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Sleep neurobio exam 2
Nofzinger handout
14
Biology
Undergraduate 4
11/14/2010

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Term
what goes to sleep in NREM sleep
Definition
frontal thinking regions, problem solving areas.
thalamocortical loop
Term
NREM sleep and psychiatric disorders
Definition
alterations in NREM sleep in psychiatric disorders may reflect alteration in function of heteromodal association and exec function
Term
anterior para limbic REM activation (compare to NREM activations)
Definition
-in NREM, regions are on the surface
-in REM it is deep within the brain, more on the paralimbic network (related more to emotional behavior) and this can relate to pscyh disorders
Term
Sleep disturbances (depression)
Definition
-insomnia/hypersomnia patterns
-sleep disturbances can present before after and during illness
Term
EEG alterations in depression
Definition
-REM sleep more "intense" in depressed people (based on density/intensit of eye movements)
-NREM: decreased slow-wave restorative sleep
-sleep continuity: prolonged sleep latency, increased wake time.
Term
monoaminergic/cholinergic hypothesis of depression
Definition
-braintem monoaminergic systems (5-HT,NE) cease firing to allow cholinergic cells to activate brain during REM sleep.
-in depression, reduced monoaminergic tone may disinhibit REM sleep.
-or increased cholinergic tone may increase REM sleep
Term
circadian/homeostatic hypotheses of depression
Definition
-a circadian advance of REm sleep shifts REM earlier in night
-A reduced homeostatic drive may result in reduced slow wave sleep with a shift in REM to earlier in night
Term
FMRI of depression
Definition
dpressed patients show less of a decline in prefrontal metabolism from waking to NREM than do healthy subjects
Term
EEG sleep disturbances (bipolar disorder)
Definition
long sleepers (hypersomnia)
-relatively normal sleep architecture (including REm and delta sleep)
Term
EEG sleep disturbances (schizophrenia)
Definition
-highly variable sleep/wake cycle
-slow wave sleep reduction (correlates with alteration in prefrontal function)
-sleep continuity distrubance
-+ or - REM sleep distrubance
Term
EEG sleep in GAD
Definition
-long sleep onset latencies
-decreased sleep maintenance
-decreased stages 3,4 sleep (slow-wave)
-NO cahnges in timing, duration or intensity of REM which distinguishes it from mood disorder
Term
EEG disturbances (PTSD)
Definition
-repetitive unwanted traumatic dreams
-increased periodic limb movements
-variable reports of REM sleep disturbances
-traumatic nightmares occur in either REM or NREM sleep
Term
Alcoholism
Definition
acute:increased sleep, reduced REM and delta
chronic: increased alpha during REM
-increased REM sleep is indicative of relapse possibility
Term
biothermal transfer
Definition
produces regional reduction in metabolism in pre-frontal regions associated with increases in slow-wave sleep
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