Chapter 6: Sleep Flashcards

(45 cards)

1
Q

Consciousness

A
  • Awareness of internal / external events: objects, events, sensations, mental experiences and existence
  • Referred to as a psychological construct
  • Divided into NWC and ASC
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2
Q

Normal waking consciousness (NWC)

Ordinary consciousness

A
  • Being awake & aware of internal / external events
  • Not considered one single state; always changing
  • Includes states of consciousness involving ↑ awareness
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3
Q

Altered state of consciousness (ASC)

A
  • Distinctly different from NWC or any waking state in terms of level of awareness and experience
  • Involves changes in wakefulness, self / emotional awareness and perceptions of time / place / surroundings
  • Normal inhibitions or self-control may weaken
  • Can occur naturally or be induced
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4
Q

Naturally occurring vs induced ASCs

A
  • Natural – occurs without the need for any aid
    • E.g. sleep, dreaming or daydreaming
  • Inducedintentionally caused using some kind of aid
    • E.g. meditation, hypnosis, intoxication

NOTE: They are not necessarily mutually exclusive. Some naturally occurring states can be induced (e.g. sleep can be induced with sleeping pills that promote drowsiness).

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5
Q

Sleep

A
  • ASC that typically occurs naturally & is characterised by partial or total suspension of conscious awareness
  • Can be described as a psychological construct
  • Made up of REM and NREM sleep
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6
Q

Psychological construct

A
  • ‘Constructed’ concept that describes a psychological activity / pattern that cannot be directly observed
  • E.g. sleep, consciousness, intelligence, personality
  • They are measured indirectly using:
    • Info provided by individuals e.g. self reports
    • Demonstrated behaviour e.g. experiment responses
    • Measurable physiological changes e.g. brainwaves
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7
Q

Sleep episode vs cycle

A
  • Episode – the full duration of sleep
  • Cycle~90 minute period during an episode, where we go through stages of REM & NREM sleep, before repeating
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8
Q

Measuring consciousness (indicators)

A
  • Physiological; objective (EEG / EMG / EOG)
    • Heart rate
    • Body temperature
    • Eye and muscle movements
    • Brainwaves
  • Pscyhological; subjective (sleep diaries / vid monitoring)
    • Emotional awareness
    • Self control
    • Perceptual and cognitive distortions
    • Time orientation

NOTE: Subjective measures are influenced by personal feelings or opinions whilst objective measures are not.

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9
Q

Electroencephalography (EEG)

Objective sleep data

A
  • Studying brain 🧠 wave patterns by detecting, amplifying and recording electrical activity in the brain
  • Diff brain waves correlate to diff states of conscioussness
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10
Q

EEG limitations

A
  • Poorly measures neural activity that occurs below the cortex (i.e. outer layer of the brain)
  • Doesn’t provide detailed info about which particular brain structures are activated + their specific functions
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11
Q

Brain waves

A
  • Sponty, rhythmic electrical impulses from brain areas
  • Vary in frequency and amplitude
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12
Q

Frequency and amplitude of brain waves

A
  • Frequencynumber of brain waves per second
    • High-freq: faster / more brain waves per second
    • Low-freq: slower / fewer brain waves per second
  • Amplitudeintensity of brain waves
    • High-amp: larger peaks and troughs
    • Low-amp: smaller peaks and troughs
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13
Q

Types of brain waves

A
  • Betahigh freq, low amp
    • Present during intensive mental activity during NWC
  • Alphamed freq (↓ than beta), med amp (↑ than beta)
    • Common when awake & alert but internally relaxed
    • E.g. sitting down to rest and calmly reflect after completing a mentally stimulating task
    • Possible after a full night of sleep dep
  • Thetamed freq (↑ than delta), med amp (↓ than delta)
    • Common when drowsy or just before waking
    • Possible when awake & engaged in creative activities
    • Possible after a full night of sleep dep
  • Deltalow freq, high amp
    • Associated with dreamless sleep / unconsciousness
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14
Q

Electromyography (EMG)

Objective sleep data

A
  • Studying electrical activity of muscles 💪 during sleep
  • Electrodes attach to skin above the relevant muscles
  • ↑ muscular activity & tone = ↑ alertness (and vice versa)

TIP: E(M)G = muscles.

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15
Q

EMG limitations

A
  • Can’t distinguish sleepwalking from normal movements
  • Can limit movement through (potential) attachment of wires to a machine
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16
Q

Electro-oculargraphy (EOG)

Objective sleep data

A
  • Measuring eye 👁 movements / positions during sleep
  • Electrodes attach to face areas surrounding the eyes
  • Good at distinguishing REM from NREM sleep

TIP: E👁G.

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17
Q

Sleep diaries

Subjective sleep data

A
  • A self record of sleep and waking time activities over a period of time (usually one week / more)
  • Often used with EEG / EMG to support sleep assessments
  • Advantages – non-intrusive, cost effective
  • Limitations – subjective, requires compliance

NOTE: Sleep diaries can involve both qualitative and quantitative data (depending on what questions are involved).

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18
Q

Video monitoring

Subjective sleep data

A
  • Recording observable responses during sleep which can be linked to different sleep stages / types
  • E.g. body position, ‘tossing and turning’ & sleepwalking
  • Advantages – natural (no sleep lab), non-intrusive
  • Limitation – does not explain the behaviour

NOTE: Sleep lab limitation = artificial environment.

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19
Q

Biological rhythms

A
  • Naturally occuring pattern of physiological, psychological or behavioural changes that repeat themselves cyclically
  • E.g. menstruation and the sleep–wake cycle
  • Divided into circadian and ultradian rhythms
20
Q

Biological clock

A
  • Innate timing that regulates biological rhythms
  • Functioning is genetically determined & occurs at a cellular level
  • E.g. the suprachiasmatic nucleus (SCN)
21
Q

Circadian rhythm

A
  • Physiological, psychological or behavioural changes that occur as part of a cycle with a duration of ~24 hours
  • E.g. the sleep–wake cycle
22
Q

Endogenous vs exogenous

A
  • Endogenous – originating within an organism
    • E.g. sleep–wake cycle
  • Exogenous – originating outside an organism
    • E.g. external cues like light / darkness
23
Q

Ultradian rhythm

A
  • Physiological, psychological or behavioural changes that occur as part of a cycle shorter than 24 hours
  • E.g. sleep cycle (~90 min), heartbeat and respiration
24
Q

Factors that indicate that a biological rhythm is a circadian rhythm

A
  • Duration of ~24 hrs that thereby repeats every 24 hrs
  • Persists in the absence of external cues
  • Can be adjusted (entrained) to match external cues
25
Suprachiasmatic nucleus (SCN)
- Biological clock in the hypothalamus that **regulates the timing & activity of the sleep–wake cycle** - Responds to light and communicates with the pineal gland to control melatonin production - Can operate independently but is also influenced by zeitgebers ## Footnote NOTE: The SCN, itself, does NOT sense light.
26
Melatonin
- **Hormone** secreted by **pineal gland in hypothalamus** - Influences **alertness, drowsiness & sleep-wake cycle** - ↓ light = more melatonin (induces drowsiness & sleep) - ↑ light = less melatonin (more alert) ## Footnote NOTE: Artificial light can be bright enough to delay melatonin release.
27
How is melatonin released?
- **Light stimulates neurons in the eyes** (retina) which send **neural messages to the SCN** via the optic nerve - When no / low light is detected, the **SCN sends excitatory neural messages to the pineal gland** (results in the production and release of melatonin through bloodstream) - When light is detected, the SCN sends inhibitory messages to the pineal gland (results in suppression of melatonin)
28
Negative feedback loop (melatonin)
- Allows the levels of melatonin in blood to be **monitored by SCN**
29
Positive and negative impacts of light on the regulation of the SWC
30
Synthetic melatonin
- Used to **treat sleep disorders** e.g. sleep onset insomnia - Generally safe for short-term use - Low likelihood of becoming dependent on its use
31
Hypnogram | Sleep graph
- **Shows sleep types & stages in relation to time** - Shows that NREM & REM sleep alternate in a cyclical way
32
Features of a healthy young adult's sleep that can be seen in a hypnogram
- **Alternating sequence of NREM and REM** sleep periods - **N3 periods are followed by a climb back to REM** - **REM** progressively **lengthens** (dominant in 2nd half) - Shifting from light to deep sleep after sleep onset - Cycles last ~90 mins with the correct no. cycles (~4-5) - More deep sleep in the first half
33
Non-rapid eye movement (NREM) sleep
- Makes up about **75–80% of our total sleep time** - Involves **3 stages** (sleep progressively becomes deeper) - Brain not as active compared to during REM sleep / NWC - Dominant in the first half of sleep
34
Stages of NREM sleep
- **N1** – relatively **light sleep** (when sleep begins in 1st cycle) - ↓ 🫀 and 🫁 rate, body temp and muscle tension - Slow, rolling 👁 movements, **alpha-theta waves** - Involuntary muscle twitches (hypnic jerks) - Low arousal threshold; easy to wake - **N2** – **light / moderate sleep** (gradually becomes deeper) - Continued ↓ 🫀 & 🫁 rate, temp, muscle tension - 👁 movements stop, **theta-delta waves** present - Slightly ↑ arousal threshold but still easy to wake - Brief bursts of electrical activity (sleep spindles) - Makes up of most of NREM sleep - **N3** – **deep sleep** (low wave / delta sleep) - 🫀 and 🫁 rate slow to their lowest levels - Muscles are fully relaxed; we barely move - No 👁 movements, **delta waves** present - Highest arousal threshold; difficult to wake - Dominant in the first half of sleep
35
Purpose of light / moderate sleep
- About **half of a total sleep episode** is spent in **N2** - Evolutionary purpose for **safety** - Allows us to wake in response to potential threats
36
Sleep onset and latency
- **Onset** – transition period from being awake to asleep - **Latency** – amount of time it takes to transition from being awake to being asleep
37
Rapid eye movement (REM) sleep | Paradoxical sleep
- Makes up about **20-25% of our total sleep time** - Involves **spontaneous bursts of REM** (eyeballs move fast beneath closed eyelids in jerky, coordinated movements) - **Internal bodily functions** are **more active** compared to NREM (i.e. ↑ and more irregular 🫀 and 🫁 rate,↑ BP, etc.) - Yet, **externally**, the **body appears calm** and inactive - Dominant in the second half of sleep - Arousal threshold similar to N2 / N3
38
REM vs NREM dreams
- **REM** - When most dreaming occurs - Tend to follow a narrative structure (realistic/fantasy) - **NREM** - Can be as bizarre as REM dreams - Tend to be shorter, less frequent & less structured - Less vivid and less likely to be recalled
39
Measuring REM and NREM sleep
- **REM Sleep** - EEG – beta-like waves (sawtooth pattern) - EOG – high activity (jerky, coordinated movements) - EMG – paralysis (no movement) - **NREM Sleep** - EEG – theta-delta waves (diff between N1, N2, N3) - EOG – slow, rolling movements / none - EMG – some movement
40
Age-related changes in sleep
- Total **time spent asleep gradually ↓** as we age - Proportion of **REM sleep ↓ significantly during the first 2 years** and then remains relatively stable - Proportion of **NREM sleep ↓ through to old age**
41
Why do we sleep?
- **Restoration theory** – sleep replenishes bodily resources - REM replenishes the mind, NREM replenishes the body - Growth hormone released during sleep (aids physical dev)
42
Factors that contribute to inadequate amounts of sleep in adolescence
- **Poor sleep habits, hormonal changes, exposure to blue light and busy schedules** - Persistently getting poor quality / insufficient amounts of sleep can result in sleep dept (body & brain functions deteriorate)
43
Sleep onset for newborns and infants
- **At birth** – sleep onset begins at **REM** (any time; day/night) - 50% of sleep is REM and sleep duration is irregular - Because the circadian rhythm has yet to fully develop or sync with external cues (i.e. light / dark) - **By 3 months** – sleep onset begins at **NREM** - Circadian rhythm kicks in - Melatonin production becomes more cyclical
44
Why infants need a lot of sleep
45
Differences between the sleep of infants and healthy adults
- Infants sleep for around 12-14 hours a day whereas adults sleep for around 6-7 hours a day - Infants’ sleep consists of ~50% REM and 50% NREM, whereas an adult would have ~20% REM and 80% NREM - Infants tend to sleep in multiple blocks of time and wake up frequently, whereas adults generally have one major sleep episode - Infants' sleep onset can begin at REM, whereas adults' sleep onset begins at NREM