Sleep enhances strategic thinking at the expense of basic procedural skills consolidation.

Recent studies show that sleep facilitates the learning of complex cognitive skills. Here, we assess the effect of sleep on performance in an ecological, multi-componential task, which requires subjects to trace on a screen as many words as possible with 16 letters, some of which ("bonuses") multiply the value of letters or words containing them. In a within-subjects design, 23 healthy adults underwent training and retest, with a retention period (approximately 8 hr) spent awake (WK, with training in the morning and retest in the afternoon) or asleep (SL, with training in the evening and retest in the morning). The main performance measure (GLOB) results from the total value of the letters used, the number of words, their length and the strategic use of bonus letters. An additional measure (WORDS, i.e., the proportion of words correctly detected over all detectable words) was also used, mainly reflecting procedural rather than strategic skills. In WK, although GLOB increased at retest, a significant improvement emerged only for WORDS, whereas in SL only GLOB was enhanced. In WK, the GLOB improvement appears to depend on the increase in the number of words detected (GLOB and WORDS improvement measures were positively associated), whereas in SL this association was not observed, indicating a shift to more complex but more rewarding strategies. Our data contribute to the understanding of everyday life learning processes by suggesting that sleep benefits memories of future relevance and promotes preferential consolidation of strategic skills when this is useful to achieve one's goal.

Sleeping problems in mothers and fathers of patients suffering from congenital central hypoventilation syndrome.

PURPOSE: Advanced medical technology has resulted in an increased survival rate of children suffering from congenital central hypoventilation syndrome. After hospitalization, these technology-dependent patients require special home care for assuring ventilator support and the monitoring of vital parameters mainly during sleep. The daily challenges associated with caring for these children can place primary caregivers under significant stress, especially at night. Our study aimed at investigating how this condition affects mothers and fathers by producing poor sleep quality, high-level diurnal sleepiness, anxiety, and depression. METHODS: The study included parents of 23 subjects with congenital central hypoventilation syndrome and 23 healthy subjects. All parents filled out the Pittsburgh Sleep Quality Index (PSQI) questionnaire, Epworth Sleepiness Scale (ESS), Beck Depression Inventory (BDI-II), and Beck Anxiety Inventory (BAI). RESULTS: A comparison between the two groups showed that parents of patients had poorer sleep quality, greater sleepiness, and higher BDI-II scores compared to that of parents of healthy subjects (respectively, PSQI score 6.5 vs 3.8, ESS score 6.2 vs 4.3, BDI-II score 8.4 vs 5.7). Specifically, mothers of patients showed poorer sleep quality and higher BDI-II scores compared to that of mothers of controls (respectively, PSQI score 7.5 vs 3.8, BDI-II score 9.3 vs 5.9), whereas fathers of patients showed greater levels of sleepiness with respect to fathers of healthy children (respectively, ESS score 6.8 vs 4.0). These differences emerged in parents of younger children. CONCLUSIONS: Congenital central hypoventilation syndrome impacts the family with different consequences for mothers and fathers. Indeed, while the patients' sleep is safeguarded, sleeping problems may occur in primary caregivers often associated with other psychological disorders. Specifically, this disease affects sleep quality and mood in the mothers and sleepiness levels in the fathers.