Advantage conferred by overnight sleep on schema-related memory may last only a day

Abstract Study Objectives Sleep contributes to declarative memory consolidation. Independently, schemas benefit memory. Here we investigated how sleep compared with active wake benefits schema consolidation 12 and 24 hours after initial learning. Methods Fifty-three adolescents (age: 15–19 years) randomly assigned into sleep and active wake groups participated in a schema-learning protocol based on transitive inference (i.e. If B > C and C > D then B > D). Participants were tested immediately after learning and following 12-, and 24-hour intervals of wake or sleep for both the adjacent (e.g. B–C, C–D; relational memory) and inference pairs: (e.g.: B–D, B–E, and C–E). Memory performance following the respective 12- and 24-hour intervals were analyzed using a mixed ANOVA with schema (schema, no-schema) as the within-participant factor, and condition (sleep, wake) as the between-participant factor. Results Twelve hours after learning, there were significant main effects of condition (sleep, wake) and schema, as well as a significant interaction, whereby schema-related memory was significantly better in the sleep condition compared to wake. Higher sleep spindle density was most consistently associated with greater overnight schema-related memory benefit. After 24 hours, the memory advantage of initial sleep was diminished. Conclusions Overnight sleep preferentially benefits schema-related memory consolidation following initial learning compared with active wake, but this advantage may be eroded after a subsequent night of sleep. This is possibly due to delayed consolidation that might occur during subsequent sleep opportunities in the wake group. Clinical Trial Information Name: Investigating Preferred Nap Schedules for Adolescents (NFS5) URL: https://clinicaltrials.gov/ct2/show/NCT04044885. Registration: NCT04044885