{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:41:01Z","timestamp":1788414061544,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T00:00:00Z","timestamp":1736726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Sleepiness\u2010related errors are a leading cause of driving accidents, requiring drivers to effectively monitor sleepiness levels. However, there are inter\u2010individual differences in driving performance after sleep loss, with some showing poor driving performance while others show minimal impairment. This research explored if there are differences in self\u2010reported sleepiness and driving performance in healthy drivers who exhibited vulnerability or resistance to objective driving impairment following extended wakefulness. Thirty\u2010two adults (female\u2009=\u200918, mean age\u2009=\u200933.0\u2009\u00b1\u200914.6\u2009years) completed five\u2005\u00d7\u200960\u2010min simulated drives across 29\u2010hr of extended wakefulness. Subjective sleepiness (Karolinska Sleepiness Scale) and subjective driving performance ratings (nine\u2010point Likert scale) were assessed at 10\u2010min intervals while driving. Cluster analysis using simulator steering deviation and crash data categorised participants as vulnerable (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200916) or resistant (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200916) to driving impairments following extended wakefulness. No differences in self\u2010ratings between the vulnerable and resistant groups were observed except during the last drive (25\u2009hr awake), where the vulnerable group reported higher sleepiness (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.008) and worse driving performance (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001) than the resistant group. For each 1\u2010point increase on the Karolinska Sleepiness Scale and subjective driving scales, the vulnerable group showed about threefold greater steering impairment relative to resistant drivers. Although self\u2010reported sleepiness and driving performance were correlated with objective driving performance, vulnerable drivers reported similar sleepiness and driving performance as resistant drivers. Thus, self\u2010reported sleepiness and driving performance are not reliably sensitive to sleep loss effects on objective driving performance, which may impact the vulnerable driver's decisions to continue driving and delay engagement in countermeasures to reduce crash risk (e.g. napping), warranting further research.\n                  <\/jats:p>","DOI":"10.1111\/jsr.14455","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T23:20:06Z","timestamp":1736810406000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Poorer objective but not subjective driving performance in drivers vulnerable to sleep loss effects during extended wake"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9928-5590","authenticated-orcid":false,"given":"Katrina","family":"Nguyen","sequence":"first","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6144-2748","authenticated-orcid":false,"given":"Claire","family":"Dunbar","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisha","family":"Guyett","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2401-2068","authenticated-orcid":false,"given":"Kelsey","family":"Bickley","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7325-8040","authenticated-orcid":false,"given":"Duc Phuc","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9534-8699","authenticated-orcid":false,"given":"Amy C.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Catcheside","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0707-8068","authenticated-orcid":false,"given":"Hannah","family":"Scott","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maslin","family":"Hughes","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Adams","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8505-5873","authenticated-orcid":false,"given":"Leon","family":"Lack","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1484-7117","authenticated-orcid":false,"given":"Jennifer","family":"Cori","sequence":"additional","affiliation":[{"name":"Austin Health Institute for Breathing and Sleep  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark E.","family":"Howard","sequence":"additional","affiliation":[{"name":"Austin Health Institute for Breathing and Sleep  Heidelberg Victoria Australia"},{"name":"School of Psychological Sciences and Turner Institute for Brain and Mental Health Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Anderson","sequence":"additional","affiliation":[{"name":"Centre for Human Brain Health and School of Psychology University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Stevens","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"},{"name":"NeuroFlex Inc.  Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8990-6658","authenticated-orcid":false,"given":"Nicole","family":"Lovato","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3919-1313","authenticated-orcid":false,"given":"Andrew","family":"Vakulin","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12158"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsad136"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12544-017-0248-6"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0064782"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/27.6.1063"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12633"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2869.1992.tb00013.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101533"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1088\/1361-6579\/abfbb8"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2011.09.046"},{"issue":"1","key":"e_1_2_11_12_1","first-page":"63","article-title":"Do sleep deprivation and time of day interact with mild obstructive sleep apnea to worsen performance and neurobehavioral function","volume":"2","author":"Desai A. V.","year":"2006","journal-title":"Journal of Clinical Sleep Medicine"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193039"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1518\/001872099779577336"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.5664\/JCSM.1348"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0748730403261560"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/15389588.2013.800637"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41386-019-0432-6"},{"key":"e_1_2_11_19_1","volume-title":"The AASM manual for the scoring of sleep and associated events: Rules, terminology and technical specifications","author":"Iber, C., Ancoli\u2010Israel, S., Chesson, A., & Quan, S.","year":"2007"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2869.2006.00504.x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1049\/iet-its.2012.0032"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.promfg.2015.07.843"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-113"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12104"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/psyp.13839"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsac167"},{"key":"e_1_2_11_28_1","first-page":"238","volume-title":"Insomnia: Psychological assessment and management","author":"Morin C. M.","year":"1993"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/34.5.601"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2019.105386"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.12.1511"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-199311000-00010"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000000224"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/30.12.1808"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2004.12.008"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2000.0098"},{"key":"e_1_2_11_37_1","volume-title":"Fatigue and driving: An international review","author":"Thomas M.","year":"2021"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2018.03.017"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27662"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/30.10.1327"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-7-200910060-00005"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.3792"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2015.09.004"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/27.3.423"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsz292"}],"container-title":["Journal of Sleep Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jsr.14455","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T02:53:02Z","timestamp":1764903182000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jsr.14455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,13]]},"references-count":44,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/jsr.14455"],"URL":"https:\/\/doi.org\/10.1111\/jsr.14455","archive":["Portico"],"relation":{},"ISSN":["0962-1105","1365-2869"],"issn-type":[{"value":"0962-1105","type":"print"},{"value":"1365-2869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,13]]},"assertion":[{"value":"2024-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14455"}}