1. What is sleep? Flashcards

1
Q

Sleep is defined as a n____ recurring, r____ state of p____ disengagement, reduced c____ and relative i____

A

A naturally recurring, reversible state of perceptual disengagement, reduced consciousness and relative immobility.

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2
Q

The propensity of sleep is pattered by h____ and c____ factors

A

Homeostatic and circadian factors

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3
Q

Sleep is a non-____ biological state required for the ____ of life - our need for sleep parallels those for ____, ____ and ____

A

negotiable
maintenance
air
food
water

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4
Q

What are some things that sleep impacts?
1. M____, c____ and l____
2. Aspects of our e____ and how we r____ them
3. W____ clearance from the b____
4. N____ metabolism
5. I____ responses

A
  1. memory, cognition, learning
  2. Emotions, regulate
  3. Waste, brain
  4. Nutrient
  5. Immune
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5
Q

What is fatal familial insomnia?

A

A rare inherited disease that results in severe insomnia and eventually death

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6
Q

How long does each sleep cycle last?

A

Around 90 minutes

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7
Q

How many sleep cycles do you typically have over the course of a sleep period?

A

5-6 sleep cycles

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8
Q

What are the two broad sleep stages?

A
  1. NREM
    - N1
    - N2
    - N3/4
  2. REM
    - Rapid Eye Movement
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9
Q

When is her proportion of NREM and REM typically higher?

A

NREM higher at start of sleep period
REM higher towards end of sleep period

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10
Q

Sleep architecture is often graphically represented in a what?

A

Hypnogram

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11
Q

Where do the following attach?
1. Electroencephalogram (EEG)
2. Electromyogram (EMG)
3. Electro-oculogram (EOG)

A
  1. records electrical brain potentials from the scalp
  2. electrodes attached to chin to monitor muscles activity
  3. attached around eyes to monitor eye movements
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12
Q

What is on the x axis in PSG data?

A

Time is across x-axis
each mini square = 1 second

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13
Q

What is meant by frequency?

A

How many cycles of a waveform you see every second

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14
Q

What activity happens when someone is awake and attentive?

A

Beta activity (13-30Hz)

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15
Q

What activity happens when eyes are closed and starting to get drowsy?

A

Alpha activity (8-12Hz) - associated with state of relaxation

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16
Q

What do we see in N1 (transition to sleep)

A

Slow rolling eye ,movements
Looks like drowsiness but start to see more theta waves (4-8Hz)

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17
Q

What are three subtypes of hypnogogic hallucinations in stage N1?

A

Tetris effect
Auditory
Falling sensation

18
Q

When does N2 happen?

A

After about 10 mins

19
Q

What are K-complex delta waves in N2?

A

Special kind of delta wave
Sudden sharp waveforms unique to N2
Represent inhibitory mechanism to prevent awakening

20
Q

How much of sleep does N2 make up?

A

Around 50% of total sleep

21
Q

What are the two things characteristic of stage N2?

A

Sleep spindles
K-complexes

22
Q

What other name is N3 known as?

A

Slow-wave sleep

23
Q

What is N3 characterised by?

A

low frequency, high amplitude EEG activity known as delta waves

24
Q

When will your body prioritise N3?

A

After you have been sleep deprived to compensate for the loss

25
Q

How much of sleep does N3 make up?

A

10-20%
Decreases throughout night

26
Q

What two things typically happen in stage N3?

A

Sleepwalking
Night terrors

27
Q

Stephan et al (2021) found people perceived which stage of sleep was the deepest?

A

REM

28
Q

What were the effects of sleeping in a rocking bed?

A
  1. Quicker to get to sleep (and quicker to get to N3 sleep)
  2. Increased N3 duration
  3. Enhanced overnight memory consolidation
29
Q

What does REM sleep look like on a graph?

A

Similar to N1 but can see rapid eye movements and muscle tone from the chin is low

30
Q

How much of sleep does REM make up?

A

Around 15%

31
Q

What is typically most vivid in REM?

A

Dreaming

32
Q

What name is REM sleep often called?

A

Paradoxical sleep (brain is very active but body can’t do anything)

33
Q

REM sleep behaviour disorder is p____ in which muscle a____ is lost and a____ behaviours such as d____ e____ occur

A

Parasomnia in which muscle atone is lost and abnormal behaviours such as dream enactment occur

34
Q

What % of people with
1. Parkinson’s disease
2. Dementia
have RBD?

A
  1. 25-58%
  2. 90%
35
Q

Polysomnography is a procedure that uses electroe____, electro-o____ and electrom____ to assess sleep stages

A

a procedure that uses electroencephalogram, electro-oculogram, electromyogram to assess sleep stages

36
Q

Sleep spindles are brief bursts of ____ activity (primarily during stage ____, lasting ____ seconds and named after their ____ like appearance on the EEG

A

brief bursts of brainwave activity (primarily during stage 2NREM, lasting 1-2 seconds and named after their spindle-like appearance of the EEG

37
Q

What are sleep problems one of the earliest signs of?

A

Relapse of mental health disorders

38
Q

Historically, sleep disturbances were considered a what of mental health disorders?

A

Consequence or symptom

39
Q

Sleep architecture (stages and cycles) is often graphically represented in a what?

A

Hypnogram

40
Q

Which body parts do the following record data from?
1. EEG
2. EOG
3. EMG

A
  1. Top, middle and back of head
  2. Eye movements
  3. Muscle tone (chin)