Insomnia is a sleeping disorder, usually studied from a behavioural perspective, with a focus on somatic and cognitive arousal. Recent studies have suggested that an impairment of information processes due to the presence of cortical hyperarousal might interfere with normal sleep onset and/or consolidation. As such, a treatment modality focussing on CNS arousal, and thus influencing information processing, might be of interest. Seventien insomnia patients were randomly assigned to either a tele-neurofeedback (n = 9) or an electromyography tele-biofeedback (n = 8) protocol. Twelve healthy controls were used to compare baseline sleep measures. A polysomnography was performed pre and post treatment. Total Sleep Time (TST), was considered as our primary outcome variable. Sleep latency decreased pre to post treatment in both groups, but a significant improvement in TST was found only after the neurofeedback (NFB) protocol. Furthermore, sleep logs at home showed an overall improvement only in the neurofeedback group, whereas the sleep logs in the lab remained the same pre to post training. Only NFB training resulted in an increase in TST. The mixed results concerning perception of sleep might be related to methodological issues, such as the different locations of the training and sleep measurements.
Sleep complaints are consistently cited as the most prominent health and well-being problem in Arctic and Antarctic expeditions, without clear evidence to identify the causal mechanisms. The present investigation aimed at studying sleep and determining circadian regulation and mood during a 4-mo Antarctic summer expedition. All data collection was performed during the continuous illumination of the Antarctic summer. After an habituation night and acclimatization to the environment (3 wk), ambulatory polysomnography (PSG) was performed in 21 healthy male subjects, free of medication. An 18-h profile (saliva sampling every 2 h) of cortisol and melatonin was assessed. Mood, sleepiness, and subjective sleep quality were assessed, and the psychomotor vigilance task was administered. PSG showed, in addition to high sleep fragmentation, a major decrease in slow-wave sleep (SWS) and an increase in stage R sleep. Furthermore, the ultradian rhythmicity of sleep was altered, with SWS occurring mainly at the end of the night and stage R sleep at the beginning. Cortisol secretion profiles were normal; melatonin secretion, however, showed a severe phase delay. There were no mood alterations according to the Profile of Mood States scores, but the psychomotor vigilance test showed an impaired vigilance performance. These results confirm previous reports on "polar insomnia", the decrease in SWS, and present novel insight, the disturbed ultradian sleep structure. A hypothesis is formulated linking the prolonged SWS latency to the phase delay in melatonin. The present paper presents a rare body of work on sleep and sleep wake regulation in the extreme environment of an Antarctic expedition, documenting the effects of constant illumination on sleep, mood, and chronobiology. For applied research, these results suggest the potential efficiency of melatonin supplementation in similar deployments. For fundamental research, these results warrant further investigation of the potential link between melatonin secretion and the onset of slow-wave sleep.
This study measured event-related potentials during spontaneous and intentional goal inferences. Participants read sentences describing the behavior of a target person from which a strong goal or intention could be inferred. The last word of each sentence determined the consistency with the goal induced during preceding sentences. In comparison with behaviors that were consistent with the implied goal, a stronger P200 waveform was obtained when the behaviors were irrelevant with that goal or did not contain goal-directed behavior at all, and this P200 showed considerable parallels between spontaneous and intentional inferences. This indicates that goals were inferred rapidly and automatically while reading the behaviors, irrespective of the participants' spontaneous or intentional instructions. In line with this, source localization (LORETA) of the event-related potentials shows predominantly activation in the temporoparietal junction (TPJ) during and immediately after goal detection (225-300 ms). Before and after this time interval, however, activation is stronger at the TPJ during spontaneous processing, and stronger at the medial prefrontal cortex (mPFC) during intentional processing. Memory measures taken after the presentation of the stimulus materials support the occurrence of goal inferences and show significant correlations with the neural components, indicating that these components are valid neural indices of spontaneous and intentional goal inferences. The results are highly similar to previous ERP research on trait inferences that revealed a similar division of brain activation for spontaneous (TPJ) and intentional (mPFC) processes, but appearing later at about 600 ms, pointing to similar brain areas recruited for social inferences, but at different timings for different inference types.
Our results show that dramatic variations in light exposure are not the only main factor affecting sleep quality in Antarctica, as altitude also markedly impacted sleep in these conditions. The effect of altitude-induced hypoxia should be taken into account in future investigations of sleep in extreme environments.
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