... Twenty-four studies reported the use of questionnaires and scales for assessing alertness/sleepiness -mainly through the Karolinska and Epworth Sleepiness Scales- [33,34,38,40,46,53,57,62,69,70], for reporting mental effort and work load [51,57,70], mental health and stress [45,74,103], subjective wellbeing and quality of life [30,45,57,62,74,77,102], and some symptoms, such as muscular ache, headache, eyestrain and fatigue [46,50,51,55,65,70,74,87,90,96]. In 17 studies, the emotional state was assessed through affective tests [31,37,47,52,87,98,102], self-reported mood assessments and mood rating inventory [31,34,38,40,[46][47][48][55][56][57]73,75,94]. Effects of lighting were analyzed through melatonin and cortisol by measuring hormones secretion or concentration using salivary or urinary samples [40,44,46,54,57,65,73,75,95,102] or other physiological responses as heart rate [44,51], brain activity [44,87], pupil size and eye fatigue [56,97], and body temperature [100,101]; while monitoring devices were used to track circadian entrainment and motion, mainly during sleep [37,62,67]. ...