Sleep Flashcards

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1
Q

Biological Explanation of Insomnia

A
  • Due to the malfunctioning of certain brain chemistry
  • Developed due to the prevalence of insomnia in populations who take drugs, are stressed or have existing conditions
  • As all of these can be damaging to body cells
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2
Q

Gregory et al

A

Increased levels of anxiety can lead to increased levels of insomnia
- EV’s controlled for

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3
Q

Narcolepsy 3 Explanations

A

1) Malfunction in systems which maintain REM
2) Increase frequency of HLA antigen in the immune system
3) Low levels of hypocretin neurotransmitter

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4
Q

Narcolepsy- REM explanation

A
  • 1960’s
  • Malfunction in the systems which maintain REM
  • Vogel- REM occurred at onset of sleep in narcoleptics, and they have abnormal REM at night
  • Explains some of the symptoms of the disorder which are also found in REM, eg. loss of muscle tone, hallucinations
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5
Q

Narcolepsy- IMMUNE SYSTEM explanation

A
  • 1980’s
  • Mutation of the immune system
  • Honda et al - increased frequency of human leukocyte antigen (HLA) - more than 90% of narcoleptics showed this
  • HLA coordinates the immune response
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6
Q

Narcolepsy- HYPOCRETIN explanation

A
  • 1990’s
  • Hypocretin is a neurotransmitter which regulates sleep and wakefulness
  • Link between LOW levels of hypocretin and the disorder
  • Lin et al- narcoleptic dogs had mutation in a gene on chromosome 12 which disrupted the way hypocretin was processed
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7
Q

Narcolepsy- Mignot

A

There was no significant increased risk of one twin developing narcolepsy if the other twin had it
- So what causes the mutation on chromosome 12?

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8
Q

Narcolepsy- What may cause the mutation on chromosome 12 if it is not genetics?

A
Brain injury
Infection
Diet
Stress
Auto-immune attack
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9
Q

Sleepwalking- Incomplete Arousal

A

Recordings of brain activity show a mix of delta waves (SWS) and higher frequency beta waves (awake state)

A sleepwalker is in deep sleep (SWS) but is awaken, however the arousal is incomplete

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10
Q

Sleepwalking Risk Factors

A
  • Sleep deprivation
  • Alcohol
  • Having a fever
  • Stress
  • Psychiatric Condition
  • Hormonal changes in puberty
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11
Q

Two explanations for why sleep walking occurs more in children

A

1) Children have more SWS than adults
2) Oliviero- the system that normally inhibits motoractivity in SWS is not sufficiently developed in sleepwalkers. - more likely to be underdeveloped in children.

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12
Q

Sleepwalking- Broughton’s study

A

The prevalence of sleepwalking in first degree relatives of a sleepwalker is 10 times greater than that for people in the general public

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13
Q

Sleepwalking- Zadra et al

A

Studied 40 sleepwalkers in a sleep lab and prevented them for sleeping
1st night- 50% sleepwalked
2nd night- 90% (due to more stress from sleep deprivation)

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14
Q

Infancy- Amount of sleep and percentage of REM

A

16 hours a day
50% REM
80-90% REM if premature

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15
Q

Infancy- Features of sleep

A

Uncontinuous- shorter sleep cycles.

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16
Q

Childhood - Amount of sleep and percentage of REM

A

12 hours a day

30% REM

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17
Q

Childhood- Features of sleep

A

Experience parasomnias e.g. sleep walking and night terrors

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18
Q

Adolescence - Amount of sleep and percentage of REM

A

9-10 hours a day

25% REM

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19
Q

Adolescence - Features of sleep

A

Circadian rhythms shift into a PHASE DELAY where they delay sleeping and waking.

20
Q

Adulthood- Amount of sleep and percentage of REM

A

8 hours a day

25% REM

21
Q

Adulthood- Features of sleep

A

Increasing frequency of other sleep disorders e.g. insomnia

22
Q

Old Age- Amount of sleep and percentage of REM and SWS

A

8 hours a day
20% REM
5% SWS
Mostly light sleep

23
Q

Old Age- Features of sleep

A

Wake up frequently

Experience a phase advance of circadian rhythms - feel sleepier earlier and wake up earlier

24
Q

Restoration Theory- Growth Hormones

A
  • Secreted during SWS

- Important for cell growth and restoration of body tissue

25
Q

Restoration Theory- Immune System

A
  • Consists of protein molecules and antibodies

- Regenerated during SWS

26
Q

Evolutionary Theory- Zepelin and Rechtshaffen

A

Smaller animals sleep more than larger animals - however sloth exception (sleep for 20 hours)

27
Q

Evolutionary Theory - Allison and Cicchetti (energy conservation)

A

Larger animals had less NREM than smaller animals. NREM conserves energy, but they have less of a need for this.

28
Q

Evolutionary Theory- Allison and Cicchetti (predator avoidance)

A

Species with a high risk of predation did sleep less…however rabbit exception. They have a higher danger rating but sleep more than moles

29
Q

Evolutionary Theory- Horne

A

Core sleep- SWS, what the body requires for restorative purposes
Optional - REM and NREM- occupies unproductive hours and, in small mammals, conserves energy

30
Q

Circadian Rhythm

A

Once a day, e.g. sleep-wake cycle

31
Q

Infradian Rhythm

A

Once a month or year e.g., menstrual cycle, SAD

32
Q

Ultradian Rhythm

A

Happens a few times a day e.g. sleep cycles, eating cycles

33
Q

SCN

A

A group of neurons in the hypothalamus that have their own regular rhythms of firing activity

34
Q

Pineal Gland

A

Controlled by the SCN, secretes the hormone melatonin

35
Q

Melatonin

A

Increases feelings of sleepiness. Levels fall in light and rise in darkness

36
Q

Siffre

A
  • 6 months in a cave
  • Circadian rhythms settled at 25 hours
  • Occasionally erratic, drastically changing to 48
37
Q

Ashchoff and Wever

A
  • World war two bunker
  • Most p’s had circadian rhythms of about 24-25 hours
  • Some of the p’s extended to 29 rhythms
38
Q

Folkard et al

A
  • 3 weeks in a cave
  • Sped clock up to a 22 hour day
  • They settled at a 24 hour rhythm despite this
  • One participant adapted to the 22 hour
39
Q

Tilley and Wilkinson

A

Daytime sleep is often between 1-2 hours shorter than normal, with REM being particularly affected

40
Q

Knutson et al

A

Those who worked shifts for more than 15 years were 3 times more likely to develop heart disease

41
Q

Czeisler et al

A

Introduced a forward rotating shift to a Utah chemical plant workforce who were struggling with stress. After 9 months, health improved, productivity increased by 25% and there were less personnel problems

42
Q

Boivin et al

A

Artificial lighting-
Had different groups of p’s experienced different intensities of light brightness. The group with the ‘very bright light’ advanced their cycle the most, by 5 hours.

43
Q

Phase advance

A

Occurs when travelling from West to East, most severe because it shortens the day so you might have to sleep when your body arousal is high

44
Q

Phase delay

A

Occurs when travelling from East to West, least severe because it only extends the day

45
Q

Recht et al

A

Analysed baseball results over 3 years. Teams from the East travelling to the West (phase delay) won 44% of games. Teams travelling from the West to the East (phase advance) won 37% of games.