Seminar 7 Flashcards

1
Q

What is sleep?

A

A particular state of consciousness

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2
Q

Stages of sleep

A

There are five distinct stages of sleep characterised by the electrical activity of the brain as detected by EEG

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3
Q

Stage 1

A

Non-REM sleep

Transition from wakefulness to sleep, and lasts from 1 to 7 minutes

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4
Q

Stage 2

A

First stage of “real” sleep

EEG shows high-frequency bursts of activity known as “sleep spindles

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5
Q

Stages 3 and 4

A

After 30 to 45 minutes after going to sleep
Stage 4 is the deepest stage
Heart rate, respiration, temperature and blood flow to the brain decrease and growth hormone is released, controlling levels of metabolism, physical growth and brain development

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6
Q

REM sleep

A

Brain activity is very similar to that when you are awake

This is the main dreaming stage.

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7
Q

Functions of sleep stages

A
REM
Memory consolidation and learning
Psychological wellbeing
Emotional learning
Motivation
Coping with stress
Mood regulation
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8
Q

Sleep regulation: two-factor model

A

Homeostatic regulation: Process S
sleep need
Sleep-wake circadian clock: Process C
sleep urge

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9
Q

Homeostatic regulation
Process S

A

Controlled by hypothalamus

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10
Q

Sleep-wake circadian clock
Process C

A

Controlled by suprachiasmatic nucleus (SCN)

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11
Q

Circadian rhythms

A
Evening person (20%)
Morning person (10%)
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12
Q

Sleep requirement

A

New born children are “sleep machines”, they sleep 17 hours
4-year-old 10 hours
Adolescents need about 9 hours, and tend to go to bed later
Adults (over 20) need 7-8 hours
Not true that older people need less sleep

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13
Q

Melatonin

A

Melatonin secretion is adversely affected by caffeine
Much more than a sleep promoting hormone
Strong cancer prevention effect

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14
Q

Sleep deficit

A

Hormonal changes → increased appetite, blood sugar irregularities

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15
Q

Sleep deprivation

A

If you are awake for more than 18 hours, you have impaired reaction speed, memory, decision-making capacity, cognitive speed and spatial orientation

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16
Q

Sleeping disorders

A

Dyssomnias – the true sleep disorders
Parasomnias – sleep abnormalities
e.g. sleepwalking, nightmares
Medical-psychiatric sleep disorders

17
Q

Dyssomnias

A
Insomnia 
Sleep apnoea
Narcolepsy
Restless legs syndrome
Circadian rhythm disorders
Jet lag
Shift work
Delayed/advanced sleep phase syndrome
18
Q

Parasomnias

A

Sleepwalking
Sleep terrors
Nightmares
REM sleep behaviour disorder

19
Q

Insomnia

A

Most common sleep disorder, usually with complex causes

20
Q

Treatment for insomnia

A

Treatment for underlying organic cause
Lifestyle counselling
Cognitive-behavioural therapy
Medication