Evidence map›Paper›PMID 40350202›Full record

ReviewBMJ military health2025

Fatigue and management of warfighter mental endurance.

Arnaud Rabat, J Van Cutsem, S M Marcora, A Lambert, R Markwald, A G Kubala, K E Friedl

Abstract readReview
In one paragraph

Review in BMJ military health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Fatigue-related factors and perceived team functioning in United States Navy Surface Forces.Sleep advances : a journal of the Sleep Research Society · 2026
    Article
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

7 authors.

Arnaud RabatUnite d'Ergonomie Cognitive des Situations Operationnelles, Institut de Recherche Biomédicale des Armées, Brétigny sur Orge, France.
J Van CutsemLIFE Department, Royal Military Academy, Bruxelles, Belgium.
S M MarcoraDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
A LambertUnite d'Ergonomie Cognitive des Situations Operationnelles, Institut de Recherche Biomédicale des Armées, Brétigny sur Orge, France.
R MarkwaldWarfighter Performance Department, Naval Health Research Center, San Diego, California, USA.
A G KubalaWarfighter Performance Department, Naval Health Research Center, San Diego, California, USA.
K E FriedlUSARIEM, Natick, Massachusetts, USA friedlke@gmail.com.ORCID http://orcid.org/0000-0002-3134-8427

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental fatigue (MF) is a psychobiological state induced by prolonged exertion that has the potential to reduce performance. In military operations, MF coincides with inadequate sleep, circadian disruption and other stressors, further increasing the risk of fatigue-related errors of judgement and reduction in physical and psychological performance. Experienced leaders can detect MF, but multimodal monitoring and assessment technologies still cannot duplicate this capability. Experiments to define signals that cue this human percept could inform future technologies. Countermeasures include engagement strategies, brain endurance training to extend physical endurance, and caffeine and modafinil to temporarily sustain performance. An infrastructure for physiological monitoring and integrated analyses will advance team performance enhancement, along with the use of explainable and interpretable artificial intelligence modelling, refined through iterative experimentation. More precise definitions that distinguish MF from other types of fatigue will help advance the development of monitoring technologies and countermeasures by targeting the right physiological and behavioural metrics.

Indexed as

FatigueMental FatigueMilitary PersonnelHumansMEDICAL EDUCATION & TRAININGMilitary PersonnelNeurophysiologyOCCUPATIONAL & INDUSTRIAL MEDICINERisk management

Identifiers

PMID40350202
PMCPMC12505106

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.