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Q: Relationship between quality of sleep and sleep stages ( Answered 5 out of 5 stars,   1 Comment )
Question  
Subject: Relationship between quality of sleep and sleep stages
Category: Science > Biology
Asked by: arosca-ga
List Price: $15.00
Posted: 30 Nov 2002 06:55 PST
Expires: 30 Dec 2002 06:55 PST
Question ID: 116766
I would like to know what research has been conducted to correlate
the quality of sleep with the sleep stages that have been completed.
For example, do subjects that are woken up during REM report better
sleep, and feel more rested, than those who are woken up during one of
the NREM stages?

Any pointers or links to published papers on this subject would be
helpful, but a summary of results is preferred.

Thank you!
Answer  
Subject: Re: Relationship between quality of sleep and sleep stages
Answered By: sublime1-ga on 30 Nov 2002 22:08 PST
Rated:5 out of 5 stars
 
arosca...

First, let's define the sleep stages. According to this
site by the National Sleep Fopundation, there are four:
"You begin your nightly journey by descending into
 Stage 1, a light sleep. Your muscles relax, your brain
 waves are irregular and rapid. In Stage 2, brain waves
 become larger, with bursts of electrical activity.
 Then you move into deep sleep, Stages 3 and 4, in which
 the brain produces large, slow waves (sometimes called
 "delta" or slow-wave sleep). You're more difficult to
 awaken in slow-wave sleep."

"After an hour or so, you shift into a highly active
 stage characterized by rapid eye movements, hence the
 name REM sleep. Suddenly your brain waves are almost
 the same as if you were awake. You're in the dreaming
 stage, which occurs several times across the course
 of the night."

"About 75 percent of your night is spent in non-REM
 sleep and about 25 percent dreaming. REM periods tend
 to become longer and more plentiful as the night wears
 on. Fortunately for your partners and neighbors,
 you're essentially paralyzed during REM so that you're
 not acting out your dreams no matter how real they may
 seem. Occasionally, you may awaken before this
 paralysis has entirely ended - Don't be alarmed, it
 will pass in a matter of moments."
http://www.sleepfoundation.org/publications/nos.html

Then, there is a specific study which exactly addresses 
your question, done by Dr. Vadim S. Rotenberg, a Russian
psychiatrist and psychophysiologist with very impressive
credentials, which can be viewed here:
http://rjews.net/v_rotenberg/book4.html
There are links to several of his sleep studies listed.
The study which pertains to your question is:

====================================================
"THE ESTIMATION OF SLEEP QUALITY IN DIFFERENT STAGES
 AND CYCLES OF SLEEP"

SuMMARY

"Dream content in NREM and REM sleep correlates with
 the subjective experience of having slept immediately
 before awakening. The estimation of depth of sleep
 depends on the quality of the NREM sleep stages.
 The presence of dreaming in a given sleep stage is
 more important for the subjective experience of
 having slept than the duration of the sleep episode
 before the awakening. Neurotic insomniac patients
 more often deny mental activity when awoken from
 NREM and REM sleep, than do healthy subjects.
 These data suggest that spontaneous awakenings
 in different sleep stages, especially in the first
 sleep cycle, correlate with the insomniac's
 tendency to underestimate sleep duration and quality."

And, specific to your query:

"...estimation of sleep depth was more dependent on
 the sleep cycle than on the duration of the preceding
 sleep stage. Does this difference depend on the
 increase of sleep duration from cycle to cycle, or on
 the absence or presence of REM sleep in the segment
 of sleep before the awakening? We found that the
 estimation of sleep quality did not depend on whether
 the sleep duration before the awakening was more or
 less than 90 minutes. However, if this sleep included
 REM sleep, then the awareness of sleep prevailed.
 Sleep periods less than 90 minutes had a different
 influence on sleep estimation, depending on the
 absence or presence of REM sleep. If REM sleep
 occurred in the sleep episode, then reports of deep
 sleep appeared more often, and sleep denial was
 rare (P < 0.05). If the sleep period exceeded 90
 minutes, and excluded REM sleep, then reports of
 sleep denial prevailed, but if such sleep periods
 included REM sleep, then reports of deep sleep
 prevailed."
http://rjews.net/v_rotenberg/quality.html
The study is thoroughly discussed on the same page.

This essentially mirrors what every psychology
student is taught (such as myself), and that is, 
that REM sleep is a pre-requisite for the experience
of satisfying sleep. Moreover, the absence of REM
sleep can quickly lead to psychotic symptoms, such
as hallucinations. There have been other studies,
which I cannot quote, in which subjects were allowed
every stage of sleep except REM sleep. Whenever 
their eye-movement indicated Rapid Eye Movement,
they were awoken. They reported poor quality of sleep,
and quickly demonstrated a tendency to hallucinate.

Dreaming, then, or REM sleep, is essential for our
psychological well-being, and our experience of 
satisyfying sleep. "To sleep, perchance to dream"
should perhaps be "To sleep, and, of necessity, to
dream".


Searches done, via Google:

"sleep stages" "quality of sleep"
://www.google.com/search?hl=en&ie=UTF-8&oe=UTF-8&q=%22sleep+stages%22+%22quality+of+sleep%22

Please do not rate this answer until you are satisfied that the 
answer cannot be improved upon by means of a dialog with
the researcher through the "Request for Clarification" process.

sublime1-ga

Request for Answer Clarification by arosca-ga on 01 Dec 2002 11:44 PST
This is an excellent answer and the study is very close to what I was
looking for, but the main point it makes is that REM sleep is
necessary for quality sleep. I am looking to find out specifically if
waking up immediatelly after REM sleep results in reports of better
sleep, as opposed to waking up during a different stage. Before I take
the time to dig deeper into the links you found, perhaps you can
quickly let me know if the study includes any such findings.

Thank you very much!

Clarification of Answer by sublime1-ga on 01 Dec 2002 14:51 PST
arosca...

Dr. Rotenberg's study is based on reports of the
subjects, who are defining "better sleep" as the 
experience of having slept deeply, versus having
slept shallowly, or experiencing not having slept
(sleep denial, he calls it). Table 1 shows the 
results of the reports of the study.

If you look under reports of "deep sleep", you can
see that his patients (those diagnosed with a 
neurotic syndrome) uniformly reported deep sleep
more frequently after being awoken from REM sleep,
no matter how many cycles of sleep they had 
experienced, though they also reported deep sleep
more frequently in the first and second cycle,
when awakened from stage 3 or 4 "slow-wave sleep".

You can also see that 'healthy' subjects (Ss)
reported "deep sleep" more frequently, following
being awakened from REM sleep, with the exception
that, after only one cycle, they reported deep
sleep more frequently after being awakened from
stages 3-4 "slow-wave sleep". In subsequent cycles,
the healthy subjects reported deep sleep ONLY after
REM sleep, and with increasing frequency pursuant
to increased numbers of cycles.

The information above would lead me to conclude that
neurotic patients, who often experience insomnia or
troubled sleep, are quicker to report deep sleep
following both slow-wave sleep and REM sleep. In
a sense, they are satisfied more easily at having
slept that deeply. Also note that 5 of the 9 neurotic
subjects who reported deep sleep after one cycle of
slow-wave sleep, also reported having dreams, without
having reached REM sleep!

Healthy subjects, in contrast, report deep sleep less
frequently, and with increasing frequency following
increasing numbers of cycles. In other words, they're
used to a higher quality of sleep, and are increasingly
satisfied as they experience the REM dream state in the
later cycles of sleep (9 of them reported deep sleep
ONLY after the 4th cycle of REM sleep, and none of them
reported deep sleep following any stage, other than REM,
in earlier cycles, with the exception being after 
slow-wave sleep in the very first cycle).

I hope that helps. Please feel free to post another
Request for Clarification if I can assist you furhter.

Clarification of Answer by sublime1-ga on 01 Dec 2002 14:59 PST
arosca...

Dr. Rotenberg's study is based on reports of the
subjects, who are defining "better sleep" as the 
experience of having slept deeply, versus having
slept shallowly, or experiencing not having slept
(sleep denial, he calls it). Table 1 shows the 
results of the reports of the study.

If you look under reports of "deep sleep", you can
see that his patients (those diagnosed with a 
neurotic syndrome) uniformly reported deep sleep
more frequently after being awoken from REM sleep,
no matter how many cycles of sleep they had 
experienced, though they also reported deep sleep
more frequently in the first and second cycle,
when awakened from stage 3 or 4 "slow-wave sleep".

You can also see that 'healthy' subjects (Ss)
reported "deep sleep" more frequently, following
being awakened from REM sleep, with the exception
that, after only one cycle, they reported deep
sleep more frequently after being awakened from
stages 3-4 "slow-wave sleep". In subsequent cycles,
the healthy subjects reported deep sleep ONLY after
REM sleep, and with increasing frequency pursuant
to increased numbers of cycles.

The information above would lead me to conclude that
neurotic patients, who often experience insomnia or
troubled sleep, are quicker to report deep sleep
following fewer cycles of both slow-wave sleep and
REM sleep. In a sense, they are satisfied more easily
with having slept that deeply. Also note that 5 of the 9
neurotic subjects who reported deep sleep after one
cycle of slow-wave sleep, also reported having dreams,
without having reached REM sleep!

Healthy subjects, in contrast, report deep sleep less
frequently, and with increasing frequency following
increasing numbers of cycles. In other words, they're
used to a higher quality of sleep, and are increasingly
satisfied as they experience the REM dream state in the
later cycles of sleep (9 of them reported deep sleep
ONLY after the 4th cycle of REM sleep, and none of them
reported deep sleep following any stage, other than REM,
in earlier cycles, with the exception being after 
slow-wave sleep in the very first cycle).

The fact that both groups reported deep sleep, to some
extent, following slow-wave sleep in the first cycle, 
suggests, to me, that there is a mechanism which
allows us to feel rested if our sleep is prematurely 
interrupted, as long as we've made it to the 3-4
stage of the cycle, and experience some slow-wave
sleep. This may be the mechanism which makes
the 'power nap' effective!

I hope that helps. Please feel free to post another
Request for Clarification if I can assist you further.

Clarification of Answer by sublime1-ga on 01 Dec 2002 15:01 PST
Sorry, I meant to re-state the link to the study:
http://rjews.net/v_rotenberg/quality.html
arosca-ga rated this answer:5 out of 5 stars and gave an additional tip of: $15.00
great researcher, obviously put a lot of effort into answering my
question. Thank you very much!

Comments  
Subject: Re: Relationship between quality of sleep and sleep stages
From: sublime1-ga on 01 Dec 2002 15:47 PST
 
arosca...
Thank you so much for the great review and the gracious tip!
sublime1-ga

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