Sleep restriction alters reactive aggressive behavior and its relationship with sex hormones.

Few studies have experimentally manipulated sleep to study its effect on aggressive behavior. The current study examined how reactive aggression was affected by having sleep restricted to 4-hours on a single night, a level of disruption commonly experienced. Both rested and sleep-restricted participants completed the Point Subtraction Aggression Paradigm (PSAP), a laboratory task in which participants seek to earn points, are provoked by a fictitious opponent stealing their points, and may choose to steal points in response. Logistic mixed-effect models were used to investigate the effect of sleep restriction and the role of sex hormones on the odds of choosing to steal. For men, and women in the luteal phase of the menstrual cycle, sleep restriction did not result in significant changes reactive aggression, although the patterns of aggressive behavior appeared less reactive and retaliatory in nature. For women in the follicular phase of the menstrual cycle, sleep restriction was associated with higher levels of reactive aggression. For both men and women in the luteal phase, sleep restriction disrupted an association between hormone change over the task (testosterone and estradiol, respectively) and reactive aggression that was observed in their control participants. In addition, higher testosterone before the PSAP in men was associated with maintaining a high level of stealing over the task. These results indicate a complex dynamic in which sex hormones and sleep interact to predict aggressive behavior in response to provocation.