Sleep Flashcards
Biological Explanation of Insomnia
- 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
Gregory et al
Increased levels of anxiety can lead to increased levels of insomnia
- EV’s controlled for
Narcolepsy 3 Explanations
1) Malfunction in systems which maintain REM
2) Increase frequency of HLA antigen in the immune system
3) Low levels of hypocretin neurotransmitter
Narcolepsy- REM explanation
- 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
Narcolepsy- IMMUNE SYSTEM explanation
- 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
Narcolepsy- HYPOCRETIN explanation
- 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
Narcolepsy- Mignot
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?
Narcolepsy- What may cause the mutation on chromosome 12 if it is not genetics?
Brain injury Infection Diet Stress Auto-immune attack
Sleepwalking- Incomplete Arousal
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
Sleepwalking Risk Factors
- Sleep deprivation
- Alcohol
- Having a fever
- Stress
- Psychiatric Condition
- Hormonal changes in puberty
Two explanations for why sleep walking occurs more in children
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.
Sleepwalking- Broughton’s study
The prevalence of sleepwalking in first degree relatives of a sleepwalker is 10 times greater than that for people in the general public
Sleepwalking- Zadra et al
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)
Infancy- Amount of sleep and percentage of REM
16 hours a day
50% REM
80-90% REM if premature
Infancy- Features of sleep
Uncontinuous- shorter sleep cycles.
Childhood - Amount of sleep and percentage of REM
12 hours a day
30% REM
Childhood- Features of sleep
Experience parasomnias e.g. sleep walking and night terrors
Adolescence - Amount of sleep and percentage of REM
9-10 hours a day
25% REM