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Updated: Jun 10, 2026

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Human Circadian Phenotyping and Diurnal Performance Testing in the Real World
Published on: April 7, 2020
Couples' nighttime sleep efficiency and concordance: evidence for bidirectional associations with daytime
Brant P Hasler1, Wendy M Troxel
1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. haslerbp@upmc.edu
Psychosomatic Medicine
|July 30, 2010
Summary
Daily relationship quality impacts sleep, and good sleep improves relationship interactions for both partners. Couples
Area of Science:
- Psychology
- Sleep Medicine
- Sociology
Background:
- Emerging evidence suggests bidirectional links between sleep and relational processes in couples.
- Previous research on sleep and relationship functioning has been primarily cross-sectional.
- Prospective studies are needed to establish the directionality of these associations.
Purpose of the Study:
- To prospectively examine the directionality of the association between daily relationship functioning and nightly sleep quality.
- To investigate the association between couples' relationship functioning and concordance in sleep-wake rhythms.
Main Methods:
- Prospective study involving 29 heterosexual cosleeping couples over 7 days.
- Sleep was measured using daily diaries and wrist actigraphy.
- Daily relationship functioning was assessed using ecological momentary assessment methods.
- Dyadic, multilevel analyses were employed to examine predictive relationships.
Main Results:
- For men, higher sleep efficiency predicted less negative partner interaction the following day.
- For women, less negative partner interaction predicted greater sleep efficiency that night.
- Positive and negative daytime partner interactions influenced male partners' sleep efficiency.
- Lower sleep onset concordance in women predicted less positive and more negative partner interactions.
Conclusions:
- Bidirectional associations exist between sleep parameters and interpersonal interactions in couples.
- These findings suggest a novel pathway linking close relationships with physical and mental health.
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