Is the role of sleep in memory consolidation overrated?

Effects of wakeful rest on memory consolidation: A systematic review and meta-analysis

Individuals spend roughly two-thirds of their day awake, with about half of that time in an offline state. This period may appear unproductive, potentially leading to perceived inefficiency. However, this period appears to be an essential component of our daily lives. Studies have increasingly found that quiet and wakeful rest after learning facilitates the consolidation of newly acquired memories, and enhances memory performance. Few studies quantitatively assessed the overall effect size of wakeful rest on memory consolidation, or examined the potential moderating factors. Therefore, we conducted this meta-analysis, compiled from 37 studies, including a total of 63 experiments that contributed 82 comparisons to this meta-analysis. We used a multilevel random-effects model to reveal a significant effect of wakeful rest on memory consolidation (Hedges's g = 0.448, 95% CI [0.339, 0.557], Z = 8.044, p < .001), and this effect persists even after 7 days (Hedges's g = 0.270, 95% CI [0.024, 0.516], Z = 2.153, p = .031). The effect of wakeful rest was influenced by age, with older adults deriving greater benefits compared with younger adults. Across different outcome measurements, the effect was better reflected by recall than by recognition. Additionally, the duration of wakeful rest, whether the eyes are open or closed, the luminance level, and the body posture do not seem to influence the wakeful rest effect. This meta-analysis offers a deep understanding of the effects of wakeful rest on memory consolidation and provides guidance for the experimental designs of future research in this area.

Sleep and cognitive outcomes in multiple sclerosis; a systematic review

BACKGROUND

Multiple sclerosis (MS) is a disabling disease of the central nervous system. People living with MS often have co-existing sleep disorders and cognitive dysfunction. The objective of this study was to scrutinize the relationship between cognitive outcomes and sleep conditions in MS.

METHODS

This study followed the Joanna Briggs Institute's (JBI) and PRISMA guidelines. PubMed, Scopus, Embase, and Web of Science databases were searched and original studies delineating the relationship between sleep status and cognitive findings in MS patients‌ were included. The risk of bias was assessed using the JBI critical appraisal tools.

RESULTS

In the final review, out of 1635 screened records, 35 studies with 5321 participants were included. Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and polysomnography were the most common assessment tools for evaluation of sleep condition, and cognitive evaluations were conducted using the tests including Paced Auditory Serial Addition Test (PASAT), California Verbal Learning Test (CVLT), Symbol Digit Modalities Test (SDMT) and Brief Visuospatial Memory Test (BVMT). Assessing the quality of studies showed no significant bias in most of the included articles. A link between sleep condition and cognitive abilities was suggested in the literature, especially with objective measurement of sleep condition; however, current evidence did not support a substantial association between self-reported sleep quality and processing speed and working memory in patients with MS.

DISCUSSION

Evidence proposes sleep is an independent factor associated with cognitive outcomes in MS. Given the limitations of the evidence such as the lack of well-designed prospective studies, these findings need to be interpreted with caution.

A registered report testing the effect of sleep on Deese-Roediger-McDermott false memory: greater lure and veridical recall but fewer intrusions after sleep

Human memory is known to be supported by sleep. However, less is known about the effect of sleep on false memory, where people incorrectly remember events that never occurred. In the laboratory, false memories are often induced via the Deese-Roediger-McDermott (DRM) paradigm where participants are presented with wordlists comprising semantically related words such as nurse, hospital and sick (studied words). Subsequently, participants are likely to falsely remember that a related lure word such as doctor was presented. Multiple studies have examined whether these false memories are influenced by sleep, with contradictory results. A recent meta-analysis suggests that sleep may increase DRM false memory when short lists are used. We tested this in a registered report (N = 488) with a 2 (Interval: Immediate versus 12 h delay) × 2 (Test Time: 9:00 versus 21:00) between-participant DRM experiment, using short DRM lists (N = 8 words/list) and free recall as the memory test. We found an unexpected time-of-day effect such that completing free recall in the evening led to more intrusions (neither studied nor lure words). Above and beyond this time-of-day effect, the Sleep participants produced fewer intrusions than their Wake counterparts. When this was statistically controlled for, the Sleep participants falsely produced more critical lures. They also correctly recalled more studied words (regardless of intrusions). Exploratory analysis showed that these findings cannot be attributed to differences in output bias, as indexed by the number of total responses. Our overall results cannot be fully captured by existing sleep-specific theories of false memory, but help to define the role of sleep in two more general theories (Fuzzy-Trace and Activation/Monitoring theories) and suggest that sleep may benefit gist abstraction/spreading activation on one hand and memory suppression/source monitoring on the other.

Vasopressin as a Possible Link between Sleep-Disturbances and Memory Problems

Normal biological rhythms, including sleep, are very important for a healthy life and their disturbance may induce-among other issues-memory impairment, which is a key problem of many psychiatric pathologies. The major brain center of circadian regulation is the suprachiasmatic nucleus, and vasopressin (AVP), which is one of its main neurotransmitters, also plays a key role in memory formation. In this review paper, we aimed to summarize our knowledge on the vasopressinergic connection between sleep and memory with the help of the AVP-deficient Brattleboro rat strain. These animals have EEG disturbances with reduced sleep and impaired memory-boosting theta oscillation and show memory impairment in parallel. Based upon human and animal data measuring AVP levels, haplotypes, and the administration of AVP or its agonist or antagonist via different routes (subcutaneous, intraperitoneal, intracerebroventricular, or intranasal), V1a receptors (especially of hippocampal origin) were implicated in the sleep-memory interaction. All in all, the presented data confirm the possible connective role of AVP between biological rhythms and memory formation, thus, supporting the importance of AVP in several psychopathological conditions.