Chapter 14
Cognition, Driving, and Sleep
Kawai Makoto MD,
Kawai Makoto MD
Department of Neurology, Methodist Neurological Institute, Weill Cornell Medical College, USA
Search for more papers by this authorKawai Makoto MD,
Kawai Makoto MD
Department of Neurology, Methodist Neurological Institute, Weill Cornell Medical College, USA
Search for more papers by this authorBook Editor(s):Douglas B. Kirsch MD, FAASM,
Douglas B. Kirsch MD, FAASM
Harvard Medical School, Boston, MA, USA
Division of Sleep Neurology, Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA
Search for more papers by this authorFirst published: 07 October 2013
Summary
The correlation of sleep and cognition has been investigated through several conditions. Those conditions include acute and chronic sleep deprivation (sleep deprivation), obstructive sleep apnea (OSA) and driving performance.
Acute sleep deprivation causes a broad spectrum of cognitive problems such as sleepiness, decline in attention, executive function and other cognitive dysfunction.
Chronic sleep deprivation causes dissociation of sleepiness and decline of attention. That is, our perception of sleepiness plateaus after several days of sleep deprivation, whereas our attention continues to worsen over time. OSA also causes a cognitive decline; some portion of this decline may not be reversible.
Driving requires combination of several cognitive functions. Sleep deprivation and OSA are known to affect driving performance and the severity of the impact is similar to what one gets from alcohol.
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