Evidence map›Paper›PMID 26085289›Full record

Trial reportSleep2015

The Effects of Sleep Continuity Disruption on Positive Mood and Sleep Architecture in Healthy Adults.

Patrick H Finan, Phillip J Quartana, Michael T Smith

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. A Systematic Review of Publications on the Associations Between Sleep Architecture and Arterial Hypertension.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Pooled it
  2. Sleep and affect: A conceptual review.Sleep medicine reviews · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Sleep dependent autonomic correlates of affect and arousal in younger and older adults.Sleep advances : a journal of the Sleep Research Society · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Daily, prospective associations between sleep architecture and affect: insights from Bayesian multilevel compositional data analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Review

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Patrick H FinanDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Phillip J QuartanaCenter for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research.
Michael T SmithDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.

Funding

Mechanisms of Sleep Disruption HyperalgesiaR01DA032922 · NIDA · JOHNS HOPKINS UNIVERSITY · PI IRWIN, MICHAEL R, SMITH, MICHAEL T · 2012 to 2016
$2.7M
Sleep Measurement CoreP30NR014131 · NINR · JOHNS HOPKINS UNIVERSITY · PI PAGE, GAYLE GIBONEY · 2012 to 2015
$1.7M
Sleep disturbance as a putative mechanism for reward system dysfunctionK23DA035915 · NIDA · JOHNS HOPKINS UNIVERSITY · PI FINAN, PATRICK · 2014 to 2018
$838k
Sleep Disturbance and Pain Sensitivity in Chronic PainK23NS047168 · NINDS · JOHNS HOPKINS UNIVERSITY · PI SMITH, MICHAEL T · 2004 to 2008
$787k
Sleep Deprivation and Pain ModulationR21NS051771 · NINDS · JOHNS HOPKINS UNIVERSITY · PI SMITH, MICHAEL T · 2004 to 2005
$380k
NIDA NIH HHS K23 DA035915NIDA NIH HHS R01 DA032922NINDS NIH HHS K23 NS47168NINDS NIH HHS R21 NS051771NINR NIH HHS P30 NR014131
6 · The paper itself

Abstract

objectiveThe purpose of this study was to test an experimental model of the effects of sleep continuity disturbance on sleep architecture and positive mood in order to better understand the mechanisms linking insomnia and depression.

designParticipants were randomized to receive 3 consecutive nights of sleep continuity disruption via forced nocturnal awakenings (FA, n = 21), or one of two control conditions: restricted sleep opportunity (RSO, n = 17) or uninterrupted sleep (US, n = 24).

settingThe study was set in an inpatient clinical research suite.

participantsHealthy, good-sleeping men and women were included. MEASUREMENT AND

resultsPolysomnography was used to measure sleep architecture, and mood was assessed via self-report each day. Compared to restricted sleep opportunity controls, forced awakenings subjects had significantly less slow wave sleep (P < 0.05) after the first night of sleep deprivation, and significantly lower positive mood (P < 0.05) after the second night of sleep deprivation. The differential change in slow wave sleep statistically mediated the observed group differences in positive mood (P = 0.002).

conclusionsTo our knowledge, this is the first human experimental study to demonstrate that, despite comparable reductions in total sleep time, partial sleep loss from sleep continuity disruption is more detrimental to positive mood than partial sleep loss from delaying bedtime, even when controlling for concomitant increases in negative mood. With these findings, we provide temporal evidence in support of a putative biologic mechanism (slow wave sleep deficit) that could help explain the strong comorbidity between insomnia and depression.

Indexed as

AffectAdultComorbidityDepressionFemaleHealthy VolunteersHumansMalePolysomnographySelf ReportSleepSleep DeprivationSleep Initiation and Maintenance DisordersTime FactorsWakefulnessYoung Adultinsomniapositive moodsleep continuity disruptionsleep deprivationslow wave sleep

Identifiers

PMID26085289
PMCPMC4813351

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.