The effects of sleep on episodic memory in older and younger adults

Evidence on sleep-dependent benefits for episodic memory remains elusive. Furthermore we know little about age-related changes on the effects of sleep on episodic memory. The study we report is the first to compare the effects of sleep on episodic memories in younger and older adults. Memories of stories and personal events were assessed following a retention interval that included sleep and following an equal duration of wakefulness. Both older and younger adults have superior memory following sleep compared to following wakefulness for both types of material. Amount of forgetting of personal events was less during wakefulness in older adults than in younger adults, possibly due to spontaneous rehearsal. Amount of time spent sleeping correlated highly with sleep benefit in older adults, suggesting that quantity of total sleep, and/or time spent in some stages of sleep, are important contributors to age-related differences in memory consolidation or protection from interference during sleep.     

Neuropsychological performance in older insomniacs

ABSTRACT

The purpose of this study was to examine daytime performance in older adults fulfilling the diagnostic criteria for DSM-IV Insomnia, using a comprehensive battery of neuropsychological tests, and to compare these objective findings with measures of self-reported cognitive functioning. A total of 121 participants (69% women) with a mean age of 64.0 were part of a thorough neuropsychological examination at a University-based neuropsychological clinic in Western Norway. Twenty-five percent of the participants fulfilled the diagnostic criteria for insomnia. In sum, the insomnia patients were not different from the good sleepers on any neuropsychological test measure, and none of the results on the performance measures were associated with the sleep-related daytime complaints. However, the insomniacs did rate their subjective memory performance as significantly worse than the good sleepers, and they also reported more depressive symptoms. We conclude that DSM-IV defined insomnia was not associated with any performance based measure; only with self-reported symptoms.     

Change in sleep symptoms across Cognitive Processing Therapy and Prolonged Exposure: A longitudinal perspective

Sleep disturbance is a core component in posttraumatic stress disorder (PTSD). Although cognitive-behavioral treatments for PTSD reduce the severity of sleep symptoms, they do not lead to complete remission. The present study examines the impact of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) on subjective measures of sleep disturbance from treatment randomization through long-term follow-up (LTFU). Participants were 171 female rape victims with PTSD who were randomly assigned to CPT, PE, or Minimal Attention (MA). After 6-weeks, the MA group was randomized to CPT or PE. Sleep symptoms were assessed at baseline, post-MA, post-treatment, 3-months, 9-months and LTFU using the Pittsburgh Sleep Quality Index (PSQI) and nightmare and insomnia items from the Clinician Administered PTSD Scale. Change in sleep during MA, from pre- to post-treatment for CPT and PE, and from post-treatment through LTFU was assessed using piecewise hierarchical linear modeling with the intent-to-treat sample. Controlling for medication, sleep improved during CPT and PE compared to MA, and treatment gains were maintained through LTFU. CPT and PE were equally efficacious and improvements persist over LTFU, yet, neither produced remission of sleep disturbance. Overall, sleep symptoms do not remit and may warrant sleep-specific treatments.     

Sleep and theology: ‘An half adieu to the world’

The study of sleep has become a field of widespread interest. It engages many disciplines from neuroscience to sociology, philosophy to evolutionary biology. It features in the lifestyle sections of newspapers and websites often because of its connections with mental and physical wellbeing. Yet theology has, in the most part, remained silent on the subject, despite many Biblical references to sleep in both the Old and New Testaments. There is a theological story to be told about sleep ? as a gift, and not an affliction ? despite the unfortunate occasional conflation of sleep with sloth. It is a state of grace and not of sin. It refreshes and renews yet can never be earned; all we can do is to be in a posture of receptivity so that it falls upon us. Sleep is profoundly precarious and sometimes frustratingly elusive and is suggestive of the fragility and vulnerability of human existence. When it comes to us, sleep transforms our experience of waking life. The eschatological character of sleep points us to reflect on mortality and resurrection. This article argues that it is possible to speak of a ‘theology of sleep’, but that it is not to be found in a coherent body of teaching or theological exploration. Rather, a theology of sleep is found articulated in Christian practices such as the Office of Compline, the keeping of vigils and the Examen of Consciousness, and in evening hymnody and prayers before bed. The author will suggest that the word theosomnia encapsulates this understanding of sleep.     

Personality as a predictor of the objective and subjective impact of sleep deprivation

Although, impairments following sleep deprivation have been clearly demonstrated in the literature, researchers have found a wide range of individual variation in response to sleep deprivation. The relationship between personality and the subjective and objective impact of sleep deprivation was examined using the Epworth Sleepiness Scale, Stanford Sleepiness Scale, Sleep Hygiene Index, Profile of Mood States, an oddball reaction time test, a multi-task cognitive performance battery (SynWin), and the NEO Personality Inventory Revised. Subjects (14 males, 14 females, mean age 20.5) were sleep deprived for 28–35 h and during this time were allowed access to self-reported typical amounts of tobacco, caffeine, and food. Post sleep deprivation: (a) higher neuroticism scores were related to participants feeling sleepier, experiencing more mood disturbance, and performing inferiorly on a behavioral task; (b) subjects scoring as introverts showed more compromised behavioral performance compared to extraverts. The authors suggest that potential moderating variables of the relationship between personality and sleep deprivation such as stimulant use, food intake, and socialization warrant further investigation.     

青少年学生焦虑敏感与睡眠质量的关系及其内在机制

采用中学生、大学生焦虑敏感问卷和匹兹堡睡眠质量指数量表(PSQI),分别对1011名中学生和607名大学生进行调查。结果显示高焦虑敏感学生的PSQI总分显著高于低焦虑敏感学生,焦虑敏感及其三个因子与PSQI的相关都是中效应,焦虑敏感对青少年学生睡眠质量指数具有显著的正向预测作用,焦虑敏感水平越高,其睡眠质量越差。焦虑敏感可能以应激事件和健康问题作为致敏源,以焦虑等负性情绪作为敏感内容,在消极自动认知觉察与思维的介入下,进一步放大对有关负性情绪的感受与体验,从而影响青少年学生的睡眠质量。     

As It Was in the Beginning: Death and Re-membrance and the Christian Intuition

The author argues that the psyche crafts an affective metaphor for death out of the separation drama of infancy. Emergence of self from the mother–infant dyad can accomplish cohesion of fragmentary unconscious mentation strong enough, following Winnicott, to make possible a belief in God. Through developmental synergy between female and male elements, a sense of participation in an eternal principle of being can be achieved, sustaining the ego against anxieties over disintegration, and death as its analog. Myths of the child god illuminate the equation of fragmentation with death of self. Christianity expresses how the cohered self can transcend fragmentation.     

Introduction to the Symposium

Abstract. The articles in this section were presented at the conference “Toward a Theology of Disease” sponsored by the Zygon Center in October, 2002. This was a second conference designed to address the question of what the science‐religion dialogue could contribute to the larger discussion of the rapid spread of HIV/AIDS. The conference brought a wide range of perspectives to this question from different religious traditions. I draw them together here around the idea that Philip Hefner introduced in his keynote address: our fragmented experience of the world. The notion of fragmentation opens the door for both a recognition of several possible approaches to building a theology of disease and the pluralism of religious traditions, as well as providing a framework for integrating our full awareness that HIV/AIDS is a problem without solutions and requiring a level of humility in posing any real answers. The essays clearly suggest that the question remains perplexing but that our efforts do show that a multifaith, multidisciplinary religion‐science dialogue can contribute significantly to the larger discussion.     

Sleep-related improvements in motor learning following mental practice

A wide range of experimental studies have provided evidence that a night of sleep may enhance motor performance following physical practice (PP), but little is known, however, about its effect after motor imagery (MI). Using an explicitly learned pointing task paradigm, thirty participants were assigned to one of three groups that differed in the training method (PP, MI, and control groups). The physical performance was measured before training (pre-test), as well as before (post-test 1) and after a night of sleep (post-test 2). The time taken to complete the pointing tasks, the number of errors and the kinematic trajectories were the dependent variables. As expected, both the PP and the MI groups improved their performance during the post-test 1. The MI group was further found to enhance motor performance after sleep, hence suggesting that sleep-related effects are effective following mental practice. Such findings highlight the reliability of MI in learning process, which is thought consolidated when associated with sleep.     

Self-Reported Symptoms of Depression by Changes in Sleeping Patterns and Appetites for Outpatients with a Major Depressive Disorder

To determine whether self-reported symptoms of depression are differentiated by changes in sleeping patterns or appetite, the Beck Depression Inventory-II (BDI-II; Beck et al. 1996) was administered to 1,250 outpatients diagnosed with a major depressive disorder. A series of focused contrasts supported the hypothesis that the mean BDI-II total scores and the majority of the symptom ratings of the outpatients who described increases or decreases in their sleeping patterns or appetites were comparable and higher than the mean BDI-II total scores and symptom ratings of the patients who reported no changes in their sleeping patterns or appetites. However, the patients who were sleeping less described themselves as being more agitated than those who were sleeping more. Decreases and increases in sleep or appetite were both discussed as indicating comparable levels of depressive symptomatology.