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SLEEP





                                                                        BEAT INSOMNIA



                                                                       Top tips to get a good night’s sleep

                                                                        Establish a routine Adopting good        Eat and drink right Caffeine is a
                                                                        sleeping habits can help you overcome    stimulant that will disrupt your sleep,
                                                                        insomnia and sleeping difficulties. Go to   so avoid drinking tea and coffee for at
                                                                        bed and wake up at around the same time   least four hours before going to bed.
                                                                        every day, and don’t try to force yourself   Eating spicy food in the evening can
                                                                        to drop off if you aren’t feeling sleepy.  disturb sleep too, although some people
                                                                                                                 find that a small snack before bedtime
                                                                        Relax before bed Take a hot bath an      helps them drift off.
                                                                        hour or two before going to bed – this will
                                                                        relax you and promote both sleep onset   Keep sleep separate Your sleeping
                                                                        and prolong the duration of deep sleep,   environment is also important – wear
                                                                        because of the effects on body           earplugs and use heavy curtains. And
                                                                        temperature. Also, avoid exposure to     your bed is for sleeping, so don’t use it
                                                                        bright light in the evening, as this can   for other activities such as watching
                                                                        unsettle circadian rhythms.              TV, working or surfing the web.




                                                                        has led some researchers to argue that insomnia
                                                                        can actually cause mental illness.
                                                                          In one study, Prof Matt Walker of the University
                                                                        of California, Berkeley, scanned the brains of
                                                                        mentally healthy participants while they
                                                                        viewed a series of emotion-laden and neutral
               So while the causes of insomnia remain                   photos. Compared to those who were not sleep
             unclear, the condition can be treated and                  deprived, people who had stayed awake for 36
             although CBT is effective, access to the treatment         hours beforehand showed greater brain activity
             could be improved if it was made available                 in the amygdala, a small brain structure that
             on home computers. This approach to CBT                    processes emotion. The sleep-deprived group
             treatments has been shown to effectively treat             also exhibited reduced connectivity between
             depression, but getting patients to start and              neurones in the amygdala and the medial
             then stick to the treatments can be difficult.             prefrontal cortex (MPFC), which curtails the

               The ENACT project looked at improving how                emotional response from the amygdala to
             patients interact with such treatments by seeing           produce an appropriate reasoned reaction.
             how people use social media websites. “The                   Prof Walker and his colleagues concluded that
             way people engage with Facebook mirrors the                sleep may ‘reset’ the MPFC-amygdala circuit
             way we want them to engage with computerised               to prepare for the following day’s emotional
             CBT treatment,” says Dr Shaun Lawson, a                    challenges. They suggest the findings could
             computer scientist and principle investigator              mean that there’s a causal link – sleep disruption
             on the ENACT project.                                      could cause mood disorder.
               Dr Lawson adds that people are more willing                But this conclusion is highly speculative, and
             to disclose personal information on social-                many aren’t convinced. “There’s no evidence
             networking sites than in real life, and that online        whatsoever that insomnia causes mental illness,”
             games use rewards and incentives to ensure that
                                                                        says Prof Jim Horne, director of the Sleep
         SHUTTERSTOCK, SCIENCE PHOTO LIBRARY  treatments into websites like Facebook might   “It may be true that insomnia and some mental     by MOHEB
                                                                        Research Centre at Loughborough University.
             players return to play regularly: “Embedding
             reduce the barrier of maintaining adherence
                                                                        illnesses have common factors. Sleep is affected
                                                                        in people who are depressed. So sleeping tablets
             to computerised CBT.”
                                                                        may help, but they won’t get to the underlying
                                                                                                                                   COSTANDI
                                                                        cause and cure the problem.”
             DEEPER PROBLEMS
                                                                                                                                   (@mocost)
             Insomnia often coincides with depression, but
                                                                          Insomnia, it seems, remains something
                                                                                                                                   Moheb is a neuroscientist
                                                                        of a mystery.
             the link is poorly understood and recent work
                                                                                                                                   and science writer.

                                                                                                                     BBC SCIENCE FOCUS MAGAZINE COLLECTION  83
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