The present study aimed to systematically investigate the effects of elevat
ed fatigue levels on the ability to self-monitor performance. Eighteen part
icipants, aged 19-26 y, remained awake for a period of 28 h. Neurobehaviour
al performance was measured at hourly intervals using four tests from a sta
ndardized computer test battery. From these four tests, six measures of per
formance were obtained: grammatical reasoning (accuracy and response latenc
y); vigilance (accuracy and response latency); simple sensory comparison an
d tracking. In addition, before and after each test, participants completed
visual analogue scales which required them to rate their alertness level a
nd the speed and accuracy of their performance. Individual test results for
both self-ratings and neurobehavioural performance were converted to z-sco
res. Planned comparison analysis indicated that scores on four of the six p
erformance measures decreased significantly as hours of wakefulness increas
ed. Similarly, predicted performance scores for all six measures of perform
ance decreased significantly. Analysis revealed moderate correlations betwe
en predicted and actual performance for the four parameters affected by fat
igue. Furthermore, moderate to high correlations were found between all six
performance parameters and their respective post-test self-ratings. In add
ition, moderate to high correlations were found between predicted performan
ce and alertness. Taken together, these findings suggest that as fatigue le
vels increase, subjects globally assess performance decrements. Results sug
gest that subjective alertness may in part mediate an individual's global a
ssessment of performance.