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This study investigated the effects of narcolepsy type 1 (NT1) and other central disorders of hypersomnolence (CDH) on learning abilities. Results showed that participants with NT1 and other CDH had decreased learning abilities when receiving negative feedback compared to positive feedback in a reinforcement learning task. This suggests that alterations in decision-making abilities may be associated with vigilance disruptions. The findings emphasize the importance of restoring adequate vigilance to potentially minimize cognitive impairments in patients with CDH.