Sleep Flashcards

(37 cards)

1
Q

What is sleep?

A

A periodic, natural, loss/change in consciousness, distinct from unconsciousness resulting from a coma, general anesthesia, or hibernation.

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2
Q

What are the characteristics of sleep? Describe each one (4).

A
  1. Immobility
  2. Posture
  3. Responsivity
  4. Reversibility
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3
Q

What waves are present when you are falling asleep?

A

Alpha and beta waves.

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4
Q

What waves are present in stage 1 sleep?

A

Slower, theta waves emerge.

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5
Q

What waves are present in stage 3 sleep?

A

Theta waves gradually become slower and slower, until delta waves emerge.

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6
Q

What waves are present in stage 4 sleep?

A

Mostly delta wave sleep. This is also known as slow-wave sleep (SWS) or non-REM sleep.

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7
Q

What waves are present in stage 2 sleep?

A

Very similar to stage 1 (theta waves), every once in a while there is a jittery spike in activity called a “sleep spindle”. We are on our way into deep sleep.

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8
Q

What waves are present during REM sleep?

A

The waves increase in frequency to beta waves, although we are in deep sleep (paradoxical sleep). The eyes are swishing back and forth, but muscles are paralyzes so we do not act out our dreams.

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9
Q

At which stage of life is REM sleep more prominent?

A

During infancy and childhood. REM is important for development, but SWS is the most important for restoration.

The proportion of the night spent in REM rapidly decreases as we get older.
- 70% in a newborn
- 30% in a 6 month old
- 15% in an adult

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10
Q

Do other species sleep?

A

Yes, all other animals sleep. If sleep did not have a vital function, it would have been evolved out a long time ago. There are consequences if we do not get enough sleep.

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11
Q

What is total sleep deprivation?

A

The equivalent to pulling an all-nighter - where one has not gotten ANY sleep.

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12
Q

What is a delta rebound?

A

The night after TSD, you don’t sleep for double the amount of time, you just spend more time in stage 3/4 deep sleep.

*there is also a bit of REM rebound, but it is not as prominent.

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13
Q

What is sleep restriction?

A

When you get some sleep, but not enough.

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14
Q

Briefly, what happens when we do not get enough sleep?

A

Decreased alertness, attention and sociability - related to parietal lobe activity. Also impaired executive functions, driven by the PFC.

Increased fatigue, irritability, and RTs.

Other health risks, such as a suppressed immune system, risk of CVD and stroke, risk of depression, correlations with some cancers, and accumulation of wastes in the brain.

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15
Q

What is hyperphagia?

A

Impaired memory formation and recall of verbal material.

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16
Q

What is a “sleep debt”?

A

An accumulated debt when one gets less than 5hrs of sleep a night for an extended period of time.

*everyone, and different mammals, need different amounts of sleep.

17
Q

Which brain areas and NTs are responsible for REM sleep?

A

The pons contains AcH neurons that help transition from SWS to REM. We do not have REM if the pons is damaged.

Other involved areas:
- The cortex (dreaming)
- Midbrain also contributes to REM
- Inhibitory neurons inhibit the PMC during REM

18
Q

Which brain areas and NTs are responsible for SWS?

A

The entire brainstem, which contain serotonin neurons.

The basal forebrain, which contains GABA. This is the main driver of SWS.

The preoptic area of the hypothalamus - also contains GABA. This is the easiest area to stimulate when researching sleep, and changes in sleep are very obvious when it is damaged or stimulated.

19
Q

What is our “circadian rhythm”?

A

Our internal 24hr clock, our biological cycle of day and night. This governs our feelings of hunger throughout the day, blood sugar levels, and hormone release.

20
Q

What area of the brain controls and syncs all of our cells’ rhythms?

A

The suprachiasmatic nucleus in the hypothalamus. If this is damaged, animals will act in an unsynchronized, scattered manner.

21
Q

What is a zeitgeber? What is the most important one?

A

A physical stimulus that regulates our clocks, and gives us an indication of what time of day it is and how we should behave.

The most important one is sunlight.

22
Q

How is sunlight, as a zeitgeber, detected?

A

Specialized proteins on the retina reserve this sunlight to be projected to the SCN, not the visual cortex.

23
Q

What is melatonin?

A

A chemical released by the pineal gland. It is released when there is no light stimulus, and is not released when there is a light stimulus.

It does not actually help us fall asleep.

24
Q

What is “social jet lag”?

A

Happens when the circadian clock is delayed (like a mini jet lag). To prevent this, we should wake up at the same time every day.

25
What are some of the speculated "functions" of sleep? (6)
1. Evolutionary protective role 2. Conserving energy 3. Restoring and repairing damaged neurons 4. Building memories 5. Promotes problem-solving the next day 6. Growth hormone secretion
26
What is the glymphatic system?
The most evidence-based restorative function of sleep. There is a system within the brain that clears wastes when we are asleep. Astrocytes shrink by 50% and create channels for wastes to clear. The widening of channels is related to the amount of delta wave sleep we get. The better sleep we get, the more clearing of wastes we have, and we have a decreased likelihood of developing a neurodegenerative disorder.
27
What is sleep apnea?
Airway obstruction that occurs during sleep that can contribute to insomnia. Pts have trouble breathing and sleeping at the same time.
28
What is insomnia?
Trouble falling/maintaining sleep that is driven by anxiety and stress.
29
What sleep stage does sleepwalking occur? What do pts usually demonstrate?
It happens in stage 4 SWS. They are not acting out their dreams, they are just acting out boring, daily motions. *not recommended to wake up a sleepwalker, just guide them back to bed.
30
What sleep stage does sleep-talking occur?
It can happen in various stages of sleep, but in children, it usually happens during REM sleep.
31
What are night terrors? Which sleep stage do they occur in?
A very extreme sleep response during deep, SWS, they are NOT acting out a dream. Not the same as a nightmare. This happens mostly in children, but we usually grow out of it. *like sleepwalkers, do not wake them. They will be more confused, and they usually do not remember these night terrors.
32
What is REM behaviour disorder?
When older adults act out their dreams during REM sleep. This is an issue with paralyzing the PMC during REM. REM dreams are not always pleasant, so pts will often kick, bite, or smother the people they share a bed with. This is a strong predictor for conditions like PD and Lewy-body dementia.
33
What is enuresis?
Bed-wetting in stage 4 sleep. Related to muscle dysfunction in children, but we grow out of it.
34
What are some sleep aids? (8)
1. Exercise (not in late evening) 2. Avoid caffeine in late afternoon 3. Relax/no screen time 4. Sleeping on a regular schedule 5. Hiding time displays 6. Reassurance that there is no great harm if you can't sleep as much that night 7. Non-arousing, engaging thoughts 8. Settle for less sleep, if all else fails
35
What are dreams?
A sequence of images, emotions, and thoughts passing through a sleeping person's mind. An altered form of consciousness that is unrelated to the external world.
36
What types of dreams do we have?
Daydreams: familiar details about our lives (most common dreams) REM dreams: bizarre, vivid, and emotional dreams - Negative dreams (8/10 dreams) - Dreams with sexual imagery
37
What is the leading theory for why we dream?
Activation synthesis. Our brain senses patterns in REM activity/noise as we sleep, and constructs a narrative about all this activity my associating it all together.