Development and Validation of the Cognition Test Battery for Spaceflight.

BACKGROUND: Sustained high-level cognitive performance is of paramount importance for the success of space missions, which involve environmental, physiological, and psychological stressors that may aff ect brain functions. Despite subjective symptom reports of cognitive fl uctuations in spacefl ight, the nature of neurobehavioral functioning in space has not been clarifi ed. METHODS: We developed a computerized cognitive test battery ( Cognition ) that has sensitivity to multiple cognitive domains and was specifi cally designed for the high-performing astronaut population. Cognition consists of 15 unique forms of 10 neuropsychological tests that cover a range of cognitive domains, including emotion processing, spatial orientation, and risk decision making. Cognition is based on tests known to engage specifi c brain regions as evidenced by functional neuroimaging. Here we describe the fi rst normative and acute total sleep deprivation data on the Cognition test battery as well as several eff orts underway to establish the validity, sensitivity, feasibility, and acceptability of Cognition . RESULTS: Practice eff ects and test-retest variability diff ered substantially between the 10 Cognition tests, illustrating the importance of normative data that both refl ect practice eff ects and diff erences in stimulus set diffi culty in the population of interest. After one night without sleep, medium to large eff ect sizes were observed for 3 of the 10 tests addressing vigilant attention (Cohen ’ s d 5 1.00), cognitive throughput (d 5 0.68), and abstract reasoning (d 5 0.65). CONCLUSIONS: In addition to providing neuroimaging-based novel information on the eff ects of spacefl ight on a range of cognitive functions, Cognition will facilitate comparing the eff ects of ground-based analogues to spacefl ight, increase consistency across projects, and thus enable meta-analyses.