Fact-checked by Grok 2 weeks ago

Psychomotor vigilance task

The Psychomotor Vigilance Task () is a sustained- reaction-time test that objectively measures behavioral and vigilant by recording response speeds to visual stimuli presented at random intervals, typically over a 10-minute period. It serves as a sensitive for detecting cognitive impairments due to factors such as , circadian misalignment, and , with key outcomes including reaction times, lapses (responses ≥500 ms or no response), and false starts (premature responses <100 ms). The PVT originated from earlier simple visual reaction-time apparatuses, including a portable device developed by Wilkinson and Houghton in 1982 for field assessments of arousal and performance. In 1985, David F. Dinges and John W. Powell advanced the task by creating a microcomputer-based version that automated stimulus presentation, response recording, and performance analysis, enabling reliable use in studies of prolonged wakefulness and sustained operations. This innovation built on foundational sleep deprivation research dating back to the late 19th century, positioning the PVT as a standardized tool for quantifying the neurocognitive effects of sleep loss. In a typical PVT session, participants fixate on a display where a visual stimulus—often a millisecond counter—appears unpredictably every 2–10 seconds, prompting an immediate button press; valid responses range from 100 ms to 500 ms, while slower or absent reactions indicate attentional lapses. Performance is quantified using metrics such as the mean reciprocal reaction time (1/RT, reflecting overall speed), number of lapses, and false starts, which demonstrate high sensitivity to even partial sleep restriction (e.g., 4–5 hours per night) and strong test-retest reliability (>0.8). Widely regarded as the gold standard for detection in behavioral , the has been employed in hundreds of studies across laboratory, clinical, and operational environments, including , , and simulations, to evaluate interventions like or naps. As of 2025, adaptations include mobile applications and AI-based forecasting of performance. Variants, such as the brief 3-minute PVT-B, maintain validity for time-constrained assessments while showing faster overall responses but similar sensitivity to loss. Its extends to real-world risks, as PVT lapses correlate with performance decrements in safety-critical tasks.

Introduction

Definition and Purpose

The Psychomotor Vigilance Task () is a sustained-, reaction-timed task that measures the consistency and speed of responses to visual stimuli, serving as a key for vigilant in neurobehavioral research. Originating from simple visual reaction time tests developed in the , the requires subjects to respond as quickly as possible to stimuli that appear at random intervals over a typical duration of 10 minutes, capturing fluctuations in without complex cognitive demands. This format emphasizes response stability rather than speed alone, making it sensitive to subtle impairments in wake state maintenance. The primary purpose of the PVT is to quantify behavioral alertness, particularly the impacts of on vigilance, including response slowing, increased lapses in (responses ≥500 ms or no response), elevated false starts (premature responses <100 ms), and downstream effects on skills such as problem-solving. By tracking these metrics, the task provides objective insights into how accumulated sleep loss or circadian disruptions degrade sustained performance, helping to isolate fatigue-related deficits from other factors. It has been applied in high-stakes environments, such as NASA space missions, to monitor astronaut vigilance during prolonged operations. Key advantages of the PVT include its ease of administration using portable devices or computers, lack of significant aptitude or learning effects across repeated trials, and high convergent validity with established measures of alertness like the Multiple Sleep Latency Test. These properties ensure reliable detection of even minor vigilance decrements, with test-retest reliability exceeding 0.8 for core outcomes, supporting its widespread adoption in both laboratory and field settings.

Historical Development

The Psychomotor Vigilance Task (PVT) originated from a portable visual reaction time apparatus developed by Wilkinson and Houghton in 1982, which served as a field test for assessing arousal through simple reaction times to visual stimuli presented at irregular intervals. This device, battery-powered and equipped with data storage on cassette tape, was designed for 10-minute sessions to measure sustained attention in operational environments, proving sensitive to stressors such as sleep loss. In 1985, David F. Dinges and John W. Powell advanced the task by introducing a microcomputer-based PVT, which automated data input, editing, transformation, analysis, and reduction for the portable visual RT apparatus during prolonged operations. This formalization shifted the PVT from a basic hardware tool to a more robust, quantifiable measure of vigilance, enabling detailed examination of performance lapses and response speed variability. David F. Dinges further elevated the PVT's prominence in sleep and fatigue research throughout the late 1980s and 1990s, emphasizing its high sensitivity to the neurobehavioral impairments caused by sleep deprivation and circadian misalignment. His pioneering studies established the PVT as a gold-standard assay for tracking declines in sustained attention, influencing its widespread adoption in laboratory and applied settings. The PVT continued to evolve in the 2010s with the creation of practical variants, including the brief PVT (PVT-B), a 3-minute adaptation that retained sensitivity to sleep loss while accommodating time-constrained scenarios. Concurrently, NASA began integrating the PVT into space missions in the 2000s to evaluate astronaut alertness amid microgravity and irregular schedules, culminating in implementations like the Reaction Self Test on the International Space Station starting in 2009 for real-time neurobehavioral monitoring.

Methodology

Procedure

The Psychomotor Vigilance Task (PVT) is administered in a quiet, controlled environment to minimize distractions, with participants seated comfortably in front of the testing apparatus. The standard version lasts 10 minutes, during which the participant maintains focus on the display without external interruptions. Shorter variants, such as 3-minute or 5-minute durations, have been developed for repeated testing or time-constrained settings, while adaptive versions adjust the length based on performance to optimize sensitivity. Equipment typically includes a computer-based system presenting stimuli on a screen, though early implementations used portable handheld devices like the one developed by Wilkinson and Houghton in 1982. Modern setups often employ touch screens, keyboards, or dedicated response buttons for precision. Participants receive clear instructions before starting: they must watch the screen continuously and press the response button (e.g., a mouse click or key) as soon as a stimulus appears, aiming to respond quickly without anticipating or pressing prematurely, as false starts—responses before the stimulus—result in a brief warning and are noted verbally or on-screen. The task begins with a practice trial to familiarize the participant, followed by the main session where no feedback on performance is provided during the test to avoid influencing sustained attention. The stimulus is a visual cue, such as the sudden appearance of a yellow millisecond counter within a red rectangular box on an otherwise blank screen, or in original versions, the onset of a 4-digit LED clock display accompanied by a tone. Stimuli occur at pseudo-random interstimulus intervals (ISI) ranging from 2 to 10 seconds, measured from the offset of the previous response to the onset of the next stimulus, ensuring unpredictability to demand vigilant attention. This structure yields approximately 80 to 100 trials per 10-minute session, depending on response speed, with the test concluding after the final stimulus or at the 10-minute mark. Responses exceeding 500 milliseconds are later classified as lapses in analysis, but participants are not informed of this threshold during the task.

Scoring and Analysis

The primary metric in Psychomotor Vigilance Task (PVT) scoring is the number of lapses, defined as response times (RTs) exceeding 500 ms or missed stimuli, which serves as a key indicator of attentional instability and sleepiness. Secondary metrics include the mean reciprocal RT, calculated as the average of the reciprocals of valid RTs to normalize the skewed distribution; the median RT, representing the central tendency; and the 10% fastest and slowest RTs, which capture extremes in performance speed. The mean reciprocal RT is computed using the formula \overline{\frac{1}{RT}} = \frac{\sum_{i=1}^{n} \frac{1}{RT_i}}{n} where n is the number of valid trials and RT_i are the individual response times in milliseconds, often scaled by multiplying by 1000 to express in units of responses per second. Error types in PVT performance are relatively uncommon but include false starts, defined as premature responses with RTs under 100 ms or responses without a presented stimulus. PVT data analysis typically examines the distribution of RTs to assess variability in sustained attention, revealing patterns such as increased tailing in slower responses under fatigue. Statistical comparisons, such as analysis of variance (ANOVA), are commonly applied to evaluate group differences or changes over time in these metrics, with mixed-effects models accounting for repeated measures. The reciprocal transformation normalizes the right-skewed RT distribution, enhancing the reliability of mean-based metrics by reducing the influence of outliers like lapses.

Applications

In Sleep and Fatigue Research

The Psychomotor Vigilance Task (PVT) has become a cornerstone in laboratory studies examining the effects of sleep loss on cognitive performance, particularly in quantifying how cumulative sleep debt impairs alertness and vigilant attention over periods of extended wakefulness. In controlled experiments involving chronic partial sleep restriction, such as those restricting sleep to 4, 6, or 8 hours per night for up to two weeks, PVT metrics like response speed and lapse frequency demonstrate a dose-dependent accumulation of deficits, with performance degrading progressively as sleep debt builds, even when total sleep deprivation is avoided. These findings highlight the PVT's utility in modeling real-world fatigue accumulation, where modest nightly sleep reductions lead to escalating neurobehavioral costs comparable to acute total sleep loss after several days. PVT performance is also highly sensitive to circadian misalignment, showing pronounced dips in vigilance during the biological night, independent of prior sleep history. In laboratory protocols simulating shift work or jet lag, where participants' sleep-wake cycles are desynchronized from their endogenous circadian rhythms, PVT lapses and slowed reaction times peak in the early morning hours, reflecting the interplay between homeostatic sleep pressure and circadian alerting signals. This sensitivity allows researchers to isolate circadian contributions to fatigue, as evidenced in studies where forced desynchrony protocols reveal that PVT impairments during the nadir of the circadian cycle can exceed those from equivalent hours of sleep deprivation alone. In space research, the PVT has been employed by NASA since 2009 to monitor astronaut fatigue during long-duration missions on the International Space Station (ISS), where microgravity, irregular schedules, and isolation exacerbate sleep disruption and circadian challenges. Self-administered PVT sessions, integrated into crew protocols, track lapses and response variability to provide objective data on alertness, aiding in the adjustment of sleep schedules and countermeasure implementation to mitigate performance risks in operational spaceflight. Field studies in high-stakes environments like military operations and aviation have utilized the PVT to simulate shift work and predict error risks from fatigue accumulation. For instance, assessments of U.S. Navy personnel on rotating shifts aboard naval vessels reveal that PVT-measured vigilance declines correlate with disrupted sleep patterns, informing scheduling optimizations to reduce incident potential during extended deployments. Similarly, in aviation simulations involving helicopter pilots, portable PVT variants detect performance decrements from irregular rosters, validating its role in forecasting safety-critical lapses under operational constraints. The PVT's validity in sleep research is further supported by its correlation with polysomnography (PSG)-derived measures of sleep duration, where reduced total sleep time verified by PSG predicts increased PVT lapses the following day in controlled restriction paradigms. In studies combining PSG monitoring with serial PVT administrations, shorter PSG-confirmed sleep episodes (e.g., below 6 hours) are associated with heightened lapse rates, establishing the task as a reliable behavioral proxy for sleep loss effects without relying solely on subjective reports.

In Clinical and Occupational Settings

The Psychomotor Vigilance Task (PVT) is employed in clinical settings to assess excessive daytime sleepiness (EDS) in disorders such as , obstructive sleep apnea (OSA), and , providing an objective measure of impaired vigilance that complements subjective scales like the Epworth Sleepiness Scale. In a 2014 validation study involving 143 patients with sleep-wake disorders (including 20 with and 56 with ) and 67 controls, PVT demonstrated significantly slower reaction times, more lapses (>500 ms), and greater response variability in patients compared to controls, with 55% of patients showing abnormal speed and 43% exhibiting excessive lapses; this distinguished and from insufficient sleep syndrome more effectively than controls from all patients combined. Similarly, in OSA patients, PVT reveals reduced accuracy through increased lapses and false responses, particularly in severe cases (apnea-hypopnea index >50), correlating with objective sleepiness on the Maintenance of Wakefulness Test, though it shows less sensitivity to EDS in OSA than in . For , PVT identifies sustained attention deficits linked to fragmented sleep, aiding differential diagnosis by quantifying vigilance impairments not fully captured by . In occupational settings, PVT monitors fatigue-related risks in high-stakes environments like night shifts, where it detects subtle declines in reaction times and lapses despite self-reported increases in sleepiness and tiredness. Among shift-working nurses, PVT performance deteriorates after night shifts compared to day shifts, with median reaction times slowing and lapses rising, exacerbated by poor sleep quality in over half of workers. For driving safety, PVT serves as a screening in occupational health clinics for professional , identifying 8% as "microsleepers" with prolonged reaction times (>5 seconds) and super lapses, often tied to and OSA risk, to prioritize sleep evaluations and enhance . In , PVT screens pilot during extended duties, such as extra augmented crew schedules, measuring reaction times to ensure no significant vigilance deficits, though subjective fatigue may rise without objective changes. A foot-pedal variant of PVT, simulating traffic light responses, has been adapted for driving assessments to evaluate reaction times in fatigued operators. PVT integrates with wearables and mobile technologies for real-time alertness tracking in both clinical and occupational contexts, enabling field deployment without disrupting workflows. Wrist-worn devices, such as actiwatches, deliver reliable 3-minute PVTs with reaction times comparable to laptop versions (differences <10 ms), supporting high compliance in shift workers like nurses and pilots for ongoing vigilance monitoring. Mobile apps like 2B-Alert incorporate PVT with Bayesian algorithms to predict individualized alertness in , using 3- to 10-minute tests on smartphones to adapt to sleep deprivation effects after just 12 administrations. Recent advancements include NASA's PVT+ application (as of September 2025), which integrates PVT with questionnaires for measuring loss and in astronauts and is adaptable for other high-stakes environments. Standardization efforts include the Brief PVT (PVT-B), a 3-minute version validated for to sleep loss with effect sizes 77% of the full 10-minute PVT, making it ideal for quick assessments in clinics or workplaces where time is limited. This brevity facilitates routine screening, such as pre-shift evaluations for nurses or pilots, while maintaining detection of partial impacts on vigilance.

Key Research Findings

Effects of Sleep Deprivation

Sleep deprivation profoundly impairs performance on the Psychomotor Vigilance Task (PVT), with empirical evidence demonstrating a clear dose-response relationship between the duration of wakefulness or restricted sleep and declines in vigilant attention. Total sleep deprivation leads to progressive increases in response time (RT) slowing and variability, as well as a marked rise in lapses—defined as RTs exceeding 500 ms—which reflect momentary attentional failures. For instance, after 24-36 hours of wakefulness, lapses begin to appear occasionally, roughly doubling from baseline levels, and escalate dramatically thereafter, with frequent prolonged lapses observed by 72-84 hours. This linear degradation aligns with the "state instability" hypothesis, where sleep loss induces unstable neurobehavioral states characterized by intermittent microsleep episodes underlying PVT deficits. Key studies have elucidated these patterns, including early work showing that motivational incentives can partially mitigate vigilance impairments up to 36 hours of total , maintaining hit rates and sensitivity near baseline, though effects wane beyond this threshold. Similarly, research on acute total highlights deficits as a core consequence, with lapses serving as a sensitive marker of underactivation, which disrupts sustained and executive control. Chronic partial restriction, such as 4-6 hours per night, accumulates deficits over successive days, with performance deteriorating nearly linearly; for example, 14 days of 4-hour opportunities produce impairments equivalent to 2 nights of total deprivation, including doubled lapse rates by day 7. The 's heightened sensitivity to sleep loss compared to other cognitive tasks underscores its utility in detecting subtle neurobehavioral impacts. Unlike more complex assessments that may show compensatory strategies masking deficits, PVT metrics like lapses and variability reliably capture the escalating costs of even moderate restriction, revealing prefrontal-dependent vulnerabilities earlier and more consistently. This comparative advantage has been evident since the task's early validation, where it outperformed longer vigilance protocols in isolating sleep-deprivation effects on basic . Recent studies as of 2024 continue to affirm PVT's sensitivity, demonstrating impaired performance following 24 hours of total in manual dexterity tasks analogous to operational environments.

Interventions and Modifications

Behavioral interventions have demonstrated potential to enhance performance on the Psychomotor Vigilance Task (PVT) by improving sustained and reducing lapses. A study involving novice meditators found that a single 40-minute session of significantly improved PVT response times and reduced attentional lapses compared to a , suggesting that acutely boosts psychomotor vigilance even without prior experience. Similarly, strategic napping has been shown to restore PVT performance in sleep-deprived individuals; for instance, brief naps during night shifts decreased sleepiness and improved response speed and fastest times on the PVT, mitigating fatigue-related deficits. Pharmacological agents such as and effectively counteract the effects of loss on metrics, particularly response time variability. Administration of 300 mg or 200 mg during extended wakefulness significantly reduced lapses and improved overall vigilance compared to , with showing sustained benefits up to 8 hours post-administration. In prolonged scenarios, such as 44 hours of continuous wakefulness, both substances mitigated declines in performance, though often outperformed in maintaining consistent alertness. Motivational incentives can temporarily offset PVT impairments induced by sleep deprivation. Research from 1985 demonstrated that high monetary incentives improved vigilance performance during 72 hours of total sleep deprivation, reducing errors and sustaining faster response times for short durations, though effects waned over time. Modifications to the PVT protocol, such as adaptive-duration versions, allow for shorter testing periods while preserving sensitivity to vigilance changes. The adaptive PVT terminates after sufficient data are collected to estimate performance reliably, averaging under 6.5 minutes per test and accurately tracking sleep restriction effects on response times and lapses, thereby increasing feasibility in operational settings. Integrations with neuroimaging techniques, like functional MRI (fMRI), reveal how interventions alter activation patterns during PVT performance. For example, intensive attention training interventions have been associated with stabilized activity and reduced variability in functional connectivity during vigilance tasks, as observed in fMRI scans, indicating enhanced neural efficiency in networks. As of 2022, the 3-minute PVT variant has been validated as demonstrating inadequate after acute restriction, maintaining high sensitivity comparable to the standard 10-minute version.

Limitations and Future Directions

Criticisms of the Task

Despite its widespread use, the Psychomotor Vigilance Task () faces several methodological criticisms that impact its reliability and applicability. One major concern is the validity of abbreviated versions, such as the 3-minute (), which demonstrate poor with the standard 10-minute (). A 2022 study involving total and chronic sleep restriction protocols found that correlations between PVT-3 and PVT-10 metrics, including lapses and response speed (1/), were frequently below 0.70, with 96% of lapse correlations and 76% of 1/RT correlations failing to meet acceptable thresholds across sleep loss types and periods. This lack of interchangeability suggests that shorter variants may underestimate or misrepresent vigilance impairments, limiting their utility in time-constrained settings without further validation. Practice effects, though often described as minimal, are present in repeated PVT administrations and can confound longitudinal assessments. Research examining 16 administrations of a 3-minute variant over varying intervals revealed small but significant improvements in certain metrics, such as faster 10% response times (p=0.0002) and reduced false starts (p=0.005), while core measures like mean response time and lapses remained stable. These subtle shifts, with absolute changes as low as -0.03 false starts per administration, highlight potential biases in tracking over time, particularly in studies relying on serial testing without adequate controls. The PVT's scope is limited to measuring basic vigilance and sustained , failing to capture higher-order cognitive functions or direct transfer to real-world tasks. For instance, while PVT lapses correlate modestly with errors (ρ=0.39, p<0.05), it does not adequately predict on-road performance impairments in clinical populations like those with , where no combination of vigilance tests, including PVT, reliably forecasted risk. This narrow focus means the task overlooks complex cognitive processes, such as or multitasking, reducing its ecological beyond simple reaction-based scenarios. Device variability further undermines comparability across implementations, as touch-screen or wearable versions require independent validation against the handheld standard. A field study comparing laptop-based PVT to hand-held touch-screen and wrist-worn devices found the touch-screen interface introduced substantial biases, including 50% longer reaction times, 34% slower response speeds, and 600% more lapses compared to the laptop standard, while wrist-worn devices showed 6-13% faster responses and an inflated response range. Such discrepancies emphasize the need for device-specific norms to avoid erroneous interpretations of performance data. Criticisms of the PVT's sensitivity center on its heavy reliance on lapse metrics (RT ≥500 ), which may overlook subtler impairments, particularly circadian influences in rested states. In alert participants, system variations disproportionately affect response speed measures, amplifying errors in non-deprived conditions where lapses are infrequent, thus potentially masking mild circadian dips in vigilance. This over-dependence on extreme responses limits the task's granularity for detecting nuanced in operational or everyday contexts without loss.

Recent Developments

Recent advancements in the Psychomotor Vigilance Task (PVT) since 2020 have focused on integrating technologies, , and adaptations to enhance its applicability in real-world settings, addressing limitations in traditional implementations for field use. Integrations of devices and have enabled non-invasive forecasting of PVT performance using passive video . A 2025 study developed a model that predicts PVT outcomes, such as response speed and lapses, from short facial video recordings during total , chronic sleep restriction, and napping recovery, achieving correlations up to 0.85 with actual PVT metrics. Similarly, another 2025 approach used video-based ocular and features to personalize predictions, replacing direct PVT administration with passive and demonstrating high accuracy in estimating vigilance declines equivalent to PVT lapses. Complementing these, a application launched in 2025 allows real-time assessment of impaired vigilance through a simplified PVT on smartphones, facilitating frequent testing in everyday environments with results comparable to standard PVT protocols. Novel variants of the PVT have emerged to suit specific contexts, such as pedestrian safety. In 2024, researchers introduced the Foot PVT, which measures foot reaction times to simulated stimuli, showing significant slowing in response times under conditions relevant to urban walking hazards, with mean latencies increasing by 20-30% after simulated restriction. For field deployments, an ultra-short adaptive version of the PVT (PVT-BA), developed in 2023, dynamically shortens test duration based on early performance, averaging under 3 minutes while maintaining sensitivity to sleep restriction-induced changes in vigilance, with lapse rates correlating 0.92 with full 3-minute PVT outcomes. Links between PVT performance and neurophysiological biomarkers have been strengthened through EEG analysis. A 2025 investigation found that density, frequency, and amplitude during in young and middle-aged adults with predict next-day PVT vigilance, accounting for 15.2-23.5% of variance in response lapses beyond traditional apnea metrics, highlighting these as severity-dependent neural indicators. Comparative studies have evaluated PVT against alternative tasks for detecting effects. In a 2025 experiment, the PVT exhibited higher overall sensitivity to 24-36 hours of than a visuomotor tracking task (MTTT), with PVT lapses increasing 4-6 fold versus 2-3 fold in MTTT, though the latter provided continuous monitoring advantages for prolonged assessments. Emerging applications include validation of -worn devices for in and occupational monitoring. Post-2020 studies, including a 2021 U.S. validation, confirmed that actigraphy-embedded 3-minute implementations on devices yield reliable field data, with intraclass correlations of 0.85-0.95 against laboratory for response speed under operational , supporting their use in high-stakes environments like and deployments.

References

  1. [1]
    Maximizing Sensitivity of the Psychomotor Vigilance Test (PVT) to ...
    The psychomotor vigilance test (PVT) is among the most widely used measures of behavioral alertness, but there is large variation among published studies in PVT ...
  2. [2]
    Field Test of Arousal: A Portable Reaction Timer with Data Storage
    A portable, unprepared simple reaction time (USRT) test is described. This test is particularly suitable for assessing performance in the field as a ...Missing: psychomotor | Show results with:psychomotor
  3. [3]
    Microcomputer analyses of performance on a portable, simple visual ...
    Dinges, D.F., Powell, J.W. Microcomputer analyses of performance on a portable, simple visual RT task during sustained operations. Behavior Research Methods ...
  4. [4]
    [PDF] Sleep Deprivation and Vigilant Attention
    Over the last two decades, the instrument that has emerged as the dominant assay of vigilant attention in paradigms of sleep deprivation is the psychomotor.
  5. [5]
    psychomotor vigilance test: Topics by Science.gov
    The Psychomotor Vigilance Task (PVT) is considered the gold standard fatigue detection device and is used frequently in fatigue research. The purpose of this ...
  6. [6]
    Validity and Sensitivity of a Brief Psychomotor Vigilance Test (PVT-B ...
    The Psychomotor Vigilance Test (PVT) objectively assesses fatigue-related changes in alertness associated with sleep loss, extended wakefulness, circadian ...
  7. [7]
    Psychomotor Vigilance Task Demonstrates Impaired Vigilance in ...
    The Psychomotor Vigilance Task (PVT) is one of the leading assays of sustained vigilant attention in sleep research and highly sensitive to the effects of sleep ...
  8. [8]
    [PDF] Validity and sensitivity of a brief psychomotor vigilance test (PVT-B ...
    Aug 7, 2011 · The PVT-B is a brief 3-min test assessing fatigue-related changes in alertness from sleep loss, validated in total and partial sleep ...
  9. [9]
    [PDF] Neurocognitive Assay Sensitive to Sleep Loss
    The PVT was developed as a neurocognitive test of behavioral alertness to track temporally dynamic changes induced by interaction of the homeostatic drive for ...
  10. [10]
    Psychomotor Vigilance Test (PVT) on ISS - [ Record Viewer ] NLSP
    The Psychomotor Vigilance Test (PVT) Reaction Self Test was developed to provide astronauts with objective feedback on neurobehavioral changes in ...
  11. [11]
    Field test of arousal: a portable reaction timer with data storage
    Field test of arousal: a portable reaction timer with data storage. Hum Factors. 1982 Aug;24(4):487-93. doi: 10.1177/001872088202400409.
  12. [12]
    Foreword: Festschrift in honor of David Dinges, scientist and mentor ...
    Apr 14, 2023 · To study the risks posed by sleep loss with precision, David invented the Psychomotor Vigilance Test (PVT)—a brief (10-min), portable ...
  13. [13]
  14. [14]
    3-minute smartphone-based and tablet-based psychomotor ...
    Jun 20, 2016 · Basner et al. (2011) developed the brief PVT (PVT-B), which shortened the test duration to 3 min. To mitigate the reduced sensitivity with the ...
  15. [15]
    The cumulative cost of additional wakefulness - PubMed - NIH
    This suggests that sleep debt is perhaps best understood as resulting in additional wakefulness that has a neurobiological "cost" which accumulates over time.<|control11|><|separator|>
  16. [16]
    Patterns of performance degradation and restoration during sleep ...
    Daytime performance changes were examined during chronic sleep restriction or augmentation and following subsequent recovery sleep.
  17. [17]
    Sleep deprivation and vigilant attention - PubMed
    One of the leading paradigms used as an assay of vigilant attention is the psychomotor vigilance test (PVT), a high signal-load reaction-time test that is ...
  18. [18]
    Daily circadian misalignment impairs human cognitive performance ...
    Feb 14, 2018 · The Psychomotor Vigilance Task (PVT) is a sustained attention performance task sensitive to sleep loss and circadian rhythmicity. In the visual ...
  19. [19]
    [PDF] Work and Rest Patterns and Psychomotor Vigilance Performance of ...
    Dec 31, 2014 · The PVT is a simple reaction time test, where participants are required to press a response button as soon as the stimulus appears on the screen ...<|separator|>
  20. [20]
    [PDF] Development of a Field-Deployable Psychomotor Vigilance Test to ...
    While some were easily field deployable, they were not designed for use in the psychomotor performance monitoring of helicopter pilots conducting daily flight ...
  21. [21]
    Psychomotor Vigilance Task Demonstrates Impaired Vigilance in ...
    Several PVT outcomes were analyzed: reciprocal mean reaction time, response variability, number of lapses, number of false reaction time, slowest and fastest 10 ...Abstract · Brief Summary · Statistical MethodsMissing: key | Show results with:key
  22. [22]
    Performance vigilance task and sleepiness in patients with sleep ...
    Since the psychomotor vigilance task worsening is more marked in accuracy that in speed, measurement of lapses and false responses would better characterise the ...Results · Correlation Analysis · Discussion<|control11|><|separator|>
  23. [23]
    Psychomotor Vigilance Performance in Participants with Excessive ...
    Dec 10, 2022 · Excessive daytime sleepiness (EDS) associated with narcolepsy or obstructive sleep apnea (OSA) can impair vigilance/attention.
  24. [24]
    Nurses and Night Shifts: Poor Sleep Quality Exacerbates ... - Frontiers
    Oct 13, 2020 · In this study, we examine the effects of the night shift on psychomotor performance, sleepiness, and tiredness in a large sample of shift-working nurses.
  25. [25]
    Psychomotor Vigilance Testing of Professional Drivers in the ... - NIH
    Psychomotor vigilance testing (PVT) rapidly assesses attention, reaction time (RT) and abnormal vigilance. Thus, PVT may be an adjunct to screening drivers ...Missing: pilots | Show results with:pilots
  26. [26]
    Assessing Flight Crew Fatigue under Extra Augmented Crew ... - MDPI
    Oct 31, 2023 · The psychomotor vigilance task (PVT) was used to collect reaction time measures of fatigue [32]. The PVT has been used in previous research ...
  27. [27]
    Psychomotor Vigilance Task - an overview | ScienceDirect Topics
    The Psychomotor Vigilance Test (PVT) is defined as a test of sustained attention that measures the speed of individual responses to visual stimuli, ...
  28. [28]
    Preliminary validation study of the 3-min wrist-worn psychomotor ...
    Oct 28, 2016 · The 10-min psychomotor vigilance test (PVT) is a widely used tool to assess behavioral alertness. In operational environments, however, ...Abstract · Method · ResultsMissing: intrusions | Show results with:intrusions
  29. [29]
    2B‐Alert App: A mobile application for real‐time individualized ...
    The first mobile application that progressively learns an individual's trait‐like response to sleep deprivation in real time.
  30. [30]
  31. [31]
    [PDF] sustained attention performance during sleep deprivation: evidence ...
    Sleep deprivation causes increased performance lapses, especially in sustained attention, due to "state instability" and a homeostatic drive for sleep.
  32. [32]
    Sustained attention performance during sleep deprivation - PubMed
    Sleep deprivation increases reaction time and performance variability, supporting the "state instability" hypothesis where performance is unstable due to sleep ...
  33. [33]
    High incentive effects on vigilance performance during 72 hours of ...
    It was found that incentive was able to maintain performance (hits and d′) at baseline levels for up to 36 h of deprivation.
  34. [34]
  35. [35]
    Dose-Response Effects on Neurobehavioral Functions and Sleep ...
    The study used 4, 6, or 8 hours of sleep for 14 days, and 0 hours for 3 days, to monitor the effects of chronic sleep restriction.
  36. [36]
    Cumulative sleepiness, mood disturbance, and psychomotor ...
    Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4-5 hours per night · Authors.
  37. [37]
    Meditation acutely improves psychomotor vigilance, and may ...
    Jul 29, 2010 · These results suggest that meditation provides at least a short-term performance improvement even in novice meditators.Missing: interventions | Show results with:interventions
  38. [38]
    Napping and nightshift work: Effects of a short nap on psychomotor ...
    Jul 28, 2016 · Following a nap, psychomotor performance metrics (response speed and fastest 10% reactions times) improved and self-reported sleepiness was ...
  39. [39]
    Effects of Napping on Sleepiness and Sleep-Related Performance ...
    Most investigators found that, despite short periods of sleep inertia immediately following naps, night-shift napping led to decreased sleepiness and improved ...
  40. [40]
    Effects of modafinil and caffeine on night-time vigilance of air force ...
    Dec 14, 2022 · The present study demonstrates that 200 mg modafinil and 300 mg caffeine significantly decrease the effects of a limited period of sleep ...Missing: interventions | Show results with:interventions
  41. [41]
    Effects of dextroamphetamine, caffeine and modafinil on ...
    Aug 7, 2025 · There are reports of improved vigilance, psychomotor activities, and fatigue following caffeine and modafinil treatment during sleep deprivation ...
  42. [42]
    High incentive effects on vigilance performance during 72 ... - PubMed
    High incentive effects on vigilance performance during 72 hours of total sleep deprivation. Acta Psychol (Amst). 1985 Feb;58(2):123-39. doi: ...Missing: Task | Show results with:Task
  43. [43]
    An Adaptive-Duration Version of the PVT Accurately Tracks ... - NIH
    The Psychomotor Vigilance Test (PVT) is a widely used assay of behavioral alertness sensitive to the effects of sleep loss and circadian misalignment.Missing: key | Show results with:key
  44. [44]
    changes in functional connectivity following intensive attention ...
    To measure the intervention effect, the patients underwent a brain scan in an MRI-camera, while performing a test of vigilance. The vigilance test requires that ...
  45. [45]
    Impact of Modafinil on Prefrontal Executive Function in Schizophrenia
    Dec 1, 2006 · Modafinil administration was associated with significantly greater activation of the dorsolateral prefrontal cortex during fMRI.
  46. [46]
  47. [47]
  48. [48]
    Hand-Held and Wrist-Worn Field-Based PVT Devices vs ... - PubMed
    May 1, 2020 · DISCUSSION: Compared to the L PVT, using a hand-held, touch screen interface to collect PVT data may introduce a large constant bias and a ...Missing: validation | Show results with:validation
  49. [49]
  50. [50]
    Ultra-short objective alertness assessment: an adaptive duration ...
    The Psychomotor Vigilance Test (PVT) is a widely used and sensitive assay of the cognitive deficits associated with sleep loss and circadian misalignment.
  51. [51]
    Forecasting psychomotor vigilance test performance from facial videos
    Jul 30, 2025 · This model forecasts an individual's PVT outcomes not only during total sleep deprivation, but also under chronic sleep restriction and after ...
  52. [52]
    Personalized alertness prediction using video-based ocular and ...
    Here, we aimed to replace the PVT with passively recorded facial videos and use these measurements to make personalized alertness-impairment predictions.
  53. [53]
  54. [54]
    Design of the New Foot Psychomotor Vigilance Test (PVT ... - MDPI
    This study introduces a novel Foot Psychomotor Vigilance Test (Foot PVT) designed to measure the RTs of the foot in response to simulated traffic lights.
  55. [55]
    complex metrics predict psychomotor vigilance in young and middle ...
    Aug 15, 2025 · K-complex density, frequency, and amplitude serve as severity-dependent neural biomarkers of psychomotor vigilance in young and middle-aged ...
  56. [56]
    Sleep deprivation: sensitivity comparison between a visuomotor ...
    Sep 4, 2025 · Sleep deprivation: sensitivity comparison between a visuomotor tracking task and the Psychomotor Vigilance Test (PVT). July 2025. DOI:10.21203 ...
  57. [57]
    Wrist-Worn Psychomotor Vigilance Task Device Validation Study
    May 12, 2021 · The technical report describes the findings of a 3-year project a) to validate the 3-minute PVT which is currently embedded in the AMI ...