden of Insomnia: Direct and indirect costs for individuals with Insomnia syndrome, insomnia symptoms, and good sleepers. Sleep. 2009;32:55-64.

    PubMed  Google Scholar 

  4. Lange T, Perras B, Fehm HL, Born J. Sleep enhances the human antibody response to hepatitis A vaccination. Psychosom Med. 2003;65:831-835.

    Article  PubMed  Google Scholar 

  5. Cohen S, Doyle WJ, Alper CM, Janicki-Deverts D, Turner RB. Sleep habits and susceptibility to the common cold. Arch Intern Med. 2009;169:62-67.

    Article  PubMed  Google Scholar 

  6. Hall MH, Muldoon MF, Jennings R, Buysse DJ, Flory JD, Manuck SB. Self-reported sleep duration is associated with the metabolic syndrome in midlife adults. Sleep. 2008;31:635-643.

    PubMed  Google Scholar 

  7. Jennings JR, Muldoon MF, Hall M, Buysse DJ, Manuck SB. Self-reported sleep quality is associated with the metabolic syndrome. Sleep J Sleep Disord Res. 2007;30:219-223.

    Google Scholar 

  8. Irwin MR, Wang M, Ribeiro D, et al. Sleep loss activates cellular inflammatory signaling. Biol Psychiatr. 2008;64:538-540.

    Article  CAS  Google Scholar 

  9. Mills PJ, von Kanel R, Norman D, Natarajan L, Ziegler MG, Dimsdale JE. Inflammation and sleep in healthy individuals. Sleep. 2007;30:729-735.

    PubMed  Google Scholar 

  10. King CR, Knutson KL, Rathouz PJ, et al. Short sleep duration and incident coronary artery calcification. JAMA. 2008;300:2859-2866.

    Article  PubMed  CAS  Google Scholar 

  11. Dew MA, Hoch CC, Buysse DJ, et al. Healthy older adults’ sleep predicts all-cause mortality at 4 to 19 years of follow-up. Psychosom Med. 2003;65:63-73.

    Article  PubMed  Google Scholar 

  12. Gallicchio L, Kalesan B. Sleep duration and mortality: A systematic review and meta analysis. J Sleep Res. 2009;18:148-158.

    Article  PubMed  Google Scholar 

  13. Espie CA. Insomnia: Conceptual issues in the development, persistence, and treatment of sleep disorders in adults. Annu Rev Psychol. 2002;3:215-243.

    Article  Google Scholar 

  14. Hall M, Vasko R, Buysse D, et al. Acute stress affects heart rate variability during sleep. Psychosom Med. 2004;66:56-62.

    Article  PubMed  Google Scholar 

  15. Harvey AG. A cognitive model of insomnia. Behav Res Ther. 2002;40:869-893.

    Article  PubMed  CAS  Google Scholar 

  16. Perlis ML, Smith MT, Pigeon WR. Eitiology and pathophysiology of insomnia. In: Kryger TRMH, Dement WC, eds. Principles and practice of sleep medicine, vol. 4. Philadelphia, PA: Saunders; 2005.

    Google Scholar 

  17. Spielman AJ, Caruso LS, Glovinsky PB. A behavioral perspective on insomnia treatment. Psychiatr Clin N Am. 1987;10:541-553.

    CAS  Google Scholar 

  18. Hawkley LC, Cacioppo JT. Stress and the aging immune system. Brain Behav Immun. 2004;18:114-119.

    Article  PubMed  CAS  Google Scholar 

  19. Uchino BN, Smith TW, Holt-Lunstad J, Campo R, Reblin M. Stress and illness. In: Cacioppo JT, Tassinary LG, Berntson G, eds. Handbook of psychophysiology. 3rd ed. New York, NY: Cambridge University Press; 2007:608-632.

    Chapter  Google Scholar 

  20. Williams PG, Smith TW, Gunn HE, Uchino BE. Personality and stress: Individual differences in exposure, reactivity, recovery, and restoration. In: Contrada R, Baum A, eds. Handbook of stress science: Biology, psychology, and health. New York, NY: Springer; 2011:231-245.

    Google Scholar 

  21. Williams PG, Moroz TL. Personality vulnerability to stress-related sleep disruption: Pathways to adverse mental and physical health outcomes. Personal Individ Differ. 2009;46:598-603.

    Article  Google Scholar 

  22. Benham G. Sleep: An important factor in stress-health models. Stress Heal. 2010;26:204-214.

    Article  Google Scholar 

  23. Cacioppo JT, Berntson G. The brain, homeostasis, and health: Balancing demands of the internal and external milieu. In: Friedman HS Silver RC, ed. Foundations of health psychology. New York, NY: Oxford University Press; 2007:73-91.

    Google Scholar 

  24. Hall M. Behavioral medicine and sleep: Concepts, measures, and methods. In: Steptoe A, ed. Handbook of behavioral medicine. New York, NY: Springer; 2010:749-765.

    Chapter  Google Scholar 

  25. Neitzert Semler C, Harvey AG. An experimental investigation of daytime monitoring for sleep-related threat in primary insomnia. Cogn Emot. 2007;21:146-161.

    Article  Google Scholar 

  26. Franzen PL, Siegle GJ, Buysse DJ. Relationships between affect, vigilance, and sleepiness following sleep deprivation. J Sleep Res. 2008;17:34-41.

    Article  PubMed  Google Scholar 

  27. Talbot LS, McGlinchey EL, Kaplan KA, Dahl RE, Harvey AG. Sleep deprivation in adolescents and adults: Changes in affect. Emotion. 2010;10:831-841.

    Article  PubMed  Google Scholar 

  28. Franzen PL, Buysse DJ, Dahl RE, Thompson W, Siegle GJ. Sleep deprivation alters pupillary reactivity to emotional stimuli in healthy young adults. Biol Psychol. 2009;80:300-305.

    Article  PubMed  Google Scholar 

  29. Yoo S, Gujar N, Hu P, Jolesz F, Walker M. The human emotional brain without sleep: A prefrontal-amygdala disconnect? Curr Biol. 2007;17:R877-R878.

    Article  PubMed  CAS  Google Scholar 

  30. Van Dongen HPA, Maislin G, Mullington JM, Dinges DF. The cumulative cost of additional wakefulness: Dose–response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep J Sleep Disord Res. 2003;26:117-126.

    Google Scholar 

  31. Thayer JF, Lane RD. Claude Bernard and the heart–brain connection: Further elaboration of a model of neurovisceral integration. Neurosci Biobehav Rev. 2009;33:81-88.

    Article  PubMed  Google Scholar 

  32. Zohar D, Tzischinsky O, Epstein R, Lavie P. The effects of sleep loss on medical residents’ emotional reactions to work events: A cognitive-energy model. Sleep J Sleep Disord Res. 2005;28:47-54.

    Google Scholar 

  33. Soffer-Dudek N, Sadeh A, Dahl RE, Rosenblat-Stein S. Poor sleep quality predicts deficient emotion information processing over time in early adolescence. Sleep. 2011;34:1499-1508.

    PubMed  Google Scholar 

  34. Hasler BP, Troxel WM. Couples’ nighttime sleep efficiency and concordance: Evidence for bidirectional associations with daytime relationship functioning. Psychosom Med. 2010;72:794-801.

    Article  PubMed  Google Scholar 

  35. Barber LK, Munz DC, Bagsby PG, Powell ED. Sleep consistency and sufficiency: Are both necessary for less psychological strain? Stress Heal. 2010;26:186-193.

    Article  Google Scholar 

  36. Wright CE, Valdimarsdottir HB, Erblich J, Bovbjerg DH. Poor sleep the night before an experimental stress task is associated with reduced cortisol reactivity in healthy women. Biol Psychol. 2007;74:319-327.

    Article  PubMed  Google Scholar 

  37. Wright CE, Erblich J, Valdimarsdottir HB, Bovbjerg DH. Poor sleep the night before an experimental stressor predicts reduced NK cell mobilization and slowed recovery in healthy women. Brain Behav Immun. 2007;21:358-363.

    Article  PubMed  Google Scholar 

  38. Lovallo WR. Do low levels of stress reactivity signal poor states of health? Biol Psychol. 2011;86:121-128.

    Article  PubMed  Google Scholar 

  39. Motivala S. Sleep and inflammation: Psychoneuroimmunology in the context of cardiovascular disease. Ann Behav Med. 2011;42:141-152.

    Article  PubMed  Google Scholar 

  40. Chida Y, Steptoe A. Greater cardiovascular responses to laboratory mental stress are associated with poor subsequent cardiovascular risk status. Hypertension. 2010;55:1026-1032.

    Article  PubMed  CAS  Google Scholar 

  41. Brosschot JF, Pieper S, Thayer JF. Expanding stress theory: Prolonged activation and perseverative cognition. Psychoneuroendocrinology. 2005;30:1043-1049.

    Article  PubMed  Google Scholar 

  42. Pieper S, Brosschot JF. Prolonged stress-related cardiovascular activation: Is there any? Ann Behav Med. 2005;30:91-103.

    Article  PubMed  Google Scholar 

  43. Fernάndez-Mendoza J, Vela-Bueno A, Vgontzas AN, et al. Cognitive-emotional hyperarousal as a premorbid characteristic of individuals vulnerable to insomnia. Psychosom Med. 2010;72:397-403.

    Article  Google Scholar 

  44. Berset M, Elfering A, Lüthy S, Lüthi S, Semmer NK. Work stressors and impaired sleep: Rumination as a mediator. Stress Heal. 2011;27:e71-e82.

    Article  Google Scholar 

  45. Kohn PM, Lafreniere K, Gurevich M. The inventory of college students’ recent life experiences: A decontaminated hassles scale for a special population. J Behav Med. 1990;13:619-630.

    Article  PubMed  CAS  Google Scholar 

  46. Ewart CK, Jorgensen RS, Suchday S, Chen E, Matthews KA. Measuring stress resilience and coping in vulnerable youth: The social competence interview. Psychol Assess. 2002;14:339-352.

    Article  PubMed  Google Scholar 

  47. Brosschot JF, Gerin W, Thayer JF. The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health. J Psychosom Res. 2006;60:113-124.

    Article  PubMed  Google Scholar 

  48. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Personal Soc Psychol. 1988;54:1063-1070.

    Article  CAS  Google Scholar 

  49. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213.

    Article  PubMed  CAS  Google Scholar 

  50. Morin CM, Espie CA. Insomnia: A clinical guide to assessment and treatment. New York, NY: Kluwer Academic; 2003.

    Google Scholar 

  51. Nicassio PM, Mendlowitz DR, Fussell JJ, Petras L. The phenomenology of the pre-sleep state: The development of the pre-sleep arousal scale. Behav Res Ther. 1985;23:263-271.

    Article  PubMed  CAS  Google Scholar 

  52. Semler CN, Harvey AG. Monitoring for sleep-related threat: A pilot study of the sleep associated monitoring index (SAMI). Psychosom Med. 2004;66:242-250.

    Article  PubMed  Google Scholar 

  53. Minkel J, Htaik O, Banks S, Dinges D. Emotional expressiveness in sleep-deprived healthy adults. Behav Sleep Med. 2011;9:5-14.

    Article  PubMed  Google Scholar 

  54. Hagger MS, Wood C, Stiff C, Chatzisarantis NLD. Ego depletion and the strength model of self-control: A meta-analysis. Psychol Bull. 2010;136:495-525.

    Article  PubMed  Google Scholar 

  55. Tice DM, Baumeister RF, Shmueli D, Muraven M. Restoring the self: Positive affect helps improve self-regulation following ego depletion. J Exper Soc Psychol. 2007;43:379-384.

    Article  Google Scholar 

  56. Johnson EO, Roth T, Breslau N. The association of insomnia with anxiety disorders and depression: Exploration of the direction of risk. J Psychiatr Res. 2006;40:700-708.

    Article  PubMed  Google Scholar 

  57. Soffer-Dudek N, Shahar G. Daily stress interacts with trait dissociation to predict sleep-related experiences in young adults. J Abnorm Psychol. 2011;120:719-729.

    Article  PubMed  Google Scholar 

  58. Treiber FA, Kamarck T, Schneiderman N, et al. Cardiovascular reactivity and evelopment of preclinical and clinical disease states. Psychosom Med. 2003;65:46-62.

    PubMed  Google Scholar 

  59. Moseley JV, Linden W. Predicting blood pressure and heart rate change with cardiovascular reactivity and recovery: Results from 3-year and 10-year follow up. Psychosom Med. 2006;68:833-843.

    Article  PubMed  Google Scholar 

  60. Stewart JC, Janicki DL, Kamarck TW. Cardiovascular reactivity to and recovery from psychological challenge as predictors of 3-year change in blood pressure. Health Psychol. 2006;25:111-118.

    Article  PubMed  Google Scholar 

  61. Knutson KL, Van Cauter E, Rathouz PJ, et al. Association between sleep and blood Pressure in midlife: The CARDIA sleep study. Arch Intern Med. 2009;169:1055-1061.

    Article  PubMed  Google Scholar 

  62. National Sleep Foundation. How much sleep do adults need? Available at http://www.sleepfoundation.org/article/the national-sleep-foundation-releases-white-papers/how-much-sleep-do-adults-need. Accessed 18 April 2011.

  63. Centers for Disease Control and Prevention. Unhealthy sleep-related behaviors. Morbidity and Mortality Weekly Report, 2011, 233–238 Available at http://www.cdc.gov/mmwr/pdf/wk/mm6008.pdf.

Download references

Conflict of Interest Statement

The authors have no conflict of interest to disclose.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paula G. Williams Ph.D.

About this article

Cite this article

Williams, P.G., Cribbet, M.R., Rau, H.K. et al. The Effects of Poor Sleep on Cognitive, Affective, and Physiological Responses to a Laboratory Stressor. ann. behav. med. 46, 40–51 (2013). https://doi.org/10.1007/s12160-013-9482-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12160-013-9482-x

Keywords

Navigation