Sleep Sleep as an altered state of consciousness: purpose, characteristics and patterns of the stages of sleep including rapid eye movement (REM) and the non-rapid eye movement (NREM) stages of sleep. Sleep: a regularly occurring altered state of consciousness that typically occurs spontaneously and is primarily characterised by a loss of consciousness that typically occurs spontaneously and is primarily characterised by a loss of conscious awareness. The purpose of sleep 1. Restoration theory: this theory proposes that sleep is necessary to give the body and mind time to repair and replenish. NREM sleep restores the body and REM sleep restores the mind. 2. Survival theory: this theory proposes that sleep is necessary to aid survival. Species sleep at times when they are least vulnerable to attack from predators. Also known as ‘adaptive theory’. Characteristics of sleep - There are two types of sleep: Non-rapid eye movement (NREM) and Rapid Eye Movement (REM). NREM sleep has four stages, ranging from being drowsy and in a light sleep in Stage 1, through to deep sleep in Stage 4. Physiological functioning slows down during NREM sleep. REM sleep is associated with dreaming and shows a marked increase in physiological functions, however the muscles of the body are paralysed. A sleep cycle consists of both NREM and REM sleep and lasts approximately 90 minutes. As the night’s sleep progresses, there is an increase in REM sleep and decrease in NREM sleep. Activity 2.4 (page 40) Student Activity Manual Activity 2.5 (page 43) Student Activity Manual 1 Non-rapid Eye Movement (NREM) Sleep NREM sleep is a dreamless sleep, where heart rate and breathing decrease and muscle tension decreases as well. NREM sleep consists of four distinct stages. - - - - Stage 1: The lightest stage of sleep that lasts for approximately 2-10 minutes. We are easily awakened from this stage. Heart rate and breathing start to slow down and muscles relax. As the muscles relax, hypnic jerks may occur. Hypnic jerks are muscle spasms (contractions) that can wake a person from stage 1 sleep. Brain waves begin to slow and change from alpha to theta waves. Stage 2: As sleep deepens, heart rate and breathing continue to slow, muscles continue to relax and body temperature decreases. In stage 2 it is still relatively easy to wake a person from sleep. Theta brain waves are dominant and sleep spindles (bursts of high frequency brainwaves) and K-complexes (bursts of high amplitude brainwaves) can be seen. Stage 2 lasts for approximately 20-30 minutes and accounts for 50% of total sleep time. Stage 3: This stage lasts for approximately 3-10 minutes and is the transition in deep sleep (slow wave sleep). Heart rate and breathing is slow and regular and muscles are relaxed. It is much more difficult to wake a person. Delta waves begin to replace theta waves. Stage 4: This stage lasts for approximately 20-30 minutes, but this shortens as the night progresses. Brainwaves are almost exclusively delta waves and it is very difficult to wake a person in this stage and they will be disoriented for several minutes upon waking. During stages 3 and 4 of NREM sleep, sleepwalking and night terrors can occur. Sleep talking can occur during any of the stages. Rapid Eye Movement (REM) Sleep REM sleep is at the end of the first cycle of sleep. During the stage the eyeballs can be observed moving around in a rapid, jerky manner. Brainwaves are a saw-tooth pattern that closely resembles beta waves. Therefore it appears as if the person may be awake. Physiologically, heart rate and breathing increase and arousal of the genitalia occurs. However, muscles are in a state of paralysis. Internally the body is highly active, while externally it appears there is no activity going on. During REM sleep, dreaming occurs and these periods increase in frequency as the night progresses. REM sleep is vital for restoring the mind and is important in the consolidation and storage of memories. Initially REM sleep may last for a couple of minutes, but by the last sleep cycle of the night, REM sleep may last up to an hour. Differences between NREM and REM Sleep NREM Sleep REM Sleep Eye Movements Non-rapid eye movements Rapid, jerky eye movements Brainwaves Alpha to delta waves Beta-like waves Physiological Arousal Decreases Increases Muscles Hypnic jerks and some small movements Atonia – muscle paralysis Dreams Not common Common Duration Decreases as the night progresses Increases as the night progresses Purpose of sleep Restores the body Restores the mind Activity 2.6 (page 44) Student Activity Manual 2 Methods used to study the level of alertness in normal waking consciousness and the stages of sleep: – measurement of physiological responses including electroencephal ograph (EEG), electrooculargraph (EOG), heart rate and, body temperature Electroencephalograph (EEG) EEG: Detects amplifies and records the electrical activity of the brain in the form of brainwaves. There are four distinct brainwave patterns that we go through form being awake and alert to dreaming. These brainwave patterns are called Alpha, Beta, Theta and Delta. Brainwaves are described using frequency and amplitude. Alpha waves: medium frequency, low amplitude Beta waves: High frequency, low amplitude Theta waves: medium frequency, medium amplitude Delta waves: low frequency, high amplitude The frequency is used to describe the number of brainwaves per second. Beta, for example, is high frequency as the brain is very active. The amplitude is used to describe the intensity (height) of the brainwaves. Delta, for example, is high amplitude. Stage of sleep and brainwave patterns. Stage of Sleep Type of brainwave Awake and alert Beta waves Awake and resting Alpha waves Stage1 NREM Alpha and theta waves Stage 2 NREM Theta waves Stage 3 NREM Theta and delta waves Stage 4 NREM Delta waves REM Beta-like waves (saw-tooth) Electroocularograph (EOG) EOG: detects, amplifies and records the electrical activity of the muscles that control eye movements. As a person progresses through stages 1-4 of NREM sleep, the EOG would record a decrease in electrical activity (less movement of the muscles controlling the eye). When a person goes into REM sleep, the EOG would record a high level of electrical activity (increase movement of the muscles controlling the eye). Electromyograph (EMG) EMG: detects, amplifies and records the electrical activity of muscles. As sleep progresses the muscles relax, recording less activity, until REM sleep where there is little to no activity at all. Activity 2.7 (page 46) Student Activity Manual Heart rate and body temperature Heart rate and body temperature both decrease as sleep progresses. However, as a person enters REM sleep there can be a sharp increase in heart rate. 3 Methods used to study the level of alertness in normal waking consciousness and the stages of sleep: – the use of sleep laboratories, video monitoring and self reports Sleep Laboratory: a place used for scientific research on sleep. A sleep lab usually resembles a bedroom. The participant stays one or more nights and connected to devices such as the EEG, EOG and EMG. Heart rate and body temperature may also be recorded. Video monitoring is also used and researchers can observe the participant from another room as well. A sleep lab enables researchers to control sleeping conditions to identify sleep difficulties or sleep phenomena. Video monitoring: cameras, usually infrared, record the person during sleep for analysis. Video monitoring can be used in sleep labs or by people at home to monitor sleep patterns and difficulties with sleep. Self-reports: statements and answers to questions made by the participants concerning their thoughts and feelings. Self-reports can be in the form of questionnaires, diary entries or interviews. 4