lesson 4 Flashcards

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1
Q

consciousness

A

awareness of internal and external stimuli such as feelings of hunger and pain or detection of light

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2
Q

wakefulness

A

high levels of sensory awareness, thought, and behaviour

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3
Q

biological rhythms

A
  • biological rhythms: internal cycle of biological activity
    – fluctuation of body temp
    – menstrual cycle
    – alertness level
  • circadian rhythm: biological one that occurs over 24h
    – by suprachiasmatic nucleus (SCN)
    – sleep wake cycle, linked to natural light dark cycle
  • controlled by hypothalamus responsible for maintaining homeostatis
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4
Q

suprachiasmatic nucleus

A
  • located in hypothalamus
  • brains clock mechanism
  • sets itself with light info received via the retina -> synchronisation with the outside world
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5
Q

melatonin and sleep regulation

A
  • regulates sleep wake cycle
  • release stimulated by darkness -> makes us sleepy
  • inhibited by daylight
  • released by pineal gland
  • cortisol: released in daylight -> alertness
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6
Q

jetlag and rotating shift work

A

jetlag
- symptoms resulting from the mismatch between our internal circadian cycles and our environment
- fatigue, sluggishness, irritability, insomnia

rotating shift work
- work schedule that changes from early to late on daily/ weekly basis
- difficult for maintaining normal circadian rhythm
- persistent feeling of exhaustion and agitation, sleeping problems, depression, anxiety

-> bright light to realign biological clocks with external environment

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7
Q

sleep deprivation

A
  • sleep debt: insufficient sleep on chronic basis
  • sleep rebound: sleep deprived individual will tend to take a shorter time to fall asleep during subsequent opportunities for sleep
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8
Q

sleep

A

state marked by relatively low physical activity and a reduced sense of awareness

  • controlled by multiple brain ares including thalamus and hypothalamus and pons
    (pineal and pituitary gland)
  • hormones:
    – melatonin
    – FSH
    – LH
    – growth hormone
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9
Q

why do we sleep

A
  • adaptive function (evolutionary hyptheses)
    – essential to restore resources that are expended during the day
    – adaptive response to predatory risk, which increase in darkness
  • cognitive function
    – focus on sleep’s importance for cognitive function and memory formation
    – sleep deprivation results in disruptions in cognition and memory deficits
    – impairments become more severe as the amount of sleep deprivation increases
    – slow wave sleep appears to be essential for effective memory formation
  • sleep benefits:
    – healthy weight
    – lowering stress levels
    – improving mood
    – increased motor coordination
    – improved cognition and memory formation
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10
Q

brainwaves during sleep

A
  • changes during different stages of sleep
  • visualised via EEG

alpha: low frequence, high amplitude, synchronised
theta: low frequency, low amplitude
delta: low frequency, high amplitude, desynchronised

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11
Q

sleep stages

A

stage 1
- transitional stage between wakefulness and sleep
- respiration and heartbeat decrease
- muscle tension and core body temp decrease
- alpha waves

stage 2
- deep relaxation
- theta waves
- appearance of sleep spindles and K-complexes
- sleep spindles: rapid burstt of high frequency brainwaves
- k-complexes: high amplitude pattern of brain activity

stage 3 and 4
- slow wave sleep
- delta waves
- respiration and heart beat decrease

REM
- rapid eye movements
- paralysis of voluntary muscles
- dreams
- brain waves similar to those during wakefulness

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12
Q

hypnogram

A

diagram of stages of sleep as they occur during period of sleep

  • illustrates how an individual moves through the various stages of sleep
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13
Q

dreams

A
  • sigmund freud: as access do unconsciousness
    – manifest content: actual content of dream
    – latent content: hidden meaning
  • jung: a means to tap into collective unconscious
    – collective unconscious: theoretical repository of info shared by all people across cultures
    – believed that certain symbols in dreams reflected universal archetypes
  • research:
    – may represent life events that are important to the dreamer
    – represent state of protoconsciousness, or virtual reality, in mind that helps a person during consciousness
    – lucid dreams: certain aspects of wakefulness maintained during dreaming state
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14
Q

insomnia

A
  • difficulty falling or staying asleep
  • at least 3 nights a week for at least one month
  • most common sleep disorder
  • may be symptom of depression

contributing factors:
- age
- drug use
- exercise
- mental status
- bedtime routines

treatment:
- stress management
- change in problematic behaviour
- cognitive-behavioural therapy, focusing on cognitive processes and problem behaviours

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15
Q

parasomnia

A
  • unwanted motor behaviour/experiences throughout the sleep cycle
  • sleep walking: during slow-wave sleep
  • REM sleep behaviour disorder: when muscle paralysis doesnt occur, high levels of physical activity, treated with Clonazepam
  • restless leg syndrome: uncomfortable sensations when trying to fall asleep that are relieved by moving the legs,
  • night terrors: sense of panic, scream and attempt to escape , during NREM
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16
Q

sleep apnea

A
  • individuals stop breathing during sleep, 10-20 seconds
  • repeated disruptions in sleep lead to increased levels of fatigue
  • overweight

2 types
- obstructive: airway becomes blocked, air is prevented from entering the lungs
- central: CNS fails to initiate breaths

  • treatment: continuous positive airway pressure device, that pumps air into airways
17
Q

sudden infant death syndrome

A
  • infant stops breathing during sleep
  • younger than 12 months at higher risk
  • boys higher risk
  • contributing factors: premature birth, smoking in the home, hyperthermia
18
Q

narcolepsy

A
  • irresistible urge to fall asleep during waking hours
  • triggered by states of heightened arousal or stress
  • shares features of REM sleep including:
    – cataplexy: loss of muscle tone while awake, or complete paralysis of voluntary muscles
    – hypnagogic hallucinations: vivid, dream like hallucinations
  • treatment: psychomotor stimulant drug
19
Q

substance use disorders

A
  • compulsive pattern of drug use despite negative consequences
  • physical and psychological dependence
  • psychological dependence: emotional need for drug
  • physiological dependence: changes in normal bodily functions and withdrawal
  • tolerance: requiring more and more of the drug to achieve the same effects, linked to physiological dependence
  • withdrawal: negative symptoms experienced when drug use is discontinued
20
Q

depressants

A

drugs that suppress the central nervous system activity

  • GABA agonists -> quieting effect on brain
    bind to GABA receptors, makes neurons less likely to fire
  • alcohol (decrease in reaction time and visual acuity, lowers level of alertness, reduces behavioural control, complete loss of consciousness)
  • barbiturates
  • benzodiazepines
21
Q

stimulants

A

increase overall levels of neural activity

  • dopamine agonists -> prevents reuptake -> more dopamine in synapse
    reward and craving -> can be highly addictive
  • cocaine
  • amphetamine
  • cathinones
  • mdma

side effects: nausea, high blood pressure, high heart rate, anxiety, hallucinations, paranoia

22
Q

caffeine

A

stimulant
- antagonising adenosine activity
- increase in alertness and arousal

23
Q

nicotine

A

stimulant
- interacts with acetylcholine receptors
- highly addictive
- role in arousal and reward mechanisms

24
Q

opioids

A
  • as analgesics (decrease pain) via their effect on endogenous opioid neurotransmitter system
  • highly addictive
  • heroine
  • morphine
  • methadone
  • codeine
25
Q

hallucinogens

A

changes in sensory and perceptual experiences

  • vivid hallucinations
  • variable with regards to specific neurotransmitter system they affect
  • mescaline and lsd -> serotonin agonists
  • pcp and ketamine -> nmda glutamate receptor antagonist
26
Q

hypnosis

A

extreme focus on the self that involves suggested changes of behaviour and experience

  • use relaxation and suggestion to alter the thoughts and perceptions of a patient
  • to draw out info believed to be buried in someone’s memories
  • individuals are in control of their own behaviours
  • vary in their ability to be hypnotised
  • pain management, depression and anxiety treatment, quitting smoking and weight loss
27
Q

meditation

A

act of focusing on a single target to increase awareness of the moment

  • relaxed, yet focused awareness
  • stress management, sleep quality, pain management and mood and anxiety treatment