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    Abstract : Little is known about exactly why and how brain waveforms and their associated

    amplitudes change and reflect sleep homeostasis. Sleep is a topic that applies to everyone and

    knowing how sleep varies between healthy individuals and individuals with psychiatric disorders

    may be useful in discovering possible treatments. Slow-wave activity, a measure of sleep

    homeostasis that increases after waking and decreases after sleep, has been hypothesized to vary

    between individuals with major depression and healthy controls. Specifically, a greater overnight

    decrease in N1 amplitude in controls versus depressed individuals may reflect an abnormal

    homeostatic sleep regulation. Brain wave activity in eleven subjects with major depression and

    eleven gender and age-matched controls were measured before and after sleep using high-density

    electroencephalography (hdEEG), auditory evoked potentials (AEPs), and spontaneous waking

    data. T -tests were done to look for statistical significance (significance was set at p

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    Introduction : Six main stages occur during sleep: wakefulness, REM, or rapid eye movement

    sleep, stage 1, stage 2, stage 3, and stage 4 (Steiger and Kimura, 2010). The last four stages

    combined represent NREM, or non-rapid eye movement sleep (Aldrich, 1999). In healthy

    subjects, the REM and NREM sleep stages alternate in a cyclic manner throughout an extended

    sleep period (Figure 1). While in REM sleep, an electroencephalogram (EEG), or the measure of

    the brains electrical activity, is faster, and rapid eye and skeletal muscle movements occur

    frequently. During stage 1, a transition from drowsiness to light sleep occurs, and eye and muscle

    activity slows. The following stages reflect a deeper, more subconscious sleep. In stage 2, eye

    movements stop and brain waves become slower. In addition, spindles and K-complexes,different types of waveforms, occur during stage 2, whereas stages 3 and 4 are characterized by

    slow waves. These last two stages combined are also referred to as the N3 stage (Steiger and

    Kimura, 2010). Slow-wave sleep, or SWS, is the specific stage that is occurring during N3.

    Slow-wave activity, or SWA, is a measure of EEG power across time, which is derived from the

    amplitude of the waveforms. It analyzes the specific amplitude patterns that occur during SWS.

    SWS is characterized by waveforms of higher amplitudes when compared to the waveforms of

    proceeding stages (Figure 2). Steiger and Kimura (2010) stated that the first REM period occurs

    a mean of 90 minutes after the first NREM period, and it is between these two stages that the

    most SWA occurs. Length of the REM periods also increases throughout the night, meaning that

    the most SWS occurs in the first few cycles of sleep. Variations in these SWS waveforms are

    thought to reflect an abnormal homeostatic process in depressed subjects (Tononi and Cirelli,

    2006).

    With the synaptic homeostasis hypothesis, Tononi and Cirelli (2006) postulated that sleep

    plays a critical role in regulating synaptic weight in the brain; this is tightly linked to sleep

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    homeostasis. This hypothesis emphasizes that wakefulness involves synaptic potentiation, which

    is homeostatically regulated via synaptic downscaling during SWS, and that SWA is

    representative of such synaptic downscaling, which indirectly benefits brain function and

    learning. Tononi and Cirelli (2006) also hypothesized that plastic processes during wakefulness

    result in a net increase in synaptic weight or synaptic strength. Synaptic weight occurs between

    two neurons and increases when a large signal from input neurons causes a large signal output,

    meaning that the brain is more active. As the period of wakefulness increases, an increase in

    energy costs, space costs, and saturation in the brain occurs due to continuous active learning.

    Tononi and Cirelli (2006) express that the purpose of sleep is to downscale this synaptic strengthto a baseline that is energetically sustainable, preserves gray matter for waking tasks, and

    prepares for alertness and efficient learning and memory. Therefore, sleep is necessary for

    plasticity, or the ability of the brain to take in information and react efficiently based on

    environmental changes during wakefulness. Slow waves increase as sleep begins and decrease as

    the following period of wakefulness approaches and sleep ends, showing a possible correlation

    between SWS and sleep homeostasis as a means of helping to relieve the need for sleep.

    Similarly, Bersagliere and Achermann (2010) analyzed slow oscillations of waveforms in

    NREM sleep and found evidence that SWS is correlated to sleep homeostasis and the restorative

    nature of sleep. They found that slow oscillations of less than 1 Hz in EEG scalp readings occur

    due to membrane fluctuations of cortical neurons that alternate between depolarized up states

    and hyperpolarized down states. They took EEG recordings for baseline and recovery sleep after

    a total sleep deprivation (40 hours of wakefulness) in 8 male subjects. While this study is limited

    to only a few same-sex participants, it did show that the increased pressure or need for sleep

    causes longer duration of up states and a higher frequency of slow wave oscillations after long

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    waking periods. Thus, the restorative nature of sleep can be seen in SWS, for it is evidenced that

    frequencies and amplitudes increase in response to being awake for a longer period of time.

    A previous study done in my lab (Hulse et al., in press), the Center for Sleep Medicine

    and Sleep Research, hypothesized that SWA in individuals free of psychiatric disorders, or

    healthy individuals, should increase after waking and decrease after sleep. SWA is considered

    a measure of sleep homeostasis and is thought to reflect cortical strength as well. After

    performing the study using AEPs (see below), it was concluded that the pre- to post-sleep decline

    in amplitude reflects a homeostatic process of sleep, whereby synaptic strength is downscaled. In

    other words, sleep returns brain activity back to a baseline, or reduces it to allow for efficientresponses to waking-related tasks. While this may be true for healthy individuals, a lower change

    in amplitude in depressed individuals may reflect an abnormal sleep homeostasis process.

    Auditory evoked potentials (AEPs), or small electrical voltage potentials recorded in

    conjunction with auditory stimulation, are effective in creating measurable waveforms collected

    by EEG scalp recordings. Computer-generated stimuli are often used in AEPs and data is

    recorded pre- and post-sleep. Dorokhov and Verbitskaya (2005) recorded AEP data at eight

    different points during SWS in 26 healthy subjects. This study resulted in individual variability

    of the AEP waveforms, yet the resulting graphs still followed the expected pattern, whereby

    amplitudes will decrease after sleep (Figure 3). Because these sleep measures of brain activity

    reflect sleep homeostasis, it is of interest to repeat these measures in waking, as well, to see if

    similar trends are formed. Both changes in SWS found in EEG recordings of AEPs and waking

    AEPs may emphasize that sleep homeostasis is altered in depression.

    There are some common clinical signals of major depressive disorder, including fatigue,

    feelings of worthlessness, impaired concentration, indecisiveness, restlessness, thoughts of

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    suicide, and weight loss or weight gain (Gopal et al., 2004). One of the most common symptoms,

    however, is sleep disturbance, particularly in terms of SWS (Steiger and Kimura, 2010).

    According to Steiger and Kimura (2010), around 80% of depressed individuals claim that they

    have insomnia. Disturbed sleep continuity and lower SWS and SWA in depressed patients has

    also been observed in previous studies. Roth et al. (1981) collected AEP data in controls,

    individuals with schizophrenia, and individuals with depression. The schizophrenia group

    showed reduced N1 amplitude and P2 latency to frequent tones and reduced P3 and slow-wave

    amplitudes to non-target, infrequent tones when compared to controls. Depressed individuals

    were intermediate between the controls and schizophrenic subjects, and their P2 amplitude alsodecreased. Similarly, another study found a positive correlation between the N1 amplitude slope

    and the degree of depression symptoms (Linka et al., 2009); however, they correlated

    amplitude/intensity slope with the level of depression. Our study chose to correlate amplitude

    with subjects that have similar degrees of major depression because we want to investigate

    whether a decrease in both N1 and P2 amplitudes occurs. Khanna et al. (1989) found no

    difference in latency, but the depressed group had significantly greater N1 and P2 amplitudes

    before sleep than the control group. Similarly, Vandoolaeghe et al. (1997) showed that subjects

    with major depression were found to have a higher P3 latency and P2 amplitude than normal

    subjects. We expect to replicate these baseline findings with our pre-sleep recordings, and take

    post-sleep recordings to provide data that will allow us to investigate whether both amplitudes

    change.

    Analysis of brain waves enables variations in depression among patients to be measured

    and analyzed. Psychiatrists have been interested in sleep EEG since the 1970s after it was

    determined that a shortened REM latency indicated depression and that antidepressants also

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    suppressed REM sleep. Waveforms of SWS in depressed individuals may show patterns that will

    help predict symptoms of depression and provide insight into effective methods of treatment

    (Linka et al., 2009).

    Studying how certain drugs and treatments affect SWS reflects the extent to which sleep

    homeostasis can be changed. Walsh et al. (2010) studied 58 healthy adults, where 28 participants

    received a placebo and 30 were given Sodium Oxybate, which was thought to reduce the

    behavioral and physiological effects of sleep loss. Each individual had two baseline nights, two

    sleep deprivation nights, followed by a 3-hour daytime sleep, and a recovery night. During the

    day, the Sodium Oxybate group had more SWS or SWA, showing the brains need for sleep.However, after deprivation and a recovery sleep, this group had less SWS and SWA than the

    placebo group, showing that Sodium Oxybate caused a reduced response to sleep deprivation.

    Further investigation of change in SWS waveforms in depressed individuals both with and

    without treatment will increase understanding of depression. Research allowing for comparisons

    of depressed individuals with controls will also provide insight into treatment and increase the

    general understanding of sleep homeostasis.

    The purpose of my study at the Center for Sleep Medicine and Sleep Research is to

    provide further evidence that sleep entails a homeostatic process that causes changes in waking

    brain activity, as measured by AEP amplitude, and to expand on these ideas by comparing slow-

    wave sleep in healthy individuals to depressed individuals to examine whether the nature of sleep

    homeostasis differs. This may ultimately add to existing knowledge by providing possible insight

    on the nature of sleep and its regulatory processes. The primary purpose of this study is to

    determine the pre- and post-sleep waking AEP amplitudes to see if our findings agree with the

    previous studies and reflects the idea of sleep homeostasis and that it differs among depressed

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    individuals. Our hypothesis is that slow-wave activity will increase after waking and decrease

    after sleep, characterized by a greater decline in amplitude overnight among controls when

    compared with depressed individuals. In addition, larger N1 and P2 waking amplitudes of

    depressed individuals may suggest "abnormal" homeostatic sleep regulation.

    Methods: There were 22 subjects used in this study. Eleven healthy subjects (three males and

    eight females), absent of psychiatric illness and in good physical and mental condition,

    participated and were used as controls. Average subject age was 21 years (range=19-25 years;

    Table 1). Eleven depressed subjects also participated, including three depressed males and eightdepressed females with an average age of 22 years (range=18-26 years; Table 1). These subjects

    were clinically diagnosed via structured clinical interviews for DSM-IV Axis 1 disorders

    (SCID). The DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, fourth edition) is

    the standard classification of mental disorders used by medical professionals in the United States.

    The study area was in a psychiatry and basic neuroscience research lab, the Center for Sleep

    Medicine and Sleep Research (Madison, WI). In general, pre-sleep data acted as a control to be

    compared to post-sleep data, and data from healthy subjects acted as a control against depressed

    subject data.

    Subjects had one adaptation night to acclimate to conditions as well as one experimental

    night in the lab. On the experimental night, data was collected with a high-density EEG (hdEEG;

    256-channel HydroCel Sensor Net) while subjects performed an auditory oddball task. HdEEG

    was used due to its strong temporal resolution and spatial resolution over the scalp. After the

    task, patients slept in comfortable rooms, were woken the next morning, and re-performed this

    task again as new recordings were collected.

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    Auditory evoked potentials (AEPs) were recorded using a standard oddball paradigm (as

    described in Hulse et al., in press). Tones with 50 ms duration and 800 Hz or 560 Hz (target

    tone) frequencies were presented at an unchanging, normal volume into headphones as the

    subjects sat with their eyes open looking at a point 90 cm in front of them. A total of 120 stimuli

    were presented and subjects had to count the number of target tones heard. These tones occurred

    randomly throughout the recording. Ninety-six standard tones, or trials, were used to allow for a

    high signal-noise ratio when averaging data together.

    Using NetStation 4.4 software (Electrical Geodesics, Inc.), AEP recordings were first-

    order high-pass filtered (Kaiser type FIR, 0.1 Hz), band-pass filtered (Kaiser type FIR, 1-15 Hz),and segmented (100ms pre- to 500ms post-tone). Artifact rejection was performed to exclude

    channels and segments with unusable data with such things as eye movements (peak-to-peak

    amplitude >150 V), eye blinks, and bad channels (if >20% of recording bad). Each channel

    was referenced to linked mastoid electrodes, and bad channels were re-interpolated using a

    spherical spline computation. Segments were then averaged and the baseline was corrected (-

    100ms to 0ms).

    The AEP recordings of each subject pre- and post-sleep were collected. This data was run

    through the scripts we created with the functions listed above to get an average of the corrected

    segments for the 96 trials. To analyze this data, we examined if there was a decline in the

    amplitude of N1 and P2 components of the AEP readings after sleep for both the control and

    depressed groups. Overnight change in amplitude was determined by taking the average

    amplitude for each group before and after sleep, calculated by looking at the peaks. We defined a

    range that would include peaks for all eleven subjects. For N1 peaks, the range was between

    60ms and 140 ms after the stimulus, and for P2 peaks, the range was set between 160ms and

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    p=0.829; Table 5).

    Figure 4 displays the overnight change in AEP as the raw amplitude calculated from the

    group averages of the 11 subjects analyzed. It shows data collected at a fronto-central channel.

    This figure shows that the controls had a greater decline in N1 amplitude overnight when

    compared to the depressed. In addition, as anticipated, our depressed group had a larger N1

    amplitude than the gender and age-matched controls. The controls also had a higher P2

    amplitude than the depressed group for both the pre- and post-sleep data even though no

    significant decline was present.

    There was also no significant change in N1 latency for the control group ( t (10)=0.53, p=0.605; Table 6) and the depressed group ( t (10)=0.63, p=0.541; Table 6). No significant change

    was found for P2 latency as well for both the control group ( t (10)=1.34, p=0.209; Table 6) and

    the depressed group ( t (10)=1.19, p=0.261; Table 6). Similarly, there was no significant

    difference for overnight change in N1 amplitude ( t (10)=0.25, p=0.808; Table 6) and overnight

    change in P2 amplitude ( t (10)=0.41, p=0.685; Table 6).

    Discussion: The fact that our depressed group had a larger N1 amplitude than the gender and

    age-matched controls agreed with previously published results (Khanna et al., 1989). A greater

    decrease in N1 amplitude in control individuals versus depressed individuals also matches our

    hypothesis that depressed individuals may have an abnormal process of sleep homeostasis.

    Because sleep homeostasis is characterized by an increase in slow-wave activity after waking

    and a decrease in slow-wave activity after a nights sleep, we expected to see a decline in N1 and

    P2 amplitude when comparing our pre- and post-sleep data. The decrease in amplitude for the

    control group in our study matches this idea, and the fact that we found no significant decrease in

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    N1 amplitude for the depressed group reflects that an irregular sleep homeostatic regulation may

    be occurring. As described in one study (Hulse et al., in print), the pre- to post-sleep decline in

    N1 amplitude may reflect a homeostatic reduction of synaptic weight or synaptic strength,

    showing that sleep brings the brain back to baseline to prepare for efficient memory and learning

    during the following waking period. Depressed individuals, however, do not properly return to

    baseline, as evidenced by their insignificant decrease in amplitude. They do not undergo the

    same homeostatic process as normal, healthy controls, which supports our hypothesis. Further

    research should be done to investigate whether this abnormal homeostasis may be correlated

    with specific depressive symptoms.The P2 amplitude had a smaller, though not significant, decrease among the depressed

    group when compared to the controls, and the control subjects had larger pre-sleep P2

    amplitudes than the depressed subjects, which is consistent with what was previously reported

    (Roth et al., 1981). This study, however, found no significant difference in N1 amplitude, which

    differs with our results. This may be due to the fact that only waking data was collected over

    one-hour intervals. While our study did compare waking data as well, we compared wakefulness

    pre- and post-sleep, which is a much more effective way to see amplitude change in correlation

    with sleep homeostasis. Their study also performed one-intensity, three-intensity, two-tone, and

    three-tone AEPs, all at different frequencies, whereas our AEP tones were done with 50 ms

    duration and 800 Hz or 560 Hz (target tone) frequencies. We did not perform multiple AEP tests

    at multiple frequencies, which may explain why we obtained different results. The same

    reasoning may explain why Vandoolaeghe et al. (1997) also found that P3 latency and P2

    amplitude was higher in depressed individuals, which does not support our results.

    Possible sources of error in our study include the possibility of defective EEG scalp

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    recordings. If gel was not properly placed on each of the electrodes, then the electrodes cannot

    properly attach to the scalp and readings at these defective electrodes may be non-existent or

    inaccurate. Similarly, eye blinks and muscle movements also create artifacts in the data, which

    need to be accounted for. To compensate for this, we ran the data through our script, which

    corrected for any channels we deemed bad, or that were characterized by extremely high

    frequencies, amplitudes, or strange patterns that greatly differed from data for the rest of the

    channels. A lot of this process was up to our discretion, however, because we created the scripts

    ourselves and set the parameters for which channels were deemed good and which were

    deemed bad by outlining which specific frequencies could be accepted. Therefore, humanerror, or setting parameters that may exclude some good channels, may have thrown off our

    averages and, ultimately, our waveform amplitudes, which we based our comparisons on.

    Further research could be done to examine the effects that sleep homeostasis and a

    change in amplitude have on serotonin uptake in the brain. Serotonin regulates mood, appetite,

    sleep, muscle contraction, memory, and learning, and low serotonin level is a factor in

    depression and anxiety (Gopal et al., 2004). People with depression have serotonin receptor sites,

    but the amount of serotonin available to stimulate adjacent neurons is inadequate. Selective

    serotonin re-uptake inhibitors (SSRIs) are often given to depressed individuals, and Gopal (2004)

    hypothesized that these SSRIs are responsible for positive changes in abnormal auditory

    behavior. Chen et al. (2002) found that the serotonergic system is correlated with the N1 and P2

    components of AEPs. The N1 and P2 components are generated in the auditory cortex of the

    brain, which is also responsible for a high rate of serotonin synthesis. The serotonin transporter is

    the major site of serotonin re-uptake back into the pre-synaptic neuron. The serotonin transporter

    gene-linked polymorphic region (5-HTTLPR) is related to N1 and P2 components. This study

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    found that a shorter P2 latency was found in patients with the s/s genotype versus the l allele

    carriers. Thus, 5-HTTLPR polymorphism and AEP P2 latency are correlated, therefore further

    AEP studies relating change in amplitude between control and depression groups may also

    provide insight into serotonin re-uptake between these two groups if genotype of the individuals

    is considered as well. Future studies could address their hypothesis that lower central

    serotonergic neurotransmission leads to higher intensity dependence for AEP N1 and P2

    components, and information from these studies could be used to better understand effectiveness

    of SSRIs.

    While our study concentrated mainly on amplitude change pre- to post-sleep, further studies could address changes in latency, or the time it takes to respond to a stimulus. Any

    observed change in latency could then be observed to determine whether a correlation also exists

    between change in N1 and P2 amplitude and a change in N1 and P2 latency between controls

    and depressed individuals. A third variable group, subjects with schizophrenia, has been used in

    other studies to allow for further comparison against depressed and control groups (Medved et

    al., 2001). Comparing their results, in which they found AEP amplitudes were smaller in

    schizophrenics when compared to depressives, with what we found in our study, an abnormal

    sleep homeostasis may also be present in subjects with schizophrenia, and further research

    should be done to investigate this.

    Different methods of analyzing data could also be used to further examine our results as

    well as results from future studies. Figure 5 shows an example of overnight change in AEP

    expressed as the global mean field power (GMFP), which places both negative and positive

    amplitudes on the same positive scale. This graph considers all 185 channels used to collect the

    EEG scalp readings, and our data collected from our eleven depressed and eleven control

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    subjects could have been plotted in this way to observe amplitude difference on a positive scale.

    In addition, a more complicated, yet informative spectral comparison could be done in the future,

    which would show whether or not there was a significant difference in amplitude for every half

    second of brain wave data collected.

    While it appears evident that a greater decrease in amplitude pre- to post-sleep in control

    individuals versus depressed individuals is evidence of abnormal sleep homeostasis, further

    studies could examine latency, variations of affects on medicated and non-medicated depressed

    subjects, effectiveness of treatments, correlation with serotonin re-uptake, and other similar

    psychiatric disorders to learn more about this. Though our hypothesis matched our results, it isstill unclear as to exactly why depressed individuals have an abnormal system of homeostatic

    sleep regulation and much more research is still needed to provide insight into this topic.

    References:

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    Tables and Figures:

    Table 1: Subject Data for Study - Healthy, control subjects are matched with a depressedsubject for comparison. They are matched for sex and age, within a 3-year range. Mean age andstandard deviation is calculated for both the depressed and control groups.

    Motor Control Night

    Depressed Age* SexControlMatch Age* Sex

    B120NW 24 F C114EM 22 FB130AU 21 M C100JM 21 MB135LK 21 F C78CP 21 FB142SJ 22 F C106AA 22 FB155DK 26 F C107MF 23 FB157KK 26 F C85TR 25 FB158OT 19 F C89AM 19 FB159DW 21 M C86EL 19 MB162TF 22 F C74MD 21 FB165LWB 21 M C97SL 19 MB167KD 18 F C73EM 20 F

    N= 11 8 F N= 11 8 FM= 22 M= 21

    STDEV= 2.547726259 STDEV= 1.868397466

    Table 2: N1 Amplitude of Control Subjects- This table displays the calculated N1 amplitude pre- and post-sleep for each of the eleven control subjects. The overnight change in amplitude isalso calculated, as well as the mean, standard deviation, and p and t values. Both of these valuesshow that there is a significant difference between pre- and post-sleep N1 amplitude. Orange

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    http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Walsh%20JK&ut=000281473600014&pos=1http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Hall-Porter%20JM&ut=000281473600014&pos=2http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Griffin%20KS&ut=000281473600014&pos=3http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Griffin%20KS&ut=000281473600014&pos=3http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Dodson%20ER&ut=000281473600014&pos=4http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Forst%20EH&ut=000281473600014&pos=5http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Curry%20DT&ut=000281473600014&pos=6http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Curry%20DT&ut=000281473600014&pos=6http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Eisenstein%20RD&ut=000281473600014&pos=7http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Eisenstein%20RD&ut=000281473600014&pos=7http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Schweitzer%20PK&ut=000281473600014&pos=8http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Walsh%20JK&ut=000281473600014&pos=1http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Hall-Porter%20JM&ut=000281473600014&pos=2http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Griffin%20KS&ut=000281473600014&pos=3http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Dodson%20ER&ut=000281473600014&pos=4http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Forst%20EH&ut=000281473600014&pos=5http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Curry%20DT&ut=000281473600014&pos=6http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Eisenstein%20RD&ut=000281473600014&pos=7http://apps.isiknowledge.com.ezproxy.library.wisc.edu/DaisyOneClickSearch.do?product=WOS&search_mode=DaisyOneClickSearch&db_id=&SID=3FMf41O67Ciboa9iC3n&name=Schweitzer%20PK&ut=000281473600014&pos=8
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    values represent points that would have been outliers if we had used 2 standard deviation.

    Subject PreSleep_Con PostSleep_Con Overnight Change_Con (-)C114EM -16.43457413 -10.02989483 -6.404679298C100JM -11.88212967 -8.879209518 -3.002920151C78CP -4.73160553 -1.156788111 -3.574817419C106AA -9.46758461 -7.941483974 -1.526100636C107MF -3.716108799 -5.928866386 2.212757587C85TR -5.385984898 -3.774027824 -1.611957073C89AM -13.53852654 -9.479260445 -4.05926609C86EL -10.00778484 -9.008646965 -0.999137878C74MD -7.791980267 -4.991571426 -2.80040884C97SL -19.18057442 -6.929605007 -12.25096941C73EM -9.643204689 -12.29873371 2.655529022

    M= -10.16182349 -7.310735291 -2.851088199STDEV= 4.850575252 3.170647034 4.070393113

    2.5 STDEVhi 1.964614641 0.615882294 7.3248945852.5 STDEVlo -22.28826162 -15.23735288 -13.02707098

    t tests Pre vs. Post_Con p = 0.042546426

    t (10) = 2.32

    Table 3: N1 Amplitude of Depressed Subjects- This table displays the calculated N1 amplitude pre- and post-sleep for each of the eleven depressed subjects. The overnight change in amplitudeis also calculated, as well as the mean, standard deviation, and p and t values. Neither of thesevalues displays significance. Orange values represent points that would have been outliers if we

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    had used 2 standard deviation.Subject PreSleep_Dep PostSleep_Dep Overnight Change_Dep (-)B120NW -14.33230972 -14.10698605 -0.225323677B130AU -5.161910057 -4.627454758 -0.534455299B135LK -12.75158405 -10.73036098 -2.021223068B142SJ -10.33222389 -10.49464703 0.162423134B155DK -10.76493454 -10.20313072 -0.561803818B157KK -7.837329388 -9.646419525 1.809090137B158OT -3.775166035 -2.669214249 -1.105951786B159DW -12.51911163 -9.562823296 -2.956288338B162TF -3.664168119 -1.449521661 -2.214646459B165LWB -4.053227901 -2.920983791 -1.13224411B167KD -19.56045914 -22.02588844 2.465429306

    M= -9.52294768 -8.948857318 -0.574090362STDEV= 5.14412514 5.969076452 1.63214393

    2.5 STDEV hi 3.337365169 5.973833812 3.5062694642.5 STDEV lo -22.38326053 -23.87154845 -4.654450187

    t tests Pre vs. Post_Dep Dep vs. Con_Change (-) p = 0.270442982 0.100490536

    t (10) = 1.17 t (10) = 1.72

    Table 4: P2 Amplitude of Control Subjects- This table displays the calculated P2 amplitude pre- and post-sleep for each of the control subjects. The change in amplitude is also calculated,as well as the mean, standard deviation, and p and t values. Neither display significance.

    Subject PreSleep_Con PostSleep_Con Overnight Change_Con (-)C114EM 17.38280296 12.19486237 5.187940598C100JM 11.19477463 9.32272625 1.872048378C78CP 12.5847683 12.86163235 -0.276864052C106AA 13.41247368 8.046705246 5.365768433C107MF 6.703750134 10.97121716 -4.267467022C85TR 11.4428339 12.11953163 -0.676697731C89AM 15.17484379 19.70868874 -4.533844948C86EL 3.58420229 0.788653195 2.795549095C74MD 20.91690254 19.41464615 1.502256393C97SL 19.53075218 15.55759048 3.973161697C73EM 5.623976707 -0.298680782 5.92265749

    M= 12.50473465 10.97159753 1.533137121STDEV= 5.615164264 6.457745933 3.655030955

    2.5 STDEV hi 26.54264531 27.11596236 10.670714512.5 STDEV lo -1.533176013 -5.172767307 -7.604440267

    t testsPre vs.Post_Con

    p = 0.194341931t (10) = 1.39

    Table 5: P2 Amplitude of Depressed Subjects- This table displays the calculated P2 amplitude pre- and post-sleep for each of the eleven depressed subjects. The overnight change in amplitudeis also calculated, as well as the mean, standard deviation, and p and t values. Neither of thesevalues displays significance. Orange values represent points that would have been outliers if we

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    had used 2 standard deviation.

    Subject PreSleep_Dep PostSleep_Dep Overnight Change_Dep (-)B120NW 16.20042992 18.2090416 -2.008611679B130AU 7.014438152 5.73831749 1.276120663B135LK 17.52749062 18.25637245 -0.728881836B142SJ 5.958817482 3.869665146 2.089152336B155DK 8.310996056 9.973079681 -1.662083626B157KK 19.56665802 11.81066227 7.75599575B158OT 9.665380478 8.617565155 1.047815323B159DW 4.24742794 6.423761845 -2.176333904B162TF 4.596893787 7.049726009 -2.452832222B165LWB 3.874248028 7.852319241 -3.978071213B167KD 25.20217896 12.05887413 13.14330482

    M= 11.1059054 9.987216819 1.118688583STDEV= 7.295904755 4.76269499 5.100323146

    2.5 STDEV hi 29.34566729 21.89395429 13.869496452.5 STDEV lo -7.133856484 -1.919520655 -11.63211928

    t tests Pre vs. Post_Dep Dep vs. Con_Change (-) p = 0.483629022 0.828820626

    t (10) = 0.73 t (10) = 0.22

    Table 6: Latency : This table displays the latency p and t values from paired and un-paired t -tests for both N1 and P2. There is no significant change in latency between both the control anddepressed subject groups.

    N1: Pre vs. Post_Dep N1: Dep vs. Con_Change (-) N1: Pre vs. Post_Con p = 0.540961841 0.808208796 0.605066482

    t tests t (10) = 0.63 t (10) = 0.25 t (10) = 0.53 p = P2: Pre vs. Post_Dep P2: Dep vs. Con_Change (-) P2: Pre vs. Post_Con

    t tests 0.260915529 0.684849502 0.20882465t (10) = 1.19 t (10) = 0.41 t (10) = 1.34

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    Figure 1: Sleep Stage Histogram: This is an example of a sleep histogram for a healthy control,in which time (beginning at 11pm) is plotted in accordance with each specific stage of sleep. Thesix stages of sleep are represented: waking, REM, S1, S2, S3, and S4. Stage 3 is consideredslow-wave sleep and is when slow-wave activity occurs. As shown in the figure, multiple sleepcycles occur in one night, as well as short periods of wakefulness (Lawrence, 2010).

    Figure 2: Sleep Stage Waveforms : This displays an example of EEG recordings during eachstage of sleep. Stage 3, slow-wave sleep, is characterized by waveforms of higher amplitudes andlower frequencies when compared to the proceeding stages (Pastorius, 2010).

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    Figure 3: EEG Waveform: This is an example graph of what the averaged segments from theAEP recordings will look like, with N1 and P2 labeled. The dotted line shows where the stimuluswas presented. The red line represents the post-sleep data. A decline in N1 and P2 amplitudesafter sleep is what is expected to occur (Lightfoot, 2010).

    Figure 4: Overnight Change in AEP- Raw Amplitude: This graphdisplays the overnight change in AEP as the raw amplitude calculated fromthe group averages. It shows data collected from one channel in the frontallobe, the fronto-central channel. This graph expresses our averaged resultsfrom 11 subjects, in which the controls show a greater decline in N1 amplitude overnightwhen compared to the depressed, which matches our hypothesis and may suggest "abnormal"

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    homeostatic sleep regulation.

    Figure 5: Overnight Change in AEP- GMFP: This graph is an example of displaying theovernight change in AEP as the global mean field power, which places both negative and

    positive amplitudes on the same positive scale. It also considers all 185 channels rather than just the fronto-central channel. Displaying data in a GMFP would be useful in displayingdata in future studies.