084 Does Alignment between the Timing of Sleep and Circadian Rhythm Predict Behavioral Decision Making?

Abstract

Introduction Cognitive performance and decision making have been shown to suffer under conditions of misalignment between circadian preference and time-of-assessment; however, little is known about how misalignment between the timing of sleep and circadian rhythm impacts decision making. To this end, this study captured naturally occurring degrees of alignment between the timing of sleep and the circadian rhythm (i.e., alignment of sleep-wake timing with circadian phase) to examine if greater misalignment predicts worse behavioral decision making. Methods Over the course of two weeks, 32 participants (18–22 years of age; 61% female; 69% White) continuously wore actigraphs and completed two overnight in-lab visits (Thursday and Sunday) in which both dim light melatonin onset (DLMO) and behavioral decision-making (risk taking, framing, and strategic reasoning tasks) were assessed. Sleep-wake timing was assessed by actigraphic midsleep from the two nights prior to each in-lab visit. Alignment was operationalized as the interval between DLMO and average midsleep. Multilevel modeling was used to predict performance on decision making tasks from circadian alignment during each in-lab visit; nonlinear associations were also examined. Results Misalignment characterized by shorter time between DLMO and midsleep predicted decision-making in a curvilinear fashion (i.e., squared misalignment term predicted performance). Specifically, shorter time between DLMO and midsleep predicted greater risk-taking under conditions of potential loss (B = .10, p = .04), but less risk-taking under conditions of potential reward (B = -.14, p = .04) in a curvilinear fashion. Misalignment did not predict decision-making in the framing and strategic reasoning tasks. Conclusion Findings suggest that naturally occurring degrees of misalignment between the timing of sleep and the circadian rhythm may impact risky decision-making, further extending accumulating evidence that sleep/circadian factors are tied to risk-taking preferences. Future studies will need to replicate findings and experimentally probe whether manipulating alignment influences risky decision making. Support (if any) R21AA023209; R01DA044143