Sleep Disorders Lecture

Jun 21, 2024

Lecture on Sleep Disorders

Introduction

  • Common problems related to sleep: trouble falling asleep, staying asleep, waking up, or sleeping less due to busy schedules.
  • Sleep deprivation can be serious.

Effects of Sleep Deprivation

  • Increased irritability.
  • Poor performance on memory and detention tasks.
  • Long-term implications for safety-critical professions (airline pilots, firefighters, drivers).
  • Canadian study: Monday after Spring time change (1-hour less sleep) = increase in traffic accidents, Monday after Fall time change (1-hour more sleep) = decrease in traffic accidents.

Health Impacts of Sleep Deprivation

  • Increased susceptibility to obesity:
    • More cortisol production (hormone that increases fat storage).
    • Increased hunger hormone leading to higher food intake and fat conversion.
  • Increased risk of depression:
    • REM sleep might help process emotional experiences, protecting against depression.

Recovering from Sleep Deprivation

  • Most people can recover by getting a few nights of good sleep.
  • Required amount of sleep varies:
    • Most adults need around 7-8 hours.
    • Babies need more; older adults can often manage with less.

Insomnia

  • Persistent problems in falling/staying asleep = insomnia.
  • Medications can help but may cause dependence and tolerance.
  • Treatment often includes:
    • Psychological training.
    • Lifestyle changes (e.g., regular exercise, relaxing before bed).

Narcolepsy

  • Disorder where people can't stop themselves from falling asleep.
  • Affects about 1 in 2000 people.
  • Symptoms:
    • Spontaneous fits of intense sleepiness, lapsing into REM sleep, lasting about five minutes.
  • Possibly genetic, linked to absence of a neurotransmitter related to alertness.
  • Potential treatments involve neurochemical interventions.

Sleep Apnea

  • Affects 1 in 20 people.
  • Often undetected by sufferers.
  • Symptoms:
    • Stop breathing during sleep.
    • Wake up to gasp for air, then fall back asleep unknowingly.
    • Can happen hundreds of times a night, disrupting deeper sleep stages (N3 stage).
    • Snoring can be an indicator.
  • Highly treatable.

Sleepwalking and Sleep Talking

  • Usually genetic, occur during N3 stage sleep.
  • More frequent in children due to more N3 stage sleep.
  • Generally harmless unless in dangerous situations or revealing secrets.