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DOI: 10.5935/1984-0063.20220005
Sleeping together: understanding the association between relationship type, sexual activity, and sleep
Objective Insufficient sleep, and particularly difficulties initiating sleep, are prevalent in the community. Treatment for poor sleep typically consists of pharmacological intervention, or cognitive behavioural therapies - which can be both costly and time-consuming. Evidence suggests that sexual activities may positively impact sleep. However, little is known about relationship types, sexual activities, and perceived sleep outcomes. The aim of this study was to explore the association between relationship type (e.g., having a regular, occasional, or casual partner), sexual activity and satisfaction, and perceived sleep outcomes, to identify potential strategies to improve sleep.
Methods Seven-hundred and seventy-eight participants aged 18 years and over (442 females, 336 males; mean age 34.5 ± 11.4 years) responded to a cross-sectional online anonymous survey at their convenience. Participants were asked about their sleep, sexual activity and satisfaction, and relationship type.
Results Results from multiple regression analyses with age and gender covariates revealed that shorter sleep latencies were associated with regular relationships (p = 0.030), greater emotional satisfaction with sexual activity (p = 0.029), and increased frequency of orgasm (p < 0.001). Men reported a greater frequency of orgasm than women (p < 0.001).
Discussion Findings indicate that relationship type may be associated with improved sleep outcomes, including sleep latency. Relationship type should therefore be taken into consideration by clinicians when developing treatment plans for individuals with poor sleep.
Publication History
Received: 13 April 2021
Accepted: 20 July 2021
Article published online:
01 December 2023
© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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REFERENCES
- 1 Hillman D, Mitchell S, Streatfeild J, Burns C, Bruck D, Pezzullo L. The economic cost of inadequate sleep. Sleep. 2018;41(8):zsy083.
- 2 Daley M, Morin CM, LeBlanc M, Grégoire JP, Savard J. The economic burden of insomnia: Direct and indirect costs for individuals with insomnia syndrome, insomnia symptoms, and good sleepers. Sleep. 2009;32(1):55-64.
- 3 Reynolds SA, Ebben MR. The Cost of Insomnia and the Benefit of Increased Access to Evidence-Based Treatment: Cognitive Behavioral Therapy for Insomnia. Sleep Med Clin. 2017;12(1):39-46.
- 4 Khan MS, Aouad R. The effects of insomnia and sleep loss on cardiovascular disease. Sleep Med Clin. 2017;12(2):167-77.
- 5 Lei W-Y, Chang W-C, Wong M-W, Hung J-S, Wen S-H, Yi C-H, et al. Sleep disturbance and its association with gastrointestinal symptoms/diseases and psychological comorbidity. Digestion. 2019;99(3):205-12.
- 6 Peach H, Gaultney JF, Gray DD. Sleep hygiene and sleep quality as predictors of positive and negative dimensions of mental health in college students. Cogent Psychology. 2016;3(1):1168768.
- 7 Dawson D, Sprajcer M, Thomas M. How much sleep do you need? A comprehensive review of fatigue related impairment and the capacity to work or drive safely. Accident Analysis & Prevention. 2020;151:105955.
- 8 Lie JD, Tu KN, Shen DD, Wong BM. Pharmacological Treatment of Insomnia. Physical Therapy. 2015;40(11):759-71.
- 9 Falloon K, Arroll B, Elley CR, Fernando A. The assessment and management of insomnia in primary care. Bmj. 2011;342:d2899.
- 10 Haynes J, Talbert M, Fox S, Close E. Cognitive Behavioral Therapy in the Treatment of Insomnia. Southern medical journal. 2018;111(2):75-80.
- 11 Edinger JD, Means MK. Cognitive–behavioral therapy for primary insomnia. Clin Psychol Rev. 2005;25(5):539-58.
- 12 Lastella M, O’Mullan C, Paterson JL, Reynolds AC. Sex and sleep: Perceptions of sex as a sleep promoting behavior in the general adult population. Frontiers in Public Health. 2019;7(MAR).
- 13 Pallesen S, Waage S, Thun E, Andreassen CS, Bjorvatn B. A national survey on how sexual activity is perceived to be associated with sleep. Sleep and Biological Rhythms. 2020;18(1):65-72.
- 14 Costa R, Costa D, Pestana J. Subjective sleep quality, unstimulated sexual arousal, and sexual frequency. Sleep Sci. 2017;10(4):147-53.
- 15 Vazquez-Palacios G, Bonilla-Jaime H, Retana-Marquez S, Velazquez-Moctezuma J. Copulatory activity increases slowwave sleep in the male rat. J Sleep Res. 2002;11(3):237-45.
- 16 Rodenbeck A, Huether G, Rüther E, Hajak G. Interactions between evening and nocturnal cortisol secretion and sleep parameters in patients with severe chronic primary insomnia. Neurosci Lett. 2002;324(2):159-63.
- 17 Spiegel K, Follenius M, Simon C, Saini J, Ehrhart J, Brandenberger G. Prolactin secretion and sleep. Sleep. 1994;17(1):20-7.
- 18 Braga RI, Panaitescu A, Bãdescu S, Zãgrean A-M, Zãgrean L. Intranasal administration of oxytocin alters sleep architecture. Biological Rhythm Research. 2014;45(1):69-75.
- 19 Meston CM, Buss DM. Why Humans Have Sex. Archives of Sexual Behavior. 2007;36(4):477-507.
- 20 McNulty JK, Wenner CA, Fisher TD. Longitudinal associations among relationship satisfaction, sexual satisfaction, and frequency of sex in early marriage. Archives of Sexual Behavior. 2016;45(1):85-97.
- 21 Ailshire JA, Burgard SA. Family relationships and troubled sleep among U.S. adults: examining the influences of contact frequency and relationship quality. J Health Soc Behav. 2012;53(2):248-62.
- 22 Gur-Yaish N, Cohen D, Shochat T. Attachment orientations and sleep patterns: The moderating role of exchanges with spouse. Journal of Social and Personal Relationships. 2020;37(4):1282-95.
- 23 Troxel WM. It’s more than sex: exploring the dyadic nature of sleep and implications for health. Psychosomatic medicine. 2010;72(6):578-86.
- 24 Richter K, Adam S, Geiss L, Peter L, Niklewski GJCi. Two in a bed: the influence of couple sleeping and chronotypes on relationship and sleep. An overview. 2016;33(10):1464-72.
- 25 Drews HJ, Wallot S, Weinhold SL, Mitkidis P, Baier PC, Roepstorff A, et al. “Are we in sync with each other?” exploring the effects of cosleeping on heterosexual couples’ sleep using simultaneous polysomnography: a pilot study. Sleep Disorders. 2017;2017.
- 26 Kiecolt-Glaser JK, Newton TL. Marriage and health: his and hers. Psychol Bull. 2001;127(4):472.
- 27 Richters J, Badcock PB, Simpson JM, Shellard D, Rissel C, de Visser RO, et al. Design and methods of the Second Australian Study of Health and Relationships. Sexual health. 2014;11(5):383-96.
- 28 Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213.
- 29 Buysse D, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213.
- 30 R Development Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2008.
- 31 Roehrs TA, Randall S, Harris E, Maan R, Roth T. MSLT in Primary Insomnia: Stability and Relation to Nocturnal Sleep. Sleep. 2011;34(12):1647-52.
- 32 Selcuk E, Stanton SC, Slatcher RB, Ong AD. Perceived partner responsiveness predicts better sleep quality through lower anxiety. Social Psychological and Personality Science. 2017;8(1):83-92.
- 33 Kruger DJ, Hughes SM. Tendencies to fall asleep first after sex are associated with greater partner desires for bonding and affection. Journal of Social, Evolutionary, and Cultural Psychology. 2011;5(4):239.
- 34 Troxel WM, Buysse DJ, Matthews KA, Kravitz HM, Bromberger JT, Sowers M, et al. Marital/Cohabitation Status and History in Relation to Sleep in Midlife Women. Sleep. 2010;33(7):973-81.
- 35 Guastella AJ, Moulds ML. The impact of rumination on sleep quality following a stressful life event. Pers Individ Dif. 2007;42(6):1151-62.
- 36 Cox RC, Olatunji BO. A systematic review of sleep disturbance in anxiety and related disorders. J Anxiety Disord. 2016;37:104-29.
- 37 Fekete EM, Seay J, Antoni MH, Mendez AJ, Fletcher MA, Szeto A, et al. Oxytocin, social support, and sleep quality in lowincome minority women living with HIV. Behav Sleep Med. 2014;12(3):207-21.
- 38 Hiller J. Speculations on the links between feelings, emotions and sexual behaviour: Are vasopressin and oxytocin involved? Sexual and Relationship Therapy. 2004;19(4):393-412.
- 39 Lipschitz DL, Kuhn R, Kinney AY, Grewen K, Donaldson GW, Nakamura Y. An exploratory study of the effects of mind–body interventions targeting sleep on salivary oxytocin levels in cancer survivors. Integrative cancer therapies. 2015;14(4):366-80.
- 40 Waite LJ, Joyner K. Emotional satisfaction and physical pleasure in sexual unions: Time horizon, sexual behavior, and sexual exclusivity. Journal of Marriage and Family. 2001;63(1):247-64.