{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:20:39Z","timestamp":1778545239756,"version":"3.51.4"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T00:00:00Z","timestamp":1569369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1105458"],"award-info":[{"award-number":["1105458"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,13]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Patients with insomnia frequently report disturbing, or being disturbed by, their bedpartner. We aimed to (1) characterize how individuals with insomnia and their bedpartners influence each other\u2019s sleep and (2) identify characteristics predicting vulnerability to wake transmission. Fifty-two couples (aged 19\u201382 years), where one individual was diagnosed with insomnia, participated. Sleep\/wake patterns were monitored via actigraphy and sleep diaries for seven nights. Minute-by-minute sleep and wake concordance (simultaneous sleep\/wake epochs), number of wake transmissions received (awakenings immediately preceded by wakefulness in the bedpartner), percent wake transmissions received (percentage of total awakenings that were transmitted), and percent of bedpartner\u2019s wake minutes resistant to transmission (ability to sleep through bedpartner wakefulness) were calculated. Mixed-effects modeling assessed within-couple bedtime and chronotype differences as predictors of dyadic sleep. We described rates of sleep concordance (MPatient = 63.8%, MPartner = 65.6%), wake concordance (MPatient = 6.6%, MPartner = 6.6%), total transmissions received (MPatient = 5.5, MPartner = 6.9 per night), percent transmissions received (MPatient = 18.5%, MPartner = 23.4% of total awakenings), and percent minutes resistant (MPatient = 56.4%, MPartner = 58.6% of bedpartner\u2019s wake time). Partners received wake transmissions at 1.25 times the rate of patients. Percent transmissions received was increased in couples with concordant bedtimes and individuals with later chronotype than their bedpartner. Patterns of chronotype and bedtime order predicting percent minutes resistant to transmission differed across the length of the rest interval. Transmission provides a novel characterization of how bedpartners influence sleep and provide insight into mechanisms of insomnia generation and maintenance. Understanding modifiable risk factors may provide ways to personalize insomnia treatments.<\/jats:p><jats:p>Clinical Trial Researching Effective Sleep Treatments (Project REST), ANZCTR Registration: ACTRN12616000586415<\/jats:p>","DOI":"10.1093\/sleep\/zsz206","type":"journal-article","created":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T11:14:50Z","timestamp":1569410090000},"source":"Crossref","is-referenced-by-count":36,"title":["Sleep and wake are shared and transmitted between individuals with insomnia and their bed-sharing partners"],"prefix":"10.1093","volume":"43","author":[{"given":"Elizabeth M","family":"Walters","sequence":"first","affiliation":[{"name":"School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J K","family":"Phillips","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alix","family":"Mellor","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kellie","family":"Hamill","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa M","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Center for Stress and Anxiety Management, San Diego, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J","family":"Norton","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald H","family":"Baucom","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience, University of North Carolina, Chapel Hill, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9815-626X","authenticated-orcid":false,"given":"Sean P A","family":"Drummond","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,9,25]]},"reference":[{"issue":"1","key":"2020011304242834700_CIT0001","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/j.1445-5994.2007.01395.x","article-title":"Sleep health New South Wales: chronic sleep restriction and daytime sleepiness","volume":"38","author":"Bartlett","year":"2008","journal-title":"Intern Med J."},{"issue":"11","key":"2020011304242834700_CIT0002","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1001\/jama.1989.03430110069030","article-title":"Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?","volume":"262","author":"Ford","year":"1989","journal-title":"JAMA."},{"key":"2020011304242834700_CIT0003","first-page":"1049","article-title":"National institutes of health state of the science conference statement on manifestations and management of chronic insomnia in adults, June 13\u201315, 2005","volume":"28","author":"National Institutes of Health","year":"2005","journal-title":"Sleep."},{"issue":"9","key":"2020011304242834700_CIT0004","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1177\/070674371105600905","article-title":"Prevalence of insomnia and its treatment in Canada","volume":"56","author":"Morin","year":"2011","journal-title":"Can J Psychiatry."},{"issue":"10","key":"2020011304242834700_CIT0005","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/j.sleep.2010.07.012","article-title":"Prevalence and correlates of insomnia in the Swedish population aged 19-75 years","volume":"11","author":"Ohayon","year":"2010","journal-title":"Sleep Med."},{"key":"2020011304242834700_CIT0006","volume-title":"Diversity and change in Australian families","author":"De Vaus","year":"2004"},{"key":"2020011304242834700_CIT0007","volume-title":"2012 Sleep in America Poll","author":"National Sleep Foundation","year":"2012"},{"key":"2020011304242834700_CIT0008","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1016\/S0025-6196(11)63991-8","article-title":"The effect of snoring and obstructive sleep apnea on the sleep quality of bed partners","volume":"74","author":"Beninati","year":"1999","journal-title":"Mayo Clinic Proc"},{"issue":"3","key":"2020011304242834700_CIT0009","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1093\/sleep\/27.3.527","article-title":"Impact of spouses\u2019 sleep problems on partners","volume":"27","author":"Strawbridge","year":"2004","journal-title":"Sleep."},{"key":"2020011304242834700_CIT0010","doi-asserted-by":"crossref","DOI":"10.5153\/sro.1607","article-title":"It\u2019s okay for a man to snore\u201d: the influence of gender on sleep disruption in couples","volume":"12","author":"Venn","year":"2007","journal-title":"Sociol Res Online"},{"issue":"1","key":"2020011304242834700_CIT0011","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.smrv.2012.02.003","article-title":"Interpersonal factors in insomnia: a model for integrating bed partners into cognitive behavioral therapy for insomnia","volume":"17","author":"Rogojanski","year":"2013","journal-title":"Sleep Med Rev."},{"issue":"1","key":"2020011304242834700_CIT0012","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1080\/15402002.2013.838768","article-title":"The role of perceived partner alliance on the efficacy of CBT-I: preliminary findings from the Partner Alliance in Insomnia Research Study (PAIRS)","volume":"13","author":"Ellis","year":"2015","journal-title":"Behav Sleep Med."},{"issue":"4","key":"2020011304242834700_CIT0013","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1093\/sleep\/17.4.308","article-title":"The influence of bed partners on movement during sleep","volume":"17","author":"Pankhurst","year":"1994","journal-title":"Sleep."},{"key":"2020011304242834700_CIT0014","doi-asserted-by":"crossref","DOI":"10.5153\/sro.1609","article-title":"Gender roles and women\u2019s sleep in mid and later life: a quantitative approach","volume":"12","author":"Arber","year":"2007","journal-title":"Sociol Res Online"},{"key":"2020011304242834700_CIT0015","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1111\/j.1467-954X.2005.00512.x","article-title":"The \u201cnegotiated night\u201d: an embodied conceptual framework for the sociological study of sleep","volume":"53","author":"Meadows","year":"2005","journal-title":"Sociol Rev"},{"issue":"6","key":"2020011304242834700_CIT0016","first-page":"933","article-title":"Sleep concordance in couples is associated with relationship characteristics","volume":"38","author":"Gunn","year":"2015","journal-title":"Sleep."},{"key":"2020011304242834700_CIT0017","doi-asserted-by":"crossref","first-page":"8140672","DOI":"10.1155\/2017\/8140672","article-title":"\u201cAre we in sync with each other?\u201d exploring the effects of cosleeping on heterosexual couples\u2019 sleep using simultaneous polysomnography: a pilot study","volume":"2017","author":"Drews","year":"2017","journal-title":"Sleep Disord."},{"issue":"4","key":"2020011304242834700_CIT0018","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1111\/j.1365-2869.2005.00485.x","article-title":"Investigating couples\u2019 sleep: an evaluation of actigraphic analysis techniques","volume":"14","author":"Meadows","year":"2005","journal-title":"J Sleep Res."},{"issue":"4","key":"2020011304242834700_CIT0019","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1093\/sleep\/27.4.793","article-title":"Older people awaken more frequently but fall back asleep at the same rate as younger people","volume":"27","author":"Klerman","year":"2004","journal-title":"Sleep."},{"issue":"1","key":"2020011304242834700_CIT0020","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.neurobiolaging.2012.05.018","article-title":"Survival analysis indicates that age-related decline in sleep continuity occurs exclusively during NREM sleep","volume":"34","author":"Klerman","year":"2013","journal-title":"Neurobiol Aging."},{"key":"2020011304242834700_CIT0021","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.socscimed.2012.05.021","article-title":"\u201cListening for his breath:\u201d the significance of gender and partner reporting on the diagnosis, management, and treatment of obstructive sleep apnea","volume":"79","author":"Henry","year":"2013","journal-title":"Soc Sci Med."},{"issue":"3","key":"2020011304242834700_CIT0022","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0304-3940(96)13140-2","article-title":"Morning-type and evening-type individuals differ in the phase position of their endogenous circadian oscillator","volume":"218","author":"Kerkhof","year":"1996","journal-title":"Neurosci Lett."},{"issue":"4475","key":"2020011304242834700_CIT0023","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1126\/science.7434029","article-title":"Human sleep: its duration and organization depend on its circadian phase","volume":"210","author":"Czeisler","year":"1980","journal-title":"Science."},{"issue":"7","key":"2020011304242834700_CIT0024","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/j.cub.2015.01.064","article-title":"Aligning work and circadian time in shift workers improves sleep and reduces circadian disruption","volume":"25","author":"Vetter","year":"2015","journal-title":"Curr Biol."},{"key":"2020011304242834700_CIT0025","doi-asserted-by":"crossref","first-page":"E70","DOI":"10.1017\/sjp.2014.72","article-title":"Women would like their partners to be more synchronized with them in their sleep-wake rhythm","volume":"17","author":"Randler","year":"2014","journal-title":"Span J Psychol."},{"key":"2020011304242834700_CIT0026","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1111\/j.1479-8425.2007.00320.x","article-title":"Sex differences in the reactions to sleeping in pairs versus sleeping alone in humans","volume":"5","author":"Dittami","year":"2007","journal-title":"Sleep Biol Rhythms"},{"issue":"1","key":"2020011304242834700_CIT0027","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1186\/s13063-019-3334-3","article-title":"Partner-assisted cognitive behavioural therapy for insomnia versus cognitive behavioural therapy for insomnia: a randomised controlled trial","volume":"20","author":"Mellor","year":"2019","journal-title":"Trials."},{"key":"2020011304242834700_CIT0028","volume-title":"The Duke Structured Interview for Sleep Disorders","author":"Edinger","year":"2004"},{"key":"2020011304242834700_CIT0029","volume-title":"Insomnia: Psychological Assessment and Management","author":"Morin","year":"1993"},{"issue":"4","key":"2020011304242834700_CIT0030","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S1389-9457(00)00065-4","article-title":"Validation of the insomnia severity index as an outcome measure for insomnia research","volume":"2","author":"Bastien","year":"2001","journal-title":"Sleep Med."},{"issue":"5","key":"2020011304242834700_CIT0031","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1097\/ALN.0b013e31816d83e4","article-title":"STOP questionnaire: a tool to screen patients for obstructive sleep apnea","volume":"108","author":"Chung","year":"2008","journal-title":"Anesthesiology."},{"issue":"9","key":"2020011304242834700_CIT0032","doi-asserted-by":"crossref","first-page":"951","DOI":"10.5664\/jcsm.4022","article-title":"Alternative scoring models of STOP-bang questionnaire improve specificity to detect undiagnosed obstructive sleep apnea","volume":"10","author":"Chung","year":"2014","journal-title":"J Clin Sleep Med."},{"key":"2020011304242834700_CIT0033","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/0191-8869(91)90110-W","article-title":"Horne & ostberg morningness-eveningness questionnaire: a reduced scale","volume":"12","author":"Adan","year":"1991","journal-title":"Pers Individ Dif"},{"issue":"2","key":"2020011304242834700_CIT0034","first-page":"97","article-title":"A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms","volume":"4","author":"Horne","year":"1976","journal-title":"Int J Chronobiol."},{"issue":"2","key":"2020011304242834700_CIT0035","doi-asserted-by":"crossref","first-page":"287","DOI":"10.5665\/sleep.1642","article-title":"The consensus sleep diary: standardizing prospective sleep self-monitoring","volume":"35","author":"Carney","year":"2012","journal-title":"Sleep."},{"issue":"10","key":"2020011304242834700_CIT0036","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1093\/sleep\/30.10.1317","article-title":"Poor sleep is associated with poorer physical performance and greater functional limitations in older women","volume":"30","author":"Goldman","year":"2007","journal-title":"Sleep."},{"issue":"1","key":"2020011304242834700_CIT0037","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1002\/jts.21982","article-title":"Sleep variability in military-related PTSD: a comparison to primary insomnia and healthy controls","volume":"28","author":"Straus","year":"2015","journal-title":"J Trauma Stress."},{"issue":"3","key":"2020011304242834700_CIT0038","doi-asserted-by":"crossref","first-page":"249","DOI":"10.3233\/JHD-170251","article-title":"Pilot validation of ambulatory activity monitors for sleep measurement in huntington\u2019s disease gene carriers","volume":"6","author":"Maskevich","year":"2017","journal-title":"J Huntingtons Dis."},{"issue":"1","key":"2020011304242834700_CIT0039","doi-asserted-by":"crossref","first-page":"3216","DOI":"10.1038\/s41598-017-03171-4","article-title":"Irregular sleep\/wake patterns are associated with poorer academic performance and delayed circadian and sleep\/wake timing","volume":"7","author":"Phillips","year":"2017","journal-title":"Sci Rep."},{"issue":"2","key":"2020011304242834700_CIT0040","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1080\/073993300245311","article-title":"Adverse health effects among women living with heavy snorers","volume":"21","author":"Ulfberg","year":"2000","journal-title":"Health Care Women Int."},{"issue":"3","key":"2020011304242834700_CIT0041","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1037\/h0024563","article-title":"Psychological and physiological differences between good and poor sleepers","volume":"72","author":"Monroe","year":"1967","journal-title":"J Abnorm Psychol."},{"key":"2020011304242834700_CIT0042","doi-asserted-by":"crossref","DOI":"10.1093\/sleep\/zsw028","article-title":"Sleep-wake concordance in couples is inversely associated with cardiovascular disease risk markers","volume":"40","author":"Gunn","year":"2017","journal-title":"Sleep."},{"issue":"7","key":"2020011304242834700_CIT0043","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1136\/thorax.56.7.513","article-title":"Partners of patients with sleep apnoea\/hypopnoea syndrome: effect of CPAP treatment on sleep quality and quality of life","volume":"56","author":"McArdle","year":"2001","journal-title":"Thorax."},{"issue":"3","key":"2020011304242834700_CIT0044","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1001\/jamainternmed.2014.7554","article-title":"The influence of partner\u2019s behavior on health behavior change: the English Longitudinal Study of Ageing","volume":"175","author":"Jackson","year":"2015","journal-title":"JAMA Intern Med."},{"issue":"6","key":"2020011304242834700_CIT0045","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1016\/j.socscimed.2005.08.006","article-title":"Understanding health behavior change among couples: an interdependence and communal coping approach","volume":"62","author":"Lewis","year":"2006","journal-title":"Soc Sci Med."},{"key":"2020011304242834700_CIT0046","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.ssmph.2016.10.011","article-title":"Multiple health behaviours among mothers and partners in England: clustering, social patterning and intra-couple concordance","volume":"2","author":"Graham","year":"2016","journal-title":"SSM Popul Health."}],"container-title":["Sleep"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/sleep\/advance-article-pdf\/doi\/10.1093\/sleep\/zsz206\/30268546\/zsz206.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/sleep\/article-pdf\/43\/1\/zsz206\/31778279\/zsz206.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/sleep\/article-pdf\/43\/1\/zsz206\/31778279\/zsz206.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T01:14:59Z","timestamp":1721783699000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/sleep\/article\/doi\/10.1093\/sleep\/zsz206\/5573656"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,25]]},"references-count":46,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,9,25]]},"published-print":{"date-parts":[[2020,1,13]]}},"URL":"https:\/\/doi.org\/10.1093\/sleep\/zsz206","relation":{},"ISSN":["0161-8105","1550-9109"],"issn-type":[{"value":"0161-8105","type":"print"},{"value":"1550-9109","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,1]]},"published":{"date-parts":[[2019,9,25]]},"article-number":"zsz206"}}