Falling Asleep: A Sudden Shift, Not a Gradual Process.

We never just drift off; we abruptly enter slumber.

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The brain doesn’t transition into sleep gradually. Instead, we hit a critical moment where we swiftly shift from being awake to asleep within just minutes. This finding could enhance the understanding and treatment of sleep-related issues like insomnia.

“Sleep is crucial to our existence, yet the mechanisms behind how our brain falls asleep have remained elusive,” states Nil Grossman from Imperial College London. It’s commonly thought that this change occurs gradually, with the brain smoothly moving from wakefulness to sleep; however, evidence for this phenomenon is sparse.

Grossman and his team have created a novel method to investigate how the brain functions during sleep by utilizing electroencephalography (EEG) data. This technique captures the brain’s electrical activity and provides insights into various sleep stages and wakefulness. The researchers analyzed 47 EEG signals using an abstract mathematical framework, treating each data point as if it were plotted on a map. This enabled them to visualize brain activity in its transition towards the designated sleep onset zone, correlating with the second phase of non-rapid eye movement (NREM) sleep.

“Now we can accurately monitor brain activity and determine how close individuals are to falling asleep each second, with a level of precision never achieved before,” explains Grossman.

The method was applied to EEG data acquired during the sleep onset phase of over 1,000 participants, measuring the proximity of brain activity to sleep onset. Generally, this proximity remained stable until about 10 minutes prior to sleep, markedly decreasing in the final moments. Researchers determined that this critical transition occurs roughly 4.5 minutes before sleep, marking the distinct switch from wakefulness to slumber, as noted by Li Junheng, also from Imperial College London. “[This is] the point of no return,” he states.

These findings indicate that the shift from wakefulness to sleep is “not a slow progression, but rather a sudden, dramatic transformation occurring in the last few minutes,” asserts Grossman. Thus, when we “fall asleep,” it closely reflects the underlying activity in our brains. “This showcases nearly the feeling of entering a different state,” he adds.

The research team subsequently gathered brainwave information from another group of 36 individuals, tracking each participant’s sleep patterns over a week. They utilized some of those nights to accurately predict when participants would fall asleep, within a minute of the actual moment.

“This indicates that while individuals differ significantly, each person seems to follow a unique sleep trajectory that recurs night after night,” remarks Laura Lewis from the Massachusetts Institute of Technology. However, she notes that it remains uncertain if these patterns alter when external conditions vary, like sleeping in a new environment.

While this framework does not explicitly identify the brain mechanisms responsible for the sleep transition, Lewis believes it could pave the way for future discoveries. “Identifying the precise moment of falling asleep has been quite challenging,” she states. “Once that is established, we can delve into the brain regions and circuits that facilitate sustained sleep.” Understanding the nuances of this transition could also aid in recognizing variations among individuals with insomnia, leading to innovative treatments.

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Source: www.newscientist.com

Tips from Sleep Scientists for Falling Asleep More Easily

A restless mind is a prevalent obstacle to achieving sleep

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It might be due to age and warmer temperatures, but sleep is becoming increasingly elusive in my household. Between my husband’s insomnia, my child’s energy, and my own racing thoughts, our nights are filled with as much activity as our days. My social media feed has begun presenting videos featuring a technique known as “cognitive shuffle” for inducing sleep, prompting me to explore whether it actually works or if there are other mental tricks that could prove beneficial.

One major hindrance to restful sleep is a restless mind, the very challenge that cognitive shuffle aims to alleviate. Luc Beaudoin from Simon Fraser University in British Columbia, Canada, has devised methods to help you divert your attention from spiraling thoughts and worries before drifting off.

How to Practice Cognitive Shuffling

The concept is straightforward. Pick a random word, such as “plonk,” and think of all the words you can generate from each letter. Examples include Primsol, Puma, Awards…lion, lemon, levitation, and more. As each word surfaces, spend some time visualizing it. This process creates a transitional phase between wakefulness and slumber, mirroring the spontaneous imagery seen in a “hypnotic state.”

Individuals who are good sleepers often report experiencing vivid images just before sleep, while poor sleepers tend to find themselves planning and problem-solving, as noted by Sophie Bostock, a doctor and sleep consultant. “It’s not that we need to empty our minds (which can actually be counterproductive), but rather we should steer our thoughts away from overly logical thinking,” she explains.

Cognitive shuffling seems to foster more fluid thinking. In a small study involving 154 students, those who reported struggling with “pre-sleep wakefulness” benefited from this technique, which shortened their time to sleep.

However, there lacks a gold-standard study on cognitive shuffling. Beaudoin himself conceded that there is no direct comparison between various cognitive techniques utilized at bedtime within the scientific literature.

Consequently, I turned to some of the world’s leading sleep scientists to inquire about their recommendations for anyone hoping to calm their minds at night.

Strategies for Insomnia Relief

Kevin Morgan from the Clinical Sleep Research Unit at Loughborough University in the UK directed me towards Cognitive Behavioral Therapy for Insomnia (CBTI). “CBTI is internationally recognized as the first evidence-based treatment for insomnia disorders,” he asserts.

This therapy focuses on training individuals to manage intrusive thoughts, which can otherwise lead to cognitive arousal (mental alertness), elevate hormones like adrenaline, and disrupt the normal sleep process. CBTI also tackles other facets of insomnia by assisting individuals in overcoming anxieties about sleeplessness and teaches meditation techniques.

While effective, acquiring CBTI techniques typically takes about 6–8 weeks, leading to a high dropout rate.

Nonetheless, various elements of CBTI may be beneficial on their own. A 2021 randomized controlled trial indicated that meditation apps may alleviate depression and anxiety in individuals with sleep disorders, potentially contributing to better pre-sleep relaxation.

Morgan mentions that the component of CBTI that appears to yield the greatest benefits is sleep restriction therapy. This counterintuitive method “has proven to be extremely effective” by reinforcing the idea of spending limited time in bed without sleeping.

This echoes the advice I received from Colin S.P., a professor of sleep medicine at Oxford University. He emphasized that “you cannot force sleep. It doesn’t exist in a tangible sense,” he notes. “You can only encourage sleep. It’s an involuntary process that occurs naturally, not something you can will into being. So rather than trying to sleep when you feel ‘slept and tired,’ focus on creating a conducive environment.”

Designing a Sleep Sanctuary

Another straightforward suggestion from several experts is to cultivate a sleep sanctuary in your bedroom. “Sleep-friendly environments are crucial,” advises Joseph Zielzevsky, Senior Vice President of Research and Science Affairs at the National Sleep Foundation. Others concur. “The top recommendation is to create a bedroom that promotes sleep—dark, cool, quiet, and uncluttered,” states Emerson Wickwire, Head of Sleep Medicine at the University of Maryland School of Medicine in Baltimore.

Many experts also highlighted the importance of avoiding screens before bedtime. The blue light emitted can inhibit melatonin production, disrupt circadian rhythms, complicate the process of falling asleep, and prompt unnecessary thoughts. However, Dzierzewski points out that many people engage with emotionally stimulating content, such as news and social media, right before bed. “Regrettably, over half of Americans admit to using screens within an hour of bedtime,” she mentions.

What I might implement with my children is a gratitude practice, as suggested by Bostock, backed by research indicating its efficacy in alleviating pre-sleep anxiety. “It’s remarkably difficult to feel grateful and stressed simultaneously,” she notes.

Perhaps the most significant advice I received wasn’t a trick or hint to quiet our racing thoughts at night but rather a prompt to genuinely prioritize sleep. Numerous specialists, including Aparajitha Verma, a sleep medicine neurologist in Houston, Texas, emphasized the necessity of treating sleep as a priority. Morgan reiterates that anyone dealing with insomnia should “seek expert help and engage in recommended treatment strategies as soon as possible.”

Chronic sleep deprivation is linked to increased risks of dementia, type 2 diabetes, obesity, heart disease, and even cancer. This reality alone is enough to keep anyone awake at night. Additionally, thoughts of “organizing” my child’s room linger in my mind. Yet, I am resolved to place it at the top of my to-do list as an immediate concern—hopefully, that will serve as a positive first step towards achieving a restful night for all.

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Source: www.newscientist.com