Biological rhythms Flashcards
Cataplexy
Sudden unexpected loss of muscle tone
Don’t lose consciousness
Can be brought in by emotional arousal
During REM sleep this happen, straight into REM sleep causes this
Major symptoms of narcolepsy
Extreme daytime sleepiness
Cataplexy
Hypnagogic hallucinations
Sleep paralysis
Hypnagogic hallucinations
Dreamlike experiences occurring during wakefulness
Especially during the transitional period of sleeping and waking
Dreams happen during REM, so straight into REM causes this
What percentage of narcolepsy sufferers show all symptoms
50%
Lin et al
Gene defect on chromosome 12 in dogs responsible for narcolepsy
Important for regulating brain receptors for orexin
Orexin
Neurochemical
Proposed that lack of this or its receptors causes narcolepsy
Thannickal et al
Found a reduced amount of orexin-producing cells in the hypothalamus in people suffering from narcolepsy
Wickens
Injecting orexin into the areas of brain involved with sleep increases levels of REM sleep
Suggests orexin is involved in the control of REM sleep
Types of insomnia
Primary
Secondary
Overeen
MZ have higher concordance than DZ of narcolepsy
Only around 30%
Suggests that not entirely inherited
Secondary insomnia
Chronic
Can be explained by pre-existing psychological or physical conditions
Primary insomnia
Chronic
No obvious cause
Insomnia
Difficulties sleeping
Effects quality and length of sleep
Explanations of secondary insomnia
Anxiety
Stress
Drugs
CBT
Explanations of secondary insomnia (studies)
Morin et al
Gregory et al
Morin et al
Around 40% of patients with secondary insomnia had an associated psychological disorder
Evaluating Gregory et al
New Zealand - culture bias
High control of socio-economic status and health - can’t generalise results widely
Correlational
Correlation was only 15% (possible experimenter bias, due to length of study)
Questionnaires - self report, can be influenced by social desirability bias
Harm to participants - parents get blame
Gregory et al
Longitudinal study over more than 30 years
New Zealand
Used questionnaires to assess family conflict
Found that family conflict between ages of 9-15 correlated with onset of insomnia at 18
Supports hypothesis of anxiety as a cause of insomnia
Side effects of nitrazepam
Dependency - when you stop symptoms of insomnia return
Disrupts REM sleep
Use of drugs in treating secondary insomnia
Nitrazepam - antidepressant/sleeping pill
As it treats depression and helps sleep it suggests it is a cause of secondary insomnia
Neuroticism and insomnia
Those who have high levels of anxiety and arousal characterised by neuroticism more likely to suffer from insomnia
Heath - twin study showing link between sleep disorders and neuroticism
CBT in treating secondary insomnia
Used to challenge faulty cognitions about sleep like you need 7-8 hours sleep to function properly
Tries to reduce stress caused by the faulty cognitions
Narcolepsy treatment
We know that we need to control orexin levels
No drugs available yet that work effectively
May be more factors to consider
What chromosome is at fault in narcolepsy and how?
Chromosome 12
Regulates production of brain receptors for orexin
Orexin regulates sleep, so not being able to work causes narcolepsy
Why is research into narcolepsy conflicting?
Lin and Thannickal found that low levels of orexin causes narcolepsy (straight into REM sleep)
Wickens found that injecting orexin into areas to do with sleep causes REM sleep
Types of sleep apnoea
Obstructive sleep apnoea
Central sleep apnoea
Sleep apnoea
Episodes of being unable to breath while sleeping
Can happen without knowing
Affect sleep quality, having knock on affect for the next day
Obstructive sleep apnoea
Airways to lungs blocked, by enlargement of tissue or tonsils, or restriction of airways
Highly correlated with obesity
How many episodes of sleep apnoea need to occur a night to be classified as sleep apnoea?
5
Treatment for obstructive sleep apnoea
Lose weight
Operation to widen airways
CPAP - continuous positive airway pressure
Central sleep apnoea
Linked with heart disorders and cerebrovascular disease
Probably represents malfunctions in brains control of cardiac and respiratory function
Treatments for central sleep apnoea
Drugs that deal with cardiac and cerebrovascular disease seem to have a knock on effect
3 types of rhythm
Circadian
Ultradian
Infradian