self%reported,sleep,is,associated,with,riskevalua8on · pdf...

1
SelfReported Sleep is Associated with Risk Evalua8on in Older Adults C.G. Genesio 1 , K.L. Seaman 1 , D.V. Howard 2 , J.H. Howard, Jr. 123 1 Department of Psychology, The Catholic University of America, Washington, DC; 2 Department of Psychology, Georgetown University, Washington, DC; 3 Department of Neurology, Georgetown University, Washington, DC IntroducEon: Prior research has demonstrated that older adults suffer from a decline in sleep quality, 1 and that changes in risktaking from aging may be due to agerelated learning deficits. 2 However, plenEful sleep has a beneficial effect on learning 3 and risky decisionmaking in adolescents. 4 Sleep’s effect on learning may be preserved in older adults amidst the detrimental effects of aging. In this study, we examined the relaEonship between sleep and performance on a task in risky decisionmaking, the Balloon Analogue Risk Task (BART) 5 in older adults. The BART has been previously shown to validly measure risktaking. Results: Sleep correlated with parEcipants’ mean adjusted number of pumps (block 2, block 3, and overall), number of explosions, and with parEcipants’ total points acquired. ParEcipants with more sleep pumped the balloon more oYen on each trial. More sleep associated with higher success in the task. Gender 36 male (73.72), 60 female (71.28) Age 72.20 (8.37) SelfReported Health 4.13 (0.67) Sleep Mode 2 (56 hrs.) Digit Symbol Forward 10.62 (2.23) Digit Symbol Backward 7.18 (2.28) Digit Symbol Coding 59.60 (15.16) Digit Symbol Pairing 9.740 (4.82) Digit Symbol Free Recall 6.938 (1.46) NAART 10.88 (7.36) £ £ n=93 BART Variable M (SD) Total Points 6450.32 (2194.15) £ Explosions 8.15 (4.05) Adjusted Number of Pumps 37.28 (17.18) Adjusted Number of Pumps – Block 1 33.28 (17.71) Adjusted Number of Pumps – Block 2 35.00 (18.20) Adjusted Number of Pumps – Block 3 37.99 (20.61) £ n=94 vv Methods: Balloon Analogue Risk Task 5 ParEcipants were instructed to either pump a balloon on the screen or collect points earned for each trial. Gained 10 points for each pump. OpEmal number of pumps was 64. Three blocks of ten trials each = thirty trials total. Calculated average adjusted number of pumps for each of three blocks. Sleep Measure Selfreported Likerttype scale: <5hrs. 56hrs. 67hrs. 78hrs. 89hrs. 9hrs.> References: 1 Feinberg, I., Koresko, R.L., & Heller, N. (1967). EEG sleep palerns as a funcEon of normal and pathological aging in man. Journal of Psychiatric Research, 5(2), 107144. doi: 10.1016/00223956(67)900271 2 Mata, R., Josef, A.K., SamanezLarkin, G.R., & Hertwig, R. (2011). Age differences in risky choice: A metaanalysis. Annals of the New York Academy of Sciences, 1235, 1829. doi: 10.1111/j.17496632.2011.06200.x 3 Walker, M.P., & SEckgold, R. (2004). Sleepdependent learning and memory consolidaEon. Neuron, 44, 121133. doi: 10.1016/ j.neuron.2004.08.031 4 O’Brien, E.M., & Mindell, J.A. (2005). Sleep and risktaking behavior in adolescents. Behavioral Sleep Medicine, 3(3), 113133. doi: 10.1207/s15402010bsm0303_1 5 Lejuez, C.W., Read, J.P., Kahler, C.W., Richards, J.B., Ramsey, S.E., Stuart, G.L., Strong, D.R., & Brown, R.A. (2002). EvaluaEon of a behavioral measure of risk: The balloon analogue risk task (BART). Journal of Experimental Psychology: Applied, 8(2), 7584. doi: 10.1037//1076898X.8.2.75 Acknowledgements: S.A. Kiser, K.M. O’Neil, & the CogniEve Aging Lab. Discussion: Older adults with more sleep learned and pumped the balloon more oYen. Results consistent with studies showing the impact of learning on risktaking 2 and sleep’s effect on learning. 3 Suggested sleep’s effect on learning was preserved in aging and induced riskier decisionmaking in a risk measurement. PracEce effects from early task blocks augmented risky decisionmaking. Future studies should examine sleep’s effect on learning in older adults using another risktaking measurement, such as the Iowa Gambling Task (IGT). 67 th Annual ScienEfic MeeEng of the Gerontological Society of America November 59, 2014, Washington, D.C. Email: [email protected] Research Supported by NIA Grant RO1 AG036863 Abstract ID: 1981619 <5 56 67 78 89 Sleep (hrs.) Block 3 <5 56 67 78 89 Sleep (hrs.) Block 2 Significant correlaEon for sleep with adjusted number of pumps in block 2 and in block 3 for older adults, but not in block 1. Suggests sleepinduced learning occurred over Eme. <5 56 67 78 89 0 10 20 30 40 50 60 70 80 90 Average Adjusted Number of Pumps Sleep (hrs.) Block 1 <5 56 67 78 89 0 10 20 30 40 50 60 70 80 90 Average Adjusted Number of Pumps Sleep (hrs.) Overall Sleep correlated with overall average adjusted number of pumps. Suggests learning occurred with sleep. r(94)=.230, p=.024 0 0.05 0.1 0.15 0.2 0.25 0.3 Overall Adjusted Pumps Total Points Explosions Block 1 Block 2 Block 3 r Value BART Variable Correla8ons with Sleep r(94)=.210, p=.040 r(94)=.285, p=.005

Upload: lethu

Post on 15-Mar-2018

216 views

Category:

Documents


2 download

TRANSCRIPT

Page 1: Self%Reported,Sleep,is,Associated,with,RiskEvalua8on · PDF fileSelf%Reported,Sleep,is,Associated,with,RiskEvalua8on,in,Older,Adults, C.G.Genesio1,K.L.Seaman 1,D.V.Howard 2,J.H.Howard,Jr

Self-­‐Reported  Sleep  is  Associated  with  Risk  Evalua8on  in  Older  Adults  

C.G.  Genesio1,  K.L.  Seaman1,  D.V.  Howard2,  J.H.  Howard,  Jr.123  1Department  of  Psychology,  The  Catholic  University  of  America,  Washington,  DC;  2Department  of  Psychology,  Georgetown  

University,  Washington,  DC;  3Department  of  Neurology,  Georgetown  University,  Washington,  DC  

         

IntroducEon:  •  Prior  research  has  demonstrated  that  older  adults  suffer  from  a  decline  in  sleep  quality,1  and  

that  changes  in  risk-­‐taking  from  aging  may  be  due  to  age-­‐related  learning  deficits.2  •  However,  plenEful  sleep  has  a  beneficial  effect  on  learning3  and  risky  decision-­‐making  in  

adolescents.4  •  Sleep’s  effect  on  learning  may  be  preserved  in  older  adults  amidst  the  detrimental  effects  of  aging.  

•  In  this  study,  we  examined  the  relaEonship  between  sleep  and  performance  on  a  task  in  risky  decision-­‐making,  the  Balloon  Analogue  Risk  Task  (BART)  5  in  older  adults.  •  The  BART  has  been  previously  shown  to  validly  measure  risk-­‐taking.  

Results:  •  Sleep  correlated  with  parEcipants’  mean  adjusted  number  of  pumps  (block  2,  block  3,  and  overall),  number  of  explosions,  and  with  parEcipants’  total  points  acquired.  •  ParEcipants  with  more  sleep  pumped  the  balloon  more  oYen  on  each  trial.  •  More  sleep  associated  with  higher  success  in  the  task.  

Gender   36  male  (73.72),  60  female  (71.28)  Age   72.20  (8.37)  Self-­‐Reported  Health   4.13  (0.67)  Sleep  Mode   2  (5-­‐6  hrs.)  Digit  Symbol  Forward   10.62  (2.23)  Digit  Symbol  Backward   7.18  (2.28)  Digit  Symbol  Coding   59.60  (15.16)  Digit  Symbol  Pairing   9.740  (4.82)  Digit  Symbol  Free  Recall   6.938  (1.46)  NAART   10.88  (7.36)£  £n=93  

BART  Variable   M  (SD)  

Total  Points   6450.32  (2194.15)£  

Explosions   8.15  (4.05)  

Adjusted  Number  of  Pumps   37.28  (17.18)  

Adjusted  Number  of  Pumps  –  Block  1   33.28  (17.71)  

Adjusted  Number  of  Pumps  –  Block  2   35.00  (18.20)  

Adjusted  Number  of  Pumps  –  Block  3   37.99  (20.61)  

£n=94  

vv  

Methods:  Balloon  Analogue  Risk  Task5  •  ParEcipants  were  instructed  to  either  pump  a  balloon  on  the  screen  or  collect  points  earned  for  each  trial.  •  Gained  10  points  for  each  pump.  •  OpEmal  number  of  pumps  was  64.  •  Three  blocks  of  ten  trials  each  =  thirty  trials  total.  •  Calculated  average  adjusted  number  of  pumps  for  each  of  three  blocks.                                                Sleep  Measure  • Self-­‐reported  Likert-­‐type  scale:  <5hrs.      5-­‐6hrs.      6-­‐7hrs.      7-­‐8hrs.  8-­‐9hrs.  9hrs.>      

References:  1Feinberg,  I.,  Koresko,  R.L.,  &  Heller,  N.  (1967).  EEG  sleep  palerns  as  a  funcEon  of  normal  and  pathological  aging  in  man.  Journal  

 of  Psychiatric  Research,  5(2),  107-­‐144.  doi:  10.1016/0022-­‐3956(67)90027-­‐1  2  Mata,  R.,  Josef,  A.K.,  Samanez-­‐Larkin,  G.R.,  &  Hertwig,  R.  (2011).  Age  differences  in  risky  choice:  A  meta-­‐analysis.  

 Annals  of  the    New  York  Academy  of  Sciences,  1235,  18-­‐29.  doi:  10.1111/j.1749-­‐6632.2011.06200.x  3Walker,  M.P.,  &  SEckgold,  R.  (2004).  Sleep-­‐dependent  learning  and  memory  consolidaEon.  Neuron,  44,  121-­‐133.  doi:  10.1016/

 j.neuron.2004.08.031  4O’Brien,  E.M.,  &  Mindell,  J.A.  (2005).  Sleep  and  risk-­‐taking  behavior  in  adolescents.  Behavioral  Sleep  Medicine,  3(3),  113-­‐133.  doi:  

 10.1207/s15402010bsm0303_1  5Lejuez,  C.W.,  Read,  J.P.,  Kahler,  C.W.,  Richards,  J.B.,  Ramsey,  S.E.,  Stuart,  G.L.,  Strong,  D.R.,  &  Brown,  R.A.  (2002).  EvaluaEon  of  a  

 behavioral  measure  of  risk:  The  balloon  analogue  risk  task  (BART).  Journal  of  Experimental  Psychology:  Applied,  8(2),  75-­‐84.    doi:  10.1037//1076-­‐898X.8.2.75  

Acknowledgements:  S.A.  Kiser,  K.M.  O’Neil,  &  the  CogniEve  Aging  Lab.  

Discussion:  •  Older  adults  with  more  sleep  learned  and  pumped  the  balloon  more  oYen.  •  Results  consistent  with  studies  showing  the  impact  of  learning  on  risk-­‐taking2  and  sleep’s  effect  on  learning.3  •  Suggested  sleep’s  effect  on  learning  was  preserved  in  aging  and  induced  riskier  decision-­‐making  in  a  risk  

measurement.  •  PracEce  effects  from  early  task  blocks  augmented  risky  decision-­‐making.  •  Future  studies  should  examine  sleep’s  effect  on  learning  in  older  adults  using  another  risk-­‐taking  measurement,  

such  as  the  Iowa  Gambling  Task  (IGT).  

67th  Annual  ScienEfic  MeeEng  of  the  Gerontological  Society  of  America  November  5-­‐9,  2014,  Washington,  D.C.  Email:  [email protected]  

Research  Supported  by  NIA  Grant  RO1  AG036863  Abstract  ID:  1981619  

<  5     5-­‐6   6-­‐7   7-­‐8   8-­‐9  

Sleep  (hrs.)  

Block  3  

<  5   5-­‐6   6-­‐7   7-­‐8   8-­‐9  Sleep  (hrs.)  

Block  2  

• Significant  correlaEon  for  sleep  with  adjusted  number  of  pumps  in  block  2  and  in  block  3  for  older  adults,  but  not  in  block  1.  • Suggests  sleep-­‐induced  learning  occurred  over  Eme.  

<  5   5-­‐6   6-­‐7   7-­‐8   8-­‐9  0  

10  

20  

30  

40  

50  

60  

70  

80  

90  

Average  Ad

justed

 Num

ber  o

f  Pum

ps  

Sleep  (hrs.)  

Block  1  

<  5   5-­‐6   6-­‐7   7-­‐8   8-­‐9  0  

10  

20  

30  

40  

50  

60  

70  

80  

90  

Average  Ad

justed

 Num

ber  o

f  Pum

ps  

Sleep  (hrs.)  

Overall  

• Sleep  correlated  with  overall  average  adjusted  number  of  pumps.  • Suggests  learning  occurred  with  sleep.  

r(94)=.230,  p=.024  

0  

0.05  

0.1  

0.15  

0.2  

0.25  

0.3  

Overall  Adjusted  Pumps  

Total  Points  

Explosions   Block  1   Block  2   Block  3  

r  Value

 

BART  Variable  

Correla8ons  with  Sleep  

r(94)=.210,  p=.040  r(94)=.285,  p=.005