function and emotions in sleep Flashcards

1
Q

active systems consolidation

A

a system for consolidating new memories/moving memories into long term storage during sleep

the hippocampus creates temporary binding connections between different memory traces in the neocortex - over time, as the hippocampus replays memory traces during sleep, they become independent of the hippocampus

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2
Q

what are the main EEG characteristics thought to play a major role in the hippocampal neocortical dialogue

A
  • slow waves (neocortex)
  • sharp waves/ripples (hippocampus)
  • spindles
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3
Q

why do we call it ‘active’ systems consolidation

A

because every time we replay a memory it changes

active systems consolidation is a process through which memories are:
- replayed
- potentiated
- transformed

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4
Q

which neural oscillations predict learning in which stages of sleep?

A

n2 and 3 (sws) : spindles predict learning

rem: theta, alpha, high beta predict learning - delta predicts learning in all stages

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5
Q

what affects the consolidation of memories during sleep?

A

sleep doesn’t consolidate all information uniformly:
consolidation is influenced by:
- context
- goals
- motivations
- salience
- emotional stuff - more emotional, more likely to remember

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6
Q

how does sleep extract the gist of new experiences?

A

one role of sleep isn’t the strengthening of individual memory items, but their abstracted assimilation into a schema of generalized knowledge - reorganizes what we’ve learnt

  1. selective consolidation - things learned during the day are tagged as either relevant or irrelevant (irrelevant stuff is weeded out)
  2. item integration - newly learned things are integrated into general knowledge
  3. multi item integration - we can use the pool of general knowledge to extract the gist of a memory, extrapolate rules about the general group, and construct false memories
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7
Q

hippocampal neocortical dialogue in memory

A

idea that information initially requires binding by the hippocampus. Over time, during sleep, the hippocampus reactivates the networks that correspond to that information/memory and gradually strengthens the connections between neocortical sites involved in the memory, eventually allowing the original information to be activated independent of the hippocampus. Blocking sleep, doesn’t allow this transfer, decreasing the capacity for new hippocampal learning the next day

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8
Q

synaptic homeostasis hypothesis

A

encoding during wakefulness induces a global upscaling of glutamatergic synapses in cortical and subcortical structures (including hippocampus) - in sleep, average connectivity in these networks is downscaled to baseline levels to prevent and accumulation of upscaling that would lead to excessive energy and space demands (important things can also be upscaled)
- this leaves room to learn new things the next day!

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9
Q

why is sleep an affective blanket

A

we remember the stuff that was more emotional but rem sleep consolidates and integrates emotional memory while decoupling it from the emotion that initially ‘tagged’ it for memory, thus reducing anxiety when reactivated

means that less amygdala and adrenergic activity when memory is reactivated after sleeop

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10
Q

ptsd

A

able to remember things exactly as they happened, and nightmares that replay episodes (this stuff never happens normally)
….most of what we know on emotional disassociation of memory is from ptsd - take the pathological example and reverse engineer what should actually happen

memories never got decoupled from emotion and amygdala still has a strong effect

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11
Q

what happens to our emotions when we are sleep deprived

A

we have a stronger emotional response to everything since the amygdala is more involved in memory consolidation

this happens because when we don’t get enough sleep, the prefrontal cortex has a weaker connection to the amygdala and is less effective at dampening its response

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12
Q

vicious cycle of sleep and anxiety

A

Anxious = harder time falling asleep= sleeping poorly = more amygdala= more anxious = less sleep

Lessen anxiety = improve sleep, improve sleep = lessen anxiety

….could be seen as multiple sites of intervention? Or just a circle of doom…

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13
Q

activation of the amygdala following sleep deprivation

A
  • Threat perception is enhanced
    • Neutral stuff is perceived as threatening
      So…we are still able to perceive threats, but brain activity is magnified…so we are more sensitive over all
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14
Q

memory replay in rem sleep

A

Possible that there is a replay of different memories in rem and nrem - rem associated with procedural, implicit learning
- Found that after procedural task, same regions were activated in rem
- Predict post sleep task improvement

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15
Q

targeted memory reactivation in sleep (tmr)

A

Idea: triggering memory replays during sleep

Tmr: replay of sensory cues during sleep that were previously associated with learning

Rat studies 🐀: 1985: hars et al, electric shocks in wake followed by same shocks in rem sleep = better performance

Human studies:

1989 (geurrien et al): auditory stimulation in phasic rem sleep - improvement on a morse code learning task
1990 (smith et al): clock sound during phasic rem sleep - improvement on a complex logic task

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16
Q

odors and memory consolidation in sleep

A
  • Odor paired with learning procedure, then re-exposure during sleep
    • Does sleep increase learning preferentially when paired with cued odor
    • Odor + sws = improves declarative memory —-hippocampus
    • Odor + rem does not
      Odo + procedural memory - no improvement
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17
Q

TMR could be used to enhance…..

A

· Declarative memory
· Language
· Procedural memory
· Emotional memory
· Spatial memory
· Social bias
Sleep therapies

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18
Q

POSSIBLE APPLICATIONS OF TMR

A

Procedural memory:
→ Physical rehabilitation (after stroke, injuries)
→ Athletic development
→ Musical performance

Declarative memory:
→ Memory impairment (aging neurodegenerative diseases,…)
→ Learning disabilities
Learn a new language

19
Q

can restful wakefulness enhance memory

A

yes - ex. meditation

20
Q

VERBAL CUEING:

A
  • Can boost vocabulary learning by verbal cueing during sleep
    Cueing prior learned foreign vocabulary during sleep improved later recall
21
Q

PROCEDURAL MEMORY

A

Skill learning study:
1. Learn two memories on the keyboard
2. One of the two melodies is replayed during nrem sleep
In the morning, the participants played the cued melody more accurately than the non cued melody

22
Q

TMR TO FORGET (MEMORY EXTINCTION?)

A

To diminish effects of trauma? Ptsd?
→ Auditory fear conditioning paradigm (mild electric shock paired with a sound)
→ Measure of fear: skin conductance (sweater)
→ Fear response was lowered when auditory stimulus was presented in wake or in slow wave sleep
→ Sleep ‘therapies’?

How does it work?
Looks like if you cue a participant, hippocampus re activates the cortical representations through theta and gamma activity - spindles are then necessary to stabilize and strengthen these representations

23
Q

Olfactory TMR

A

nostrils only go towards one hemisphere
Tmr has a local effect:
Improved memory for specific words processed in the cued hemisphere - tmr modulates local slow wave activity and sleep spindles (more synchronized)

24
Q

insomnia prevalence.

A

…women tend to experience more insomnia - not clear what percent of the population
Rates increase as you age

25
Q

definition of insomnia

A

….for something to qualify as insomnia, it shouldn’t necessarily have an organic cause (like drinking coffee)

Has to be about:
· Difficulty initiating sleep
· Difficulty maintaining sleep, characterized by frequent awakening or problems returning to sleep after awakenings
· Early morning awakening with inability to return to sleep

In order for something to qualify as insomnia, it cannot be transient

26
Q

three categorizies for defning incolmnia

A

· Sleep difficulty occurs at least 3 nights per week
· The sleep difficulty is present for at least 3 months
The sleep disturbance causes clinically significant distress of impairment in social, occupational, educational, academic, behavioural, or other important areas of functioning

27
Q

other prerequistes for insomnia diagnosis

A

· The sleep difficulty occurs despite adequate opportunity for sleep (can’t just be sleep deprived)
· Cannot be explained by or does not occur exclusively during the course of another sleep wake disorder - (narcolepsy, breathing related sleep disorder, parasomnia, etc)
· Insomnia is not attributable to the physiological effects of a substance
Coexisting mental. Disorders and medical conditions do not adequately explain the predominant complaint of insomnia

28
Q

cost of insomnia in the world

A

→ Total annual cost of insomnia in quebec = 6.6 billion
Average annual per person costs for insomniacs = 5010 and 1431 for people presenting with symptoms

29
Q

insomnia and mental health

A

Sleep as an enhancer for things you already have…what are you more susceptible to ?
- An amplifying factor for underlying conditions
- Directionality = unclear
COMORBIDITY: anxiety, suicidal ideation, depression

Even just dealing with sleep can greatly improve symptoms of these disorders ^^^ “if you fix sleep, every other thing will be easier to deal with”

30
Q

pharmacological treatments for insomnia

A

→ Sleeping pills = not great, tons of side effects, associated with neurodegeneration down the line
→ Typically benzodiazepines or similar (Z-drugs)
→ Effective for shortening sleep onset and maintaining sleep
→ Not to be used for more than 4-16 weeks
→ Tolerance, addiction and withdrawal symptoms are serious problems - problem with all psychiatric disorders is that we don’t really know how to de prescribe
→ Side effects: day time fatigue, motor vehicle crashes, accidents, cognitive impairments, falls, fractures, old people more sensitive
Associated with cognitive decline in old people, including alzheimer dementia

31
Q

melatonin

A

→ Orally, has sleep enhancing and circadian rhythm modifying effects
→ Data suggests that melatonin has therapeutic effect on sleep onset that is greater and more consistent than its effects on the ability to stay asleep or the duration of sleep
→ No substantive risks of melatonin has been identified
→ Most commonly reported side effect is headache
→ Suggests that higher melatonin levels may be associated with reversible inhibition of spermatogenesis and ovulation
→ Abuse potential = minimal
Missing longitudinal data and large scale studies

32
Q

cognitive behavioural therapy for insomnia

A

Most effective….multimodal intervention combining some of the above cognitive behaviour )e.g. stimulus control, sleep restriction, relaxation) procedures
Big commitment = 5 to 8 sessions

33
Q

sleep restriction cbt

A

▪ Time in bed restricted as close as possible to the actual sleep time
▪ Strengthening homeostatic sleep drive
▪ Sleep window is then gradually increased over a period of a few days or weeks until optimal sleep duration is achieved

34
Q

stimulus control cbt

A

A set of instructions designed to reinforce the association between the bed and bedroom between the bed and bedroom with sleep and to reestablish a consistent sleep-wake schedule
▪ Go to bed only when sleepy
▪ Get out of bed when you can’t sleep
▪ Use the bed/bedroom for sleep only (no reading, watching tv, etc)
▪ Arise at same time every morning
No napping

35
Q

relaxation control cbt

A

Clinical procedures (e.g., progressive muscle relaxation) aimed at reducing autonomic arousal, muscle tension, and intrusive thoughts interfering with sleep - most relaxation procedures require some professional guidance initially and daily practice over a period of a few weeks

36
Q

cognitive therapy

A

Psychological approach using socratic questioning and behavioural experiments to reduce excessive worrying about sleep and reframe unhelpful beliefs about insomnia and its daytime consequences
Additional cognitive strategies may involve paradoxical intention technique to alleviate performance anxiety associate with the attempt to fall asleep

37
Q

sleep hygiene education

A

…general guidelines about health practices
▪ Diet
▪ Excercise
▪ Substance use
▪ Environmental factors (light, noise, excessive temp
Basic info about normal sleep and changes in sleep patterns with aging

38
Q

cbti efficiency

A

→ Efficient for a broad range of patients - including those with comorbid psychiatric conditions such as depression, bipolar disorder, posttraumatic stress disorder and schizophrenia
→ Reduced depression severity
→ Higher remission rates
→ Reduced anxiety
Reduced suicidal ideation

39
Q

cbti vs pharmocological treatment

A

· More efficient
· Addresses the root causes of insomnia (pharmacological treatments don’t)
· But takes several weeks to complete and demands considerable effort - pill is easy and immediate
Super important you complete the 5-8 weeks - bc its hard to restart if you strop out

40
Q

stepped care model for delivery of cbt

A
  • Start with an app
    • If it doesn’t work, do it in a group (cheaper)
    • If that still doesn’t work, move up to graduate psychologist
    • Then really tailored to you - clincal psychologist
      Then super specialized - behavioural sleep specialist
41
Q

THEORIES OF INSOMNIA:
HYPERAROUSAL AND STRESS REGULATION:

A

· HPA axis reactivity
· Cortisol dysregulation
· Affective reactivity
· Sleep reactivity - a potential trait
Reaction to allostatic load

42
Q

SLEEP STATE MISPERCEPTION/PARADOXICAL INSOMNIA

A

….some people, particularly insomniacs, report a different between how much they think they’ve slept and how much they’ve actually slept
- Moon, Song, and Cho 2015 - estimated that 26.4% of insomniacs underestimated how much they slept (less then 6.5 hours, sleep efficiency >85%)
- Associated with high levels of distress and anxiety associated with perceived lack of sleep
Can be positive (overestimating) but pretty rare

43
Q

SLEEP STATE MISPERCEPTIONA AND INSOMNIA

A
  • Insomniacs always underestimate how much they’ve slept and overestimate how long it takes them to fall asleep
    • But are pretty accurate/underestimate how much they wake up
    • Good sleepers tend to overestimate how much they’ve slept, are pretty accurate over all - but underestimate how much they wake up

….but connection between cortical arousal and sleep state misperception!!