Process Of Falling Asleep Research Articles

FMRI spectral signatures of sleep

Sleep can be distinguished from wake by changes in brain electrical activity, typically assessed using electroencephalography (EEG). The hallmark of nonrapid-eye-movement (NREM) sleep is the shift from high-frequency, low-amplitude wake EEG to low-frequency, high-amplitude sleep EEG dominated by spindles and slow waves. Here we identified signatures of sleep in brain hemodynamic activity, using simultaneous functional MRI (fMRI) and EEG. We found that, at the transition from wake to sleep, fMRI blood oxygen level-dependent (BOLD) activity evolved from a mixed-frequency pattern to one dominated by two distinct oscillations: a low-frequency (<0.1 Hz) oscillation prominent in light sleep and correlated with the occurrence of spindles, and a high-frequency oscillation (>0.1 Hz) prominent in deep sleep and correlated with the occurrence of slow waves. The two oscillations were both detectable across the brain but exhibited distinct spatiotemporal patterns. During the falling-asleep process, the low-frequency oscillation first appeared in the thalamus, then the posterior cortex, and lastly the frontal cortex, while the high-frequency oscillation first appeared in the midbrain, then the frontal cortex, and lastly the posterior cortex. During the waking-up process, both oscillations disappeared first from the thalamus, then the frontal cortex, and lastly the posterior cortex. The BOLD oscillations provide local signatures of spindle and slow wave activity. They may be employed to monitor the regional occurrence of sleep or wakefulness, track which regions are the first to fall asleep or wake up at the wake-sleep transitions, and investigate local homeostatic sleep processes.

The falling asleep process in adolescents.

To investigate the pre-sleep psychophysiological state and the arousal deactivation process across the sleep onset (SO) transition in adolescents. Data were collected from a laboratory overnight recording in 102 healthy adolescents (48 girls, 12-20 years old). Measures included pre-sleep self-reported cognitive/somatic arousal, and cortical electroencephalographic (EEG) and electrocardiographic activity across the SO transition. Adolescent girls, compared with boys, reported higher pre-sleep cognitive activation (p = 0.025) and took longer to fall asleep (p < 0.05), as defined with polysomnography. Girls also showed a less smooth progression from wake-to-sleep compared with boys (p = 0.022). In both sexes, heart rate (HR) dropped at a rate of ~0.52 beats per minute in the 5 minutes preceding SO, and continued to drop, at a slower rate, during the 5 minutes following SO (p < 0.05). Older girls had a higher HR overall in the pre-sleep period and across SO, compared to younger girls and boys (p < 0.05). The EEG showed a progressive cortical synchronization, with increases in Delta relative power and reductions in Alpha, Sigma, Beta1, and Beta2 relative powers (p < 0.05) in the approach to sleep, in both sexes. Delta relative power was lower and Theta, Alpha, and Sigma relative powers were higher in older compared to younger adolescents at bedtime and across SO (p < 0.05). Our findings show the dynamics of the cortical-cardiac de-arousing process across the SO transition in a non-clinical sample of healthy adolescents. Findings suggest a female-specific vulnerability to inefficient sleep initiation, which may contribute to their greater risk for developing insomnia.

Bilateral Theta Transcranial Alternating Current Stimulation (tACS) Modulates EEG Activity: When tACS Works Awake It Also Works Asleep.

PurposeRecent studies demonstrate that 5-Hz bilateral transcranial alternating current stimulation (θ-tACS) on fronto-temporal areas affects resting EEG enhancing cortical synchronization, but it does not affect subjective sleepiness. This dissociation raises questions on the resemblance of this effect to the physiological falling asleep process. The current study aimed to evaluate the ability of fronto-temporal θ-tACS to promote sleep.Subjects and methodsTwenty subjects (10 F/10 M; mean age: 24.60 ± 2.9 y) participated in a single-blind study consisting of two within-subject sessions (active/sham), one week apart in counterbalanced order. Stimulation effects on EEG were assessed during wake and post-stimulation nap. The final sample included participants who fell asleep in both sessions (n=17).ResultsGroup analyses on the whole sample reported no θ-tACS effects on subjective sleepiness and sleep measures, while a different scenario came to light by analysing data of responders to the stimulation (ie, subjects actually showing the expected increase of theta activity in the wake EEG after the θ-tACS, n=7). Responders reported a significant increase in subjective sleepiness during wakefulness after the active stimulation as compared to the sham. Moreover, the sleep after the θ-tACS compared to sham in this sub-group showed: (1) greater slow-wave activity (SWA); (2) SWA time-course revealing increases much larger as closer to the sleep onset; (3) stimulation-induced changes in SWA during sleep topographically associated to those in theta activity during wake.ConclusionSubjects who show the expected changes during wake after the stimulation also had a consistent pattern of changes during sleep. The enhancement of cortical synchronization by θ-tACS during wakefulness actually corresponds to increased sleep pressure, but it occurs only in some individuals. Thus, θ-tACS can enhance sleep, although individual factors to be further investigated affect the actual responsiveness to this treatment.

The Spatiotemporal Pattern of the Human Electroencephalogram at Sleep Onset After a Period of Prolonged Wakefulness.

During the sleep onset (SO) process, the human electroencephalogram (EEG) is characterized by an orchestrated pattern of spatiotemporal changes. Sleep deprivation (SD) strongly affects both wake and sleep EEG, but a description of the topographical EEG power spectra and oscillatory activity during the wake-sleep transition after a period of prolonged wakefulness is still missing. The increased homeostatic sleep pressure should induce an earlier onset of sleep-related EEG oscillations. The aim of the present study was to assess the spatiotemporal EEG pattern at SO following SD. A dataset of a previous study was analyzed. We assessed the spatiotemporal EEG changes (19 cortical derivations) during the SO (5 min before vs. 5 min after the first epoch of Stage 2) of a recovery night after 40 h of SD in 39 healthy subjects, analyzing the EEG power spectra (fast Fourier transform) and the oscillatory activity [better oscillation (BOSC) detection method]. The spatiotemporal pattern of the EEG power spectra mostly confirmed the changes previously observed during the wake-sleep transition at baseline. The comparison between baseline and recovery showed a wide increase of the post- vs. pre-SO ratio during the recovery night in the frequency bins ≤10 Hz. We found a predominant alpha oscillatory rhythm in the pre-SO period, while after SO the theta oscillatory activity was prevalent. The oscillatory peaks showed a generalized increase in all frequency bands from delta to sigma with different predominance, while beta activity increased only in the fronto-central midline derivations. Overall, the analysis of the EEG power replicated the topographical pattern observed during a baseline night of sleep but with a stronger intensity of the SO-induced changes in the frequencies ≤10 Hz, and the detection of the rhythmic activity showed the rise of several oscillations at SO after SD that was not observed during the wake-sleep transition at baseline (e.g., alpha and frontal theta in correspondence of their frequency peaks). Beyond confirming the local nature of the EEG pattern at SO, our results show that SD has an impact on the spatiotemporal modulation of cortical activity during the falling-asleep process, inducing the earlier emergence of sleep-related EEG oscillations.

Reducing bedtime physiological arousal levels using immersive audio-visual respiratory bio-feedback: a pilot study in women with insomnia symptoms.

Hyperarousal is a critical component of insomnia, particularly at bedtime when individuals are trying to fall asleep. The current study evaluated the effect of a novel, acute behavioral experimental manipulation (combined immersive audio-visual relaxation and biofeedback) in reducing bedtime physiological hyperarousal in women with insomnia symptoms. After a clinical/adaptation polysomnographic (PSG) night, sixteen women with insomnia symptoms had two random-order PSG nights: immersive audio-visual respiratory bio-feedback across the falling asleep period (manipulation night), and no pre-sleep arousal manipulation (control night). While using immersive audio-visual respiratory bio-feedback, overall heart rate variability was increased and heart rate (HR) was reduced (by ~ 5bpm; p < 0.01), reflecting downregulation of autonomic pre-sleep arousal, relative to no-manipulation. HR continued to be lower during sleep, and participants had fewer awakenings and sleep stage transitions on the manipulation night relative to the control night (p < 0.05). The manipulation did not affect sleep onset latency or other PSG parameters. Overall, this novel behavioral approach targeting the falling asleep process emphasizes the importance of pre-sleep hyperarousal as a potential target for improving sleep and nocturnal autonomic function during sleep in insomnia.

Sleep disorder and its correction for patients with discirculatory encephalopathy

The paper presents a comprehensive clinical, neurological, psychodiagnostic and neurophysiological study results of the Valeo-Dorm Duo drug use for 30 patients (average age 46.9 ± 2.3 years) with initial stages of discirculatory encephalopathy to correct the symptoms of insomnia, anxiety and asthenic syndrome. The Valeo-Dorm Duo drug was taken for two months simultaneously with the basic therapy; there was a 14 days break between the months of admission. A comparative analysis with a control group (30 people) who received only basic symptomatic therapy is carried out. The study design includes a comprehensive examination of all patients before the start of therapy, one month and two months after the start of treatment. It is shown that the combined use of Relax capsules in the daytime and Sleep capsules in the evening complement each other's effects, influencing the different parts of insomnia pathogenesis. The effectiveness of Valeo-Dorm Duo drug appears as an improvement of subjective night sleep indicators, a decrease of daytime sleepiness, and a declined severity of anxiety manifestations and asthenia symptoms during the first month of therapy, while the stable positive dynamics maintain until the end of treatment. According to an objective night sleep assessment using polysomnography, by the end of the treatment course, patients taking Valeo-Dorm Duo had a statistically significant reduction of the falling asleep process duration and the length and percentage of the REM phase increased; the delta sleep and slow wave sleep episodes in general have become longer too; cyclic sleep organization has recovered; the total duration of sleep increased, what resulted in the high rates of the night sleep efficiency index.

FALLING ASLEEP PROCESS IN HUMAN LISTENING TO DIFFERENT TYPES OF MONOTONOUS SOUND: A PILOT STUDY

Development of non-invasive sleep-aid tools requires paying attention to techniques reducing and stabilizing fall-asleep time. Otherwise, all attempts to affect posterior sleep make no sense. The aim of current study was to compare effectiveness of listening through stereo earphones to three types of monotonous sound as one of those techniques. Namely, the sound engendering so-called "binaural beats" (BB), the sound containing ordinary ("monaural") beats (MB) and the sound containing pure tones without beats (imitation, IM) were applied. Methods. Data collected by polysomnographic record (EEG and eye movements) of falling asleep process of 14 subjects during listening to those three sound types then were analyzed to compare the fall-asleep time corresponding to each type. Results. The fall-asleep time during BB-stimulation was less than during IM in 10 subjects from 14; during MB-stimulation - in 5 subjects from 14. The fall-asleep time in BB-stimulation series was significantly (p &lt; 0.05) less than in IM-series. MB-stimulation series contained no significant differences in fall-asleep time from IM-series. Conclusion. Binaural beat stimulation gives rise to the least fall-asleep time beside the sound containing ordinary (monaural) beats as well as monotonous beatless sound.

Comparative analysis of the effect of stimulation with a binaural beat and similar kinds of sounds on the falling asleep process: A brief note

Beats are the physical phenomenon appearing when two oscillation processes of close frequencies are superimposed. In acoustics, there is also the concept of binaural beats, a subjective feeling of the listener when acoustic tones of slightly different frequencies are applied separately to each ear. Commercial products based on the effect of binaural beats enjoy steady popularity in the market of the modern technological tools for psycho- and physiotherapy. In particular, they are applied to improve sleep. But it is the objective evaluation of the physiologic effect of binaural beats on the sleep onset process that has very little evidence for support. This paper provides comparative analysis of the time to fall asleep determined by the onset of the second daytime sleep stage (sleep spindle appearance). The subjects listened to a monotonous sound of three similar kinds: a combination of binaural beats with pink noise, a similar sound with a combination of monaural beats, and a similar sound without any beat. Stimulation by the combination of binaural beats is shown to produce the least sleep onset time as compared to the similar sound containing monaural beats and to the similar sound without beats. Further investigation is required to obtain results that are more consistent.