PSYC 440 Lecture Notes - Lecture 14: Slow-Wave Sleep, Non-Rapid Eye Movement Sleep, Circadian Clock

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PSYC 440
Lecture 14 Sleep & Depression
Article
1. Look at process S and C
Sleep
1. Normal Sleep Physiology
a. Measured electro-physiologically (e.g., brain activity with EEG, eye movements
with EDG, muscle activity).
2. Phases of sleep:
a. REM:
- 20%
b. nREM:
- 80%
i. Stage 1
ii. Stage 2
iii. Stage 3 and 4 (slow wave sleep)
3. PET
4. Brain activity during normal sleep:
a. Slow wave sleep:
- Decreased activity in many regions
b. REM Sleep:
- Overall looks more like being awake
c. Increases and decreased depend on the region (more decreases in the frontal)
Sleep Regulation
1. Two-process model (both interact to regulate sleep):
a. Process C (internal clock):
- Circadian clock in the suprachiasmatic nucleus of the hypothalamus
b. Process S (sleep debt):
- Homeostatic (i.e. amount of sleep debt accumulated over the day)
2. Arousal:
a. Arousal is dimensional
Serotonin
1. Serotonin varies during the day (i.e. levels are higher during wakefulness, lower
during slow wave sleep, and lowest during REM sleep):
a. One night of sleep deprivation increases serotonin:
- Study (meta-analysis of 61 studies):
i. Results:
Sleep deprivation impairs:
Executive functioning.
Sustained attention
Long-term memory
No effect on:
Intelligence
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PSYC 440
Lecture 14 Sleep & Depression
Ability to multitask
Impulsive decision-making
Intelligence
Abnormal Sleep
1. Chronic insomnia:
a. Symptoms:
- Difficulty falling asleep, staying asleep, or early morning awakening despite
adequate opportunity to sleep.
- Must last 3 months
- Has daytime adverse consequences
b. Effects of insomnia:
- Cognitive impairments
- Physiological disturbances (e.g., weight gain, insulin dysregulation)
- Insomnia can cause mental health problems
- Mental health problems can lead to insomnia (and vice versa)
c. Risk factors for insomnia:
- Women
- Older age
- Shift working
- Mental health problems (40%)
d. Prevalence:
- 6% chronic insomnia
- >50% acute insomnia (i.e. common)
2. Hypersomnia:
a. Symptoms:
- Excessive sleep (during the day)
- Excessive sleepiness:
i. 8 hours of loss of sleep can negatively affect performance equivalent
to alcohol intoxication (i.e. loss of sleep affects performances)
Mood Disorders (how sleep affects mental health, and vice versa)
1. Sleep disturbance as a core mechanism:
a. Risk factor:
- First onset & recurrence
- Precursor to both unipolar and bipolar depression
b. Common residual symptoms:
- More common among formerly depressed (45%) than never depressed (17%)
- Contribute to relapse
- Sleep complaints after remission in MDD
c. Changes in sleep architecture in MDD patients:
- Increased stage 1 sleep
- Decreased slow-wave sleep (stages 3 & 4; deep-sleep)
- Short REM-sleep latency (less time to get to REM):
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Document Summary

Lecture 14 sleep & depression: article, look at process s and c, sleep, normal sleep physiology, measured electro-physiologically (e. g. , brain activity with eeg, eye movements with edg, muscle activity), phases of sleep, rem: Stage 3 and 4 (slow wave sleep: pet, brain activity during normal sleep, slow wave sleep: Decreased activity in many regions: rem sleep: Overall looks more like being awake: increases and decreased depend on the region (more decreases in the frontal, sleep regulation, two-process model (both interact to regulate sleep), process c (internal clock): Circadian clock in the suprachiasmatic nucleus of the hypothalamus: process s (sleep debt): Intelligence: abnormal sleep, chronic insomnia, symptoms: Difficulty falling asleep, staying asleep, or early morning awakening despite adequate opportunity to sleep. Has daytime adverse consequences: effects of insomnia: Physiological disturbances (e. g. , weight gain, insulin dysregulation) Mental health problems can lead to insomnia (and vice versa) Insomnia can cause mental health problems: risk factors for insomnia:

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