Evidence map›Paper›PMID 40766906›Full record

ReviewFrontiers in neuroscience2025

The effects of sleep deprivation on cognitive flexibility: a scoping review of outcomes and biological mechanisms.

Xuefeng Sun, Zihan Qu, Xiaotu Zhang, Ye Zhang, Xinye Zhang, Haifeng Zhao, Hongshi Zhang

Abstract readReview
In one paragraph

Review in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Xuefeng SunSchool of Nursing, Chang Chun University of Chinese Medicine, Changchun, China.
Zihan QuSchool of Nursing, Chang Chun University of Chinese Medicine, Changchun, China.
Xiaotu ZhangSchool of Nursing, Chang Chun University of Chinese Medicine, Changchun, China.
Ye ZhangSchool of Nursing, Chang Chun University of Chinese Medicine, Changchun, China.
Xinye ZhangSchool of Nursing, Chang Chun University of Chinese Medicine, Changchun, China.
Haifeng ZhaoRehabilitation Department, The Second People's Hospital of Dalian, Dalian, China.
Hongshi ZhangSchool of Nursing, Chang Chun University of Chinese Medicine, Changchun, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sleep is vital for physical and mental health, yet sleep deprivation is a widespread issue that may impair cognitive flexibility, leading to rigid thinking and slower decision-making. This scoping review synthesizes evidence on the impact of sleep deprivation or sleep loss on cognitive flexibility. Objective: To provide a comprehensive understanding of the complex and multifaceted effects of sleep deprivation on cognitive flexibility. Methods: We searched PubMed, Web of Science, ClinicalKey, Cochrane, Scopus, SinoMed, and CNKI for studies evaluating the effects of sleep deprivation on cognitive flexibility. Two researchers independently screened and extracted data, assessing study quality using the Mixed Method Appraisal Tool (MMAT). Results: Among the 410 retrieved articles, 6 randomized controlled trials and 11 non-randomized studies were included, focusing on the impact of sleep deprivation on cognitive flexibility across children, adolescents, college students, clinicians, athletes, and other adults. Eight studies found that sleep deprivation reduces cognitive flexibility, six reported no significant impact, and two noted temporary improvements due to physical stress. One study highlighted that being overweight exacerbates the negative effects of sleep deprivation on cognitive flexibility. Conclusions: Sleep deprivation may predominantly impair accuracy rather than reaction time. Total sleep deprivation consistently reduces task-switching accuracy and cognitive flexibility, whereas partial sleep deprivation's effects remain unclear. The primary biological mechanisms involve decreased cerebral oxygen supply, impaired cerebrovascular reactivity, and alterations in gene expression and hormone levels. Rigorous randomized trials with objective measures are needed to assess long-term impacts across populations and age groups.

Indexed as

biological mechanismscognitive flexibilitycognitive performanceexecutive functionsleep deprivation

Identifiers

PMID40766906
PMCPMC12321868

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.