Sleep Flashcards

1
Q

Endogenous circannual rhythm

A

generated rhythm that prepares species for seasonal changes
E.g. birds become restless in the spring when it’s time to migrate

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2
Q

Endogenous circadian rhythms

A

Last about a day
Typical sleep wake cycle
Human circadian rhythm does not adjust easily
Circadian rhythm that affect eating/drinking, urination, hormone secretion, metabolism, drug sensitivity, and other things
Circadian rhythms for mood

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3
Q

Endogenous

A

Biological clocks influence biological rhythms
E.g. internal to the individual
E.g. Circadian rhythm

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4
Q

Exogenous

A

Changes in the environment influence biological rhythms

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5
Q

Changes in cortisol throughout 24hrs

A

Decreases before nighttime
Increases across the night
Peaks when wake up in the morning, then begins to decrease

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6
Q

Changes in melatonin throughout 24hrs

A

Increases before bed (about 2-3hrs before)
Is high throughout nighttime
Decreases before wake up

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7
Q

Changes in growth hormone throughout 24hrs

A

Increases sharply at beginning of night
Decreases with time over sleep
Low during the day

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8
Q

Changes in heart rate throughout 24hrs

A

Decreases as approach bedtime
Slowest when sleeping
Increases as wake up in morning

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9
Q

Changes in temperature throughout 24hrs

A

Increases before bed
Decreases during nighttime
Increases once wake up

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10
Q

Changes in cell replication throughout 24hrs

A

Increase at night
Decrease during the day

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11
Q

Zeitgeber

A

Stimulus that resets the circadian rhythm (aka time giver)
External cues that keep you in sync (entrained) with the environment’s cycles
Light is dominant zeitgeber for land animals (electric less effective)
Tide is dominant for marine animals
Others: exercise, meals, temperature
NOT social stimuli unless involves one of the above

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12
Q

Circadian rhythm in blind people

A

Some set circadian rhythms by noise, temperature, meals, activity
Others not sensitive to these produce rhythms longer than 24hrs
More than half of blind people report sleep problems
Can be one of most burdensome aspects of blindness
Drift out of phase with desired time for sleeping
Melatonin can help them stay on normal schedule

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13
Q

Jet Lag

A

Disruption of circadian rhythms due to crossing time zones
Difficulting initiating/maintaining nighttime sleep, daytime sleepiness, decreases alertness, loss of concentration, impaired performance, fatigue, irritability, disorientation, depressed mood, gastrointestinal disturbance
Increases cortisol which can damage hippocampus

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14
Q

Phase Delay

A

Stay awake later and then awaken late next morning (westward)
Most people find this easier

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15
Q

Phase Advance

A

Sleep earlier and wake earlier (eastward)

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16
Q

Chronotypes

A

Described as morning or evening people (not binary)
Classify by middle of sleep period on vacation
Most people are intermediate between extremes

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17
Q

Early Chronotype

A

Morning people
Awaken early, reach peak productivity early, become less alert later in the day
Most impaired as shift workers
Protective factor against mental illness

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18
Q

Late Chronotype

A

Evening people
Warm up more slowly, reach peak in later afternoon or evening
Spending time outside with natural light can turn them into morning people
More adolescents/young adults
More men
Higher mental illness, worse bipolar symptomatology

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19
Q

Free Running Rhythm

A

Internal cycles that are decoupled from external/exogenous cues
E.g. living on a submarine
Operate on a little longer than 24hrs
Causes cycle shift gradually

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20
Q

Curt Richter

A

Brain generates its own rhythms
Biological clock
Remains steady despite food and water deprivation, x rays, tranquilizers, alcohol, anesthesia, lack of oxygen, most kinds of brain damage, or removal of endocrine organs

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21
Q

Suprachiasmatic nucleus (SCN)

A

Main driver of rhythms for sleep and body temperature
Part of hypothalamus, just above the optic chiasm
Damage to this area causes body’s rhythms to become erratic
Generates circadian rhythms in a genetically controlled manner
Even if disconnected/isolated from other areas of body, continue to produce circadian rhythm action potentials

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22
Q

Describe Per & CRY influences

A

See graphs and explanations in note

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23
Q

Retinohypothalamic path

A

Small branch of optic nerve which alters the SCN’s settings
Retinohypothalamic pathways come from retinal ganglion cells that have own photopigment (melanopsin)
Located mainly near the nose, see toward the periphery
Respond to light slowly and turn off slowly when light ceases (average amount of light)
Respond best to short wavelength (blue) light (why screens prevent sleep)

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24
Q

Melanopsin

A

Photopigment not found in rods and cones
In retinohypothalamic path

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25
Intrinsically photosensitive retinal ganglion cells (ipRGCs)
Can receive input from rods and cones Other ganglion cells can send signals to SCN Both rods and cones and ipRGCs contribute to circadian photoentrainment M1 cells: non-image forming, ambient light info/how light or dark it is (influences Per and Cry proteins transcription) Damage before SCN = light doesn't work as zeitgerber
26
Pineal Gland
Endocrine gland located posterior to thalamus Releases melatonin, found in almost all animals, plants, and bacteria Released mostly at night, increases sleepiness in humans In nocturnal animals it increases wakefulness Pineal gland tumour can cause people to stay awake for days at a time Helps control onset of puberty and bodily adjustments to changes of season (e.g. hibernation)
27
Sleep
State the brain actively produces Characterized by decreased activity and decreased response to stimuli
28
Coma
Extended period of unconsciousness caused by head trauma, stroke, or disease Low level of brain activity Little or no response to stimuli People in a coma either die or begin to recover within a few weeks
29
Vegetative State
Alternates between periods of sleep and moderate arousal Even during aroused state person shows no awareness of surroundings and no purposeful behaviour Breathing is more regular Painful stimulus produces at least the automatic responses of increased heart rate, breathing, and sweating Can last for months or years
30
Minimally Conscious State
Brief periods of purposeful actions and limited amount of speech comprehension Can last for months or years
31
Brain Death
Condition with no sign of brain activity and no response to any stimulus Ensure this is constant for 24 hours before pronouncing brain death Ethical to remove life support
32
Electroencephalograph (EEG)
Records an average of the electrical potentials of cells and fibers in brain areas nearest to electrodes Monitor brain activity during sleep
33
Electromyogram (EMG)
Muscular measurement
34
Electrooculogram (EOG)
Eye tracking
35
Electrocardiograph (ECG)
Measure heart rate
36
Polysomnography
Combining different metrics for multimodal analysis
37
Alpha Waves
Characteristic of relaxation
38
Awake
8-13 cycles per second
39
Non-rapid eye movement (NREM) sleep
Eyes are stationary
40
NREM Stage 1
4-8 cycles per second EEG shows irregular, jagged, low voltage waves Brain activity is less than in relaxed wakefulness, higher than other sleep stages
41
NREM Stage 2
4-8 cycles per second 0.5-2 second spindles at 12 and 14 CPS thalamus Anterior cingulate cortex K-complexes Sleep spindles
42
K-Complex
Sharp wave associated with a temporary inhibition of neuronal firing (amplitude spike)
43
Sleep Spindle
Burst of 12-14 Hz waves for at least half a second Result from oscillating interactions between cells in thalamus and cortex Increase in number after learning Number of sleep spindles correlates positively with improvements in certain types of memory Consistent activity from one night to another Can predict nonverbal tests of IQ
44
NREM Stage 3
Slow wave sleep Begin to see slow wave/delta wave pattern Approaching less than 4.5 cycles per second Heart, breathing, and brain activity decrease Slow, large amplitude waves become more common Fewer slow waves than stage 4 Slow waves indicate neuronal activity is highly synchronized Occurs mostly earlier in sleep period
45
Stage 4: rapid eye movement (REM) sleep
Low amplitude high frequency waves Increases later in the sleep period
46
Paradoxical Sleep
Another name for REM sleep Combines characteristics of both wakefulness (increased brain activity) and sleep (low levels of body activity)
47
Michel Jouvet
Trying to test learning abilities of cats after removal of cerebral cortex Realized that certain areas of brain activity was high but neck was relaxed
48
Kleitman and Aserinsky
Discovered that people move their eyes during sleep Rapid eye movement (REM) sleep: synonymous with paradoxical sleep
49
Characteristics of REM Sleep
Irregular, low voltage fast waves that indicate increased neuronal activity Postural muscles of body are more relaxed than during other stages Associated with erections/vaguinal moistening Heart rate, blood pressure, breathing rate, facial twitches fluctuate Increased activity in ventral visual association areas Reduced activation in frontal area & primary visual cortex Combines aspects of deep and light sleep
50
Sleep Cycles
Each cycle lasts about 90 mins Stage 1 - stage 2 - slow wave - stage 2 - REM Slow wave sleep predominate early in the night REM occupies increasing percentage over time Sleep stage patterns varies with age, health, and other factors
51
Dement and Kleitman
People report dreams more often during REM Dreams during REM more likely to include visual imagery and complicated plots
52
Reticular Formation
Structure that extends from medulla into forebrain Cut through midbrain damages reticular formation Some neurons in reticular formation have axons ascending into brain, some have axons descending into spinal cord Those with axons descending into spinal cord form part of the medial tract of motor control Neurons with ascending axons are suited to regulate arousal
53
Pontomesencephalon
Part of reticular formation that contributes to cortical arousal Neurons receive input from many sensory systems and generate activity of their own, varying with circadian rhythm Axons extend into forebrain Some axons release GABA (Inhibits/interrupts behaviour, Promotes slow wave sleep) Some axons release acetylcholine, glutamate, dopamine (Produce arousal in hypothalamus, thalamus, and basal forebrain, produce wakefulness by regulating levels of potassium and other ions that produce constant state of arousal)
54
Locus Coeruleus
Small structure in the pons Usually inactive especially during sleep Emits bursts of impulses in response to meaningful events, especially ones that produce emotional arousal Axons release norepinephrine throughout cortex Small area with big influence Output from locus coeruleus is called a ‘gain’
55
Locus Coeruleus 'gains'
Increases activity of most active neurons Decreases activity of less active neurons Produces enhanced attention to important information and enhanced memory
56
Hypothalamus
Intermingled neurons that produce different effects One axon pathway releases histamine (excitatory neurotransmitter, enhances arousal and alertness) Pathway from lateral & posterior nuclei of hypothalamus release peptide neurotransmitter called orexin or hypocretin (enhance wakefulness and activity, for staying awake)
57
Sleep & Brain Activity
Depends on decreased sensory input to cerebral cortex (inhibition - GABA) Neurons in thalamus become hyperpolarized, decreasing readiness to respond to stimuli Moderate amount of responsiveness remains (e.g. wake up to loud sounds)
58
Exceptions to Sleep & brain Inhibition
Sleepwalking: motor cortex and some other ares remain awake Lucid dreaming: activity in frontal and temporal cortex Sleep paralysis: pons remains in REM to prevent movement
59
PET During Sleep
Difficult to inject chemicals without waking Insert cannula in arm and sleep with heads attached (prevent movement) Stay awake one night prior to increase sleep during night 2
60
Brain Activity During Sleep
Increased activity: Pons, limbic system, parts of temporal and parietal cortex Decreased activity: Primary visual cortex, motor cortex, dorsolateral prefrontal cortex
61
Pons-geniculate-occipital (PGO waves)
Distinctive pattern of high amplitude electrical potentials Detected first in pons, then in lateral geniculate nucleus, then occipital cortex
62
Carbachol
Stimulates acetylcholine synapses Moves sleeper into REM when injected
63
Hormones that interrupt REM
Serotonin & norepinephrine
64
Sleep deprivation and attention
Dorsolateral prefrontal cortex (DLPFC): related to attention control Attention lapses increases when sleep debt increases
65
Sleep deprivation and memory
Depleted sleep decreases proportion of content remembered Buildup of adenosine with sleep deprivation which suppresses learning mechanisms in hippocampus REM disruptions particularly detrimental
66
Sleep deprivation and injury
Cognitive deficits resulting from sleep deprivation create real life consequences (e.g. more car accidents) More sleep = less physical injury incidents
67
Sleep deprivation and emotion
Sleep loss triggers changes in negative emotional processing (irritability, emotional volatility, anxiety and aggression, and suicidal ideation, attempts, contemplation) Sleep deprived people show greater activity in amygdala Decreased connectivity between amygdala and prefrontal cortex (more emotionally reactive)
68
3 Functions of Sleep
Restoration Clearance Memory
69
Restoration
To restore and replenish various substances needed for proper brain health and function Adenosine triphosphate (ATP) a key energy source for neural function spikes after onset of sleep
70
Clearance
Clearing various undesirable substances that have built up during wakefulness (e.g. adenosine or molecules that impair functioning) Movement of substances through the interstitial space more efficient while rats are asleep (interstitial space expands during sleep) Rate of Beta-amyloid clearance greater during sleep
71
Memory & Sleep
Studying before bed and testing the following day at 10am and 10pm increased retention Sleeping between study and test sessions improves performance in test sessions
72
Associative Processing
Hard for body to make sense of information when dreaming Activation synthesis model - due to deactivation of prefrontal cortex (see note)
73
Lucid Dreaming
Hybrid state Reduction in frontal processing and visual cortex as compared to when awake Slightly more activation in frontal compared to REM
74
Insomnia
Inadequate sleep Impairs memory, attention, cognition Magnifies unpleasant emotional reactions Increases risk of depression
75
Onset Insomnia
Difficulty getting to sleep
76
Maintenance Insomnia
Difficulty staying asleep
77
Causes of Insomnia
Noise, light, uncomfortable temperatures, stress, pain, diet, medications Late night exercise or eating Irregular bedtime, late night media use Epilepsy, Parkinson’s disease, brain tumours, depression, anxiety, or other neurological or psychiatric conditions Use of sleeping pills (inability to sleep without them)
78
Sleep Paralysis
State in which muscle immobilization, normally characteristic of REM sleep, occurs even though the person is not longer actually sleeping
79
Hypnagogic Hallucinations
When going to sleep
80
Hypnopompic Hallucinations
When waking up
81
Sleep Apnea
Impaired ability to breathe while sleeping Breathless periods of a minute or so, awaken gasping for air May not remember awakenings Increases risk of stroke, heart problems, and other disorders Multiple brain areas that have lost neurons Deficiencies of learning, reasoning, attention, impulse control
82
Causes of Sleep Apnea
Genetics, hormones, old age deterioration of brain mechanisms that regulate breathing Obese men have narrow airways and have to breathe faster when awake, can’t maintain this rhythm at night
83
Sleep Apnea Treatment
Lose weight Avoid alcohol and tranquilizers Mask that covers nose and delivers air under enough pressure to keep breathing passages open (continuous positive airway pressure (CPAP) machine Surgery on jaw or breathing spaces only sometimes helps
84
Narcolepsy Symptoms
Attacks of sleepiness during the day Occasional cataplexy Sleep paralysis Hypnagogic hallucinations
85
Occasional cataplexy
Attack of muscle weakness while the person remains awake Often triggered by strong emotions (e.g. anger, excitement)
86
Causes of Narcolepsy
Flu (H1N1 flu virus) Lack hypothalamic cells that produce and release orexin Could be due to an autoimmune reaction Deficiency of orexin may be a cause
87
Narcolepsy Treatment
Stimulants that increase dopamine and norepinephrine
88
Periodic Limb Movement Disorder
Repeated involuntary movement of the legs and sometimes arm during sleep Mostly middle aged people and older Legs kick once every 20-30 seconds, mostly during non REM sleep
89
REM Behaviour Disorder
Move around vigorously during REM periods Appear to be acting out their dreams Frequently dream about defending themselves from an attack Often injure themselves or damage property Could be due to inadequate inhibitory transmission
90
Night Terrors
Experiences of intense anxiety from which a person awakens screaming in terror Usually during non REM sleep More common in children Dream content is either simple (e.g. one image) or entirely lacking
91
Sleepwalking
Runs in families, mostly occurs in children More common when people are sleep deprived or under unusual stress Most common during slow wave sleep Actions are poorly planned and not remembered
92
Sexsomnia
Sleeping people engage in sexual behaviour (with partner or by masturbation) Don’t remember Many people with sexsomnia were sleepwalkers as children