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Couples' Nighttime Sleep Efficiency and Concordance: Evidence for Bidirectional Associations With Daytime Relationship Functioning

Hasler, Brant P. PhD; Troxel, Wendy M. PhD

Psychosomatic Medicine:
doi: 10.1097/PSY.0b013e3181ecd08a
Original Articles
Abstract

Objective: To examine prospectively the directionality of the association between daily relationship functioning and nightly sleep quality and the association between couples' relationship functioning and concordance in sleep-wake rhythms. Emerging evidence suggests the existence of bidirectional links between sleep and relational processes in dyads, but to date, this research has been primarily cross sectional.

Methods: Sleep was measured via both diaries and wrist actigraphy for 7 days in 29 heterosexual cosleeping couples. Ecological momentary assessment methods were used to characterize daily relationship functioning. Dyadic, multilevel analyses were used to examine the degree to which nightly sleep efficiency or within-couple concordance in sleep timing predicted the next day's relational functioning and vice versa.

Results: In the first set of analyses, for men, higher diary-based sleep efficiency predicted less negative partner interaction the following day. For women, less negative partner interaction during the day predicted greater actigraphy-based sleep efficiency that night. Furthermore, if women reported more positive and less negative daytime partner interaction during the day, this also predicted higher diary-based sleep efficiency for their male partners that night. In the second set of analyses, among females only, lower diary- or actigraphy-based sleep onset concordance respectively predicted less positive and more negative partner interactions the next day.

Conclusions: Bidirectional associations seem to exist between sleep parameters and interpersonal interaction and may represent a novel pathway linking close relationships with physical and mental health.

APIM = Actor-Partner Interdependence Model; BDI = Beck Depression Inventory, Second Edition; EMA = Ecological Momentary Assessment; GNT = good night time; RAS = Relationship Assessment Scale; SE = sleep efficiency; SOL = sleep onset latency; VAS = visual analogue scale; WASO = wake after sleep onset.

Author Information

From the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

Address correspondence and reprint requests to Brant P. Hasler, PhD, Postdoctoral Fellow, Western Psychiatric Institute and Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213. E-mail: haslerbp@upmc.edu

Received for publication March 15, 2010; revision received June 11, 2010.

Support for the first author (B.P.H.) was provided, in part, by a Dissertation Grant Award from the Society for a Science of Clinical Psychology, a Dissertation Research Grant from the Social and Behavioral Sciences Research Institute of the University of Arizona, a Dissertation Research Award from the American Psychological Association, and a postdoctoral Kirschstein-NRSA (T32HL082610) from the National Heart Lung Blood Institute (NHLBI). Support for the second author (W.M.T.) was provided by an Early Career Award (K23HL093220) from NHBLI.

Copyright © 2010 by American Psychosomatic Society

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