Sleep and Circadian Rhythms

Overview of Sleep

  • Importance of Sleep

    • Refreshing sleep experience without an alarm clock

  • Statistics on Sleep

    • Two-thirds of adults do not meet the recommended sleep duration

    • Recommended sleep duration is seven to nine hours per night

  • Health Implications of Sleep Deprivation

    • Routinely sleeping less than six to seven hours can:

    • Impair the immune system

    • Double the risk for various diseases (cancer, heart disease, diabetes)

    • Increase risk of mental health issues (depression, anxiety disorders)

    • Lead to dementia later in life

    • Severe sleep deprivation can be fatal.

Neuropsychology of Sleep

  • Overview

    • Homeostatic functions undergo regular cyclic changes.

Circadian Rhythms

  • Definition

    • A pattern of bodily activities that lasts about 24 hours, including physical, behavioral, and biological changes.

  • Control of Circadian Rhythms

    • Two main influences:

    • Environmental factors (e.g., sunlight)

    • Internal clock (endogenous oscillator)

    • Internal clock operates independently in the absence of external cues.

    • Example: An individual in a dark room shows changes in subjective day/night perception.

  • Functions of Circadian Rhythms

    • Serves as the pacemaker for daily activity.

    • Regulates:

    • Arousal levels

    • Metabolism

    • Hormonal activity

    • Physical states coincide with time of day (e.g., highest alertness, fastest reaction times, hormonal releases).

Disruptions of Circadian Rhythms

  • Factors that can disrupt:

    • Jet lag

    • Shift work

    • Certain neuropsychiatric disorders

Suprachiasmatic Nucleus (SCN)

  • Function of the SCN

    • Composed of core and shell parts.

    • Special retinal ganglion cells (M1 RGCs) with melanopsin send signals to SCN when activated by light.

    • SCN controls sleep via:

    • Targeting the pineal gland for melatonin secretion.

Why Sleep? - Theories

  • Evolutionary or Conservation Theory

    • Sleep may conserve energy and provide protection.

  • Restorative Explanations

    • Sleep replenishes neurotransmitters and retunes synaptic receptor sensitivity.

    • Enhances memory consolidation, noted via impaired tasks in sleep-deprived subjects.

What is Sleep?

  • Definition and Nature

    • Part of circadian cycle.

    • An altered state of consciousness characterized by physiological stages measured via EEG.

  • EEG Patterns

    • Four major types by frequency:

    • Beta: 13 to 20 Hz

    • Alpha: 8 to 12 Hz

    • Theta: 4 to 7 Hz

    • Delta: 1 to 4 Hz

    • Sleep spindles: 12 to 14 Hz

  • Sleep Stages Defined by EEG

    • Stage 1: Transition from waking to alpha waves.

    • Stage 2: Transition from alpha to theta.

    • Stage 3: Mix of theta and delta waves.

    • Stage 4: Dominantly delta waves (slow-wave sleep).

    • REM sleep: Known as paradoxical sleep, lasting 10 to 20 minutes with rapid eye movements.

Dreaming

  • Dream Characteristics:

    • Associated with periods of cortical activity during sleep involving images, ideas, and emotions.

    • More likely to be remembered if awakened during REM sleep.

    • Dreams exhibit a bizarre quality distinct from waking thoughts.

  • Theories on Dreaming:

    • Freudian Perspective: Dreams reflect the unconscious mind's deepest desires and anxieties, often tied to repressed memories.

    • Current Theories: Dreams relate to memory formation processes, influenced by the quieting of the prefrontal cortex during REM sleep.

Disorders of Sleep

  • Classification: Sleep disorders divided into:

    • Dyssomnia

    • Parasomnia

Dyssomnia

  • Definition: A category of sleep disorders characterized by issues directly affecting the sleep process.

  • Examples include:

    • Hypersomnia: Sleeping excessively or at inappropriate times.

    • Insomnia: Divided into sleep onset (trouble falling asleep) and sleep maintenance (trouble staying asleep).

    • Narcolepsy: Excessive daytime sleepiness and brief involuntary sleep episodes, often triggered by strong emotions.

    • Sleep apnea: Includes obstructive sleep apnea (airway blockage) and central sleep apnea (issues in the brain stem).

Parasomnia

  • Definition: Disorders involving unwanted behaviors or experiences during transitions from wakefulness to sleep or between sleep stages.

    • Symptoms can include:

    • Abnormal movements or behaviors

    • Abnormal emotions, perceptions, or dreams

    • Most cases result in no memory of events.

    • Types include:

    • NREM-related (more common in children), such as sleep-walking, night terrors, and confusional arousal.

    • REM-related, with absent muscle atonia, occurring mainly in older adults who may act out dreams.