AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2578-8868/348
1Econeurobiology Research Group, Research Authority, Oranim Academic College, Israel
2Archbishop Elias Chacour Center for Innovation, Research, and Development at Mar Elias Educational Institutions, Ibillin, Galilee,Israel
3Brain Development and Rehabilitation Center, Galilee,Israel
*Corresponding Author: Rania Hussein Farraj, Econeurobiology Research Group, Research Authority, Oranim Academic College, Israel.
Citation: Rania H. Farraj, Salma Haddad, Coral Cohen, and Raed Mualem, (2025), Impact of Sleep Duration on Cognitive Performance and Emotional State Changes in High School Students, J. Neuroscience and Neurological Surgery, 17(1); DOI:10.31579/2578-8868/348
Copyright: ©, 2025, Rania Hussein Farraj. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Received: 28 November 2024 | Accepted: 18 December 2024 | Published: 22 January 2025
Keywords: sleep duration; cognitive performance; emotional state; high school students; memory; concentration; mood
Background/Aim
Adolescents’ sleep is essential for cognitive performance, emotional regulation, and academic success. This study aimed to assess the impact of sleep duration on cognitive abilities and mood among high school students.
Materials and Methods
Fifty 11th-12th grade students (ages 17-18) from northern Israel participated. Each student completed cognitive and mood assessments under two conditions: after 8-10 hours of sleep (optimal sleep) and after 4-6 hours of sleep (sleep deprivation). Tests included memory evaluation (computerized card game), concentration assessment (feature deduction game), and a chemistry test derived from national exams. Mood states were evaluated using the Profile of Mood States (POMS) questionnaire. Paired t-tests and Wilcoxon Signed-Rank Tests were used to analyze differences.
Results
Sleep deprivation significantly reduced memory by 20.39% and concentration by 22.72%. Chemistry scores declined by 35%, while mood disturbances included increases in tension (64.92%), depression (63.39%), anger (46.8%), and fatigue (64.9%). Vigor decreased by 57.8%.
Conclusion
Sleep deprivation adversely affects cognitive performance and emotional well-being, emphasizing the importance of promoting healthy sleep practices among adolescents to enhance academic performance and mental health.
Sleep is a fundamental biological process essential for maintaining cognitive performance, emotional regulation, and overall well-being, particularly during adolescence. Adolescence is a critical developmental stage characterized by biological, social, and academic challenges, which contribute to sleep disturbances. Research highlights that adequate sleep enhances attention, memory, and cognitive function, while insufficient sleep leads to deficits in these areas and impairs emotional health [1, 2, 3, 4]. In light of increasing academic pressures, irregular sleep schedules, and biological changes in circadian rhythms, adolescents are particularly vulnerable to sleep deprivation [12, 18, 19, 29].
The relationship between sleep and cognitive processes has been well-documented. During sleep, memory consolidation occurs through distinct neural mechanisms, particularly during slow-wave sleep (SWS) and REM sleep. These phases facilitate the transfer of information from short-term to long-term memory through hippocampal-neocortical processes, which are critical for learning and problem-solving [3, 4, 5, 6]. When sleep is restricted, these processes are disrupted, leading to impaired memory encoding, retention, and retrieval [10, 15, 16, 23]. Moreover, studies confirm that sleep deprivation slows reaction time, reduces alertness, and impairs higher-order cognitive functions, including attention and executive functioning [17, 18, 20, 22]. For instance, partial sleep deprivation of even two to three hours can significantly reduce performance on tasks requiring sustained attention [13, 21, 23, 25].
Adolescents are particularly susceptible to the cognitive consequences of insufficient sleep. Research indicates that students experiencing reduced sleep duration report significant declines in academic performance, particularly in subjects requiring abstract thinking and problem-solving, such as mathematics and science [14, 16, 31]. These deficits are exacerbated by societal factors such as early school start times, excessive use of digital devices, and increased academic expectations [29, 35, 39, 46]. For example, studies show that students who sleep fewer than six hours per night achieve lower scores in standardized exams compared to peers who sleep for eight or more hours [12, 17, 18].
In addition to cognitive performance, sleep plays a pivotal role in regulating emotional well-being. Sleep deprivation increases activity in the amygdala, the brain region responsible for processing emotions, leading to heightened emotional reactivity and reduced emotional regulation [31, 34, 36, 39]. This imbalance manifests in mood disturbances such as increased levels of anger, anxiety, and depression [33, 39, 40, 41]. A meta-analysis of adolescent sleep studies demonstrated a 55% increase in mood-related risks among students with shorter sleep durations [36, 39, 45]. Furthermore, chronic sleep deprivation exacerbates fatigue and irritability, creating a negative feedback loop in which emotional distress further disrupts sleep quality [39, 42, 43].
The interaction between sleep and emotional regulation has profound implications for adolescent mental health. Insufficient sleep has been linked to the development of psychiatric disorders such as depression and anxiety, particularly in adolescents experiencing high levels of academic stress [36, 38, 40]. The combination of emotional dysregulation and cognitive deficits due to sleep loss creates significant challenges for students, reducing their ability to meet academic demands and manage social relationships effectively [15, 17, 35].
Efforts to mitigate the effects of sleep deprivation have focused on systemic interventions and behavioral strategies. Delaying school start times has been shown to improve sleep duration, academic performance, and mood outcomes in adolescents [29, 46, 47, 48]. Additionally, promoting sleep hygiene education among students, parents, and educators can play a key role in addressing sleep-related challenges [39, 44, 50]. Behavioral strategies such as limiting screen time before bed, maintaining consistent sleep schedules, and creating a conducive sleep environment have been identified as effective approaches for improving sleep quality [23, 33, 34].
Despite the wealth of evidence linking sleep to cognitive and emotional outcomes, there remains a need for further research focusing on the adolescent population. Many existing studies have examined the effects of extreme sleep deprivation; however, more research is needed to understand the impact of moderate sleep restriction, which is more common among adolescents [18, 21, 22, 31]. Additionally, while previous studies have focused on isolated cognitive or emotional outcomes, few have comprehensively examined the combined impact of sleep deprivation on both domains within the same cohort.
The current study aims to address these gaps by investigating the effects of sleep duration on cognitive performance and emotional states among high school students. Specifically, the study compares performance on memory, concentration, and academic tasks under two sleep conditions: optimal sleep (8-10 hours) and sleep deprivation (4-6 hours). Emotional states, including mood disturbances such as tension, depression, anger, fatigue, and vigor, are also assessed. By using a within-subject design and validated assessment tools, this study provides a comprehensive analysis of the relationship between sleep and cognitive-emotional functioning. The findings will contribute to the growing body of literature highlighting the importance of sleep for adolescent well-being and offer practical implications for education and public health policies.
2.1 Participants
The study involved 50 of whom 62% were female and 38% were male in the 11th and 12th grades (ages 17-18) from a school in northern Israel. After obtaining informed consent from their parents, the students voluntarily participated in the study. They completed a series of tests on their free days, outside of the regular school schedule.
All the students belonged to the Arab communities, representing a normal distribution of socioeconomic status.
2.2 Procedure
This study was conducted over two weeks with two groups of participants. During the first week, Group 1 completed the tests after 8-10 hours of sleep, while Group 2 did so after 4-6 hours. In the second week, the groups switched conditions. Each participant completed the assessments after a night of adequate sleep (8-10 hours) and after a night of sleep deprivation (4-6 hours). The assessments included:
The statements are grouped into five factors, with each question categorized as follows:
A higher score in the "Vigor" factor indicates a more positive mood, while higher scores in the other factors correspond to a more negative mood.
2.4 Statistical analysis
The statistical analyses conducted in this study were meticulously designed to address the research objectives while accounting for the specific characteristics of the data. A combination of parametric and non-parametric methods was employed to ensure robustness and accuracy in the results. Paired t-tests were used for comparing means and percentage changes between the two sleep duration groups (8-10 hours vs. 4-6 hours) across variables such as memory, concentration, and emotional state, where normality assumptions were met. For the chemistry test, the Wilcoxon Signed-Rank Test was applied as the primary analysis, given the confirmed non-normal distribution of the data (p<0.05), ensuring appropriate handling of the data's distributional properties. Spearman’s correlation was selected to assess relationships between variables, providing flexibility for both continuous and ordinal data while maintaining consistency in the analysis of non-normally distributed data. Furthermore, MANCOVA was employed to explore the influence of sleep duration on cognitive and academic performance, with univariate analyses complementing this multivariate approach. This comprehensive statistical strategy ensured the reliability and validity of the findings, aligning with best practices in the field of scientific research.
3.1. Concentration and Memory
The comparative effects of Sleep Duration on concentration and memory are presented in Table No. 1.
The statistical analysis was performed using paired t-tests to assess differences in cognitive skills (memory and concentration) in the same students under two sleep conditions (8–10 hours vs. 4–6 hours). Prior to the analysis, the assumptions of normality of differences were tested and confirmed (55,56).
| Sleeping 8-10 hr N=50 | Sleeping 4-6 hr N= 50 | ||||
| Cognitive skills | Average±SE | Average±SE | t-test | P | % of decrease |
| Memory | 202.29±10.82 | 161.04±9.6 | -6.05 | P<0.0001 | -20.39% |
| concentration | 98.33±7.31 | 76.0±5.81 | -3.52 | P<0.001 | -22.72% |
Table No. 1- Effects of Sleep Duration on High School Students' Concentration and
Memory (Maximum Score Achieved in 10 Minutes).
Note: In addition to the statistical significance, the effect size was calculated using Cohen’s d for both memory and concentration performance. For memory, Cohen’s d was 3.81, and for concentration, Cohen’s d was 3.37, both indicating very large effect sizes. These results highlight the substantial impact of sleep duration on cognitive abilities, emphasizing its critical role in supporting high-level cognitive functioning in high school students [55,56].
Impact of Sleep Duration on Memory Performance
The paired samples t-test, selected as the primary analysis due to its reliability under confirmed normality (Shapiro-Wilk W = 0.979, p = 0.527), demonstrated a significant improvement in memory performance with extended sleep (t = 6.049, p<0.001). The mean difference of 41.25 ± 0.768 points between the two sleep conditions underscores the substantial positive impact of 8-10 hours of sleep on memory.
These findings highlight the critical role of adequate sleep in optimizing memory and support integrating sleep hygiene into educational and public health policies for improved cognitive outcomes.
Impact of Sleep Duration on Concentration Performance
The paired samples t-test revealed a significant improvement in concentration performance with extended sleep (t = 3.52, p<0.001), demonstrating a mean increase of 22.35 points between 4-6 hours (Mean = 75.98) and 8-10 hours of sleep (Mean = 98.33). Normality was confirmed (Shapiro-Wilk W = 0.980, p = 0.560), supporting the validity of the t-test for this analysis. These results underscore the critical role of extended sleep in enhancing concentration, with practical implications for improved productivity, academic success, and cognitive optimization. The findings advocate for prioritizing sleep hygiene in public health and education strategies to maximize cognitive outcomes.
3.2. Academic Performance in Chemistry
The comparative effects of Sleep Duration on Academic Performance in Chemistry are presented in Table No. 2.
Paired Samples Wilcoxon Signed-Rank Test
| ||
| ||
| Note. ᵃ 9 pair(s) of values were tied |
Table 2: Effects of Sleep Duration on High School Academic Performance in Chemistry
| Descriptive | N | Mean | Median | SD | SE |
| 8-10 sleep hours | 48 | 19.2 | 20.0 | 2.15 | 0.310 |
| 4-6 sleep hours | 48 | 12.3 | 10.0 | 4.94 | 0.713 |
Wilcoxon Signed-Rank Test For Paired Sample- primary method
| Paired Samples T-Test | |
| Statistic df p Mean SE difference difference | |
| |
| Normality Test (Shapiro-Wilk) | |
| W P | |
|
T-Test: Paired Two Sample for Means
The Academic Performance in Chemistry level associated with 8-10 hours of sleep was 19.2±2.15. This decreased significantly by 35.88% when sleep duration was reduced to 4-6 hours.
The Wilcoxon Signed-Rank Test, selected as the primary analysis due to its robustness in handling non-normal distributions, revealed a significant improvement in performance with longer sleep (W = 771, p<0.001), with a mean difference of 7.50 ± 0.768 points. Supplementary analysis using a paired t-test (t = 8.95, p<0.001) aligned with the Wilcoxon results, leveraging the Central Limit Theorem (sample size = 50) to validate the findings despite non-normality. Variance analysis further supported these results, showing greater consistency in performance under 8-10 hours of sleep (variance = 4.61) compared to 4-6 hours (variance = 24.42). These findings underscore the importance of sufficient sleep for enhancing cognitive performance and academic outcomes, reinforcing the need to integrate sleep hygiene into public health and educational strategies.
Multivariate Analysis of Covariance – MANCOVA
| MANCOVA | |||||||||
| Multivariate Tests | |||||||||
| value | F | df1 | df2 | p | |||||
| sleep hours Pillai's Trace | 0.792 | 2.54 | 36 | 255 | <.001 | ||||
| Wilks' Lambda | 0.351 | 2.90 | 36 | 246 | <.001 | ||||
| Hotelling's Trace | 1.46 | 3.30 | 36 | 245 | <.001 | ||||
| Roy's Largest Root | 1.15 | 8.15 | 12 | 85 | <.001 | ||||
| Univariate Tests | |||||||||
| Dependent Variable | Sum of Squares | df | Mean Square | F | p | ||||
| sleep hours | memory (2) | 105224 | 12 | 8768.6 | 1.70 | 0.082 | |||
| concentration | 46015 | 12 | 3834.6 | 1.60 | 0.106 | ||||
| test results | 1384 | 12 | 115.3 | 7.27 | <.001 | ||||
| Residuals | memory (2) | 439096 | 85 | 5165.8 | |||||
| concentration | 203283 | 85 | 2391.6 | ||||||
| test results | 1348 | 85 | 15.9 | ||||||
Note: All assumptions of MANCOVA, including multivariate normality, linearity, and homogeneity of covariance matrices, were tested and met. Any deviations from these assumptions are noted [55,56].
Table 3. Impact of Sleep Duration on Cognitive and Academic Outcomes
Extended sleep duration (8-10 hours) has a statistically significant multivariate impact on cognitive and academic outcomes, as confirmed by MANCOVA tests (Pillai's Trace, Wilks' Lambda, Hotelling's Trace, Roy's Largest Root; all p<0.001). Univariate analysis reveals a significant improvement in academic performance (F = 7.27, p<0.001), with positive but non-significant trends for memory (F = 1.70, p = 0.082) and concentration (F = 1.60, p = 0.106). These findings highlight the critical role of sufficient sleep in optimizing cognitive function and academic success, supporting the integration of sleep hygiene into public health and educational strategies.
This analysis examines the correlations of the same measure (e.g., academic results, memory, etc.) across two sleep conditions (1 refer to 4-6 hours and 2- refer to 8-10 hours) using Spearman's rho.
| Variable Pair | Spearman rho | p-value | Interpretation |
| Academic Results (1) vs. Academic Results (2) | 0.034 | 0.819 | No significant correlation between academic results in both sleep conditions. |
| Memory (1) vs. Memory (2) | 0.736 | <.001 | Strong positive correlation; memory is consistently better with extended sleep. |
| Concentration (1) vs. Concentration (2) | 0.525 | <.001 | Moderate positive correlation; concentration improves with longer sleep. |
| Tension (1) vs. Tension (2) | 0.201 | 0.157 | No significant correlation in tension levels across conditions. |
| Anger (1) vs. Anger (2) | 0.311 | 0.027 | Weak positive correlation; anger levels slightly related between sleep groups. |
| Fatigue (1) vs. Fatigue (2) | 0.433 | <.001 | Moderate positive correlation; fatigue shows consistency across sleep durations. |
| Depression (1) vs. Depression (2) | 0.632 | <.001 | Strong positive correlation; depression levels are similar across conditions. |
| Vigor (1) vs. Vigor (2) | -0.246* | 0.082 | Weak negative correlation; no significant pattern for vigor across sleep groups. |
Table 4: Analysis of Spearman Correlation Matrix: Within-Variable Correlation
Note 1. Significant Results (p<0.05): Memory, concentration, fatigue, and depression exhibit statistically significant positive correlations between the two sleep durations, with memory and depression showing particularly strong consistency.
Note 2. Non-Significant Results (p>0.05): Academic results, tension, and vigor do not show significant correlations, suggesting that these measures might be influenced by other factors beyond sleep duration.
Note 3.(*) -The weak negative correlation for vigor, though not statistically significant, could suggest a slight variation in energy levels between conditions.
The Spearman correlation analysis reveals significant relationships for key cognitive and emotional measures across two sleep conditions (4-6 hours vs. 8-10 hours). Strong correlations were observed for memory (r = 0.736, p<0.001), concentration (r = 0.525, p<0.001), depression (r = 0.632, p<0.001), and fatigue (r = 0.433, p<0.001), suggesting consistency in these measures, with likely improvements under extended sleep durations. Moderate correlations for anger (r = 0.311, p = 0.027) highlight partial stability influenced by sleep. However, academic results, tension, and vigor displayed weaker or non-significant correlations, indicating higher variability and sensitivity to other factors. These findings underscore the stabilizing role of adequate sleep on cognitive and emotional performance, with practical implications for promoting sleep hygiene to enhance outcomes in academic and personal domains.
Table 5: Analysis of Spearman Correlation Matrix: Cross-Variable Correlation
Table and Analysis of Statistically Significant Findings Only.
The Spearman correlation analysis reveals significant interrelationships between cognitive, emotional, and academic measures under varying sleep conditions. Strong positive correlations, such as between memory and concentration (r = 0.525, p<0.001), underscore the consistency and alignment of cognitive functions, particularly under longer sleep durations. Negative correlations, including the strong inverse relationship between fatigue and academic performance (r = -0.599, p<0.001), highlight the detrimental effects of fatigue and emotional strain on cognitive outcomes. These findings emphasize the interconnected nature of cognitive and emotional factors, reinforcing the critical role of adequate sleep in enhancing academic success and mental well-being.
3.3 Emotional State
Five Wilcoxon Signed-Rank Tests were conducted to assess the comparative effects of sleep duration on emotional states based on the five categories of the POMS questionnaire: Vigor, Fatigue, Tension, Depression, and Anger. The results of these tests, which compare emotional state levels following 8-10 hours versus 4-6 hours of sleep, are presented in Table No. 6.
Note. Given the nature of the data, which involved dependent samples, the Wilcoxon Signed-Rank Test was chosen as the appropriate non-parametric method for analysing the paired differences in emotional states between the two sleep conditions. (Table No. 7.)
Wilcoxon Signed-Rank Test
| Sleeping 8-10 hr N=50 | Sleeping 4-6 hr N=50 | % of change | Wilcoxon W | P | Effect Size | ||||
| Mood | Average+SD | Average +SD | |||||||
| Tension | 0.536±0.312 | 1.420±0.927 | 64.92% | 804.0ᵃ | P<0.0001 | 0.961 | |||
| Depression | 0.1124±0.1951 | 1.0794±0.8288 | 63.39% | 1736.0ᵇ | P<0.0001 | 0.962 | |||
| Anger | 0.1080±0.2350 | 1.1306±1.1647 | 46.85% | 835.0ᵈ | P<0.0001 | 0.849 | |||
| Fatigue | 0.536±0.312 | 1.420±0.927 | 64.92% | 1120.5ᵉ | P<0.0001 | 0.987 | |||
| Vigor | 1.9641±0.7994 | 0.8288±0.5785 | -57.80% | 36.5ᶠ | P<0.0001 | -0.94 | |||
| Note. Hₐ μMeasure 1 - Measure 2 ≠ 0 | |||||||||
| ᵃ 11 pair(s) of values were tied | |||||||||
| ᵇ 20 pair(s) of values were tied | |||||||||
| ᵈ 8 pair(s) of values were tied | |||||||||
| ᵉ 4 pair(s) of values were tied | |||||||||
| ᶠ 2 pair(s) of values were tied | |||||||||
Table 6: Effects of Sleep Duration on High School Students' Emotional State (Assessed on a Scale of 0-4)
The results of the Wilcoxon Signed-Rank Test reveal significant changes in mood levels following reduced sleep duration. Specifically, the Tension mood level, initially at 0.536 ± 0.312 after 8-10 hours of sleep, increased by 64.92% to 1.420 ± 0.927 after 4-6 hours of sleep (p<0.0001). Similarly, Depression levels increased by 63.39%, from 0.1124 ± 0.1951 with 8-10 hours of sleep to 1.0794 ± 0.8288 with 4-6 hours (p<0.0001). Anger also showed a significant increase, with a 46.85% rise in mood levels (from 0.1080 ± 0.2350 to 1.1306 ± 1.1647, p<0.0001). In addition, Fatigue levels increased by 64.92% after sleep was reduced from 8-10 hours (0.536 ± 0.312) to 4-6 hours (1.420 ± 0.927, p<0>Vigor exhibited a 57.80% decrease, from 1.9641 ± 0.7994 after 8-10 hours of sleep to 0.8288 ± 0.5785 following 4-6 hours of sleep (p<0>
Note.1. Effect Size: The Rank Biserial Correlation values indicate large to very large effect sizes across all emotional states examined. Specifically, the effect sizes for Tension (r = 0.961), Anger (r = 0.962), Fatigue (r = 0.849), Depression (r = 0.987), and Vigor (r = -0.940) suggest that the differences observed between the two sleep conditions are not only statistically significant, but also of substantial practical importance. Positive correlations for Tension, Anger, Fatigue, and Depression reflect strong increases in negative emotional states following reduced sleep duration, while the negative correlation for Vigor highlights a significant reduction in energy levels. These large effect sizes provide robust evidence of the impact of sleep duration on emotional well-being, emphasizing the importance of adequate sleep for maintaining optimal mood and energy levels.
The results of the Shapiro-Wilk test for normality across various emotional state measures (Tension, Anger, Fatigue, Depression, and Vigor) under two sleep conditions (4-6 hours and 8-10 hours) are summarized in the table below.
The analysis indicates that most of the emotional state measures do not follow a normal distribution.
| Variable | Condition | W | P | Normality Conclusion | |
| Tension | 4-6 hr | 0.919 | 0.002 | Not Normally Distributed | |
| 8-10 hr | 0.644 | >0.001 | Not Normally Distributed | ||
| Anger | 4-6 hr | 0.816 | >0.001 | Not Normally Distributed | |
| 8-10 hr | 0.528 | >0.001 | Not Normally Distributed | ||
| Fatigue | 4-6 hr | 0.956 | 0.06 | Normally Distributed | |
| 8-10 hr | 0.866 | >0.001 | Not Normally Distributed | ||
| Depression | 4-6 hr | 0.89 | >0.001 | Not Normally Distributed | |
| 8-10 hr | 0.647 | >0.001 | Not Normally Distributed | ||
| Vigor | 4-6 hr | 0.925 | 0.003 | Not Normally Distributed | |
| 8-10 hr | 0.958 | 0.069 | Normally Distributed |
Table 7: Shapiro-Wilk Test for Normality of Emotional State Measures.
The findings of the Shapiro-Wilk test indicate that most of the emotional state measures are not normally distributed across both sleep conditions. Consequently, non-parametric statistical tests, such as the Wilcoxon Signed-Rank Test, should be employed for comparing groups. Fatigue showed a trend towards normality under the 4-6 hr condition (p = 0.06), and Vigor exhibited a borderline result under the 8-10 hr condition (p = 0.069), suggesting a possible trend towards normality in these measures. However, the overall pattern of non-normality in the other measures supports the use of non-parametric tests for these data.
This study provides compelling evidence for the critical role of sleep duration in influencing both cognitive performance and emotional well-being among high school students. The findings clearly show that sleep deprivation—defined as 4-6 hours per night—results in significant declines in cognitive performance, including memory (20.39%) and concentration (22.72%), alongside a 35.88% decrease in chemistry test scores. In addition, sleep deprivation caused considerable mood disturbances, with increases of 64.92% in tension, 63.39% in depression, 46.85% in anger, and 64.92% in fatigue, while vigor decreased by 57.8%. These results align with previous studies showing that insufficient sleep impairs cognitive abilities and emotional regulation [3, 4, 13, 31].
A key strength of this study is the within-subject design, where participants completed assessments under both optimal sleep (8-10 hours) and sleep deprivation (4-6 hours) conditions. This design minimized variability caused by individual differences, thereby strengthening the internal validity of the results. Similar methodological approaches have been successful in isolating the effects of sleep on cognitive and emotional performance [3, 12, 16].
Moreover, the study utilized validated tools to assess cognitive and emotional performance, ensuring robust and reliable measurements. For cognitive evaluations, tests for memory and concentration, as well as standardized chemistry exams, provided objective insights into the effects of sleep loss. Emotional states were evaluated using the Profile of Mood States (POMS) questionnaire, which is widely recognized for its reliability in mood assessments [52, 53].
Additionally, the use of comprehensive statistical analyses—including paired t-tests, Wilcoxon Signed-Rank Tests, and multivariate analyses—enhanced the robustness of the findings. The inclusion of both parametric and non-parametric tests ensured that the data were analyzed rigorously, accounting for distributional properties [55, 56].
This study also addresses a critical and practical issue faced by adolescents, a population particularly vulnerable to sleep deprivation due to academic demands and social pressures. These findings are consistent with prior research highlighting the role of insufficient sleep in academic decline and emotional instability [18, 19, 35, 39]. By emphasizing the relationship between sleep duration and cognitive performance, this study advocates for educational policies that prioritize sleep hygiene as a fundamental component of adolescent health and academic success [29, 46, 47].
In conclusion, the strengths of this study lie in its well-controlled design, use of validated tools, and rigorous statistical analysis, which collectively provide clear and actionable evidence for the detrimental effects of sleep deprivation on cognitive and emotional well-being. These findings reinforce the critical importance of promoting healthy sleep habits among adolescents to optimize their academic performance, emotional regulation, and overall well-being.
While this study provides valuable insights into the impact of sleep duration on cognitive performance and emotional well-being in high school students, several limitations should be acknowledged.
First, the sample size was relatively small, comprising only 50 students from a single school in northern Israel. Although this provided useful data, the limited sample size may affect the generalizability of the findings to broader populations, including students from different regions or educational settings. Future studies should aim to include a larger, more diverse sample to validate the results across varying demographics, socioeconomic statuses, and cultural backgrounds.
Second, the study relied on self-reported measures of sleep and mood through the Profile of Mood States (POMS) questionnaire. While this tool is widely used and validated, self-reported data can be subject to biases such as social desirability or inaccurate recall. Incorporating more objective measures, such as actigraphy or polysomnography, to track actual sleep duration and quality would provide more reliable data and a deeper understanding of the relationship between sleep and cognitive and emotional outcomes.
Third, the study was conducted over a relatively short period of two weeks. This design allowed for a controlled examination of the immediate effects of sleep deprivation, but it did not explore the long-term consequences of chronic sleep deprivation on cognitive performance and emotional regulation. Longitudinal studies are needed to assess how prolonged sleep deprivation affects students over time and whether the observed effects persist or worsen with continued lack of sleep.
In summary, this study highlights the crucial role of sleep in shaping both cognitive performance and emotional well-being during adolescence. The findings provide robust evidence for the adverse effects of sleep deprivation on memory, concentration, academic performance, and emotional regulation. Addressing these challenges requires a multifaceted approach that includes educational reforms, systemic interventions, and personalized strategies to promote healthier sleep patterns. To further enhance intervention insights, we recommend incorporating blood analytes assessments to identify physiological markers that can help refine and personalize sleep-related interventions. Future research should also explore the long-term impacts of chronic sleep deprivation and evaluate how individualized interventions can optimize both cognitive and emotional health in adolescents. By integrating sleep health into educational and public health policies, we can better support students in achieving their full potential, both academically and emotionally.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
