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Sleep definition prior to the 1950s
Sleep = a lapse of waking state and a loss of consciousness. Seen as a passive state caused by insufficient stimulation and little brain activity
Sleep definition after the 1950s
Sleep = body might be passive but brain is highly active with this activity being characterised by sleep cycles including NREM and REM. Sleep was linked being important for retaining and consolidating information i.e. for memory/learning
Sleep measurements
Polysomnogram, actigraphy, sleep diary, video, and self-report questionnaires (e.g. PSQI and Karolinska)
Polysomnogram
Gold standard of sleep measurement that measures electroencephalography (brain potentials - EEG), electrooculography (eye movements - EOG) and electromyography (muscle tension - EMG)
Limitations = not typical sleep environment i.e. attached to wires/electrodes, watched and in a sleep lab and it’s expensive
The 5 stages of sleep
Include 4 NREM stages + the REM stage that are distinguished by brain electrophysiology, neurochemistry and functional anatomy. The 4 NREM stages are defined by level of deepness and slow wave sleep (SWS)
NREM stages
Stage 1 = alpha and theta (3.5-7.5 waves/second (Hz))
Stage 2 = theta, sleep spindles, and K complexes
Stage 3 = delta (<3.5 Hz) and spindles
Stage 4 = delta (<3.5 Hz) > 50% of the time and increased EEG and EOG
Stage 1-4 are characterised by rolling eye movements and reduced muscle tone, heart rate, BP and temp.
REM stage
Theta, beta and gamma waves (30-80 Hz) characterised by rapid eye movements, lack of muscle tone, and increased heart rate, BP and temperature. Decreased EEG (brain potentials), rapidly increasing and decreasing EOG (eye movements) and decreased EMG (muscle) which is why you feel you can’t move in dreams. Sensation and perception is often vivid and internally generated while thought is illogical and bizzare
Awake and relaxed stage
Awake = beta activity (13-30 Hz) + irregular oscillations
Relaxed = alpha waves (8-12 Hz) + regular oscillations
Sleep cycles per night
Often 4-6 90 min sleep cycles per night with slow wave sleep existing in the first few cycles and REM + stage 2 sleep in the later cycles. People often return to stage 2 not 1 before starting a new cycle.
Actigraphy
A mini accelerometer active watch (more accurate than a smart watch) that calculates each minute as asleep or awake.
Pros: Valid, reliable, non-invasive and relatively inexpensive
Cons: no info about brain activity and can lie still while being awake and have that be recorded as sleep
Sleep diary
Participant/person close to participant records bedtime, estimated sleep onset, night wakings, wake time, time out of bed, any sleep disturbances, and helps corroborate actigraphy data
Limitations = subjective with sleep durations being overestimated and night wakings underestimated
Video sleep measurement
Night vision video surveillance cameras that provides rich info on sleep behaviours and can help corroborate sleep diary and actigraphy data
Benefits of sleep
Mood and healthy psychological functioning, restore and preserve energy (only a slice of bread), repair cell tissue, metabolic regulation, restores and strengthens immune function, moderates appetite hormones, healthy weight control, and improves attention, learning and memory
Biological rhythms
Internally generated (endogenous) patterns of behavioural and physiological change that affect temp, hormones, neurotransmitters, sleep-wake cycles, and other bodily functions. Modulated by external cues including sunlight (zeitgeber), seasons, temp and schedules.
Ultradian rhythm
Cycles within day that are less than 24 hrs e.g. 90 min REM and NREM cycles
Circadian rhythm
24hrs cycles that are endogenous (internally generated) and affected by photoentrainment that involves adjusting the clock with external cues (light). Without light the circadian cycle becomes 25 hrs with often irregular sleep wake patterns. Abnormal circadian rhythms = sleep disorder, obesity diabetes, mental health problems, and developmental disorders
Activity periods
Diurnal = active during the day e.g. humans, dogs
Nocturnal = active during the night e.g. owls, rats, possums
Crepuscular = active at dawn and dusk e.g. rabbits
Two process model
Process S (sleep drive) = homeostatic sleep drive increasing with wakefulness and decreasing with adequate sleep quantity
Process C (circadian clock) = the circadian clock modulating sleep and waking
The larger the distance between sleep drive and circadian clock = the greater the urge to sleep. Both are heavily influenced by light exposure
Retinophypothalamic pathway
Light travels through retinal ganglion cells (modulate sleep wake cycle even in blind mammals) → retino-hypothalamic tract → suprachiasmatic nucleus → pineal gland → melatonin. Diseases of the retinal ganglion cells e.g. glaucoma can affect circadian rhythm and cause sleep disturbance
What causes changes in circadian rhythms
Any factors that desynchronise internal rhythms from external environmental cues e.g. jet lag, shift work, blue light, and countries with midnight sun. This desynchronisation can be treated with light and melatonin
Two-process model applied to depression
People with depression have an increase in the low buildup of sleep drive which contributes to sleep deprivation. There are also differences in light exposure and activity levels that messes with sleep. Improving sleep is a key part of mental health treatment which often involves planned/optimal light exposure.
How does temperature and exercise affect sleep
Excessive temp negatively impact sleep with too hot being worse than two cold. There are difficulties regulating body temp during REM sleep + increase in temp during stage 3 sleep which can lead to night wakings. Hot baths/shower 1-2hrs prior to sleep reduces sleep latency. Exercise increases body temp and reduces sleep.
The effects of screen-time on sleep
Blue light decreases melatonin especially when peoples eyes are close to the device. Engagement with the device also increases cognitive engagement rather than winding down. Children are more sensitive to blue lights than adults. Screen time also affects sleep indirectly through increased sedentary time → reduced homeostatic drive for sleep → poorer sleep → greater sedentary behaviour
Prevalence of human sleep difficulties
Approx. 30% of ppl regularly under sleep and have daytime sleepiness
23% experience concentration difficulties due to sleepiness and 11% experience driving difficulties
33% get less than 7 hrs of sleep
Benefits of sleep for the brain
Energy conservation = neurons depend on glycogen for energy → NREM sleep uses less energy = restores brain glycogen
Brain growth = REM sleep is high during critical periods of brain maturation in infants
Brain plasticity = sleep promotes synaptic connections
Toxin cleansing = space between brain cells increase during sleep suggesting brain flushed out toxins built up during waking hours
Recommended sleep durations
Infants (0-3mths) = 14-17 hrs and (4-11mths) = 12-16hrs
Toddlers = 11-14hrs
Preschoolers = 10-13hrs
Primary school-aged = 9-11hrs
Teens = 8-10hrs
Adults = 7-8hrs
Primate sleep duration
A lot of sleep = bats (19.9hrs), armadillo (18.5hrs), and cats (14.5hrs)
Moderate sleep = fox (9.8hrs), rhesus monkey (9.6hrs), rabbit (8.4hrs), and humans (8hrs)
Little sleep = cow (3.9hrs), sheep/goat (3.8hrs) and horse (2.9hrs)
*larger animals may have less sleep because they have less ability to hide (evolutionary)
What did the study comparing sleep in western communities to sleep in Hadza community
Hadza community had shorter sleep duration, poorer sleep quality, but stronger circadian rhythm. If Hadza community is indicating typical sleep this suggests that poor sleep may not be that much of an epidemic i
Affects of drugs and alcohol on sleep
Benzodiazepines suppress stages 3 and 4, tricyclic antidepressants suppress REM sleep and alcohol increases stage 3 and suppresses REM
How does caffeine and adenosine interact
Caffeine promotes alertness and is similarly shaped like adenosine so it can bind with adenosine receptors. Adenosine promotes sleep and increases with sleep drive and decreases during sleep. Caffeine binds to adenosine receptors → blocks adenosine from binding → reduces feelings of sleepiness → adenosine is still present in the brain so once caffeine wears off → feelings of sleepiness returns.
Half and quarter life of caffeine
Half-life = 5-7 hrs for caffeine to leave the body by 50%
Quarter-life = 10-14 hrs and 25% of caffeine is still in body
Sleep and neurodegeneration
Sleep plays a role in preventing the onset of neurodegenerative diseases i.e. Parkisons’s and Alzheimers. This may be because damaging molecules associated with neurodegeneration are cleared out during sleep
Insufficient sleep’s affect on weight
Insufficient sleep increases the release of appetite increasing hormone (ghrelin) and decreases appetite suppressing hormones (leptin)
Sleep memory consolidation
An automatic and subconscious process distinct from conscious rehearsal and memorisation. Suggests that consolidation continues to evolve and consolidated information can still change during recall and recognition
Memory stages
Encoding/acquisition (information/action) → integration + consolidation (leads to greater interference resistance) which includes stabilisation and enhancement → recall → reconsolidation
Stabilisation = mostly while awake
Enhancement = during sleep and can involve restoring “lost” memories + additional learning
Brain areas for explicit vs implicit memory
Explicit = medial temporal lobe and hippocampus
Implicit = diverse brain parts but includes cerebellum and basal ganglia
Factors involved in sleep-related memory consolidation
Demographic (e.g. children, elderly, and psychiatric patients), learning material (e.g. task difficulty, declarative vs procedural), learning mode (explicit vs implicit), retrieval (recall vs recognition), and sleep factors (e.g. timing, circadian rhythm, amount, stages)
Bi-directional relationship between sleep and learning
Types of learning alters the type of sleep and the type of sleep alters the types of memories formed e.g. intense foreign language learning involve declarative memory which increases REM and REM increases learning
Homeostatic response
Performing a task that is REM dependent → increases REM demands → increased REM sleep = improved learning
Sleep deprivation
Involves chronic sleep loss which is the cumulative increase in objective sleepiness and accumulated sleep debt. Difficult to subjectively determine as subjective perception of sleepiness poorly correlatives with objective measures
Sleep deprivation and accidents
Sleep deprivation increases accidents due to attention lapses and delayed response time at critical moments with 20% of accidents occurring during 12-6am with 2/3 drivers falling asleep. Medical residents working over 24 hours are 2-3x more likely to crash after their shift. Sleep deprivation is also a significant contributor to many disasters e.g. Chernobyl and Challenger space shuttle.
Sleep deprivation and task performance
Task performance after 24 hrs awake is comparable with 0.1% blood alcohol (driving BAC must be <0.05). Greater affect for speed related tasks and newly learned skills compared to accuracy and familiar tasks. Impaired executive functions (e.g. planning, emotion regulation, memory and attention) and motor functions (e.g. hand-eye coordination, verbal fluency and articulation)
Brain areas affected by sleep deprivation
Pre-frontal cortex and parietal lobe activity increases
Medial temporal lobe (LTM) activity decreases
Following sleep deprivation PFC and parietal lobe overcompensate for lower activity in other areas i.e. medial temporal lobe
Encoding of emotional words during sleep deprivation
Sleep deprivation group had overall lower word retention for recognition tasks however they had a greater memory for negative words → maybe greater memory for overall negative experiences
Sleep deprivation and emotional expression
Sleep deprivation causes greater activity in amygdala to emotional stimuli with stimuli being classified as threatening at higher rates than non-sleep deprived. Anterior cingulate responded to highly to threatening and non-threatening stimuli showing that brain was unable to distinguish between the stimuli.
Effects of moderate sleep extension and restriction in children 9-12 years
Extension (+30 mins) = greater memory, attention and reaction time
Restriction (-30 mins) = improved sleep quality but decreased alertness
Non-declarative procedural memory (finger tapping)
Finger tapping involves repeatedly typing a 5-digit numeric sequence as fast as possible. After a night of sleep, problematic transitions improved with most significant improvement after a night of sleep. Improvement was correlated with stage 2 sleep and sleep spindles
Texture discrimination task
Discriminating between T or L and Vertical or Horizontal textures. After sleep, participants showed significant improvement which was correlated with slow wave sleep in 1st quarter of the night and REM sleep in the last quarter = SWS is important for initial consolidation and REM for later enhancement. Disruption during these stages = disrupted sleep-related improvement
REM sleep and semantic memory
Semantic priming task with varying related words. Weakly related pairs had fastest RT’s before sleep and after REM sleep which demonstrates that REM facilitates associative learning for declarative memories = since REM occurs mostly at last quarter → short sleepers have poorer memory consolidation
Naps and finger tapping task
Nap group had 16% improvement and further 7% improvement after a nights sleep and non-nap group had low improvement during the day BUT 24% improvement after a nights sleep = both groups had similar level of improvement
Naps and texture discrimination task
No-nap groups performance deteriorated by 7-m, 60 min nap (mostly SWS) had slight deterioration and 90 min nap (SWS + REM) had significant improvement. Nap group had further improvement over night that was similar to improvement after 2 nights of sleep
Nano naps
Extremely short naps (6 mins) and longer naps (60 mins) which showed that most word recall improvement occurs within 6.3 minutes which very gradually increasese
Caffeine and performance
Caffeine increases mood, alertness, vigilance, attention, information, processing speed, motor speed and reaction time. 70-200mg is best for performance while >400 mg is detrimental to performance
Caffeine vs Naps in learning study
Study shows that naps produced higher performance in 7hr delay word recall and recognition tasks, 20 min recall tasks and texture discrimination tasks. Naps and caffeine had similar performance in the 20 min delay word recognition task.
Adolescent sleep patterns
Increasingly later bed times with later wake times during the weekends. Daytime sleepiness and decrease in sleep duration across cohorts over time. Need for sleep increases due to biological predisposition, hormonal changes, increasing demands, and device use. Evidence based education has meant some schools allow later start times.
Adolescent nap-related learning for declarative memory
Tested adolescents declarative memory using an unexpected test across 1, 2, or 5 days later. Day 1 = both nap and no-nap had 10% gain; Day 2 and 5 = nap group had sustained retention while no nap had significant memory decay
Infancy and early childhood sleep patterns
Infants have a greater proportion of days asleep (2-6 yrs = 10-12 hrs) with significant development occurring during these years. Sleep is decreasing across cohorts as sleep is not given the same regard of importance.
Amount and quality of sleep and learning for infants
Insufficient sleep and frequent awakenings = lower language and spatial performance, higher impulsivity, hyperactivity, and weight and lower scores on mental/motor development in infancy AND later in development. Children with <10 hrs of sleep at 2.5 yrs where 3x more likely to have low receptive language scores and 2.4x more likely to score low on block test.
Naps and infants abstraction of grammar
Infants learn abstraction of grammar (e.g. general rules derived from specific examples) more quickly after a nap. Infants were able to discriminate between two recently exposed languages which demonstrated grammar abstractions and more flexible implicit learning
Naps and infant visuo-spatial learning
Naps in infants contribute to higher visuo-spatial recall even after both nap and no nap group had a full night sleep. This was dependent on whether napping was habitual of not.
Naps and toddler word learning using storytelling
Study compared novel word learning in same story repeated or different stories + nap vs no-nap. Results found that repeated stories had higher performance for different stories and nap had higher performance than no nap. Overall the highest performance was for same repeated stories and nap-group however children who did nap and have different stories where still able to recall the same words as the same story no nap group
Naps and toddler fast mapping
Compared performance in ostensive (assigning names to things by directly linking them) and non-ostensive (not being obvious in name assignment) naming and found that nap group in non-ostensive naming condition maintained accuracy while no-nap went back to chance. For ostensive naming, no nap and nap group had same performance.
How can sleep and short naps enhance memory
Develops new synaptic connections, strengthens relevant connections and weakens irrelevant connections. Neuronal plasticity allows for constant changes with synaptic networks being optimised, organised and connected to other networks
Proteins during sleep
Brain waits for a period where interference is limited to consolidate most info. During sleep the brain releases higher levels of proteins which aid in memory consolidation and while waking these proteins are reduced to inhibit disruption to memory consolidation
Two-stage memory system
Suggests that information is initially stored in the hippocampus (efficient and temporary) and during sleep info is transferred into the neocortex (long-term storage) during consolidation.
Slow wave sleep (SWS)
During SWS, neuronal activation occurs which involves cells firing in the same sequence that occurred when information was encoded during wakefulness. SWS includes large amplitudes and slow oscillations which move synaptic connections to long-term storage and enhance retrieval. SWS is especially important for declarative memory consolidation
Transfer from hippocampus to cortex
during SWS, sharp wave ripples in the hippocampus influence the slow oscillations in the cortex which reactivates memories repeatedly and transfers them to the cortex. These ripples occur alongside thalamocortical spindles which are important for synaptic plasticity
Picture recognition study
Longer SWS duration during the post-encoding nap = less hippocampal activation for successful and confident retrieval of remote memories. Overtime the study showed an exponential increase in activity in the ventral medial prefrontal region and exponential decrease in hippocampal activity (as the task got more practiced)
Procedural memory study
After sleep the brain demonstrated increased activity in motor control areas (relative to the hand used i.e. left → increased right motor areas) and decreased activity in the insular cortex and temporal areas due to a reduced need for conscious spatial monitoring and emotional task burden
Synaptic homeostasis theory (two process model)
Suggests that there is a rising synaptic potentiation during waking alongside homeostatic sleep drive and then synaptic downscaling during sleep that results in reduced synaptic weight after sleep.
Downscaling
During encoding the weight of synapses (synaptic saturation) increases which places demands on energy and tissue volume → brain downscales synaptic strengths with weak connections and noise removed while stronger connections are maintained and sharpened = better signal to noise ratio + energy conservation
Effects of sleep deprivation on the synaptic connections
Decreased synaptic connections while after recovery sleep there was increased synaptic connections and density of neuronal connections in the hippocampus
Effects of sleep deprivation on attention
Demonstrates reduced activation in intraparietal suculus (control of eye movements and visual attention) and inferior frontal gyrus (impulse control) (only for vulnerable populations) while the visual cortex only had decreased activity when stimuli was lower contrast = that decreased attentional performance after sleep deprivation is due to decreased attentional control NOT decreased vision
Environmental psychology
Studies the interplay between humans and the built + natural environment. Focus on environmental affects on human experience, behaviour and wellbeing, how humans affect the environment and how do we encourage pro-environmental behaviours.
History of environmental psychology (Brunswick and Lewin)
Brunswick and Lewin were founding fathers of environmental psychology with Brunswick focusing on physical environment and Lewin on social environment. Both advocated for real-life studies.
Interactive approach
Our ability/desire to be sustainable depends on multiple factors e.g. infrastructure or education → affects whether we engage in sustainability → affects environment → affects human behaviour and so on.
Interdisciplinary collaboration
Main disciplines include architecture & geography (physical/spatial), social & cognitive psychology (theoretical), environmental science, neuroscience and biology.
Problem-focused approach
Combination of theoretical development applied to solve real-world problems including local, regional, national and global problems.
Methods used in environmental psychology
Questionnaire studies, laboratory experiments & computer simulation studies (artificial setting) and case studies & field studies (real setting). Each has external and internal validity trade-offs.
Three perspectives for understanding colour
Biology (e.g. brain areas and rods/cones), physiology (affect on emotion and mood)< and culture/society (how our understanding of colour is shaped)
Theoretical aspects of colour and design
Colour is used in branding and symbolism to convey certain messages (these messages can be cultural different)
Colour-coding facilitates wayfinding through universal symbolism
Colour helps us understand the nature of a built environment e.g. white = hospitals
Colour can signify fashion and historical style trends
Wayfinding
Process of orientation and navigation within physical spaces that involves the development of cognitive maps and use of landmarks. Wayfinding can be improved through visual access, architectural delineation, signage, numbering systems and building layout. Colour can improve development of cognitive maps, recall ability (e.g. parking floors), and help us follow paths (e.g. train maps)
Segmentation bias
The mental division of paths/journey’s into smaller segments to make travelling longer distances easier. Design can harness this by breaking up spaces using colour, lighting and material changes.
Relationship between physical space and healthy populations
Urban and suburban environments can encourage sedentary lifestyle and overall poor health through lack of green spaces, ‘third spaces’, healthy grocery stores, walkable cities, and public transport. Asthma and obesity are two main disease with key environmental links e.g. reliance on cars and pollutants from cars.
5 main legal pathways to improve built environment
Environmental regulation, zoning & related developmental requirements, building & housing codes, taxing power, and spending power.
10 factors that can improve design (especially in hospitals)
Natural views = improves healing outcomes and release of endorphins
Natural light = encourages circadian rhythm
Green spaces
Space for family/community and important items e.g. art
Safe spaces for staff members
Effective wayfinding = reduces stress e.g. colour coding
deinstitutionalisation by providing choice = e.g. Langer & Rodin study that gave residents plants to take care of and layout decision-making
Artistic and colourful architecture
Clean and well-lit spaces = odour can affect brain chemicals
Flexibility and options within the layout
Effects, prevalence, and risk factors of acute climate events
Increased anxiety, mood disorders, acute stress reactions, PTSD, sleep disruption, suicide and ideation, decreased sense of self due to loss of home and grief. 25-50% prevalence of negative mental health outcomes. Risk factors = magnitude of events, injury/death of a loved one, women/children, and lower SES. E.g. Hurricane Maria.
What are the overall impacts of climate events
Direct e.g. heat stress and indirect impacts e.g. negative wellbeing. Overall, it is associated with poor mental health.
Subacute climate events (heatwaves)
Shifts in temp above 30 degrees lead to increased mental health problems, aggression, homicide, crime, suicide, and higher hospitalisation/mortality especially for people with dementia, schizophrenia and substance-use disorders as they have poor thermoregulation caused by medication + heat-related cognitive impairment
Hormone and heat waves
Heat suppresses the thyroid hormone which causes hypothyroidism = fatigue, low mood, and cognitive impairment. Heat stimulates growth hormone and prolactin = fatigue.
Long-lasting climate events
Economic losses (especially for poorer countries), psychological distress about future e.g. exoanxiety, exoparalysis and solastagia especially for young people in 1st world countries.
What does the increase in climate events mean for health services?
We need to develop new mental health services which includes planned relocation, public health education, violence prevention, risk communication and personal conservation engagements.
Summary of the healing power of gardens
Nature plays a key role in emotional, spiritual, physical, and neurological health especially for urban/city neighbourhoods and healthcare institutions. Patient examples:
Tourettes = tics lessened due to calming effects of nature
Parkisons = was able to move through varied landscape in the garden
Alzheimers = felt more oriented doing nature based tasks
What do healthy built neighbourhoods look like
More walkable neighbourhoods with well constructed/repaired side walks that have mix of destinations, attractive surroundings and perceived safety leads to higher physical activity and lower obesity/overweight.
What types of physical activity lowers depression and alcohol abuse and increased social connections.
Leisure-oriented and destination driven physical activity
5 characteristics of dementia-friendly spaces
Avoid repetitive layouts = lack of colour/texture variation causes disorientation
Having unique landmarks = salient and stable items
Use colour to break up and connect spaces = visible colour contrast but avoiding to much which can cause perceptual errors
Reducing background noise = people with dementia have higher noise sensitivity
Good access to toilets = clear signage and accessibility
Autism design index
International guidelines that considers acoustics, spatial sequencing (follow routine/predictability), escape areas (when overstimulated), compartmentalisation, transition, sensory zoning (organise spaces based on stimulation), and safety.
allostatic load
Long-term physiological costs of the organism’s adaptations to repeated or chronic stressor exposure; an index of general wear and tear on the body.
spillover effect
The negative affect, strained interpersonal relationships or fatigue, produced by exposure to an environmental stressor in one setting that carries over into another setting.
Environmental stressors
Can be acute e.g. pollution levels in a tunnel or chronic e.g. noise pollution. Chronic stressors are hard to escape and more consequential as they are are linked to immunological responses.