Evidence map›Paper›PMID 41521336›Full record

SynthesisExperimental brain research2026

Mental fatigue and brain activation using prolonged task-based fMRI: a systematic review on time-on-task and sequential task paradigms.

Manon Marie Roose, Emilie Schampheleer, Jelle Habay, Kevin De Pauw, Romain Meeusen, Peter Van Schuerbeek, Suzanna Russell, Hubert Raeymaekers, Bart Roelands

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Experimental brain research, 2026. 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. 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

9 authors.

Manon Marie RooseHuman Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0009-0001-1778-9082
Emilie SchampheleerHuman Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0009-0009-4133-2005
Jelle HabayHuman Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0001-9802-8367
Kevin De PauwHuman Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0002-6901-7199
Romain MeeusenHuman Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0001-7553-9957
Peter Van SchuerbeekDepartment of Radiology, UZ Brussel, Brussels, Belgium.ORCID http://orcid.org/0000-0003-3647-4446
Suzanna RussellHuman Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.ORCID http://orcid.org/0000-0001-9146-756X
Hubert RaeymaekersDepartment of Radiology, UZ Brussel, Brussels, Belgium.ORCID http://orcid.org/0000-0003-0041-6359
Bart RoelandsHuman Physiology and Sports Physiotherapy Research Group, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium. bart.roelands@vub.be.ORCID http://orcid.org/0000-0002-2808-044X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental fatigue (MF) has a significant impact on performance and decision-making in various contexts. It is considered a transient psychophysiological state characterized by impaired cognition and behavior across a range of dynamic contexts. This condition is related to changes in activity and connectivity across certain brain regions. Despite advances in understanding MF, the neural mechanisms remain unclear, necessitating further investigation. This systematic review synthesizes task-based fMRI evidence on MF during prolonged tasks, identifies convergent activation patterns and methodological gaps, and outlines possible future research. Following PRISMA, we searched PubMed, Web of Science, PsycINFO and Embase until November 6th, 2025. Eligible studies involved healthy participants, a mentally fatiguing task ≥ 30 min, and task-based BOLD fMRI acquired either on-task or in pre/post designs. Study characteristics and fMRI findings were extracted; risk of bias was appraised with NIH tools. Nine studies (n = 235) met the inclusion criteria. Across both designs an increase in MF was recurrently linked to higher activation in prefrontal and salience-related regions (DLPFC/VLPFC/DMPFC, ACC, insula) and the thalamus, while tendencies towards deactivation in posterior cortices (parieto-occipital/precuneus) were observed. Some studies also reported cerebellar effects. This review demonstrates the complexity of the neural correlates of MF and underscores the need for comprehensive research to understand its impact on brain functioning.

Indexed as

BrainMagnetic Resonance ImagingMental FatiguePsychomotor PerformanceBrain MappingHumansfMRIMental fatigueNeural mechanismsSequential tasksTime-on-Task

Identifiers

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.