Learning, Memory, and Sleep in Children

Sleep-Based Memory Consolidation Stabilizes Perceptual Learning of Noise-Vocoded Speech

PURPOSE

Sleep-based memory consolidation has been shown to facilitate perceptual learning of atypical speech input including nonnative speech sounds, accented speech, and synthetic speech. The current research examined the role of sleep-based memory consolidation on perceptual learning for noise-vocoded speech, including maintenance of learning over a 1-week time interval. Because comprehending noise-vocoded speech requires extensive restructuring of the mapping between the acoustic signal and prelexical representations, sleep consolidation may be critical for this type of adaptation. Thus, the purpose of this study was to investigate the role of sleep-based memory consolidation on adaptation to noise-vocoded speech in listeners without hearing loss as a foundational step toward identifying parameters that can be useful to consider for auditory training with clinical populations.

METHOD

Two groups of normal-hearing listeners completed a transcription training task with feedback for noise-vocoded sentences in either the morning or the evening. Learning was assessed through transcription accuracy before training, immediately after training, 12 hr after training, and 1 week after training for both trained and novel sentences.

RESULTS

Both the morning and evening groups showed improved comprehension of noise-vocoded sentences immediately following training. Twelve hours later, the evening group showed stable gains (following a period of sleep), whereas the morning group demonstrated a decline in gains (following a period of wakefulness). One week after training, the morning and evening groups showed equivalent performance for both trained and novel sentences.

CONCLUSION

Sleep-consolidated learning helps stabilize training gains for degraded speech input, which may hold clinical utility for optimizing rehabilitation recommendations.

The relationship between diet and sleep in 2-y-old children: Results from Growing Up in New Zealand

OBJECTIVES

This study aimed to examine the relationship between dietary practices and sleep in young children.

METHODS

In this study, 2-y-old children (n = 6327) and their mothers were enrolled at birth and during pregnancy, respectively. The study obtained maternal demographic, health, and lifestyle data during late pregnancy. Parents reported the 2-y-old child's dietary practices on a food frequency questionnaire, as well as sleep duration and night-waking frequency. Measures of dietary intake quantified servings per day for each food group (grouped as low/moderate/high intake). Sleep measures were as inadequate sleep when <11 h sleep in a 24-h period and increased night waking when waking ≥2 times per night. Multivariable logistic regression analyses examined associations between toddler diet and sleep, which were described using adjusted odds ratios (ORs) and 95% confidence intervals.

RESULTS

In this study, 2-y-old children (n = 6288) slept for a mean of 12.3 hours (standard deviation: ±1.5 hours) over a 24-h period, with 734 children (12%) getting <11 h of sleep in 24 h. Increased night waking occurred in 1063 children (17%). Compared with low intake, high soft drink/snack/fast food intake was associated with inadequate sleep (OR: 1.37) and increased night waking (OR: 1.34). High milk/cheese/yoghurt intake (OR: 1.55) was associated with increased odds of night waking, but moderate (OR: 0.81) or high (OR: 0.78) vegetable intake was associated with decreased odds of night waking. Exposure to screens (OR: 1.28) and heavy maternal cigarette smoking (OR: 2.20) were also associated with inadequate sleep and increased night waking, respectively.

CONCLUSIONS

At age 2 y, higher consumption of soft drinks/snacks/fast foods is associated with shorter, more disrupted sleep. Conversely, higher vegetable consumption is associated with less disrupted sleep. Dietary modifications may improve toddlers' sleep.

Deficits of Learning in Procedural Memory and Consolidation in Declarative Memory in Adults With Developmental Language Disorder

Purpose This study examined procedural and declarative learning and consolidation abilities in adults with developmental language disorder (DLD) relative to their typical language (TD) peers. Method A total of 100 young adults (age 18-24 years) with (n = 21) and without (n = 79) DLD participated across two sites. Performance measures on a recognition memory task and a serial reaction time task were used to assess declarative and procedural memory, respectively. Performance was measured shortly after learning (8 a.m.) and again after a 12-hr, overnight delay (8 a.m.). Results Linear mixed-effects modeling was used to examine the effects of time and group membership on task performance. For the serial reaction time task, there were significant effects of group (TD > DLD) and time (Day 1 > Day 2), but no interaction between them. For the recognition memory task, there was a significant interaction between group and time, driven by overnight gains in the TD group, combined with stable performance across days by those with DLD. Conclusions In procedural memory, adults with DLD demonstrate a learning deficit relative to adults without DLD, but appear to have comparable retention of learned information. In declarative memory, adults with DLD demonstrate a deficit in the overnight enhancement of memory retrieval, despite typical-like learning exhibited when tested shortly after encoding. Supplemental Material https://doi.org/10.23641/asha.13626485.

The effect of overnight consolidation in the perceptual learning of non-native tonal contrasts

Sleep-mediated overnight consolidation has been found to facilitate perceptual learning by promoting learners’ generalization across talkers in their perception of novel segmental categories. Lexical tone is characterized by high variability across talkers, and displays dynamic change over time. For this reason, it remains unclear whether a similar effect of overnight consolidation would be found for perceptual learning of novel tonal contrasts. Thus, this study aims to examine whether overnight consolidation facilitates talker-independent learning of lexical tones in the identification and discrimination of novel Cantonese level tones by Mandarin listeners. Two groups of Mandarin listeners were perceptually trained either in the morning or in the evening. Listeners were trained in a tone identification (ID) task with feedback using stimuli produced by a trained talker. Their post-training changes and generalization to a novel talker were then tested in the ID and AX discrimination tasks using stimuli produced by trained and untrained talkers in three posttests following training: immediately after training, 12-hour delay, and 24-hour delay. While the evening group slept between the first and second posttests, the morning group did not. The accuracy rates in the ID task showed that the evening group showed an improved trend, predicted by their individual sleep time, in identifying the level tones produced by both the trained and untrained talkers; in contrast, the morning group showed a declining trend. The d-prime scores in the AX discrimination task did not show different patterns between the two groups. The finding of sleep-related identification changes over time suggests that overnight consolidation might have facilitated tone learning of stimuli produced by the novel talker and eventually facilitated the formation of a more talker-independent representation of novel tone categories in long-term memory. The results are discussed in light of the features of lexical tones to shed light on the mechanism of phonetic learning.

Pediatric Prolonged-Release Melatonin for Sleep in Children with Autism Spectrum Disorder: Impact on Child Behavior and Caregiver's Quality of Life

A randomized, 13-weeks, placebo-controlled double-blind study in 125 subjects aged 2-17.5 years with Autism Spectrum Disorder or Smith-Magenis syndrome and insomnia demonstrated efficacy and safety of easily-swallowed prolonged-release melatonin mini-tablets (PedPRM; 2-5 mg) in improving sleep duration and onset. Treatment effects on child behavior and caregiver's quality of life were evaluated. PedPRM treatment resulted in significant improvement in externalizing but not internalizing behavior (Strengths and Difficulties questionnaire; SDQ) compared to placebo (p = 0.021) with clinically-relevant improvements in 53.7% of PedPRM-treated versus 27.6% of placebo-treated subjects (p = 0.008). Caregivers' quality of life also improved with PedPRM versus placebo (p = 0.010) and correlated with the change in total SDQ (p = 0.0005). PedPRM alleviates insomnia-related difficulties, particularly externalizing behavior in the children, subsequently improving caregivers' quality of life.

Adults with Specific Language Impairment fail to consolidate speech sounds during sleep

Specific Language Impairment (SLI) is a common learning disability that is associated with poor speech sound representations. These differences in representational quality are thought to impose a burden on spoken language processing. The underlying mechanism to account for impoverished speech sound representations remains in debate. Previous findings that implicate sleep as important for building speech representations, combined with reports of atypical sleep in SLI, motivate the current investigation into a potential consolidation mechanism as a source of impoverished representations in SLI. In the current study, we trained individuals with SLI on a new (nonnative) set of speech sounds, and tracked their perceptual accuracy and neural responses to these sounds over two days. Adults with SLI achieved comparable performance to typical controls during training, however demonstrated a distinct lack of overnight gains on the next day. We propose that those with SLI may be impaired in the consolidation of acoustic-phonetic information.

Diet and nutrients in the modulation of infant sleep: A review of the literature

OBJECTIVES

The establishment of organized sleep patterns is an important developmental process during infancy. Little is known about the role of nutrition in sleep maturation. This review focuses on exploring the link between infant sleep and nutrition with the aim to provide an overview of existing literature on the impact of diet and specific nutrients on sleep modulation in infants.

METHODS

An exploratory literature search was performed on the topic in Medline, Scopus and Cochrane Library databases, with a focus on publications in English.

RESULTS

Both the type of nutrients consumed and the timing at which they were consumed, relative to sleeping time, have been reported to influence infant sleep. Some nutrients have been shown to naturally fluctuate in maternal breast milk with circadian rhythm, and nutrients such as tryptophan, nucleotides, essential fatty acids and Omega-3 long-chain fatty acids have been suggested to impact infant sleep.

DISCUSSION

In summary, little is known about the nutritional impact on infant sleep and sleep maturation, particularly with regard to specific nutrients. While nutrients like tryptophan and nucleotides seem to impact sleep at the level of brain activity, some fatty acids may affect sleep as a result of their role in supporting the maturity of the central nervous system. In our view, the existing literature indicates that the link between nutrition and infant sleep may be a promising concept to support this crucial phase of early development.

Naps promote flexible memory retrieval in 12-month-old infants

Flexibility in applying existing knowledge to similar cues is a corner stone of memory development in infants. Here, we examine the effect of sleep on the flexibility of memory retrieval using a deferred imitation paradigm. Forty-eight 12-month-old infants were randomly assigned to either a nap or a no-nap demonstration condition (scheduled around their natural daytime sleep schedule) or to a baseline control condition. In the demonstration conditions, infants watched an experimenter perform three target actions on a hand puppet. Immediately afterwards, infants were allowed to practice the target actions three times. In a test session 4-hr later, infants were given the opportunity to reproduce the actions with a novel hand puppet differing in color from the puppet used during the demonstration session. Only infants in the nap-condition performed significantly more target actions than infants in the baseline control condition. Furthermore, they were faster to carry out the first target action than infants in the no-nap condition. We conclude that sleep had a facilitative effect on infants' flexibility of memory retrieval.

The relationship between prior night's sleep and measures of infant imitation

We examined whether sleep quality during the night and naps during the day preceding a learning event are related to memory encoding in human infants. Twenty-four 6- and twenty-four 12-month-old infants' natural sleeping behavior was monitored for 24 hr using actigraphy. After the recording period, encoding was assessed using an imitation paradigm. In an initial baseline phase, infants were allowed to interact with the stimulus to assess spontaneous production of any target actions. Infants then watched an experimenter demonstrate a sequence of three target actions and were immediately given the opportunity to reproduce the demonstrated target actions to assess memory encoding. Analyses revealed significant correlations between nighttime sleep quality variables (sleep efficiency, sleep fragmentation) and immediate imitation in 6-month-olds, but not in 12-month-olds. High sleep quality in the preceding night was thus positively associated with next day's memory encoding in 6-month-old infants.

Poor sleep and neurocognitive function in early adolescence

BACKGROUND

Evidence regarding the associations between sleep duration and quality, and neurocognitive function in adolescents remains scanty. This study examined the associations in early adolescence between: sleep duration; efficiency; fragmentation; wake-after-sleep-onset (WASO); catch-up sleep; intelligence; memory; and executive function, including attention.

METHODS

This study included 354 girls and boys with a mean age 12.3 years (SD = 0.5) from a birth cohort born in 1998. Sleep was measured with accelerometers for an average of eight nights. Cognitive function was evaluated with subtests from the Wechsler Intelligence Scale for Children-III (WISC-III), the Developmental Neuropsychological Assessment 2 (NEPSY-2), the Wisconsin Card Sorting Task (WCST), Conners' Continuous Performance Task (CPT), and the Trail Making Test (TMT).

RESULTS

In girls, a higher WASO and fragmentation index were associated with poorer executive functioning (higher number of perseverative errors in the WCST), and longer catch-up sleep was associated with longer reaction times and better performance in one verbal intelligence test (Similarities subtest of the WISC-III). In boys, shorter sleep duration, lower efficiency, higher WASO, higher sleep fragmentation and shorter catch-up sleep were associated with lower executive functioning (more commission errors, shorter reaction times, and had lower D Prime scores in CPT).

CONCLUSIONS

In adolescent girls, poorer sleep quality was only weakly associated with poorer executive functioning, while in boys, poorer sleep quantity and quality were associated with an inattentive pattern of executive functioning. The amount of catch-up sleep during weekends showed mixed patterns in relation to neurocognitive function.

Toddler's self-regulation strategies in a challenge context are nap-dependent

Early childhood represents a time of developmental changes in both sleep and self-regulation, a construct reflecting the ability to control one's behaviour, attention and emotions when challenged. Links between sleep and self-regulation processes have been proposed, but experimental evidence with young children is lacking. In the current study, we tested the effects of acute sleep restriction (nap deprivation) on toddlers' self-regulation. Healthy children (n = 12; four males; aged 30-36 months (33.9 ± 1.7)) slept on a strict schedule (verified with actigraphy and sleep diaries) for 5 days before each of two afternoon assessments following a nap and a no-nap condition (~11-day protocol). Children were videotaped while attempting an unsolvable puzzle, and 10 mutually exclusive self-regulation strategies were later coded. On average, children lost ~90 min of sleep on the no-nap versus the nap day. Nap deprivation resulted in moderate-to-large effects on self-regulation strategies, with decreases in scepticism (d = 0.77; 7% change), negative self-appraisal (d = 0.92; 5% change) and increases in physical self-soothing (d = 0.68; 10% change), focus on the puzzle piece that would not fit (perseveration; d = 0.50; 9% change) and insistence on completing the unsolvable puzzle (d = 0.91; 10% change). Results suggest that sleep serves an important role in the way that toddlers respond to challenging events in their daily lives. After losing daytime sleep, toddlers were less able to engage effectively in a difficult task and reverted to less mature self-regulation strategies than when they were well rested. Over time, chronically missed sleep may impair young children's self-regulation abilities, resulting in risk for social-emotional, behavioural and school problems.

Building phonetic categories: an argument for the role of sleep

The current review provides specific predictions for the role of sleep-mediated memory consolidation in the formation of new speech sound representations. Specifically, this discussion will highlight selected literature on the different ideas concerning category representation in speech, followed by a broad overview of memory consolidation and how it relates to human behavior, as relevant to speech/perceptual learning. In combining behavioral and physiological accounts from animal models with insights from the human consolidation literature on auditory skill/word learning, we are in the early stages of understanding how the transfer of experiential information between brain structures during sleep manifests in changes to online perception. Arriving at the conclusion that this process is crucial in perceptual learning and the formation of novel categories, further speculation yields the adjacent claim that the habitual disruption in this process leads to impoverished quality in the representation of speech sounds.

Sleep-related factors: associations with poor attention and depressive symptoms

BACKGROUND

Sleep duration is known to be associated with depression and attention deficits in children, though the majority of studies have focused on adolescents. Attention problems and depressive symptoms related to sleep factors have not been studied simultaneously in the non-clinical child population before.

METHODS

Sleep quantity, adverse bedtime behaviour, daytime sleepiness, poor attention and symptoms of depression were assessed using self-report measures. The participants were 11 years old (n = 439).

RESULTS

Short sleep duration during the school week is related to poor attention and high depression. It is not a significant predictor of low attention and high depression symptoms in logistic regression analyses. Instead, adverse bedtime behaviour and daytime sleepiness predict them highly significantly.

CONCLUSIONS

Short sleep duration is related to poor attention and depressive symptoms as suggested by previous work. However, the significant role of other sleep-related factors calls for further research.

Die Bedeutung von Schlaf und Schlafstörungen für Lernen und Gedächtnis bei Kindern – ein Überblick

Zusammenfassung: Schlafstörungen im Kindesalter sind weit verbreitet. Häufig wirken sich kindliche Schlafprobleme auf die kognitive Leistungsfähigkeit und damit auf die schulischen Leistungen aus. Ziel der vorliegenden Arbeit war es, eine Übersicht über den Zusammenhang zwischen den Schlafparametern Nachtschlaf, Schlafdauer, Schlafeffizienz, Schlafqualität, Schlafprobleme sowie der kognitiven und schulischen Leistungsfähigkeit im Kindesalter (fünf bis 13 Jahre) zu geben. Einige der 25 gefundenen Studien konnten aufzeigen, dass der Nachtschlaf den Kindern das Lernen erleichtert. Dabei konnten Aufgaben, die keine tiefen Verarbeitungsprozesse benötigten, von Kindern mit Schlafeinbußen zumeist kompensiert werden, Aufgaben mit tieferen Verarbeitungsprozessen hingegen häufig nicht. Der Nachtschlaf scheint sich in diesem Alter vor allem auf die deklarative Gedächtnisleistung positiv auszuwirken. Demnach scheint die Gedächtniskonsolidierung während des Schlafs vom Typ des Lernmaterials abzuhängen. Eine zu kurze Schlafdauer, zu geringe Schlafeffizienz und das Vorhandensein von Schlafproblemen hängen überwiegend mit Einbußen bei kognitiven Lernprozessen im Kindesalter zusammen. Hingegen korrelierten subjektive Schlafqualität und Lernen nicht miteinander. Insgesamt existieren noch wenige Studien, die den Zusammenhang zwischen den verschiedenen Schlafparametern und kognitiven Prozessen der Kinder untersuchen. Weitere systematische Studien sind daher sinnvoll und notwendig, die überdies beeinflussende Variablen, wie zum Beispiel elterliche Kontrolle, in die Betrachtung einbeziehen. Da Schlafstörungen bei Kindern eine Gefahr für die kognitive und schulische Entwicklung darstellen, sollten sie frühzeitig diagnostiziert werden. Daher sollten Eltern, Lehrer und alle in der Erziehung tätigen Praktiker über ein ausreichendes Wissen zu den Symptomen und Folgen schlechten Schlafs bei Kindern sowie über geeignete Präventions- und Interventionsmöglichkeiten verfügen. Gezielte Förderprogramme zur Verbesserung der schulischen und kognitiven Leistungen der Kinder könnten eingesetzt werden.

Understanding and treating insomnia

Sleep disturbance is intricately entwined with our sense of well-being, health, emotion regulation, performance and productivity, memory and cognitive functioning, and social interaction. A longitudinal perspective underscores the conclusion that persistent sleep disturbance, insomnia, at any time during the life span from infancy to old age has a lasting impact. We examine how insomnia develops, the evidence for competing explanations for understanding insomnia, and the evidence about psychological and behavioral treatments that are used to reduce insomnia and change daytime consequences. There are new directions to expand access to treatment for those who have insomnia, and thus a critical analysis of pathways for dissemination is becoming increasingly important.