SynthesisSleep2021
The effect of sleep deprivation and restriction on mood, emotion, and emotion regulation: three meta-analyses in one.
Synthesis in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
128 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Sleep and Circadian Interventions to Improve Athletes' Mental Health, Mood and Well-Being: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Prevalence of Depression, Anxiety, Stress, and Suicidal Ideation Among Pharmacy Students: An Updated Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2026Pooled it
- Monitoring Daily Sleep, Mood, and Affect Using Digital Technologies and Wearables: A Systematic Review.Sensors (Basel, Switzerland) · 2024Pooled it
- Pooled it
- Transdiagnostic CBT for bedtime procrastination: a pilot randomized controlled trial targeting behavioral, cognitive, and emotional dimensions.BMC psychology · 2025Trial
- Emotional Processing Following Digital Cognitive Behavioral Therapy for Insomnia in People With Depressive Symptoms: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Comparison of patient-reported outcomes between alternative care provider-led and physician-led care for severe sleep disordered breathing: secondary analysis of a randomized clinical trial.Journal of patient-reported outcomes · 2024Trial
- Trial
- Just-in-Time Adaptive Intervention for Stabilizing Sleep Hours of Japanese Workers: Microrandomized Trial.Journal of medical Internet research · 2024Trial
- The effects of insufficient sleep and adequate sleep on cognitive function in healthy adults.Sleep health · 2024Trial
- Does a multimodal prehabilitation program improve sleep quality and duration in patients undergoing colorectal resection for cancer? Pilot randomized control trial.Journal of behavioral medicine · 2024Trial
- Effect of Sleep Changes on Health-Related Quality of Life in Healthy Children: A Secondary Analysis of the DREAM Crossover Trial.JAMA network open · 2023Trial
- US Veterans Show Improvements in Subjective but Not Objective Sleep following Treatment for Posttraumatic Stress Disorder: Secondary Analyses from a Randomised Controlled Trial.Depression and anxiety · 2023Trial
- Sleep disorder symptoms are associated with greater posttraumatic stress and anger symptoms in US Army service members seeking treatment for posttraumatic stress disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Trial
- Longitudinal symptom dynamics in postoperative patients with liver cancer: A cross-lagged panel network analysis.Asia-Pacific journal of oncology nursing · 2026Article
- Links of fitbit-derived sleep architecture and fragmentation with ADHD symptoms and externalizing behaviors in adolescents.European child & adolescent psychiatry · 2026Article
- Daily associations between the physical environment and sleep among a diverse, national sample of young adults.Sleep health · 2026Article
- Toward an idiographic understanding of the role of sleep-mood dynamics in adolescents' internalizing symptoms.JCPP advances · 2026Article
- Mental Health and Health-Related Behavioral Patterns Surrounding a Major International Sporting Event: An Observational Study.Diseases (Basel, Switzerland) · 2026Article
- The Association of Vigorous Activity With Sleep Patterns in the Adventist Health Study 2 Authors.American journal of lifestyle medicine · 2026Article
68 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
STUDY
objectivesNew theory and measurement approaches have facilitated nuanced investigation of how sleep loss impacts dimensions of affective functioning. To provide a quantitative summary of this literature, three conceptually related meta-analyses examined the effect of sleep restriction and sleep deprivation on mood, emotion, and emotion regulation across the lifespan (i.e. from early childhood to late adulthood).
methodsA total of 241 effect sizes from 64 studies were selected for inclusion, and multilevel meta-analytic techniques were used when applicable.
resultsThere was a moderate, positive effect of sleep loss on negative mood (g = 0.45), which was stronger for studies with younger samples, as well as a large, negative effect of sleep loss on positive mood (g = -0.94). For negative mood only, studies that used total sleep deprivation had larger effect sizes than studies that restricted sleep. After correcting for publication bias, a modest but significant negative effect for sleep loss on emotion (g = -0.11) was found; the valence of emotional stimuli did not change the direction of this effect, and type of sleep manipulation was also not a significant moderator. Finally, sleep restriction had a small, negative effect on adaptive emotion regulation (g = -0.32), but no significant impact on maladaptive emotion regulation (g = 0.14); all studies on adaptive emotion regulation were conducted with youth samples.
conclusionsSleep loss compromises optimal affective functioning, though the magnitude of effects varies across components. Findings underscore the importance of sleep for healthy affective outcomes.
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Registered trials
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.