PAPER 119 SLEEP AND DREAM IN ALTERED STATES OF CONSCIOUSNESS ' J.-P. BANQUET 1, C. HAYNES 2 , J. R. HEBERT 2 , and W. REBER 2 'LENA, La Salpetriere, Paris EEG Laboratory, Maharishi European Research University, Seelisberg, Switzerland 2 Research completed October 1976. The phrase 'altered states of consciousness' in this paper refers to higher states of consciousness developed through the Transcendental Meditation programme. Subjects practising Transcendental Meditation were found to require less sleep during the night than controls. In addition, the number of sleep stages was fewer and their duration shorter, except for stage 1, which was longer .-EDITORS INTRODUCTION A large number of EEG results have established Altered States of Consciousness (ASC) as different from sleep (Banquet, 1974-1976; Levine, 1976) notwithstanding the possibility of sleep during these states (Pagano et al., 1976). Nevertheless, normal sleep and these ASC seem to have some relation. During the ASC, periods of reduced metabolism and mental activity may parallel Deep Sleep (DS) phases, but awareness is maintained; occasional sensory experience could parallel Paradoxical Sleep (PS). Bearing this in mind we hypothesized changes in night sleep cycling patterns for subjects involved in intensive training by an ASC (Transcendental Medi- 836 tation). The data presented in this paper are intended to prove this hypothesis. MATERIAL AND METHODS Five subjects whose age ranged from 18 to 28 (average 23.8) were recorded at the end of a six months intensive training program that included several hours per day of Transcendental Meditation (TM) as taught by Maharishi Mahesh Yogi-there was no napping during day time. (Subjects rested during 15-30 min in the afternoon, without sleep). Five controls (16 to 48 years old, average 24.4) were studied with the same protocol. A total of 10 nights sleep were analyzed in this study. BANQUET ET AL. ELECTROPHYSIOLOGICAL AND EEG CHANGES: SLEEP AND DREAM Six standard EEG derivations (01-2, C3-4, F3-4), the surface EMG (Electromyogram) on the chin and 2 eye movements electrodes (located at the outer canthus of each eye) were recorded. Linked ear lobe electrodes served as neutral points. Records were made on a Grass Model 76B at a gain of 10 mm/50 ~V and 0.3 sec time constant. The subjects had already been recorded in the laboratory during daytime, in meditation sessions, but for all subjects and controls (except 1 subject) it was the first sleep session under laboratory conditions. However, the laboratory was in the same building where subjects lived and spent their training sessions. This point will be discussed later. The sleep stages were scored according to the criteria of the handbook of Rechtschaffen and Kales (1968). Special attention was given to REM periods characterized by 6 values, namely, latency (L), situation,* duration (D), the total number of REMs (N), and their average number occuring in a group as well as the REM frequency (F = N/D). Latency and situation of the REM periods -The latency of each REM period was counted in minutes starting from the first Stage 2 Sleep (time zero). Two REM periods were individualized if separated by a phase of slow activity (Stage 3, 4). -PAPER 119 Duration of the REM periods -A typical Stage 1 EEG combined with an absence of muscular tone were the ''tonic criteria''. The occurrence of REM in the following 1 or 2 min was the "phasic" confirmation of the dream period. Number of REMs- Any REM occurring in at least one derivation was taken into account. REM groups - Two REMs belonged to the same group if they were separated by less than 10 sec. RESULTS The results cover both the overall organization of the different sleep cycles and the more specific analysis of REM periods. I. OVERALL ORGANIZATION OF SLEEP CYCLES- The sequential organization of the 5 sleep stages does not differ between the experimental subjects and the controls. The subjects present normal cyclic patterns of sleep, but this preservation of the organization of sleep is accompanied by dramatic changes in duration of the different stages. Table 1 shows that the control group does not differ significantly from reports of the literature (Webb et al. , 1968) for the same age group. But the TABLE 1 MFAN VALUES OF SLEEP PARAMETERS IN SUBJECfS, CONTROLS, AND LITERATURE MEANS REM PERIODS TOTAL SLEEP ~ 266.3 ± 58.6 419.1 ± 54.4 435 p(t) < .002 SUBJECTS CONTROLS LITERATURE SUBJECTS VS. CONTROL CYCLES Length (total) O'fo Number Length Number 35.2 ± 16.8 81.7 ± 22.1 105 p(t) < .005 13.2 19.5 24.2 2.4 ± .6 4 ± 1 4.1 p(t) < .02 88 ± 8.1 100 ± 33.9 95.8 ± 8.7 NS 1.4 2.8 2.6 p(t) < .02 TABLE2 SLEEP STAGES DuRATION (MIN) AND PERCENTAGE IN SUBJECTS, CONTROLS, AND LITERATURE SUBJECTS CONTROLS LITERATURE STAGES Means 0 1 2 3 4 REM Movement Time TOTAL 31.5 51.8 122.8 39.4 9.8 35.2 7.3 266.3 ± ± ± ± ± ± ± ± 49.1 38.2 44.8 18.0 17.2 16.8 5.3 58.6 O'fo 11.8 19.4 46.1 14.8 3.7 13.2 2.7 p(t) NS NS NS <.02 <.005 <.05 <.002 Means O'fo Means ± ± ± ± ± ± ± ± 1.8 8.2 44.0 10.5 14.5 19.5 3.3 4.2 20.9 209.0 29.3 54.3 100.3 7.6 34.5 184.5 43.8 60.6 81.7 17.4 419.1 13.9 45.1 88.1 22.9 38.6 22.1 23.6 54.4 O'fo 1 5 so 7 13 24 418 *situation of the REM period in the night's sleep 837 SCIENTIFIC RESEARCH ON THE TRANSCENDENTAL MEDITATION AND TM-SIDHI PROGRAMME, VOL. difference between subjects and controls is very significant: Duration of total sleep for subjects is 64% of same for controls. Duration and number of dreams of subjects is respectively 43% and 60% of same for controls. In this context, cycle length presents a remarkable stability since it is just slightly shorter in the subjects, but number of cycles of subjects is 60% of the controls' number. · jects are slightly but not significantly decreased in length and actually slightly higher in the percentage of the total duration. 3. Lengthened stages- Stages 0 and 1 are significantly increased in absolute length and percentage of the duration of the total. Stage 1 duration of the subjects is 150% of same for controls. Stage 0 is longer, but this last result is ambiguous and will be discussed later. II. REM PERIODS ORGANIZATION- In order to investigate further the dramatic shortening of REM time previously reported in experimental subjects we analyzed the tonic aspect of REM periods (duration) and their phasic character indicated by number, frequency and grouping of REMs (number of REM per group). These variables were related to rank and latency of REM periods. Table 2 gives more details about the different stages. We notice 3 separate trends: 1. Shortened stages - Besides the REM stage mentioned above, Stage 4 duration for the subjects is 16% of same for controls and almost absent in 3 out of 5 subjects. Movement time of subjects is 42% of same for controls. These 3 stages are decreased in absolute length as well as percent of the total duration. 2. Unchanged stages -Stages 2 and 3 of the sub- 30 Rank effect -According to the conclusions of Benoit et al. ( 1974) the larger the rank of the REM period the longer the period, the greater the number of eye movements and the higher their frequency. The re- 300 10 ;>t z u 0 :::> Cl ~ IJ.l :::> 20. 15 ~ ~ ~ '' ~ ' 8 ~ z Q 9 IJ.l ~ 250 ~ :::> ~ z ~ E= < 25 ~ IJ.l 2 IJ.l 200 7 ~ 6 '' - 150 \ \ 5 \ \ \ \ \ 10 \ \ \ \ 3 \ • 5 I 100 .,........"""" \ 50 2 4 3 RANK - - - - - - subjects 5 2 ,A \ \ \ \ I \ \ . 2 \ \ \ \ 10 ,, I 4 \ \ 4 3 RANK 5 2 3 4 5 RANK controls FIG. 1. EVOLUTION OF THE MFANS OF DURATION, NUMBER AND FREQUENCY OF REM ACCORDING TO THE RANK OF THE REM PERIOD FOR THE SUBJECTS AND CONTROLS. The control group reaches higher (twice or more) and later (3rd or 4th rank) maximal values than subjects (1st or 2nd rank). 838 BANQUET ET AL. ELECTROPHYSIOLOGICAL AND EEG CHANGES: SLEEP AND DREAM -PAPER 119 TABLE 3 AVERAGE VALUES CLASSIFIED BY RANK SUBJECTS RANK ·----- Laten~y } REM-Period Duration Number } Frequency REMs Grouping Average 2 MEANS 94.4 19.9 54 3.2 3.3 ± ± ± ± 35.1 15.8 37 2 188.3 ± 30.2 15.5 ± 5.5 71 ± 18.7 4.7 ± 1.2 3.6 275.5 6 15.5 2.8 2.1 13.8 ± 7.1 43.8 ± 28.4 3.6 ± 1 3 CONTROLS RANK ~ Laten~y } REM-Period Duration Number } Frequency REMs Grouping ± 63 ± 3.1 ± 3.5 ± .8 2 98.2 12.6 86.4 5.8 4.9 ± 49.6 ± 4.3 ± 93.9 ± 5.5 206.2 22.9 161.4 7 4.9 ± 38.9 ± 5.1 ± 98.1 ± 4.2 suits in the control group agree with that only for the frequency of REM. Duration and number of REM reach a maximum respectively at the 3rd and 4th rank, after which they fall below the starting level at the 5th rank (Fig. 1). The experimental subjects have a maximum number of 3 REM periods, versus 5 for controls, reaching a maximum value of the parameters (which is half of the controls' value or even less for REM number N) during 2nd rank dream (1st rank for duration), and falling below the starting level at 3rd rank REM period (Fig. 1). The grouping of REMs follows a curve parallel to that of REM number. Latency effect -In the control group tonic and phasic characteristics increase slowly (number and frequency increasing more rapidly than duration) reaching a maximum between 300 and 360 min; decrease sharply until 420 min and later stabilize. The experimental subjects present a mirror image of this curve, with sharp increase of the parameters, maximal value between 60 -120 min, slow decrease and later stabilization. To summarize, tonic and phasic characteristics of the subjects' REM periods reach maximal values be·tween the 1st and 2nd hour of sleep, in the 1st or 2nd REM period. Maxima in the control group occur between the 5th and 6th hour, in the 3rd or 4th REM period. Average 4 301.9 30.2 264.8 8.4 5.6 ± 30.8 ± 24.4 ± 254.5 ± 3 367.7 25 276.7 8.6 6.2 ± 56.2 ± 21.5 ± 243.8 5.2 ± 434.4 4.9 36 7.4 4.3 ± 12.2 ± .2 ± 2.8 ± .3 19.1 ± 10.2 165.1 ± 106.4 7.4 ± 1.1 5.2 DISCUSSION AND CONCLUSION The "first night effect" altered very little the characteristics of sleep in the control group as indicated by comparison with reports in the literature. Since the conditions were similar for controls and subjects, the most important results concern the dramatic decrease of total sleep and alteration of the REM pattern of experimental subjects. The total sleep duration of the subjects was 2/3 that of the controls, with the absence of sleep in the meditation immediately following their night's sleep and no napping during the following day. Questioning of the subjects showed that this sleep schedule was usual during the training. Moreover, a followup revealed that sleep duration increased very little (about one hour) when subjects returned to active life. Referring to Hartman's work (1968), if we notice that the sleep cycle was shortened and Stage 4 sleep almost nil in most of the subjects, we infer that the Transcendental Meditation program can alter (possibly increase) the level of serotonin of the brain, and/or act upon a hypothetical sleep factor. Taking into account the REM pattern alteration, TM could simultaneously act as a facilitator and a substitute for the REM process. (Indeed the total number of REMs of subjects is more than 6 times less than that of controls.) Finally, increased Stage 0 in subjects is ambiguous because we counted as Stage 0 records with occipital alpha and low amplitude mixed frequencies in an- 839 SCIENTIFIC RESEARCH ON THE TRANSCENDENTAL MEDITATION AND TM-SIDHI PROGRAMME, VOL. 2 terior derivations. This is characteristic of the sleep onset pattern of experimental subjects and there were no more awakenings during the night for these subjects. REFERENCES BANQUET, J.-P., and SAILHAN, M. 1974. Analyse EEG d'etats de conscience induits et spontanes. Revue EEG Neurophysiologique 4: 445. BANQUET, J.-P. 1976. Quantified EEG spectral analysis of sleep and Transcendental Meditation. In Scientific research on the Transcendental Meditation program: Collected papers, vol. 1, ed. D. W. Orme-Johnson andJ. T. Farrow, pp. 182-186. New York: MIU Press. BENOIT, 0.; PAROT, S.; and GARMA, L. 1973."Evolution during the night of REM sleep in man. Electroencephalog- 840 raphy and Clinical Neurophysiology 35: 143 -151. HARTMAN, E. 1968. The 90-minute sleep dream cycle. Archives of General Psychiatry 18: 280-286. LEVINE, P. H. 1975. The coherence spectral array (COSPAR) and its application to the study of spatial ordering in the EEG. Proceedings of the San Diego Biomedical Symposium, vol. 15. PAGANO, R. 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