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A Study of Insomnia and Sleep Loss
Author Bio
Introduction
Secondary Insomnia
Primary Insomnia
Measuring Insomnia
Physiological Measurements
Standard Scoring Protocols
Currently selected section: Exercise A
Exercise B
PSG Assessment
Part II
Part III
 
 
 
 


Chapter 15: Challenges to the Study of Insomnia and Sleep Loss: Exercise A
        

Scenario: You are planning a descriptive study of insomnia and intend to monitor its associated physical sleep structure, i.e. you intend to use both self-report and PSG data. Generally, 30-second segments (epochs) of the PSG recordings are analyzed for unique or dominant waveforms and scored accordingly for stage type. The waking EEG is characterized by very mixed frequency, low amplitude brainwaves.

You know that non-rapid eye movement (non-REM) sleep progresses from light to deep sleep as characterized over time by production of increasingly slower and higher amplitude, more synchronized brainwaves. Non-REM sleep begins with transitional sleep (stage 1) that is characterized by low voltage, mixed frequency EEG with a prominence of brainwave activity in the 2-7 Hz (cycles per second) range. Light sleep (Stage 2) is characterized by the appearance of intermittent high voltage waveforms called K complexes. They have a well-delineated negative (upward) component that is followed by a positive component (downward) that usually lasts <5 sec on a background of low voltage, mixed frequency waves. Stage 2 light sleep also has the appearance of sleep spindles (waveform bursts with a mean frequency of 11.5 to 16 Hz for a duration of 0.5 seconds or more).

The basic feature of non-REM deep sleep (Stages 3 & 4) is the progressing amount of high amplitude, low frequency (slow) delta waves in the 0.5 to 2.0 Hz range, which is referred to as slow wave sleep (SWS), or called deep or delta sleep. Stages 3 and 4 of deep sleep are distinguished only by differing proportions of the sleep 30 sec. epoch that are occupied by slow waves > 75µV in amplitude (stage 3 = 20-50% and stage 4 = >50% of the epoch). In REM sleep (Stage 5), there is a desynchronization of the brainwaves showing as faster, mixed frequency waves with lower amplitude, sawtooth-looking EEG waves, while eye movements are seen on the occulograph channels. Click here for a table summarizing these features.

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