Independent and Joint Associations of Physical Activity and Sleep on Mental Health Among a Global Sample of 200,743 Adults.

BACKGROUND: Previous research has demonstrated that both sleep and physical activity (PA) are independently associated with various indicators of mental health among adults. However, their joint contribution to mental health has received limited attention. The present study used cross-sectional data from the Mental Health Million Project to examine the independent and joint effects of sleep and PA on mental health among a global sample of adults, and whether these effects differ among individuals receiving mental health treatment. METHOD: The sample included 200,743 participants (33.1% young adults, 45.6% middle-aged adults, 21.3% older adults; 57.6% females, 0.9% other) from 213 countries, territories, and archipelagos worldwide that completed a comprehensive 47-item assessment of mental health including both problems (i.e., ill-being) and assets (i.e., well-being): the Mental Health Quotient. Participants also reported their weekly frequency of PA and adequate sleep, and mental health treatment status. A series of generalized linear mixed models were computed. RESULTS: Independent dose-response associations were observed, whereby greater amounts of PA and adequate sleep were each associated with better mental health. In addition, a synergistic interaction was observed in which the positive correlation of PA with mental health was strengthened with greater frequency of adequate sleep. These benefits were less pronounced among adults receiving mental health treatment. CONCLUSION: While findings suggest sleep can help to offset the negative influence of a physically inactive lifestyle (and vice versa), our results point to a "more is better" approach for both behaviors when it comes to promoting mental health.

Overnight exposure to pink noise could jeopardize sleep-dependent insight and pattern detection.

Accumulated evidence from the past decades suggests that sleep plays a crucial role in memory consolidation and the facilitation of higher-level cognitive processes such as abstraction and gist extraction. In addition, recent studies show that applying pink noise during sleep can further enhance sleep-dependent memory consolidation, potentially by modulating sleep physiology through stochastic resonance. However, whether this enhancement extends to higher cognitive processes remains untested. In this study, we investigated how the application of open-loop pink noise during sleep influences the gain of insight into hidden patterns. Seventy-two participants were assigned to three groups: daytime-wake, silent sleep, and sleep with pink noise. Each group completed the number reduction task, an established insight paradigm known to be influenced by sleep, over two sessions with a 12-h interval. Sleep groups were monitored by the DREEM 3 headband in home settings. Contrary to our prediction, pink noise did not induce an increase in insight compared to silent sleep and was statistically more similar to the wake condition despite evidence for its typical influence on sleep physiology. Particularly, we found that pink noise limited the time spent in the initial cycle of N1 just after sleep onset, while time spent in N1 positively predicted insight. These results echo recent suggestions that the time in the initial cycle of N1 plays a critical role in insight formation. Overall, our results suggest that open-loop pink noise during sleep may be detrimental to insight formation and creativity due to the alterations it causes to normal sleep architecture.

Re-evaluating two popular EEG-based mobile sleep-monitoring devices for home use.

Mobile sleep-monitoring devices for consumer use have been gaining traction as a possible replacement to traditional polysomnography recordings. Such devices potentially offer detailed sleep analysis without requiring the use of designated sleep labs operated by qualified technicians. However, the accuracy of these mobile devices is often not sufficiently evaluated by independent researchers. Here, we compared the performance of two popular mobile electroencephalogram-based systems, the DREEM 3 headband and the Zmachine Insight+. Both devices can be used by participants with minimal training, and provide detailed sleep scoring previously validated by the respective developers in comparison to the gold-standard of polysomnography. A total of 25 participants used both devices simultaneously to record their sleep for two consecutive nights while also keeping a sleep log. We compared the devices' performance, both with each other and in relation to the sleep logs, using several well-known sleep metrics. In addition, we developed a Bayesian lower limit for the devices' expected epoch-by-epoch sleep stage agreement based on their previously published agreement with polysomnography, and compared it with our empirical findings. Results suggest that the Zmachine tends to overestimate periods of wakefulness, likely at the expense of N1/N2 detection, whereas the DREEM tends to underestimate wakefulness and mistake it for N1/N2, with both results more pronounced than previously reported. In addition, we found that the agreement between the devices tends to increase from night 1 to night 2. We formulate several recommendations for how best to use these devices based on our results.

Sleep Facilitates Extraction of Temporal Regularities With Varying Timescales.

Evidence suggests that memory consolidation is facilitated by sleep, both through the strengthening of existing memories and by extracting regularities embedded in those memories. We previously observed that one sleep stage, Slow-Wave sleep (SWS), is particularly involved in the extraction of temporal regularities. We suggested that this attribute can naturally stem from the time-compressed memory replay known to occur in the hippocampus during SWS. A prediction coming out of this "temporal scaffolding" hypothesis is that sleep would be especially influential on extraction of temporal regularities when the time gap between the events constituting the regularities is shortish. In this study, we tested this prediction. Eighty-three participants performed a cognitive task in which hidden temporal regularities of varying time gaps were embedded. Detecting these regularities could significantly improve performance. Participants performed the task in two sessions with an interval filled with either wake or sleep in between. We found that sleep improved performance across all time gaps and that the longer the gap had been, the smaller was the improvement across both sleep and wake. No interaction between sleep and gap size was observed; however, unlike sleeping participants, awake participants did not exhibit any further performance improvement for the long gaps following the interval. In addition, across all participants, performance for the long gaps was associated with the development of conscious awareness to the regularities. We discuss these results in light of the temporal scaffolding hypothesis and suggest future directions to further elucidate the mechanisms involved.

Sleep to remember, sleep to forget: Rapid eye movement sleep can have inverse effects on recall and generalization of fear memories.

Rapid Eye Movement (REM) sleep has been shown to modulate the consolidation of fear memories, a process that may contribute to the development of Post-Traumatic Stress Disorder (PTSD). However, contradictory findings have been reported regarding the direction of this modulation and its differential effects on recall versus generalization. In two complementary experiments, we addressed this by employing sleep deprivation protocols together with a novel fear-conditioning paradigm that required the discrimination between coexisting threat and safety signals. Using skin conductance responses and functional imaging (fMRI), we found two opposing effects of REM sleep: While REM impaired recall of the original threat memories, it improved the ability to generalize these memories to novel situations that emphasized the discrimination between threat and safety signals. These results, as well as previous findings in healthy participants and patients diagnosed with PTSD, could be explained by the degree to which the balance between threat and safety signals for a given stimulus was predictive of threat. We suggest that this account can be integrated with contemporary theories of sleep and fear learning, such as the REM recalibration hypothesis.

Sleep and the extraction of hidden regularities: A systematic review and the importance of temporal rules.

As part of its role in memory consolidation, sleep has been repeatedly identified as critical for the extraction of regularities from wake experiences. However, many null results have been published as well, with no clear consensus emerging regarding the conditions that yield this sleep effect. Here, we systematically review the role of sleep in the extraction of hidden regularities, specifically those involving associative relations embedded in newly learned information. We found that the specific behavioral task used in a study had far more impact on whether a sleep effect was discovered than either the category of the cognitive processes targeted, or the particular experimental design employed. One emerging pattern, however, was that the explicit detection of hidden rules is more likely to happen when the rules are of a temporal nature (i.e., event A at time t predicts a later event B) than when they are non-temporal. We discuss this temporal rule sensitivity in reference to the compressed memory replay occurring in the hippocampus during slow-wave-sleep, and compare this effect to what happens when the extraction of regularities depends on prior knowledge and relies on structures other than the hippocampus.

Transcranial Current Stimulation During Sleep Facilitates Insight into Temporal Rules, but does not Consolidate Memories of Individual Sequential Experiences.

Slow-wave sleep (SWS) is known to contribute to memory consolidation, likely through the reactivation of previously encoded waking experiences. Contemporary studies demonstrate that when auditory or olfactory stimulation is administered during memory encoding and then reapplied during SWS, memory consolidation can be enhanced, an effect that is believed to rely on targeted memory reactivation (TMR) induced by the sensory stimulation. Here, we show that transcranial current stimulations (tCS) during sleep can also be used to induce TMR, resulting in the facilitation of high-level cognitive processes. Participants were exposed to repeating sequences in a realistic 3D immersive environment while being stimulated with particular tCS patterns. A subset of these tCS patterns was then reapplied during sleep stages N2 and SWS coupled to slow oscillations in a closed-loop manner. We found that in contrast to our initial hypothesis, performance for the sequences corresponding to the reapplied tCS patterns was no better than for other sequences that received stimulations only during wake or not at all. In contrast, we found that the more stimulations participants received overnight, the more likely they were to detect temporal regularities governing the learned sequences the following morning, with tCS-induced beta power modulations during sleep mediating this effect.

One-Shot Tagging During Wake and Cueing During Sleep With Spatiotemporal Patterns of Transcranial Electrical Stimulation Can Boost Long-Term Metamemory of Individual Episodes in Humans.

Targeted memory reactivation (TMR) during slow-wave oscillations (SWOs) in sleep has been demonstrated with sensory cues to achieve about 5-12% improvement in post-nap memory performance on simple laboratory tasks. But prior work has not yet addressed the one-shot aspect of episodic memory acquisition, or dealt with the presence of interference from ambient environmental cues in real-world settings. Further, TMR with sensory cues may not be scalable to the multitude of experiences over one's lifetime. We designed a novel non-invasive non-sensory paradigm that tags one-shot experiences of minute-long naturalistic episodes in immersive virtual reality (VR) with unique spatiotemporal amplitude-modulated patterns (STAMPs) of transcranial electrical stimulation (tES). In particular, we demonstrated that these STAMPs can be re-applied as brief pulses during SWOs in sleep to achieve about 10-20% improvement in the metamemory of targeted episodes compared to the control episodes at 48 hours after initial viewing. We found that STAMPs can not only facilitate but also impair metamemory for the targeted episodes based on an interaction between pre-sleep metamemory and the number of STAMP applications during sleep. Overnight metamemory improvements were mediated by spectral power increases following the offset of STAMPs in the slow-spindle band (8-12 Hz) for left temporal areas in the scalp electroencephalography (EEG) during sleep. These results prescribe an optimal strategy to leverage STAMPs for boosting metamemory and suggest that real-world episodic memories can be modulated in a targeted manner even with coarser, non-invasive spatiotemporal stimulation.

Individual Differences in Slow-Wave-Sleep Predict Acquisition of Full Cognitive Maps.

Accumulating evidence suggests that sleep, and particularly Slow-Wave-Sleep (SWS), helps the implicit and explicit extraction of regularities within memories that were encoded in a previous wake period. Sleep following training on virtual navigation was also shown to improve performance in subsequent navigation tests. Some studies propose that this sleep-effect on navigation is based on explicit recognition of landmarks; however, it is possible that SWS-dependent extraction of implicit spatiotemporal regularities contributes as well. To examine this possibility, we administered a novel virtual navigation task in which participants were required to walk through a winding corridor and then choose one of five marked doors to exit. Unknown to participants, the markings on the correct door reflected the corridor's shape (from a bird's eye view). Detecting this regularity negates the need to find the exit by trial and error. Participants performed the task twice a day for a week, while their overnight sleep was monitored. We found that the more time participants spent in SWS across the week, the better they were able to implicitly extract the hidden regularity. In contrast, the few participants that explicitly realized the regularity did not rely on SWS to do so. Moreover, the SWS effect was strictly at the trait-level: Baseline levels of SWS prior to the experimental week could predict success just as well, but day-to-day variations in SWS did not predict day-to-day improvements. We propose that our findings indicate SWS facilitates implicit integration of new information into cognitive maps, possibly through compressed memory replay.

Age affects reinforcement learning through dopamine-based learning imbalance and high decision noise-not through Parkinsonian mechanisms.

Probabilistic reinforcement learning declines in healthy cognitive aging. While some findings suggest impairments are especially conspicuous in learning from rewards, resembling deficits in Parkinson's disease, others also show impairments in learning from punishments. To reconcile these findings, we tested 252 adults from 3 age groups on a probabilistic reinforcement learning task, analyzed trial-by-trial performance with a Q-reinforcement learning model, and correlated both fitted model parameters and behavior to polymorphisms in dopamine-related genes. Analyses revealed that learning from both positive and negative feedback declines with age but through different mechanisms: when learning from negative feedback, older adults were slower due to noisy decision-making; when learning from positive feedback, they tended to settle for a nonoptimal solution due to an imbalance in learning from positive and negative prediction errors. The imbalance was associated with polymorphisms in the DARPP-32 gene and appeared to arise from mechanisms different from those previously attributed to Parkinson's disease. Moreover, this imbalance predicted previous findings on aging using the Probabilistic Selection Task, which were misattributed to Parkinsonian mechanisms.

Baseline Levels of Rapid Eye Movement Sleep May Protect Against Excessive Activity in Fear-Related Neural Circuitry.

Sleep, and particularly rapid eye movement sleep (REM), has been implicated in the modulation of neural activity following fear conditioning and extinction in both human and animal studies. It has long been presumed that such effects play a role in the formation and persistence of posttraumatic stress disorder, of which sleep impairments are a core feature. However, to date, few studies have thoroughly examined the potential effects of sleep prior to conditioning on subsequent acquisition of fear learning in humans. Furthermore, these studies have been restricted to analyzing the effects of a single night of sleep-thus assuming a state-like relationship between the two. In the current study, we used long-term mobile sleep monitoring and functional neuroimaging (fMRI) to explore whether trait-like variations in sleep patterns, measured in advance in both male and female participants, predict subsequent patterns of neural activity during fear learning. Our results indicate that higher baseline levels of REM sleep predict reduced fear-related activity in, and connectivity between, the hippocampus, amygdala and ventromedial PFC during conditioning. Additionally, skin conductance responses (SCRs) were weakly correlated to the activity in the amygdala. Conversely, there was no direct correlation between REM sleep and SCRs, indicating that REM may only modulate fear acquisition indirectly. In a follow-up experiment, we show that these results are replicable, though to a lesser extent, when measuring sleep over a single night just before conditioning. As such, baseline sleep parameters may be able to serve as biomarkers for resilience, or lack thereof, to trauma.SIGNIFICANCE STATEMENT Numerous studies over the past two decades have established a clear role of sleep in fear-learning processes. However, previous work has focused on the effects of sleep following fear acquisition, thus neglecting the potential effects of baseline sleep levels on the acquisition itself. The current study provides the first evidence in humans of such an effect. Specifically, the results of this study suggest that baseline rapid eye movement (REM) sleep may serve a protective function against enhanced fear encoding through the modulation of connectivity between the hippocampus, amygdala, and the ventromedial PFC. Building on this finding, baseline REM measurements may serve as a noninvasive biomarker for resilience to trauma or, conversely, to the potential development of posttraumatic stress disorder following trauma.

The influence of sleep on emotional and cognitive processing is primarily trait- (but not state-) dependent.

Human studies of sleep and cognition have established thatdifferent sleep stages contribute to distinct aspects of cognitive and emotional processing. However, since the majority of these findings are based on single-night studies, it is difficult to determine whether such effects arise due to individual, between-subject differences in sleep patterns, or from within-subject variations in sleep over time. In the current study, weinvestigated the longitudinal relationship between sleep patterns and cognitive performance by monitoring both in parallel, daily, for a week. Using two cognitive tasks - one assessing emotional reactivity to facial expressions and the other evaluating learning abilities in a probabilistic categorization task - we found that between-subjectdifferences in the average time spent in particular sleep stages predicted performance in these tasks far more than within-subject daily variations. Specifically, the typical time individualsspent in Rapid-Eye Movement (REM) sleep and Slow-Wave Sleep (SWS) was correlated to their characteristic measures of emotional reactivity, whereas the typical time spent in SWS and non-REM stages 1 and 2 was correlated to their success in category learning. These effects were maintained even when sleep properties werebased onbaseline measures taken prior to the experimental week. In contrast, within-subject daily variations in sleep patterns only contributed to overnight difference in one particular measure of emotional reactivity. Thus, we conclude that the effects of natural sleep onemotional cognition and categorylearning are more trait-dependent than state-dependent, and suggest ways to reconcile these results with previous findings in the literature.

What can we learn from learning models about sensitivity to letter-order in visual word recognition?

Recent research on the effects of letter transposition in Indo-European Languages has shown that readers are surprisingly tolerant of these manipulations in a range of tasks. This evidence has motivated the development of new computational models of reading that regard flexibility in positional coding to be a core and universal principle of the reading process. Here we argue that such approach does not capture cross-linguistic differences in transposed-letter effects, nor do they explain them. To address this issue, we investigated how a simple domain-general connectionist architecture performs in tasks such as letter-transposition and letter substitution when it had learned to process words in the context of different linguistic environments. The results show that in spite of of the neurobiological noise involved in registering letter-position in all languages, flexibility and inflexibility in coding letter order is also shaped by the statistical orthographic properties of words in a language, such as the relative prevalence of anagrams. Our learning model also generated novel predictions for targeted empirical research, demonstrating a clear advantage of learning models for studying visual word recognition.

Integrating the automatic and the controlled: strategies in semantic priming in an attractor network with latching dynamics.

Semantic priming has long been recognized to reflect, along with automatic semantic mechanisms, the contribution of controlled strategies. However, previous theories of controlled priming were mostly qualitative, lacking common grounds with modern mathematical models of automatic priming based on neural networks. Recently, we introduced a novel attractor network model of automatic semantic priming with latching dynamics. Here, we extend this work to show how the same model can also account for important findings regarding controlled processes. Assuming the rate of semantic transitions in the network can be adapted using simple reinforcement learning, we show how basic findings attributed to controlled processes in priming can be achieved, including their dependency on stimulus onset asynchrony and relatedness proportion and their unique effect on associative, category-exemplar, mediated and backward prime-target relations. We discuss how our mechanism relates to the classic expectancy theory and how it can be further extended in future developments of the model.

Internally- and externally-driven network transitions as a basis for automatic and strategic processes in semantic priming: theory and experimental validation.

For the last four decades, semantic priming-the facilitation in recognition of a target word when it follows the presentation of a semantically related prime word-has been a central topic in research of human cognitive processing. Studies have drawn a complex picture of findings which demonstrated the sensitivity of this priming effect to a unique combination of variables, including, but not limited to, the type of relatedness between primes and targets, the prime-target Stimulus Onset Asynchrony (SOA), the relatedness proportion (RP) in the stimuli list and the specific task subjects are required to perform. Automatic processes depending on the activation patterns of semantic representations in memory and controlled strategies adapted by individuals when attempting to maximize their recognition performance have both been implicated in contributing to the results. Lately, we have published a new model of semantic priming that addresses the majority of these findings within one conceptual framework. In our model, semantic memory is depicted as an attractor neural network in which stochastic transitions from one stored pattern to another are continually taking place due to synaptic depression mechanisms. We have shown how such transitions, in combination with a reinforcement-learning rule that adjusts their pace, resemble the classic automatic and controlled processes involved in semantic priming and account for a great number of the findings in the literature. Here, we review the core findings of our model and present new simulations that show how similar principles of parameter-adjustments could account for additional data not addressed in our previous studies, such as the relation between expectancy and inhibition in priming, target frequency and target degradation effects. Finally, we describe two human experiments that validate several key predictions of the model.

Spreading activation in an attractor network with latching dynamics: automatic semantic priming revisited.

Localist models of spreading activation (SA) and models assuming distributed representations offer very different takes on semantic priming, a widely investigated paradigm in word recognition and semantic memory research. In this study, we implemented SA in an attractor neural network model with distributed representations and created a unified framework for the two approaches. Our models assume a synaptic depression mechanism leading to autonomous transitions between encoded memory patterns (latching dynamics), which account for the major characteristics of automatic semantic priming in humans. Using computer simulations, we demonstrated how findings that challenged attractor-based networks in the past, such as mediated and asymmetric priming, are a natural consequence of our present model's dynamics. Puzzling results regarding backward priming were also given a straightforward explanation. In addition, the current model addresses some of the differences between semantic and associative relatedness and explains how these differences interact with stimulus onset asynchrony in priming experiments.

Excessive attractor instability accounts for semantic priming in schizophrenia.

One of the most pervasive findings in studies of schizophrenics with thought disorders is their peculiar pattern of semantic priming, which presumably reflects abnormal associative processes in the semantic system of these patients. Semantic priming is manifested by faster and more accurate recognition of a word-target when preceded by a semantically related prime, relative to an unrelated prime condition. Compared to control, semantic priming in schizophrenics is characterized by reduced priming effects at long prime-target Stimulus Onset Asynchrony (SOA) and, sometimes, augmented priming at short SOA. In addition, unlike controls, schizophrenics consistently show indirect (mediated) priming (such as from the prime 'wedding' to the target 'finger', mediated by 'ring'). In a previous study, we developed a novel attractor neural network model with synaptic adaptation mechanisms that could account for semantic priming patterns in healthy individuals. Here, we examine the consequences of introducing attractor instability to this network, which is hypothesized to arise from dysfunctional synaptic transmission known to occur in schizophrenia. In two simulated experiments, we demonstrate how such instability speeds up the network's dynamics and, consequently, produces the full spectrum of priming effects previously reported in patients. The model also explains the inconsistency of augmented priming results at short SOAs using directly related pairs relative to the consistency of indirect priming. Further, we discuss how the same mechanism could account for other symptoms of the disease, such as derailment ('loose associations') or the commonly seen difficulty of patients in utilizing context. Finally, we show how the model can statistically implement the overly-broad wave of spreading activation previously presumed to characterize thought-disorders in schizophrenia.