Does REM Sleep Improve Memory? An Argument Paper for College Students [authors] Spring 2010 A Paper for Time Magazine Introduction Have you ever wondered why you don’t feel like yourself after a night of no sleep? Simple tasks such as getting ready for the day are difficult, let alone anything that requires you to think in depth. School becomes painful, and your brain actually hurts from the complex task of thinking. As college students, all of us have felt these effects at one time or another, pulling that all-nighter to get in an extra few hours of studying instead of sleep. Because this is helpful, right? Actually, those precious few hours of sleep sacrificed could be the difference between an A or a B, but not the way you might think. This is because researchers have discovered that sleep is necessary for improving memory, and getting a few hours the night before a test may be much more beneficial to your memory than getting no sleep. 1 Although what goes on when you sleep is Cycles of sleep stages throughout the night not entirely known, we all know that not getting enough leaves us grumpy and mentally crippled. Most of us have heard of REM sleep, and for those that haven’t, it’s a stage of sleep where there is rapid eye movement (REM) and nerves are firing even though our muscles are not Sleep can be largely separated into two types; REM (Rapid Eye Movement) sleep and NREM (nonREM) sleep, which alternate throughout the night in humans with an average of 90-minute cycles. contracting. Researchers are just starting to understand sleep and its effects on human function; specifically, it appears to have an effect on memory capabilities. Researchers have proven that non-REM (NREM) sleep, or stages other than REM sleep, definitely improves some memory, but they also think that REM sleep may play a role in this improvement (see text box to right). In rodents and humans, studies have found that REM sleep increases during specific time intervals following training tasks, this increase is followed by an improvement on task performance, suggesting that REM sleep plays a role in the memory improvement of these tasks (Maquet et al., 2001). When most people think about memory, they typically associate it with learning and how people with a good memory can recall all sorts of things. However, this recall of information is just one part of memory; you also have memory for how to do things, like riding a bike. This is because memory is actually a huge concept with many complicated subtypes, so when researchers refer to an “improvement in memory”, it’s not exactly what you might think. Instead, what researchers view to be an improvement in memory is actually an improvement in performance on different tasks designed specifically to test isolated parts of memory. This is because an improvement in memory will directly result in an improvement on task performance, 2 which most of the time you don’t consciously think about. Throughout the rest of this paper, when we say that sleep improved memory we literally mean that there was an improvement in the performance of the task. Conversely, whenever we say sleep didn’t improve memory, it means that there was no performance improvement on the task. Whether or not REM sleep improves memory is a controversial topic in science, and there is no definite answer at the present moment. Because this area of science is so complicated and research is still in the beginning stages, concrete conclusions are difficult to draw. These difficulties are intensified because memory is very complex, and only when it is broken down and studied in smaller components can it begin to be understood. These factors led us to ask the question, does REM sleep improve memory? Oftentimes, studies done in science on the same topic reach completely different conclusions, even when they use the same general experiments and procedures. The topic of sleep and memory is no exception. We analyzed eight studies spanning from 1994 to as recent as 2009, and two reviews that looked at eighty studies over the span of thirty years, all of which address the question of whether or not REM sleep improves memory. We chose these main eight studies based on the fact that they all had varying characteristics, each one giving a unique perspective on the topic of sleep and memory. These studies also had a broad range of tasks, which we categorized into three main types. We will later address why the difference between these categories is relevant and important, under the Whether or Not REM Sleep Improves Memory Is Determined By The Type of Task section. Out of the studies we analyzed, four concluded that REM sleep improved memory, three found no improvement, and one had mixed results showing both (Figure 1). Because these eight studies were all done on the topic of sleep and memory, there were 3 some basic methods that were used by all of them. The Man Having an EEG Performed experiment always took place in a sleep lab, which was specifically set up to test the researcher’s hypothesis. The subjects used in the studies were all humans, both male and female, typically chosen to be in the age range of 19-35 years old because this is when sleep patterns are the most normal. They were separated into different groups, which were randomly assigned to be either a group getting some kind of sleep (Full night, only SWS, or only REM), or they were assigned to the wake group to serve as a control (see middle right text box). The brain, during both wake and sleep states, constantly produces electrical wave impulses as a result of its activity. A measurement tool used to produce a visual representation of these wave impulses is known as an electroencephalogram (EEG), which measures this activity while a subject sleeps. The electrodes then transmit the wave type onto a screen, which the researchers can interpret to determine the stage of sleep the person is in. Controls: When researchers perform an experiment with the purpose of determining the effect of a single variable of interest (in our case sleep is the variable) on a particular system (for us it is memory), they use a scientific control to minimize the unintended influence of other variables on the same system. These outside variables can include researcher bias, environmental changes, and biological variation. Scientific controls ensure that the data is valid. Of the groups assigned to get some kind of sleep other than a full night’s sleep (only SWS or only REM), a Wave Types From an EEG During Different Sleep Stages deprivation method was usually used. For example, if a subject was in a group only getting SWS, then he or she would be deprived of REM sleep. Any time the EEG showed waves characteristic of REM the subject would be woken up (see top and bottom text boxes to right). This arousal is actually something researchers feel is controversial, and we will explain the effects of this in the section labeled Reasons Why Somebody Might Argue NREM sleep consists of 4 stages, the deepest being stages 3 and 4 which are typically referred to as “slow wave sleep” or SWS because of the large-amplitude, low-frequency waves these stages display on the EEG. Conversely, REM sleep as well as stage 1 & 2 are characterized by low-amplitude, relatively fast waves on an EEG. 4 REM Sleep Does Not Improve Memory. In addition, in order to be sure the subjects were accustomed to sleeping in the conditions of the sleep lab, they were acclimated to the environment by spending a night or two in the lab before any training or testing took place. The researchers did this to be sure that the results they got were not affected by other factors, such as stress of a completely new sleep environment. The subjects, after acclimating to the environment, were typically trained on a task in the evening, allowed to get some type of sleep (whichever group they were assigned to), and then tested for performance upon waking. When the researchers observed improvements after sleep, they could only assume that these improvements came from the sleep itself because that was the only thing that had taken place between the training and the testing. Even though these studies have the same basic methodology, when they are looked at in closer detail, some underlying characteristics become noticeable that seem to predict whether or not REM sleep will indeed improve memory. Based on this, we decided that the main reason researchers have found conflicting data on whether REM sleep improves memory is a direct result of the type of task the study used. Because of this, we will argue that REM sleep improves memory only if the task has a cognitive aspect; REM sleep will not improve memory if the task is purely motor. Whether or Not REM Sleep Improves Memory Is Determined By The Type of Task The most important reason that determines whether or not REM sleep will improve memory is the type of task a subject is asked to perform. If you look at Figure 1, you will see that all of the studies that found that REM sleep does not improve memory used tasks that were purely motor. On the other hand, all of the studies that found that REM sleep does improve 5 memory used tasks that were purely cognitive or a mix of both. There is no other major difference in the experimental methods or procedures across studies that can account for these discrepancies in findings. Instead, these differences can be accounted for by the fact that different studies simply used different types of tasks to test for an improvement in memory. Purely motor tasks are one type of task some studies used to test if REM sleep improved memory. This is a task that does not need any help from conscious thought to produce the movements needed to complete the task. Consider when you move your arm to grab something; you don’t have to consciously think about the movements. You just do it. It’s the same in a purely motor task and three of the studies we looked at used tasks of this nature (Figure 1). Cai and Rickard (2009) used a sequential finger-tapping task in their study, in which the subjects were asked to repeatedly tap a sequence with their left hand. In order to rule out any cognitive aspect, this sequence was shown Map of the movements subjects were asked to make using the robotic arm in the study done by Donchin et al. (2002) on the top of the screen at all times, ensuring that the task was purely motor. Donchin et al. (2002) also used a purely motor task, in which the subjects were asked to move a robotic arm from a starting point to an end point, in varying force fields (in ones that were harder to move, and in ones that were easier). This movement requires no higherlevel cognitive input, and so again, it was purely motor (See right text box). Lastly, Smith and Macneill (1994) used a task called the pursuit rotor task, which is purely motor in nature. In this task subjects were asked to follow a light moving in a rectangular shape with the tip of a pointer, which required no cognitive component to complete. This is because the task had very short- 6 duration training sessions and could be explained to the subjects in about two minutes, indicating to the researchers that there was no need for higher cognitive thought. If it did have a cognitive component, it would take much longer for the subject to understand it. It is important to note that these three studies are also the ones that did not see any improvement after REM sleep, suggesting that REM sleep plays no role in the improvement of memory for a purely motor task. The other two types of tasks used by these studies to determine if REM sleep improved memory were purely cognitive tasks or tasks with a mix of motor and cognitive, both of which include a cognitive aspect. One that is purely cognitive will rely only on conscious thought to successfully complete the task, like the one used by Hupbach et al. (2009); this required infants to recognize an artificial language of three-word strings that mimicked word patterns in the English language (Figure 1). Because there is no motor component to this, it is purely cognitive. Lastly, a task that is a combination of both will have two components; one that is the conscious thought that makes the correct decision to produce the second component, an accurate motor movement. The study done by Plihal & Born (1997) required subjects to master a mirror-tracing task. Because this task included both the movement for tracing various shapes and the conscious effort to make correct mirrored movements, it can be classified as a task involving both motor and cognitive aspects. In all the remaining studies we analyzed (Maquet et al., 2001; Karni et al., 1994; and Gais et al., 2000), the type of task used was a visual-motor task in which there was either a stimulus and a timed response, or the recognition of a specific pattern (texture discrimination). These tasks were also a mix of cognitive and motor; the visual perception was the cognitive component, and the response was the motor component. Because all of these studies used tasks with a cognitive component, it should be noted that they all concluded that REM sleep did improve memory, with the exception of Gais et al. (2000), which had mixed 7 results and only partially concluded that REM sleep improved memory. The results of the studies using tasks that included a cognitive aspect are not quite as clear as the ones using a purely motor task. We classified the results of the study done by Gais et al. (2000) as “mixed results” because their study did find an improvement to memory but the improvement was conditional. They divided the subjects in their experiment into three main groups: one group was allowed to get a full night of sleep, one was only allowed to get slow wave sleep (SWS), and the last group was only allowed to get REM sleep. When they tested the subjects after their night of full sleep, SWS, or REM sleep, the results they found were unexpected; the subjects that were allowed to only get REM sleep did not improve on the task at all, which is opposite of the researcher’s original prediction that REM sleep would cause an improvement. Subjects that were only allowed SWS improved on the task, but the subjects that were allowed to get the full night of sleep (both SWS and REM) showed a three times greater improvement than those that only got SWS. The researchers interpreted these results to suggest a “two-step consolidation process” in which the improvement began during SWS, and was greatly improved by REM sleep (Gais et al. 2000). The group that was only allowed REM sleep showed no improvement because SWS was needed to start this improvement process, and this group lacked this. However, the fact that the full night of sleep group improved by three times as much as the only SWS group proves that REM sleep is still crucial for memory improvement. Although Gais et al. (2000) found conditional results on whether or not REM sleep improved memory, it is only one out of the five studies that used tasks with a cognitive component. Four additional studies that also had a cognitive component showed a definite improvement in memory with REM sleep alone (Maquet et al., 2001; Hupbach et al., 2009; Plihal and Born 1997). Because of the shear volume of 4 to 1, we still conclude that REM sleep 8 plays a role in some aspect of memory improvement. The Reactivation of Brain Areas is Evidence that REM Sleep Improves Memory When the Task Has a Cognitive Component It has also been shown that REM sleep plays a role in the improvement of memory of tasks with a cognitive component through the reactivation of brain areas Regional Cerebral Blood Flow (rCBF) During Wakefulness and REM Sleep during REM sleep. In Maquet et al. (2000), researchers found that brain areas activated while a subject was performing a task were then Figure 2. This image shows that the areas activated during the learning of the task were reactivated later during REM sleep. This implicates a role for sleep in memory improvement of a mixed task (both motor and cognitive) reactivated again during REM sleep (Figure 2). After the subjects were allowed to have REM sleep, their performance (measured by reaction times) on the stimulus-response task significantly improved by 24%, which was enough for the researchers to classify as a significant improvement (Figure 3). Because the same brain areas were active during Reaction times during different testing sessions the execution of the task as well as during REM sleep, it is an indicator that some part of the task was being processed during this stage of sleep. This implies that it is indeed REM Figure 3. Reaction time of a trained sleep that is responsible for the improvement in reaction task improved after REM sleep (improvement seen in Session C), indicating REM sleep improves memory consolidation 9 times, and therefore the reason for the improvement in memory for the task. REM Sleep Helps People Learn a New Task, But Not One They Already Know How to Do Yet another study that used a task that was mixed motor and cognitive also supports the idea that REM sleep is necessary to see an improvement in memory. In the study done by Karni et al. (1994) subjects were tested on two tasks; one was a newly learned task, like those used in our other studies, and one was a previously learned task, which served as a control. When tested on the new task, the researchers found that the subject’s performance improved after a night of normal sleep, but when they were deprived of REM sleep (REMD), no improvement was seen. Before the researchers could be sure that the improvement on the task was due to REM sleep they had to rule out SWS as being the part of sleep responsible for the improvement because the subjects went through both SWS and REM during their night of normal sleep. When the subjects were deprived of SWS they still showed significant improvements on new task performance, which strongly implicated REM sleep as being responsible for this improvement. Because if SWS was responsible they would not of observed task improvement in the subjects after they were deprived of SWS. Lastly the researchers tested the subject’s performance on the previously learned control task after a night of REMD, which resulted in no effect on their performance. REM sleep only improved the new task because it was still in a “fragile” state of learning whereas the control task was fully protected from the disruptions of REMD. From all of this they concluded that SWS was not responsible for task improvement but that REM sleep improved performance (and improved memory) on a novel task. 10 Reasons Why Somebody Might Argue REM Sleep Does Not Improve Memory Although the type of task appears to be the defining factor in whether or not REM sleep will improve memory, this has not been proven. From the classifications of the tasks our studies use, all tasks that had a cognitive aspect showed an improvement in memory, and those that were purely motor, showed no improvement. However, these studies are not perfect, and there may have been factors such as circadian rhythm and the use of REM deprivation (REMD) that unexpectedly affected the results, wrongly leading us to our conclusion. Researchers are starting to consider the importance of circadian rhythm in relation to learning and memory, and now believe that it may affect how a subject performs on a task. Have you ever noticed that maybe you study better in the morning than at night? This is due to a circadian rhythm, the body’s natural sleep and alertness cycle. Many researchers have stressed its importance, and claimed that without this control, a study’s results may be affected. This is because if a subject is trained in the morning when they are most alert and tested the next night (after a REM sleep cycle), the subject could show no improvement even if their memory improved, merely because they were less alert during the testing. The same goes if training and testing times are switched, which could show a false improvement. Within the eight studies we looked at, five did not control for circadian rhythm (Donchin et al., 2002; Maquet et al., 2001; Plihal and Born, 1997; and Smith and Macneill, Experiment 2, 1994), and four did include this as a control (Karni et al., 1994; Cai and Rickard, 2009; Hupbach et al., 2009; and Smith and Macneill, Experiment 1, 1994). Because the majority of the studies did not control for this variable, it is possible that circadian influences could have affected the results enough to change the outcome of the study, in which case not all studies that had a cognitive aspect would have shown an improvement after REM sleep. 11 However, this is not likely. When we looked at all the studies, no matter whether or not circadian rhythm was controlled for, all studies that fell into the category of “yes, REM sleep improves memory” had tasks with a cognitive aspect, and all those that fell into the category of ‘no, REM sleep does not improve memory’ had tasks that were purely motor (Figure 4). This shows that the influence of circadian rhythm was not significant enough to trump the major effect that the type of task had on the outcome of the results. Researchers have also questioned the use of REMD (REM deprivation) in studies because it has the potential to show that REM sleep improves memory when it actually does not (Vertes and Eastman, 2000). Depending on the way a subject is woken up during REM sleep (REMD), these methods can actually be physically tolling to the point where it affects a subject’s performance on a task. For example, in a study that showed REM sleep improved memory, and that REMD blocked this improvement, it is possible that no improvements in memory were seen in the REMD group because of the way the subject was deprived of REM. If the way of depriving a subject of REM sleep is highly stressful (i.e. a rodent subject is placed on a small floating device- when it enters REM sleep it loses muscle tone, falls in, and is abruptly woken up), the stress can cause the subject not to perform as well when tested the next day because of physical exhaustion. Because of this, it would appear that without REM sleep, memory would not improve. However, if this improvement was blocked because of the methods of deprivation, then it is possible that both the REM and REMD groups would have shown an improvement to memory. This would mean that REM sleep is not responsible, and that it would actually be some other stage of sleep that improves memory. Although five out of our eight studies (Donchin et al., 2002; Smith and Macneill, 1994; Gais et al., 2000; Karni et al., 1994; Plihal and Born, 1997) used REMD, this argument usually 12 refers to methods used on animals, and not on humans. Humans are typically woken up by an electronic bell (like an alarm) or gently by a researcher, neither of which is something that would cause enough physical or mental stress to affect performance on a task. Because all of the studies we analyzed used human subjects, and the methods of REMD were not highly stressful, it is possible but not probable that the use of REMD affected the results enough to alter the conclusion. Conclusion As of now, research in the area of learning and memory is limited, and more studies need to be done in order to gather additional information as new advancements are made in this field. One such aspect that needs to still be explored is the type of task in relation to the improvement of memory. Current studies show conflicting conclusions on whether or not REM sleep will improve memory; however, these studies have not taken into account this factor of the types of tasks being used. When we sort the studies by the type of task, patterns show that only studies that are purely motor do not improve memory, and those that have any sort of cognitive aspect, do improve memory. This conclusion is also supported by the fact that during a mixed motor and cognitive task, the brain areas active during the performance of the task are also reactivated during REM sleep. So next time you are debating whether to pull an all-nighter or to get a few hours of sleep, consider the fact that getting even a little bit of REM sleep could improve your memory, and give you an A on that exam. 13 FIGURES (not in text) Figure 1. Studies That Show Whether or Not REM Sleep Improves Memory, and the Type of Task Used in Each Study Maquet et al. Does REM Sleep Improve Memory? Yes Hupbach et al. Yes Plihal & Born Yes Karni et al. Yes Gais et al. Yes/No Cai & Rickard No Donchin et al. No Smith & Macneill (Experiment 1&2) No Task Visual-Motor (StimulusResponse) Recognition of an Unfamiliar vs. Familiar Artificial Language Mirror Tracing Task Visual-Motor (Texture Discrimination) Visual-Motor (Texture Discrimination) Finger-Tapping Pattern Robotic Arm Moved Through Varying ForceFields Pursuit Rotor Cognitive Component Motor Component - - - Figure 1. All studies that found that REM sleep doesn’t improve memory used tasks that were purely motor. Conversely, all studies that found that REM sleep improved or had mixed findings used tasks that were both purely cognitive or a mix of cognitive and motor. 14 Figure 4. Studies that support or refute our conclusion and whether or not they controlled for circadian rhythms REM Sleep DOES Improve Memory REM Sleep Does NOT Improve Memory Controlled for Circadian Rhythm (2) Hupbach et al. (Experiment 1 & 2) Purely Cognitive Karni et al. Cognitive & Motor Controlled for Circadian Rhythm (2) Cai & Rickard Purely Motor Smith & Macneill (Experiment 1) Purely Motor No Control for Circadian Rhythm (2) Maquet et al. Cognitive & Motor Plihal & Born Cognitive & Motor No Control for Circadian Rhythm (2) Donchin et al. Purely Motor Smith & Macneill (Experiment 2) Purely Motor Figure 4. Regardless of whether or not circadian rhythm was controlled for, all studies that show that REM sleep improves memory have tasks that are either cognitive, or a mix of motor and cognitive, and all those that show that REM sleep does not improve memory are all purely motor. Because of this, it is clear that circadian rhythm did not alter the results of the studies enough to make them stray from the classification of type of task. We removed the study with mixed findings (Gais et al.) in this figure because it makes the separation of studies more clear. 15 Works Cited Born, Jan, and Werner Plihal. 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