Subscribe to RSS
DOI: 10.1055/a-2514-1195
Challenges and perspectives with understanding the concept of mental fatigue

Abstract
Mental fatigue is referred to as a psychophysiological or neurobiological state caused by prolonged periods of demanding cognitive activity. Sport and exercise science research studies have investigated the effects of experimentally induced mental fatigue on cognitive performance, with mixed results. It has been suggested that negative effects of mental fatigue on cognition performance in laboratory studies could translate to impaired sport performance. However, it remains unclear if impairments in sport performance are due to mental fatigue and how mental fatigue may differ from physical fatigue. Fatigue is well understood as a complex multifactorial construct involving interactions between physiological and neuropsychological responses across brain regions. It may be prudent for researchers to return to the origins of fatigue and cognition before attempting to connect mental fatigue and sport cognition. This article reviews the concept of mental fatigue, its mechanisms and neuroanatomical basis, models of cognition relevant to sports science, investigates how mental fatigue may influence cognition, and suggests future research directions. Mental fatigue as a construct separated from fatigue could be an oversight that has hindered the development of our understanding of mental fatigue. Future sports science research could work to enhance our knowledge of our definitions of fatigue.
Keywords
cognition - cognitive fatigue - cognitive performance - fatigue - mental fatigue - neuropsychologyPublication History
Received: 15 July 2024
Accepted after revision: 09 January 2025
Accepted Manuscript online:
09 January 2025
Article published online:
20 February 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
References
- 1 Desmond PA, Hancock PA. Active and passive fatigue states. Stress, workload, and fatigue. Florida, USA: CRC Press; 2000
- 2 Goodman SPJ, Marino FE. Thirst perception exacerbates objective mental fatigue. Neuropsychologia 2021; 150: 107686
- 3 Lopes TR, Oliveira DM, Simurro PB. et al. No sex difference in mental fatigue effect on high-level runners’ aerobic performance. Med Sci Sports Exerc 2020; 52: 2207-2216
- 4 Marcora SM, Staiano W, Manning V. Mental fatigue impairs physical performance in humans. J Appl Physiol 2009; 106: 857-864
- 5 Mostofsky SH, Simmonds DJ. Response inhibition and response selection: Two sides of the same coin. J Cogn Neurosci 2008; 20: 751-761
- 6 Coutts AJ. Fatigue in football: It’s not a brainless task!. J Sports Sci 2016; 34: 1296
- 7 Tan SJ, Kerr G, Sullivan JP, Peake JM. A brief review of the application of neuroergonomics in skilled cognition during expert sports performance. Front Hum Neurosci 2019; 13: 278
- 8 Russell S, Jenkins D, Smith M. et al. The application of mental fatigue research to elite team sport performance: New perspectives. J Sci Med Sport 2019; 22: 723-728
- 9 Russell S, Jenkins D, Rynne S. et al. What is mental fatigue in elite sport? Perceptions from athletes and staff. Eur J Sport Sci 2019; 19: 1367-1376
- 10 Van Cutsem J, Marcora SM, De Pauw K. et al. The effects of mental fatigue on physical performance: A systematic review. Sports Med 2017; 47: 1569-2588
- 11 Penna EM, Filho E, Wanner SP. et al. Mental fatigue impairs physical performance in young swimmers. Pediatr Exerc Sci 2018; 30: 208-215
- 12 McMorris T, Barwood M, Hale BJ, Dicks M, Corbett J. Cognitive fatigue effects on physical performance: A systematic review and meta-analysis. Physiol Behav 2018; 188: 103-107
- 13 Van Cutsem J, Roelands B, Pluym B. et al. Can creatine combat the mental fatigue-associated decrease in visuomotor skills?. Med Sci Sports Exerc 2020; 52: 120-130
- 14 Thompson C, Fransen J, Beavan A. et al. Understanding the influence of a cognitively demanding task on motor response times and subjective mental fatigue/boredom. Braz J Mot Behav 2020; 14: 33-45
- 15 Filipas L, Martin K, Northey JM. et al. A 4-week endurance training program improves tolerance to mental exertion in untrained individuals. J Sci Med Sport 2020; 23: 1215-1219
- 16 Van Cutsem J, De Pauw K, Marcora SM, Meeusen R, Roelands B. A caffeine-maltodextrin mouth rinse counters mental fatigue. Psychopharmacol 2018; 235: 947-958
- 17 Van Cutsem J, De Pauw K, Vandervaeren C. et al. Mental fatigue impairs visuomotor response time in badminton players and controls. Psychol Sport Exerc 2019; 45: 101579
- 18 Smith MR, Zeuwts L, Lenoir M. et al. Mental fatigue impairs soccer-specific decision-making skill. J Sports Sci 2016; 34: 1297-1304
- 19 Smith MR, Fransen J, Deprez D, Lenoir M, Coutts AJ. Impact of mental fatigue on speed and accuracy components of soccer-specific skills. Sci Med Footb 2017; 1: 48-52
- 20 Filipas L, Borghi S, La Torre A, Smith MR. Effects of mental fatigue on soccer-specific performance in young players. Sci Med Footb 2021; 5: 150-157
- 21 Kosack MH, Staiano W, Folino R, Hansen MB, Lønbro S. The acute effect of mental fatigue on badminton performance in elite players. Int J Sport Physiol 2020; 15: 632-638
- 22 Wang C, Trongnetrpunya A, Samuel IB, Ding M, Kluger BM. Compensatory neural activity in response to cognitive fatigue. J Neurosci 2016; 36: 3919-3924
- 23 Nakagawa S, Sugiura M, Akitsuki Y. et al. Compensatory effort parallels midbrain deactivation during mental fatigue: An fMRI study. PLoS One 2013; 8: e56606
- 24 Skala F, Zemkova E. Effects of acute fatigue on cognitive performance in team sport players: Does it change the way they perform? A scoping review. Appl Sci 2022; 12: 1736
- 25 MacMahon C, Parrington L, Pickering T, Aitken B, Schücker L. Understanding the effects of cognitive tasks on physical performance: A constraints framework to guide further research. Int Rev Sport Exerc Psychol 2023; 16: 584-618
- 26 Inzlicht M, Marcora SM. The central governor model of exercise regulation teaches us precious little about the nature of mental fatigue and self-control failure. Front Psychol 2016; 7: 181762
- 27 Giboin L-S, Wolff W. The effect of ego depletion or mental fatigue on subsequent physical endurance performance: A meta-analysis. Perform Enhanc Health 2019; 7: 100150
- 28 Baumeister RF, Vohs KD, Tice DM. The strength model of self-control. Curr Dir Psychol Sci 2007; 16: 351-355
- 29 Enoka RM, Duchateau J. Translating fatigue to human performance. Med Sci Sports Exerc 2016; 48: 2228-2238
- 30 Wennerhold L, Friese M. Challenges in the conceptualization of trait self-control as a psychological construct. Soc Personal Psychol Compass 2023; 17: e12726
- 31 Hodson G. Construct jangle or construct mangle? Thinking straight about (nonredundant) psychological constructs. J Theor Soc Psychol 2021; 5: 576-590
- 32 McMorris T. Cognitive fatigue effects on physical performance: The role of interoception. Sports Med 2020; 50: 1703-1708
- 33 Meeusen R, Roelands B. Fatigue: Is it all neurochemistry?. Eur J Sport Sci 2018; 18: 37-46
- 34 Hockey GRJ. A motivational control theory of cognitive fatigue. In: Ackerman PL, editor. Cognitive fatigue: Multidisciplinary perspectives on current research and future applications. Washington, DC: American Psychological Association; 2011
- 35 Lilienfeld SO. Distinguishing scientific from pseudoscientific psychotherapies: Evaluating the role of theoretical plausibility, with a little help from Reverend Bayes. Clin Psychol Sci 2011; 18: 105-112
- 36 Genesereth M, Kao E. Introduction to logic. 3rd edn Springer Nature; 2022
- 37 Atwood KC. 2008
- 38 Goodman SN. Toward evidence-based medical statistics. 2: The Bayes factor. Ann Intern Med 1999; 130: 1005-1013
- 39 Cohen J. The earth is round (p < 0. 05). Am Psychol 1994; 49: 997
- 40 Qi P, Ru H, Gao L. et al. Neural mechanisms of mental fatigue revisited: New insights from the brain connectome. Engineering 2019; 5: 276-286
- 41 Lim J, Wu W-C, Wang J. et al. Imaging brain fatigue from sustained mental workload: An ASL perfusion study of the time-on-task effect. Neuroimage 2010; 49: 3426-3435
- 42 Gui D, Xu S, Zhu S. et al. Resting spontaneous activity in the default mode network predicts performance decline during prolonged attention workload. Neuroimage 2015; 120: 323-330
- 43 Salihu AT, Hill KD, Jaberzadeh S. Neural mechanisms underlying state mental fatigue: A systematic review and activation likelihood estimation meta-analysis. Rev Neurosci 2022; 33: 889-917
- 44 Broyd SJ, Demanuele C, Debener S. et al. Default-mode brain dysfunction in mental disorders: A systematic review. Neurosci Biobehav Rev 2009; 33: 279-296
- 45 Cole MW, Schneider W. The cognitive control network: Integrated cortical regions with dissociable functions. Neuroimage 2007; 37: 343-360
- 46 Anticevic A, Cole MW, Murray JD. et al. The role of default network deactivation in cognition and disease. Trends Cogn Sic 2012; 16: 584-592
- 47 Sporns O. The human connectome: A complex network. Ann N Y Acad Sci 2011; 1224: 109-125
- 48 Wylie GR, Yao B, Genova HM, Chen MH, DeLuca J. Using functional connectivity changes associated with cognitive fatigue to delineate a fatigue network. Sci Rep 2020; 10: 21927
- 49 Pires FO, Silva-Júnior FL, Brietzke C. et al. Mental fatigue alters cortical activation and psychological responses, impairing performance in a distance-based cycling trial. Front Physiol 2018; 9: 329390
- 50 Smith MR, Chai R, Nguyen HT, Marcora SM, Coutts AJ. Comparing the effects of three cognitive tasks on indicators of mental fatigue. J Psychol 2019; 153: 759-783
- 51 Brownsberger J, Edwards A, Crowther R, Cottrell D. Impact of mental fatigue on self-paced exercise. Int J Sports Med 2013; 34: 1029-1036
- 52 Tran Y, Craig A, Craig R, Chai R, Nguyen H. The influence of mental fatigue on brain activity: Evidence from a systematic review with meta-analyses. Psychophysiology 2020; 57: e13554
- 53 Boksem MAS, Meijman TF, Lorist MM. Effects of mental fatigue on attention: An ERP study. Cogn Brain Res 2005; 25: 107-116
- 54 Klimesch W. EEG alpha and theta oscillations reflect cognitive and memory performance: a review and analysis. Brain Res Rev 1999; 29: 169-195
- 55 Escolano C, Aguilar M, Minguez J. EEG-based upper alpha neurofeedback training improves working memory performance. Annu Int Conf IEEE Eng Med Biol Soc 2011; 2011: 2327-2330
- 56 Li G, Huang S, Xu W. et al. The impact of mental fatigue on brain activity: A comparative study both in resting state and task state using EEG. BMC Neurosci 2020; 21: 1-9
- 57 Herold F, Wiegel P, Scholkmann F, Müller NG. Applications of functional near-infrared spectroscopy (fNIRS) neuroimaging in exercise–cognition science: A systematic, methodology-focused review. J Clin Med 2018; 7: 466
- 58 Perrey S, Besson P. Studying brain activity in sports performance: Contributions and issues. Prog Brain Res 2018; 240: 247-267
- 59 Müller T, Apps MAJ. Motivational fatigue: A neurocognitive framework for the impact of effortful exertion on subsequent motivation. Neuropsychologia 2019; 123: 141-151
- 60 Boksem MAS, Tops M. Mental fatigue: Costs and benefits. Brain Rev 2008; 59: 125-139
- 61 Chaudhuri A, Behan PO. Fatigue and basal ganglia. J Neurol Sci 2000; 179: 34-42
- 62 Martin K, Meeusen R, Thompson KG, Keegan R, Rattray B. Mental fatigue impairs endurance performance: A physiological explanation. Sports Med 2018; 48: 2041-2051
- 63 Kok A. Cognitive control, motivation and fatigue: A cognitive neuroscience perspective. Brain Cogn 2022; 160: 105880
- 64 Schneider WJ, McGrew KS. The Cattell-Horn-Carroll model of intelligence. In: Flanagan DP, Harrison PL, editors. Contemporary intellectual assessment: Theories, tests, and issues. 3rd edn New York, USA: The Guilford Press; 2012
- 65 Sachdev PS, Blacker D, Blazer DG. et al. Classifying neurocognitive disorders: The DSM-5 approach. Nat Rev Neurol 2014; 10: 634-642
- 66 Sotelo-Dynega M, Dixon SG. Cognitive assessment practices: A survey of school psychologists. Psychol Sch 2014; 51: 1031-1045
- 67 Zimmerman M, Martin J, McGonigal P. et al. Validity of the DSM-5 anxious distress specifier for major depressive disorder. Depress Anxiety 2019; 36: 31-38
- 68 Patino CM, Ferreira JC. Internal and external validity: Can you apply research study results to your patients?. J Bras Pneumol 2018; 44: 183
- 69 Habay J, Van Cutsem J, Verschueren J. et al. Mental fatigue and sport-specific psychomotor performance: A systematic review. Sports Med 2021; 51: 1527-1548
- 70 Russell S, Kelly V, Halson SL. et al. Cognitive load in sport. Human Factors and Ergonomics in Sport. 1st edn. Florida, USA: CRC Press; 2020: pp. 181-200
- 71 Harvey PD. Domains of cognition and their assessment. Dialogues Clin Neurosci 2019; 21: 227-237
- 72 Hill BD, Taylor SE, Beach JD. Attention in sport. In: Anshel MH, Petrie TA, Steinfeldt JA, editors. APA handbook of sport and exercise psychology: Sport psychology. American Psychological Association; 2019: pp. 259-271
- 73 Tyagi R, Shen KQ, Shao SY, Li X. A novel auditory working-memory vigilance task for mental fatigue assessment. Safety Science 2009; 47: 967-972
- 74 Angius L, Merlini M, Hopker J. Physical and mental fatigue reduce psychomotor vigilance in professional football players. Int J Sport Physiol 2022; 17: 1391-1398
- 75 Filipas L, Rossi C, Codella R, Bonato M. Mental fatigue impairs second serve accuracy in tennis players. Res Q Exerc Sport 2023; 95: 1-7
- 76 Pageaux B, Marcora S, Lepers R. Prolonged mental exertion does not alter neuromuscular function of the knee extensors. Med Sci Sports Exerc 2013; 45: 67
- 77 Kowalski KL, Boolani A, Christie AD. Sex differences in the impact of state and trait fatigue on gait variability. Hum Mov Sci 2021; 80: 102884
- 78 Matuz A, van der Linden D, Kisander Z. et al. Enhanced cardiac vagal tone in mental fatigue: Analysis of heart rate variability in Time-on-Task, recovery, and reactivity. PLoS One 2021; 16: e0238670
- 79 Pickering T, Wright B, Schücker L, MacMahon C. Active or passive? Investigating different types of cognitive fatigue. Can J Exp Psychol 2024; 78: 50-65
- 80 Staiano W, Bonet LRS, Romagnoli M, Ring C. Mental fatigue: The cost of cognitive loading on weight lifting, resistance training, and cycling performance. Int J Sport Physiol 2023; 18: 465-473
- 81 Habay J, Proost M, De Wachter J. et al. Mental fatigue-associated decrease in table tennis performance: Is there an electrophysiological signature?. Int J Environ Res Public Health 2021; 18: 12906
- 82 Tassignon B, Verschueren J, De Pauw K. et al. Mental fatigue impairs clinician-friendly balance test performance and brain activity. Transl Sports Med 2020; 3: 616-625
- 83 Verschueren J, Tassignon B, Proost M. et al. Does mental fatigue negatively affect outcomes of functional performance tests?. Med Sci Sports Exerc 2020; 52: 2002-2010
- 84 Vrijkotte S, Meeusen R, Vandervaeren C. et al. Mental fatigue and physical and cognitive performance during a 2-bout exercise test. Int J Sport Physiol 2018; 13: 510-516
- 85 Loch F, Ferrauti A, Meyer T, Pfeiffer M, Kellmann M. Acute effects of mental recovery strategies in simulated air rifle competitions. Front Sports Act Living 2023; 5: 1087995