Auditory deep sleep stimulation in older adults at home: a randomized crossover trial

Background Auditory stimulation has emerged as a promising tool to enhance non-invasively sleep slow waves, deep sleep brain oscillations that are tightly linked to sleep restoration and are diminished with age. While auditory stimulation showed a beneficial effect in lab-based studies, it remains unclear whether this stimulation approach could translate to real-life settings. Methods We present a fully remote, randomized, cross-over trial in healthy adults aged 62-78 years (clinicaltrials.gov: NCT03420677). We assessed slow wave activity as the primary outcome and sleep architecture and daily functions, e.g., vigilance and mood as secondary outcomes, after a two-week mobile auditory slow wave stimulation period and a two-week Sham period, interleaved with a two-week washout period. Participants were randomized in terms of which intervention condition will take place first using a blocked design to guarantee balance. Participants and experimenters performing the assessments were blinded to the condition. Results Out of 33 enrolled and screened participants, we report data of 16 participants that received identical intervention. We demonstrate a robust and significant enhancement of slow wave activity on the group-level based on two different auditory stimulation approaches with minor effects on sleep architecture and daily functions. We further highlight the existence of pronounced inter- and intra-individual differences in the slow wave response to auditory stimulation and establish predictions thereof. Conclusions While slow wave enhancement in healthy older adults is possible in fully remote settings, pronounced inter-individual differences in the response to auditory stimulation exist. Novel personalization solutions are needed to address these differences and our findings will guide future designs to effectively deliver auditory sleep stimulations using wearable technology

Effects of reinforcement rate and delay on the acquisition of lever pressing by rats.

The acquisition of lever pressing by naive rats, in the absence of shaping, was studied as a function of different rates and unsignaled delays of reinforcement. Groups of 3 rats were each exposed to tandem schedules that differed in either the first or the second component. First-component schedules were either continuous reinforcement or random-interval 15, 30, 60 or 120 s; second-component schedules were fixed-time 0, 1, 3, 6, 12, or 24 s. Rate of responding was low under continuous immediate reinforcement and higher under random-interval 15 s. Random interval 30-s and 60-s schedules produced lower rates that were similar to each other. Random-interval 120 s controlled the lowest rate in the immediate-reinforcement condition. Adding a constant 12-s delay to each of the first-component schedule parameters controlled lower response rates that did not vary systematically with reinforcement rate. The continuous and random-interval 60-s schedules of immediate reinforcement controlled higher global and first-component response rates than did the same schedules combined with longer delays, and first-component rates showed some graded effects of delay duration. In addition, the same schedules controlled higher second-component response rates in combination with a 1-s delay than in combination with longer delays. These results were related to those from previous studies on acquisition with delayed reinforcement as well as to those from similar reinforcement procedures used during steady-state responding

Depression in Adults with Attention-Deficit/Hyperactivity Disorder (ADHD): The Mediating Role of Cognitive-Behavioral Factors

Adults with Attention-Deficit/Hyperactivity Disorder (ADHD) are at increased risk for depressive disorders but little is known about the potential cognitive and behavioral mechanisms of risk that could shape treatment. This study evaluated the degree to which cognitive-behavioral constructs associated with depression and its treatment—dysfunctional attitudes and cognitive-behavioral avoidance—accounted for variance in depressive symptoms and disorder in adults with ADHD. 77 adults clinically diagnosed with ADHD completed self-report questionnaires, diagnostic interviews, and clinician-administered symptom rating scales. Statistical mediation analysis was employed and indirect effects assessed using bootstrap analysis and bias-corrected confidence intervals. Controlling for recent negative life events, dysfunctional attitudes and cognitive-behavioral avoidance fully accounted for the variance between ADHD symptoms and depressive symptoms. Each independent variable partially mediated the other in accounting for depression symptoms suggesting overlapping and unique variance. Cognitive-behavioral avoidance, however, was more strongly related to meeting diagnostic criteria for a depressive disorder than were dysfunctional attitudes. Processes that are targeted in cognitive behavior therapy (CBT) for depression were associated with symptoms in adults with ADHD. Current CBT approaches for ADHD incorporate active coping skills and cognitive restructuring and such approaches could be further tailored to address the ADHD-depression comorbidity

Proceedings Of The 23Rd Paediatric Rheumatology European Society Congress: Part Two

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