NREM Sleep

Written by Kevin Morton with adaptations from the Stanford Sleep Book

NREM sleep (also referred to as non-REM sleep) comprises around 75% of a typical night's sleep and is comprised of four different distinct stages. Each of these stages is discussed in more detail below, and you can also learn more about the stages of sleep here.

NREM sleep can be identified and quantified by brain wave patterns alone, as they are clearly different from those of both wakefulness and REM sleep with the exception of a little bit of ambiguity that sometimes occurs at sleep onset. Brain wave patterns are also what distinguish the four stages of NREM from each other, distinctions that you can see clearly in the graphs below.

The 4 Stages of NREM Sleep

As mentioned above, NREM has 4 stages of sleep, each with a distinct brain wave pattern. You can get a picture of how these stages transition and interact with each other and where they fit in the larger picture of a full night's sleep by checking out this graphic.

Stage 1

Stage 1 sleep is a transition period from wakefulness to the other 3 stages of non-REM sleep. It is of short duration, usually lasting only from 1 to 7 minutes. Stage 1 sleep is characterized by low voltage, mixed frequency EEG, as well as some slow, rolling eye movements and some relatively higher EMG activity. The brain activity is shown below in the following EEG recording.

Stage 2

Stage 2 makes up the bulk of an average person's sleep each night, around 40 to 45 percent. A sleep researcher can easily recognize stage 2 sleep because of the presence of sleep spindles and K-complexes in the EEG waves. A sleep spindle is a rapid wax and wane of the EEG waves in a 1 to 2 second interval, while a K-complex is a large wax and wane of the wave that somewhat resembles a mountain.

Stage 3

Stage 3 and stage 4 are similar and both fall into the category of slow wave sleep. They are so named because of the high amplitude waves in the EEG. In order to qualify as stage 3 sleep, these slow waves must be present in no more than 50 percent of the epoch. The waves are also referred to as delta waves.

Stage 4

Stage 4 is the other slow wave sleep period. In order to qualify as stage 4 sleep the high amplitude delta waves must be present in more than 50 percent of the epoch, like in the EEG recording below.

Parasomnias In NREM Sleep

Despite not getting the sort of glamour status REM receives in some of our minds, NREM sleep can still get pretty crazy and exciting. Case in point, many parasomnias, movement-involved sleep disorders that can be quite remarkable, arise out of the deep slow-wave stages 3 and 4 of NREM, as well as during transitions from one NREM stage to another.

Parasomnias occuring often in deep NREM:

• Sleepwalking
• Sleep terrors
• Confusional arousals

Parasomnias occuring often during NREM transitions:

• Rhythmic Movement Disorder (RMD)
• Sleep talking
• Sleep starts
• Nocturnal leg cramps

To give NREM even more of a case for being a similarly spicy stage of sleep to REM, consider that parasomnias such as the ones above (namely sleepwalking) have led in the past to some of the most flabbergasting murder trials in history--murders being committed while the attackers were asleep. How does that happen?! You can read a bit about one of these trials here.

Similarities and Differences of REM and NREM Sleep

Differences:

The brain in NREM sleep appears to be much less active than in REM sleep. In addition, during REM sleep there is an outflow of motor commands from the brain to the spinal cord as the mind attempts to get the body to act out what it sees (the dream) that is not present during NREM sleep (REM atonia prevents most of these motor commands from ever moving the muscles--some turn into twitches and the like--but the brain's motor activity still remains a difference). However, this distinction doesn't hold up quite as well when we consider the various parasomniac activities that can happen in NREM sleep, such as sleepwalking, sleep terrors, and sleep talking, all of which require some substantial motor activity.

Clearly also, the rapid eye movements that are characteristic of REM sleep do not occur in non-rapid eye movement sleep ;-)

Similarities:

Perceptual disengagement, one of the defining qualities of sleep in general, holds true for both states--perception of the outer world is essentially absent from REM and NREM. Interestingly, environmental stimuli can enter a dream, but this is usually transformed and incorporated into the content of the dream (picture water drops on one's head manifesting as dream rain) and not considered to disrupt the qualifications for perceptual disengagement.

Arousal Threshold - While a sleeper is considerably easier to awaken in the lighter stages of NREM (stages 1 and 2, especially 1), the ease of awakening a sleeper in NREM deep sleep (stages 3 and 4) seems to be pretty comparable to waking him or her up in REM.

Does Dreaming Occur In NREM Sleep?

While REM sleep is clearly hyped up to be the stage of sleep where dreaming occurs, dreams are not unknown to happen in NREM sleep as well. NREM dreams are generally regarded as much less vivid as REM dreams, and may be better referred to as "dream imagery"--more colors and abstract shapes than the storybook-type dreams that the active REM mind constructs.

Is Either REM Sleep Or NREM Sleep More Restorative Than The Other?

The jury is still out on this one. While studies involving REM sleep deprivation have shown that the body can fall into REM sleep more quickly after being deprived from it for a time, suggesting that it is necessary for the body, there is no conclusive evidence as of yet as to whether either state is inherently more restorative.

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