Sleep-Wake Cycle Flashcards

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1
Q

Delayed sleep wake disorder/ delayed sleep onset

A

A phenomenon that occurs in adolescence. Characterised by a shift forward of the normal onset time of the sleep period. Resulting in sleepiness at a later time. Particularly dangerous because adolescents need far more sleep than an adults. This can become a circadian phase disorder which causes extreme difficulty falling asleep and sleepiness when waking in the morning.

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2
Q

Circadian phase disorder

A

A sleep disruption caused by the alteration of an individual’s internal circadian rhythm, which can be characterised by an inability to fall asleep or remain asleep.

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3
Q

Melatonin

A

A hormone that helps to induce sleep.

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4
Q

Jet lag

A

A sleep disorder that caused by a disturbance to the circadian rhythm. Results in extreme tiredness and other physical effects. Felt by a person after a long flight across different time zones. It can take days for our body clocks to resynchronise to the new day/night time zone. Causes being awake and being tired at the wrong times, and many other sleep deprivation effects .

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5
Q

Shift work

A

Refers to only working night shift, only working early morning shifts or working rotating shifts. Most people who do shift work experience sleep deprivation effects. For some shift workers, these effects are an ongoing problem that interferes with work, family and/or other aspects of life.

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6
Q

Sleep wake cycle

A

A 24.2 (approx) - hour biological pattern that is a regular circadian rhythm. Consists of alternating sleep and wakefulness. It is determined by an internal body clock located in the hypothalamus. This clock also regulates our level of arousal, metabolism, body temperature and hormone secretions.

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7
Q

Sleep-Wake shift

A

A phenomenon that is characterised by a change in the normal onset of sleep commonly caused by adolescence, shift work and jet lag.

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8
Q

Causes of circadian phase disorders 5

A

– lifestyle factors
– genetics
– shift work
– jetlag
– adolescence, etc..

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9
Q

2 things that circadian phase disorders can result in

A

– insomnia
– impairment in social and occupational functioning.

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10
Q

5 lifestyle factors that effect the sleep wake cycle.

A
  • Stressful or low stress job
    • Active or inactive lifestyle
  • Shiftwork
  • Diet and health (stimulants)
  • Good sleepers are more likely to have a more regular sleep routine than poor sleepers.
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11
Q

Genetic factors that effect the sleep wake cycle

A

Studies found identical twins have more similar sleep patterns then fraternal twins. Studies also suggest females tend to need more sleep than males.

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12
Q

Why does delayed sleep onset occur

A

Melatonin is a hormone that helps to induce sleep. During adolescence the release of this hormone is delayed for up to 2 hours. Melatonin release is controlled by circadian rhythms but can also be effected by light. It is also thought social factors can impact (e.g. homework demands, after school activities, internet).

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13
Q

Treatment of circadian phase disorders

A

Light therapy can be used to re-set the body’s internal clock. During light therapy your eyes are exposed to intense but safe amounts of light for a specific and regular length of time as artificial light may be used to affect the body clock in the same way that sunlight does.

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14
Q

Coritsol and melatonin

A

Hormones regulated by the suprachiasmatic nucleus. Cortisol levels link with our level of alertness, with higher levels associated with greater alertness. Melatonin, a sleep hormone, causes sleepiness and is released when it is dark. It is secreted from a small structure in the brain called the pineal gland. Light stops melatonin secretion and therefore light can prevent sleepiness.

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15
Q

Zeitgeners

A

external (environmental) cues, such as light and dark, partially in uence the sleep–wake cycle. Such cues are known as zeitgeners.

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16
Q

Sunlights effect on the sleep wake cycle

A

Light sensors in our eyes (and even the back of our knees!) inform our brain when it is light. Brain then adjusts our internal body clock accordingly. This means detection of light is the primary external signal for the suprachiasmatic nucleus. The suprachiasmatic nucleus then signals to the pineal gland to stop the release of melatonin, the hormone responsible for making us sleepy.

17
Q

Light at different times of the day

A

Exposure to light at different times in the day has different effects. Early morning light can cause a phase shift, leading to waking. Light in the middle of the day does not affect us too much. Light in the evening, however, causes a phase delay by keeping us awake.

18
Q

How shift work can lead to circadian phase disorders

A

Working at night conflicts with our natural body clock. Forces people to be awake when they should be sleeping. If the shift worker’s body clock cannot adjust sufficiently, sleep is interrupted. Can result in circadian phase disorders. Leading to excessive sleepiness, insomnia, chronic sleep deprivation and more.