100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Summary 3.5C: Eating, Sex and Other Needs Problem 2 $7.06   Add to cart

Summary

Summary 3.5C: Eating, Sex and Other Needs Problem 2

 15 views  0 purchase
  • Course
  • Institution

A clear, concise summary of Problem 2 of 3.5: Eating, Sex and Other Needs. This problem is the sexual disorders problem, and it includes the diagnostic criteria required to know about all of the sexual disorders (from Arlington), as well as a summary of the rest of the required literature from Hock...

[Show more]

Preview 3 out of 28  pages

  • April 1, 2023
  • 28
  • 2022/2023
  • Summary
avatar-seller
3.5 Problem 3: Sleep

Carskadon: Normal Human Sleep

Sleep Definitions

 Sleep = reversible behavioural state of perceptual disengagement from and
unresponsiveness to the environment
 Within sleep, 2 separate states have been defined: rapid-eye movement (REM) and
non-REM (NREM)
 NREM = 4 stages defined along the electroencephalogram (EEG)
- EEG pattern during NREM is synchronous, characterized by sleep spindles, K-
complexes, and high-voltage slow waves
- Arousal thresholds lowest in stage 1, highest in stage 4
 REM sleep defined by EEG activation, muscle atonia (reduced muscle tonia in
body’s muscles), and episodic bursts of rapid eye movements
- REM sleep usually not divided into stages, although tonic & phasic types of REM
sleep are occasionally distinguished
- Bursts of ponto-geniculo-occipital (PGO) waves, which are accompanied by
rapid eye movements, twitching of distal muscles, middle ear muscle activity, and
other phasic event markers
- Activated brain in a paralyzed body

Sleep Onset
 Definition of sleep onset: difficult to define
 Electromyogram (EMG): may show gradual decrease of muscle tonus as sleep
approaches, but changes in EMG don’t really pinpoint sleep onset. Pre-sleep level of
EMG, particularly if person is relaxed, can be entirely indistinguishable from that of
unequivocal sleep
 Electrooculogram (EOG): shows slow, possible asynchronous eye movements that
usually disappear within several minutes of EEG changes
 Electroencephalogram (EEG):
- EEG changes from a pattern of clear rhythmic alpha activity, particularly in
occipital region, to relatively low-voltage, mixed-frequency pattern (stage 1 sleep)
- Stage 2 EEG patterns (K-complex or sleep spindle) may be needed to
acknowledge sleep onset
- Sleep onset does not often occur all at once; it’s difficult to accept a single
variable as marking
sleep onset
- Consensus that EEG
change to stage 1,
usually accompanied by
slow eye movements,
identifies transition to
sleep




Behavioural Concomitants of Sleep Onset

,Simple Behavioural Task
 Volunteers asked to tap 2 switches alternately at a steady pace
 This simple behaviour continues after onset of slow eye movements, may persist for
several seconds after EEG changes to a stage 1 sleep pattern
 Behaviour then ceases, usually to recur only after the EEG reverts to a waking pattern
 This is the simplest kind of ‘automatic’ behaviour pattern. This behaviour can persist
past sleep onset, could explain how impaired, drowsy drivers are able to continue
down the highway

Visual Response
 Bright light placed in front of subject’s eyes, they are asked to respond when a light
flash is seen by pressing a microswitch
 When EEG pattern is stage 1/stage 2 sleep, response is absent more than 85% of the
time
 Subjects say they didn’t see the light flash, not that they saw the flash, but response
was inhibited

Auditory Response
 Series of tones played over earphones, subject is told to respond every time they hear
a tone
 Reaction times became longer in proximity to onset of stage 1 sleep, and responses
were absent with change in EEG
 Response after sleep-related disappearance typically requires resumption of waking
EEG pattern

Olfactory Response
 When sleeping people are asked to respond when they smell something, response
depends on sleep state and on particular odorant
 Responses to peppermint & pyridine were well maintained during initial stage 1 sleep
 Peppermint not consciously smelled in stages 2 & 4 NREM sleep or in REM sleep
 Olfactory system of humans is not a good sentinel system during sleep

Response to Meaningful Stimuli
 Meaningful vs. nonmeaningful stimuli
 Lower arousal threshold for our own name vs. someone else’s name. In light sleep,
one’s own name spoken softly will produce an arousal, a nonmeaningful stimulus will
not. A sleeping mother is more likely to hear her own baby’s cry than the cry of an
unrelated infant
 It’s clear that sensory processing at some level does continue after onset of sleep

Hypnic Myoclonia
 General/localized muscle contraction very often associated with rather vivid visual
imagery
 Tend to occur more commonly in association with stress or with unusual/irregular
sleep schedules
 Instead of REM motor inhibitory component, they get imagery component of REM
sleep (hypnagogic hallucination). Response to the image results in a movement/jerk

Memory Near Sleep Onset

,  Transition from wake to sleep tends to produce a memory impairment
 Sleep could close the gate between short-term & long-term memory stores
 Can recall words if asked 30 seconds after waking, but not 10 minutes
 Memory is impaired by sleep
 In 30 second condition, both longer-term (4-10 minutes) & shorter term (0-3 minutes)
memory stores remained accessible
 In 10 minute condition, words that were in longer-term stores (4-10 minutes) before
sleep onset were accessible, but words that were still in shorter-term stores (0-3
minutes) at sleep onset were no longer accessible (they had not been consolidated into
longer-term memory stores)
 Sleep inactivates transfer of storage from short to long-term memory
 If sleep persists for about 10 minutes, memory is lost for the few minutes before sleep

Progression of Sleep Across the Night
 Pattern of sleep in a normal young adult
- Normal adult enters sleep through NREM sleep, REM sleep doesn’t occur until 80
minutes, and NREM sleep and REM sleep alternate through the night, with
approximately 90-minute cycle




First Sleep Cycle
 Stage 1 sleep: usually persists for a only a few (1-7) minutes at onset of sleep
- Sleep is easily discontinued at this stage, e.g., by softly calling their name,
touching them lightly, etc.
- Stage 1 sleep is associated with low arousal threshold
- Stage 1 sleep occurs as a transitional stage throughout the night
- Common sign of severely disrupted sleep is an increase in amount of stage 1 sleep
 Stage 2 NREM sleep: signaled by sleep spindles/K-complexes in EEG
- Approximately 10-25 minutes
- More intense stimulus is required to produce arousal
- Same stimulus that produced arousal in stage 1 sleep often results in an evoked K-
complex but no awakening in stage 2 sleep
 Stage 3 NREM sleep: high-voltage, slow-wave activity gradually appears
- Usually only lasts a few minutes
- Accounts for more than 20% but less than 50% of EEG activity
- Transitional to stage 4, as more high-voltage slow-wave activity occurs
 Stage 4 NREM sleep: comprises of more than 50% of the record
- Usually lasts about 20-40 minutes

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller akiestudholme. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.06. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64438 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.06
  • (0)
  Add to cart