By Harry Dankowicz*
Before the 1800s, it was common to practice a pattern of two distinct periods of sleep during the night, separated by several hours of wakefulness. Nighttime was defined by the absence of natural light, and caution was thrown to the wind by anyone daring to venture out. With the advent of artificial sources of light and more vigorous nighttime socializing, this pattern was successively replaced by the single contiguous sleep cycle to which we are accustomed today.
But in recent years, our sleep habits are being strained by the 24-hour society, driven by demands for work and social flexibility in a globalized economy, and with constant access to computers and electronic networks. In data from the Swedish Living Conditions Surveys, self-reported trouble with sleep nearly doubled among all subjects 16 years or older between 1980 and 2013, with a particularly rapid rise among young women between the ages of 16 and 24, from 9% to 28%.
As head of the sleep and fatigue research unit at the Stress Research Institute at Stockholm University in Sweden, Deputy Director Göran Kecklund is acutely aware of the dangers to public health that result from family- and work-related stress and poor sleep. On March 26, 2015, he emceed the Stress Research Institute’s annual outreach day. Dr. Kecklund provided background on the connection between sleep, health, and stress in an interview earlier the same day. The interview has been edited for length and flow.
Q. What is the connection between sleep and stress?
A. If you have a high stress level during the day, as long as you sleep well, you get the necessary recovery and recuperation that you need. You start off the next day being refreshed and prepared for a demanding day with high stress. That will not be dangerous to your health or affect your daytime performance.
When it comes to sleep quality, of course, duration of sleep is important. But the content of sleep is also important. If you are relaxed when you go to sleep and have a built-up large sleep need, then you will more or less automatically have lots of deep sleep. And that’s very good for you. However, if you have a high stress level when you go to bed and you have a lot of apprehension, negative thoughts of the next day; that could reduce the level of deep sleep. That means that you will be less refreshed—you have not obtained sufficient recovery—which means that you start off being a little bit fatigued already in the morning. You might have to put in lots of extra effort to be able to maintain good work performance, and the price you pay by putting in extra effort is higher stress.
Q. What is the connection between stress, sleep, and disease?
A. If you have lots of stress, but you also have good recovery, you have very good probability of not developing any stress-related diseases. But if the stress has an impact on sleep, then you would expect that these recuperative processes would not work. This will cause damage to your brain, but also to many other regulatory systems, that in the long run increases the risk of developing severe disease, for instance, coronary heart disease, like heart infarction, and psychological diseases, like depression.
Q. What was the reason for focusing on women, stress and health at this year’s outreach event?
A. That’s one of the most significant public health questions in Sweden. There is a lot of concern, in particular with respect to younger women, who seem to have had a negative trend during the last years. They have increased stress and increased sleep problems despite the fact that, from a biological point of view, their sleep should be excellent. Often you are at the peak when you are 20-25 with respect to the amount of deep sleep you can produce. You have the possibility to extend sleep if you have been sleep deprived, which should be an advantage. But obviously that doesn’t work. And we think it is an important question for society to learn more about, to discuss what we should do about it.
*The author is Professor of Mechanical Science and Engineering at University of Illinois at Urbana-Champaign.
Sources:
Interview conducted on March 26, 2015 with
- Göran Kecklund, Associate Professor
Deputy Director
Head, Sleep and Fatigue Division
Stress Research Institute
Stockholm University
SE-106 91 Stockholm
Phone: +46 8 5537 8912
E-mail: kecklund@su.se
Scholarly publications:
- Schwarz, J., Lindberg, E., Kecklund, G., “Sleep as a Means of Recovery and Restitution in Women: The Relation with Psychosocial Stress and Health,” in Psychosocial Stress and Cardiovascular Disease in Women (eds. Orth- Gomér, K., Schneiderman, N., Vaccarino, V., Deter, H.-C.), pp. 107-127, Springer International Publishing Switzerland, 2015. http://goo.gl/XYf39e
Government reports:
- The UK Parliamentary Office of Science and Technology, “The 24-hour,” Postnote, No. 250, November 2005. http://goo.gl/JP3Qea
- Bremberg, S., “Youth, Stress, and Psychological non-Wellbeing,” Department of Education of Sweden, in Swedish, August 15, 2006. http://goo.gl/hZAuGN
News stories:
- Hegarty, S. “The myth of the eight-hour sleep,” BBC Magazine, February 22, 2012. http://goo.gl/6Hy59F
Multimedia/Data:
- Statistics Sweden, “The Swedish Living Conditions Surveys,” http://goo.gl/AHHGjJ