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Hypothalamus
controls onset of sleep
Suprachiasmatic nucleus (SCN)
clusters of thousands of cells that receive information about light exposure directly from the eyes and control behavioral rhythm
Hippocampus
memory region active during dreaming
amygdala
emotion center active during dreaming
Thalamus
prevents sensory signals from reaching the cortex (active during REM)
Basal forebrain
romotes sleep and wakefulness
Releases adenosine to support sleep drive system
Brain stem
base of brain, including the midbrain, pons, and medulla, communicate with the hypothalamus
Pons and Medulla
help to initiate REM sleep and send signals to relax the muscles involved in body posture and limb movements, so we don’t act out our dreams
Pineal Gland
Secrets melatonin, which is involved in regulation of circadian rhythms
Rapid eye movement (REM)
Active sleep
Brain wave activity is similar to wakefulness
Complete loss of muscle tone 25% of sleep
Non-rapid eye movement (Non-REM)
75% of sleep. tissue growth. quiet sleep
NREM Stage 1
Duration 5% of total sleep time
Transition from wake to sleep
NREM Stage 2
Duration 40-55% of total sleep time
Bridge from light to deep sleep
Body temperature drops and heart rate begins to slow
NREM stage 3
Duration: 10-20% of total sleep time
Cellular repair
Muscles relax
Blood pressure and breathing rate drop
Deepest sleep occurs
REM
20% of total time
Brain becomes more active
Body is relaxed and immobilized
Dreaming
Memory consolidation
Sleep regulators
Wake time
Sunlight exposure
Core body temp
Zeitgebers
C process: circadian rhythm
Sleep-wake cycle
Are internally driven cycles that rise and fall during the 24-hour day
Help you fall asleep at night and wake you up in morning
Combining c and S processes
Sleep happens with a coordinated effort between c and s processes
Other things can influence this, such as light exposure, body temperature, regular sleep/wake times, and physical activity
Intervention strategies to improve sleep
Assistive devices/ equipment
CBTi
Mindfulness activities
Lifestyle intervention