The effects of changing the phase and duration of sleep.

The relative effects of extended sleep, reduced sleep, and shifts of habitual sleep time on subsequent performance and mood were studied. Ten healthy male university students who regularly sleep 9.5-10.5 hr were the subjects. Measurements were obtained from a 45-min auditory vigilance task, a 5-min experimenter-paced addition task and a mood adjective check list 30 min after awakening, at midday, and in the evening following five electroencephalographically recorded nights of sleep. The experimental treatments compromised at 9.5-10.5 hr habitual sleep condition and four conditions in which the regular sleep period was lengthened, reduced, delayed, and advanced by 3hr. Following each 3-hr altered condition of sleep there was an equivalent decline in vigilance performance and in subjective arousal as measured by the mood scales. Together with other recent evidence, the present results support the hypothesis that acute disruption of the 24-hr sleep-wakefulness cycle produces degradations in human performance largely independent of total sleep time.     

Paradoxical Sleep Deprivation and Sleep Recording Following Training in a Brightness Discrimination Avoidance Task in Sprague–Dawley Rats: Paradoxical Effects

Previously, we reported that posttraining paradoxical sleep deprivation (PSD) resulted in an enhancement of the subsequent avoidance performance for rats trained for 15 trials in a Y-maze brightness avoidance discrimination task. A series of experiments were conducted to try to further understand the reasons for results which were contrary to those of the bulk of the sleep-learning literature. Experiment 1 investigated the effectiveness of the PSD technique. Rats (N= 4) were sleep recorded while residing on a “swimming pool” apparatus for 24 h. Compared to their baseline values, all animals showed a very large reduction in paradoxical sleep and spent significantly more time awake. Slow-wave sleep was unchanged. In Experiment 2, proactive motor effects were tested. Rats were deprived of PS for 24 h and then tested in a hole board motor activity task. There was a slight effect of PS deprivation on the day following the PSD and no effect when the rats were retested 1 week later. Experiment 3 investigated possible proactive effects of PSD on avoidance performance. Rats exposed to PSD in the 24 h before training in the Y-maze task did not demonstrate any facilitative effect on the subsequent avoidance performance. Experiment 4 investigated the possibility that the PSD facilitative effect could be due to partial training. Rats were given 75 acquisition trials in the brightness discrimination Y-maze avoidance before being subjected to 24 h of PSD. PS-deprived animals showed superior avoidance scores compared to non-PSD controls when retested 24 h later. In Experiment 5, the same strain of rats (N= 11) were sleep recorded after exposure to a partial acquisition in a Y-maze brightness avoidance discrimination task. They were then continuously monitored for 4 consecutive days. The percent PS for the Trained rats was significantly lower than that for the Control animals. This drop in percent PS was not confined to any particular time period in the 24-h day. None of the other sleep parameters reached significance. Analyses of the present results suggest that PSD exerts its facilitative effects on posttraining consolidation processes. We present arguments suggesting that PSD can have effects opposite to those generally reported, in animals demonstrating poor avoidance abilities, in an avoidance task.     

Culture and the organization of infant sleep: A study in the Netherlands and the U.S.A.

This study investigates differences in the amount and structure of infant sleep in two cultural places with previously documented, divergent parental beliefs and practices. Eight-month-old infants (n = 24 per site) were recruited from towns in the Netherlands and the eastern U.S.A. To evaluate sleep, infants’ physical activity was recorded at home for 24 h using a miniature actigraph, while parents kept a diary of infant activities. Measures derived from actigraphy include total sleep, longest sleep episode, longest wake episode, number of sleep episodes, and percent of sleep during nighttime, as well as time in the stages of Quiet and Active Sleep. Measures based on the parental diaries include most of these aspects as well, except those related to sleep stages. Results based on the more precise actigraphy method indicate that (1) the Dutch infants averaged 13.65 h of sleep per 24 h, 1.67 h more than the U.S. infants; this difference was mostly due to daytime sleep; (2) The Dutch infants’ longest wake episode averaged less than that of the U.S. infants, while their longest sleep episode appeared slightly longer. (3) The Dutch infants, compared to the U.S. sample, spent more time in the Quiet, rather than the Active phase of sleep; (4) They began their Quiet sleep earlier in the evening than did their U.S. counterparts. Measures derived from parental diaries are largely in agreement with the actigraph findings. These results are consistent with reported and observed practices and beliefs in the two communities. The pattern of differences – less apparent maturity among the Dutch in the amount of sleep, but greater apparent maturity in the structure of sleep -- illustrates that behavioral and neurological maturity can be assessed only in the context of the developing child’s adaptation to the specific demands and affordances of the culturally structured developmental niche.     

Socio-Economic Status,Time Spending,and Sleep Duration in Indian Children and Adolescents

In this article physical activity, screen time, and academic work are studied as mediators between socio-economic status and sleep duration among school children in India. Participants were 268 school children aged 10–15 from Pune, India. They were sampled from private schools and impoverished public schools. We found that the highest socio-economic status children reported almost an hour and a half less sleep than their lowest socio-economic status counterparts. The lower socio-economic status children reported more physical activity and screen time, and the higher socio-economic status children reported spending more time on academic work. Although screen time was negatively related to sleep duration, academic work was the strongest mediator between socio-economic status and sleep duration. Physical activity was not a significant mediator. In India, academic work is a strong predictor of a lower sleep duration among children and adolescents.     

Why won’t she sleep? Screen exposure and sleep patterns in young infants

The American Academy of Pediatrics recommends infants’ exposure to electronic screen-based media be minimized; however, more research is needed to understand effects of viewing screen-based media. Here, we examine relations between media use and sleep. Data were collected from mothers when their infants (N = 429) were four months of age. Mothers answered questions about the time their infants spent watching electronic screen-based media. Exposure to electronic screen-based media was negatively associated with nighttime sleep (but not daytime sleep), such that an hour of screen time was associated with nearly 13 min less sleep on a typical night.     

Maternal perceptions of the sleep patterns of premature infants at seven months corrected age compared to full-term infants

It has been reported that 83%–87% of full-term infants regularly sleep through the night (from midnight to 5 a.m.) by 6 months of age, but there is little information about the sleep patterns of premature infants. The purpose of the current study was to identify maternal perceptions of the sleep patterns of premature infants. Parents of 32 premature infants with birth weight below 1,750 gm and of 13 full-term infants completed a 24-hour sleep record in 30-minute epochs for 1 week at 7 months of chronological (term) or corrected age (premature). Mean birth weight of premature infants was 1,278 ± 340 gm, with a gestational age of 30.4 ± 2.7 weeks. The daily total sleep time, longest sleep segment, frequency of sleep-wake transitions, and percentage of night sleep (8 p.m.–8 a.m.), averaged from the 1-week sleep record and number of night wakenings per week, were used as indicators of sleep patterns. The longest reported sleep segments of premature infants were significantly shorter than those of full-term infants (8.2 ± 2 hours versus 9.6 ± 1 hour, p < 0.01) and the number of night wakenings per week was significantly greater (3.13 ± 3 versus 0.54 ± 7, p < 0.005). Total reported sleep time, percentage of night sleep, and sleep-wake transitions did not differ significantly between premature and full-term infants. However, analysis of feeding events revealed that premature infants received significantly more feedings between midnight and 5 a.m. (M = 0.31 + 3 versus M = 0.06 + 1, p < 0.001). We conclude that sleep pattern diaries kept by parents indicate that premature infants have developed a diurnal sleep rhythm by 7 months corrected age, but they still have shorter sleep segments and they awaken more during the night than term infants.     

Aggression in domesticated rats reared in a burrow-digging environment

Male and female rats were raised individually in either large boxes filled with soil (burrow environment) or laboratory cages of comparable size (cage environment). In a test of intruder-elicited aggression, intruders exposed to burrow-environment residents lost more body weight, were more likely to have empty stomachs, and received more wounds during a 24 hour aggression test. The results indicate that the physical environment during the period from weaning to maturity is an important determinant of aggression intensity in adult rats.     

Systematic 24-hr behavioral observations of sleep and wakefulness in a skilled-care nursing facility

Sleep patterns of aged, infirm, demented, chronically institutionalized residents of a skilled-care nursing facility were studied. The purpose of this naturalistic study was to describe sleep and wakefulness (S/W) within the limits afforded by brief behavioral observations and to examine homeostasis and diurnal rhythmicity of S/W as a function of psychoactive drug intake. Observers noted S/W every 15 min, 24 hr a day for 10 days in 24 Ss. Results indicated substantial individual variation in daytime hours. Daily and weekly variation within Ss was minimal. Sleep was least likely near sunset. Ss on psychoactive drugs showed dampened diurnal variation in S/W rhythms. In Ss not on such drugs, there was a suggestion of homeostasis of S/W between sleep during the morning and evening hours. Results are discussed methodologically (viability of approach), theoretically (age-related change in sleep), and practically (potential treatments).     

ENHANCING THE SOCIAL ENVIRONMENTS OF ELDERLY NURSING HOME RESIDENTS: ARE HIGH RATES OF INTERACTION ENOUGH?

We investigated the social validity of a common intervention (i.e., serving food during a social hour) that has been reported to facilitate social interaction among nursing home residents. Using a group reversal design, rates of interaction were measured. In addition, the vocal content of the interactions was recorded and coded by raters blind to condition. Rates of interaction more than doubled during the treatment phases, but ineffective vocal behavior accounted for the bulk of the increase. Results suggest the need to examine the utility of such programs in nursing homes.     

Measuring Daytime Drowsiness in Nursing Home Residents: The MSLT-NH

A standardized method of assessing daytime drowsiness in frail nursing home residents has not been previously available. We present here the development and test characteristics of an instrument to measure daytime drowsiness in nursing home residents with cognitive and functional impairment, the Multiple Sleep Latency Test-Nursing Home (MSLT-NH). In a standardized manner, the resident is tested three times in one day (at 9 a.m., 11 a.m., and 1 p.m.) to measure the amount of time until the subject falls asleep. The average sleep latency (minutes to fall asleep) is the measure of interest. We tested the MSLT-NH in 95 residents from six community nursing homes in the Los Angeles area (82% of subjects were female; 81% were white, mean age was 86.6 years and mean score on the Mini-Mental State Examination [MMSE] was 9.4). Interrater reliability of the MSLT-NH was quite good (correlations between raters ranged from 0.98 to 0.99; all p values were <.0001). Validity was assessed by comparing MSLT-NH results to simultaneous wrist activity estimation of sleep, and by comparing MSLT-NH findings to results from nighttime sleep estimation by wrist actigraphy the night prior to MSLT-NH. The percent agreement between MSLT-NH and wrist actigraph ranged from 77% to 79% MSLT-NH results were significantly associated with peak duration of nighttime sleep episodes the night prior to testing. The MSLT-NH was also quite acceptable for use in the NH setting. In conclusion, we have developed a promising measure of daytime drowsiness in NH residents. Further testing will help establish whether this test is a clinically useful measure of daytime drowsiness from medications or other conditions in the NH setting.     

Sustained increase in hippocampal sharp-wave ripple activity during slow-wave sleep after learning

High-frequency oscillations, known as sharp-wave/ripple (SPW-R) complexes occurring in hippocampus during slow-wave sleep (SWS), have been proposed to promote synaptic plasticity necessary for memory consolidation. We recorded sleep for 3 h after rats were trained on an odor-reward association task. Learning resulted in an increased number SPW-Rs during the first hour of post-learning SWS. The magnitude of ripple events and their duration were also elevated for up to 2 h after the newly formed memory. Rats that did not learn the discrimination during the training session did not show any change in SPW-Rs. Successful retrieval from remote memory was likewise accompanied by an increase in SPW-R density and magnitude, relative to the previously recorded baseline, but the effects were much shorter lasting and did not include increases in ripple duration and amplitude. A short-lasting increase of ripple activity was also observed when rats were rewarded for performing a motor component of the task only. There were no increases in ripple activity after habituation to the experimental environment. These experiments show that the characteristics of hippocampal high-frequency oscillations during SWS are affected by prior behavioral experience. Associative learning induces robust and sustained (up to 2 h) changes in several SPW-R characteristics, while after retrieval from remote memory or performance of a well-trained procedural aspect of the task, only transient changes in ripple density were induced.     

Dynamic changes in work/rest duty cycles in a study of sleep deprivation

The effects of moderate workload and 72 h of sleep deprivation were studied using a modified continuous-performance paradigm. Ten subjects were tested hourly on a number of perceptual and cognitive tasks designed to require approximately 30 min to complete, with the remainder of each hour free. As sleep deprivation continued, the average time on task increased at an accelerating rate. The rate of increase differed among tasks, with longer tasks showing greater absolute and relative increases than shorter ones. Such increases confound sleep deprivation and workload effects. In this paper, we compare the advantages and disadvantages of several experimental paradigms; describe details of the present design; and discuss methodological problems associated with separating the interactions of sleep deprivation, workload, and circadian variation with performance.     

A comparison of continuous and distributed reduced sleep schedules

After a night of normal sleep, 36 subjects were divided into three groups of 12. One group was allowed to continue sleeping normally, one group had four hours continuous sleep and the third group had three 80-min periods of sleep distributed throughout the 24-h period, for the next four days. Subjects were given a visual vigilance test on each day. Overall performance was rather better following distributed than following continuous reduced sleep, but rather worse than following 8 h of sleep. The main difference between the reduced sleep groups was in their decision criterion. It was suggested that this difference mainly reflected the difference in time since the two groups had last slept.     

Personality and Sleep: Neuroticism and Conscientiousness Predict Behaviourally Recorded Sleep Years Later

Sleep is one key feature of people's lives that defines their daily routine and reflects overall health and well‐being. To test the relevance of personality for core aspects of sleep, we examined if personality traits across the five broad personality domains predicted behaviourally recorded, week‐long sleep characteristics up to five years later (alongside subjective sleep quality). Data from 382 participants (63% female, aged 34–82 years) were drawn from the longitudinal study on Midlife in the United States Study—Biomarker project. In terms of mean tendencies, both neuroticism and conscientiousness signalled more sleep continuity (fewer interruptions) alongside better subjective quality. In terms of intra‐individual sleep variability, neuroticism predicted more variability in sleep duration, continuity, and subjective sleep quality, while conscientiousness predicted less variability in sleep duration and sleep continuity. Extraversion, agreeableness, and openness traits did not generally foreshadow behaviourally recoded sleep, only higher ratings of subjective quality. These links were robust to the impact of demographic factors and were not moderated by the duration of time between personality and sleep assessments. The findings distinguish which personality traits foreshadow core aspects of sleep and also implicate multiple traits as predictors of variability, not just mean tendencies, in behaviourally recorded sleep. © 2019 European Association of Personality Psychology     

Circaseptan aspects of self-assessed sleep protocols covering 70 nights on 33 clinically healthy persons

This study aimed to describe quantitatively some changes in sleep behavior. During 70 consecutive nights, 28 women and 3 men, 30 to 40 years of age and presumably clinically healthy, recorded the time of each awakening. Time of falling asleep were estimated from markings at 10-min. intervals from the times of lying down to sleep as an indication that the subject had not yet fallen asleep. Sleep duration and an index of effective sleep derived therefrom were analyzed by rhythmometric methods. On a group basis, anticipated components with periods of 1 and 0.5 wk., synchronized with the social schedule, were detected with statistical significance. Until long-term polysomnographic monitoring can readily cover the week automatically rather than only one or a few daily sleep spans, the self-monitoring of sleep behavior, yielding the circaseptan endpoints derived herein, may serve as a cost-effective tool in sleep research. By virtue of their relative simplicity, they could be part of a protocol designed to assess pharmacologic or nonpharmacologic interventions of sleep disturbance aimed at restoring undisturbed sleep.     

Time estimates in a long-term time-free environment.

Subjects in a time-free environment for 14 days estimated the hour and day several times a day. Half of the subjects were under a heavy exercise regime. During the waking hours, the no-exercise group showed no difference between estimated and real time, whereas the exercise group showed significantly shorter estimated than real time. Neither group showed a difference after the sleeping periods. However, the mean accumulated error for the two groups was 48.73 hours and was strongly related to the displacements of sleep/waking behavior. It is concluded that behavioral cues are the primary determinants of time estimates in time-free environments.     

Disrupted patterns of consummatory behavior in rats with fornix transections

The feeding and drinking behavior was examined in male rats with fornix transections and sham-operated control rats. Total food and water consumption was recorded but supplemented by a pattern analysis of feeding and drinking behavior. The behavior of the rats was continuously monitored during four hour morning and afternoon sessions under ad lib access and during a two hour session following adaptation to a restricted access feeding schedule. Rats with fornix transections were more active and exhibited increased frequencies of rearing, eating and drinking. The increased meal frequency in rats with fornix transections was accompanied by decreased meal durations and a reduction in the length of intermeal intervals. Total food and water consumption was unaffected by fornix transection as were the duration of sleep bouts and the frequencies of grooming, sleeping and carrying shavings. Fornix transections also reduced food carrying and food hoarding but only under conditions of restricted food access. The results suggest that fornix transection does not alter major homeostatic regulatory mechanisms nor does it alter the components of feeding and drinking behavior. Fornix transection alters, instead, the organization of microregulatory feeding and drinking patterns.     

Correcting distorted perception of sleep in insomnia: a novel behavioural experiment?

Patients with primary insomnia overestimate their sleep onset latency (SOL) and underestimate their total sleep time (TST). The present study aimed to test the utility of a novel behavioural experiment designed to correct distorted perception of sleep among patients diagnosed with primary insomnia. Individuals with primary insomnia were asked to wear an actigraph and keep a sleep diary for three nights. On the following day, half were shown the discrepancy between the data recorded on the actigraph and their sleep diary (Shown-Discrepancy Group), the other half were not shown the discrepancy (No-Demonstration Group). Participants were then asked to wear the actigraph and keep a sleep diary for three further nights. Following the behavioural experiment, the Shown-Discrepancy Group estimated their SOL more accurately and reported less anxiety and preoccupation about sleep compared to the No-Demonstration Group. The theoretical and clinical implications of these findings are discussed.     

The effect of lack of sleep on visual watch-keeping

Sixteen subjects performed a test of visual watch-keeping twice, at the same hour of the same day of successive weeks. The test lasted 40 min. On one of these occasions the test was done after normal sleep the previous night; signals were detected at a steady rate throughout. On the other occasion the subjects had no sleep the previous night; they passed the time in innocuous leisure activities. Here a similar level of performance was maintained for the first 20 min. of the test. After this the rate of signal detection declined steadily. In the final quarter of the test the rate was roughly one third that of the first quarter.

Signals missed were divided into three categories, (u) signals missed while watching the display, (b) signals missed while not watching, and, (c) signals missed while asleep. Lack of sleep produced increases in all three of these categories.

These results support previous suggestions that a test has to be prolonged before performance is affected by moderate loss of sleep; they also suggest that it is the simpler, or perhaps the more predictable, tests which are more affected.