Sleep Phase Chronotherapy
Chronotherapy
Drug Chronotherapy
Chronobiology Phenomena
Sleep Disorders, Circadian Rhythm
Sleep
Circadian Rhythm
Sleep Disorders
Melatonin
Late, but not early, wake therapy reduces morning plasma melatonin: relationship to mood in Premenstrual Dysphoric Disorder. (1/5)
(+info)Modeling napping, post-lunch dip, and other variations in human sleep propensity. (2/5)
STUDY OBJECTIVES: To model sleep propensity (SP) as a continuous variable across 24 hours and to model the post-noon nap zone, or post-lunch dip in performance, and the early evening trough in SP. METHODS: The present model is a variant of the 2-process model with 2 major modifications. (1) The circadian threshold process was replaced by sleep drive R, derived from REM sleep propensity, which shows a strong circadian modulation. (2) The model is based on a multiplicative interaction between the 2 input variables S and R. The model parameters S and R were estimated from experimental data. Thus, SP is modeled by multiplicative interaction of 2 sleep drives, S and R, the former of homeostatic, the latter of circadian nature. In short: SP = S x R. RESULTS: Under the condition of normal phase and duration of nighttime sleep, SP across 24 hours displays 4 characteristics, (a) a major peak at nighttime, (b) a secondary increase, which peaks post-noon, (c) a first local minimum at sleep offset in the morning, and (d) a second local minimum in the early evening hours. Model simulations with either delayed or advanced sleep times suggest that the magnitude of the post-noon nap zone depends on the phase of the major sleep period within 24 hours. While the nap zone is attenuated or disappears when night sleep is delayed, SP increases during daytime when night sleep is advanced. In all conditions, the evening local minimum of SP remained stable. CONCLUSIONS: SP can be modeled as a continuous variable, based on the multiplicative interaction of 2 basic sleep drives. The model predictions are in agreement with known variations of SP across 24 hours. (+info)The effect of vestibular stimulation in a four-hour sleep phase advance model of transient insomnia. (3/5)
STUDY OBJECTIVES: To determine if vestibular stimulation is an effective therapy for transient insomnia in a sleep phase advance model. DESIGN: Multi-site, double-blind, randomized, parallel-group, sham-controlled trial SETTING: This study was carried out at 6 sites in the United States. PARTICIPANTS: 198 healthy normal sleepers. INTERVENTIONS: Bilateral electrical stimulation of the vestibular apparatus of the inner ear via electrodes on the skin of the mastoid process at a frequency of 0.5 Hz vs. sham stimulation. RESULTS: We did not find a significant effect of treatment on our primary outcome variable, latency to persistent sleep onset (LPS). However, our planned analysis identified that the mean latency to sleep onset on the multiple sleep latency test was a significant covariate. This led us to carry out post hoc analyses, which showed a significant effect of treatment on LPS in those subjects with a mean MSLT sleep onset latency > or = 14 minutes. CONCLUSIONS: Vestibular stimulation did not have a therapeutic effect in a model of transient insomnia in the overall population studied. However, this study provides preliminary evidence that vestibular stimulation may shorten sleep onset latency compared with sham therapy in the subset of subjects with mean MSLT sleep onset latency > or = 14 minutes. (+info)Increasing sleep duration to lower beat-to-beat blood pressure: a pilot study. (4/5)
(+info)Circadian rhythms and psychiatric illness. (5/5)
(+info)Sleep phase chronotherapy is a specialized treatment approach in sleep medicine that involves systematically adjusting a person's sleep and wake times to realign their circadian rhythm (internal biological clock) with their desired sleep-wake schedule. This technique is often used to treat circadian rhythm sleep disorders, such as delayed sleep phase disorder (DSPD), advanced sleep phase disorder (ASPD), and irregular sleep-wake rhythm disorder.
The process of sleep phase chronotherapy typically involves gradually shifting the sleep onset time earlier or later in small increments (usually 15-60 minutes) every one to three days until the desired sleep schedule is achieved. This adjustment can be done over a period of several weeks, depending on the severity and nature of the sleep disorder.
It's important to note that sleep phase chronotherapy should be conducted under the supervision of a qualified healthcare professional or sleep specialist, as improper implementation may lead to further disruption of the circadian rhythm and exacerbate existing sleep problems.
Chronotherapy is a medical treatment strategy that involves adjusting the timing of medication or other treatments based on the body's internal clock or circadian rhythms. The goal of chronotherapy is to optimize the effectiveness and minimize the side effects of treatments by administering them at specific times when they are most likely to be beneficial and well-tolerated.
For example, certain medications may be more effective when given at night because the body's metabolism slows down during sleep, allowing the drug to remain in the system longer. Similarly, some cancer treatments may be more effective when administered in the morning or evening based on the patient's circadian rhythms.
Chronotherapy can also involve adjusting lifestyle factors such as diet, exercise, and light exposure to help regulate the body's internal clock and improve overall health. This approach has been shown to be effective in treating a variety of conditions, including insomnia, depression, asthma, and cardiovascular disease.
Drug chronotherapy is a medical approach that involves the administration of medication at specific times or schedules to coincide with the body's circadian rhythms, with the aim of optimizing therapeutic efficacy and minimizing side effects. This strategy takes advantage of the fact that many physiological processes, including drug metabolism and elimination, exhibit daily variations due to the internal biological clock. By aligning drug administration with these natural rhythms, healthcare providers can potentially enhance treatment outcomes and improve patient compliance.
Examples of drug chronotherapy applications include:
- Administering anti-inflammatory drugs in the evening for patients with rheumatoid arthritis to reduce morning stiffness and pain
- Giving chemotherapeutic agents at specific times to maximize tumor cell kill and minimize toxicity to normal tissues
- Timing corticosteroid doses to match the natural circadian variation in endogenous cortisol production, which may help reduce side effects and improve efficacy
It is important to note that successful implementation of drug chronotherapy requires a thorough understanding of each patient's individual circadian rhythm patterns and potential interactions between drugs and the biological clock.
Chronobiology is the study of biological rhythms and their synchronization with environmental cycles. It examines how various biological processes in living organisms, including humans, are regulated by endogenous (internal) and exogenous (external) factors that recur over a specific time period. These rhythmic phenomena are known as circadian, ultradian, and infradian rhythms.
Circadian rhythms have a periodicity of approximately 24 hours and regulate many physiological processes such as sleep-wake cycles, body temperature, hormone secretion, and metabolism. Ultradian rhythms are shorter than 24 hours and include processes like heart rate variability, brain wave activity during sleep, and digestive enzyme release. Infradian rhythms have a longer periodicity, ranging from days to years, and include menstrual cycles in women and seasonal variations in animals.
Chronobiology phenomena are crucial for understanding the timing of various physiological processes and how they can be influenced by external factors like light-dark cycles, social cues, and lifestyle habits. This knowledge has applications in fields such as medicine, agriculture, and environmental science.
A Circadian Rhythm Sleep Disorder (CRSD) is a condition in which a person's sleep-wake cycle is out of sync with the typical 24-hour day. This means that their internal "body clock" that regulates sleep and wakefulness does not align with the external environment, leading to difficulties sleeping, staying awake, or functioning at appropriate times.
CRSDs can be caused by a variety of factors, including genetic predisposition, environmental influences, and medical conditions. Some common types of CRSDs include Delayed Sleep Phase Syndrome (DSPS), Advanced Sleep Phase Syndrome (ASPS), Non-24-Hour Sleep-Wake Rhythm Disorder, and Shift Work Disorder.
Symptoms of CRSDs may include difficulty falling asleep or staying asleep at the desired time, excessive sleepiness during the day, difficulty concentrating or functioning at work or school, and mood disturbances. Treatment for CRSDs may involve lifestyle changes, such as adjusting sleep schedules or exposure to light at certain times of day, as well as medications or other therapies.
Sleep is a complex physiological process characterized by altered consciousness, relatively inhibited sensory activity, reduced voluntary muscle activity, and decreased interaction with the environment. It's typically associated with specific stages that can be identified through electroencephalography (EEG) patterns. These stages include rapid eye movement (REM) sleep, associated with dreaming, and non-rapid eye movement (NREM) sleep, which is further divided into three stages.
Sleep serves a variety of functions, including restoration and strengthening of the immune system, support for growth and development in children and adolescents, consolidation of memory, learning, and emotional regulation. The lack of sufficient sleep or poor quality sleep can lead to significant health problems, such as obesity, diabetes, cardiovascular disease, and even cognitive decline.
The American Academy of Sleep Medicine (AASM) defines sleep as "a period of daily recurring natural rest during which consciousness is suspended and metabolic processes are reduced." However, it's important to note that the exact mechanisms and purposes of sleep are still being researched and debated among scientists.
A circadian rhythm is a roughly 24-hour biological cycle that regulates various physiological and behavioral processes in living organisms. It is driven by the body's internal clock, which is primarily located in the suprachiasmatic nucleus (SCN) of the hypothalamus in the brain.
The circadian rhythm controls many aspects of human physiology, including sleep-wake cycles, hormone secretion, body temperature, and metabolism. It helps to synchronize these processes with the external environment, particularly the day-night cycle caused by the rotation of the Earth.
Disruptions to the circadian rhythm can have negative effects on health, leading to conditions such as insomnia, sleep disorders, depression, bipolar disorder, and even increased risk of chronic diseases like cancer, diabetes, and cardiovascular disease. Factors that can disrupt the circadian rhythm include shift work, jet lag, irregular sleep schedules, and exposure to artificial light at night.
Sleep disorders are a group of conditions that affect the ability to sleep well on a regular basis. They can include problems with falling asleep, staying asleep, or waking up too early in the morning. These disorders can be caused by various factors such as stress, anxiety, depression, medical conditions, or substance abuse.
The American Academy of Sleep Medicine (AASM) recognizes over 80 distinct sleep disorders, which are categorized into the following major groups:
1. Insomnia - difficulty falling asleep or staying asleep.
2. Sleep-related breathing disorders - abnormal breathing during sleep such as obstructive sleep apnea.
3. Central disorders of hypersomnolence - excessive daytime sleepiness, including narcolepsy.
4. Circadian rhythm sleep-wake disorders - disruption of the internal body clock that regulates the sleep-wake cycle.
5. Parasomnias - abnormal behaviors during sleep such as sleepwalking or night terrors.
6. Sleep-related movement disorders - repetitive movements during sleep such as restless legs syndrome.
7. Isolated symptoms and normal variants - brief and occasional symptoms that do not warrant a specific diagnosis.
Sleep disorders can have significant impacts on an individual's quality of life, productivity, and overall health. If you suspect that you may have a sleep disorder, it is recommended to consult with a healthcare professional or a sleep specialist for proper evaluation and treatment.
Melatonin is a hormone that is produced by the pineal gland in the brain. It helps regulate sleep-wake cycles and is often referred to as the "hormone of darkness" because its production is stimulated by darkness and inhibited by light. Melatonin plays a key role in synchronizing the circadian rhythm, the body's internal clock that regulates various biological processes over a 24-hour period.
Melatonin is primarily released at night, and its levels in the blood can rise and fall in response to changes in light and darkness in an individual's environment. Supplementing with melatonin has been found to be helpful in treating sleep disorders such as insomnia, jet lag, and delayed sleep phase syndrome. It may also have other benefits, including antioxidant properties and potential uses in the treatment of certain neurological conditions.
It is important to note that while melatonin supplements are available over-the-counter in many countries, they should still be used under the guidance of a healthcare professional, as their use can have potential side effects and interactions with other medications.
REM sleep, or Rapid Eye Movement sleep, is a stage of sleep characterized by rapid eye movements, low muscle tone, and active brain activity. It is one of the two main types of sleep along with non-REM sleep and is marked by vivid dreaming, increased brain metabolism, and altered brain wave patterns. REM sleep is often referred to as "paradoxical sleep" because of the seemingly contradictory nature of its characteristics - an active brain in a state of relaxation. It is thought to play a role in memory consolidation, learning, and mood regulation. A typical night's sleep cycle includes several episodes of REM sleep, with each episode becoming longer as the night progresses.