Quarreling After a Sleepless Night: Preliminary Evidence of the Impact of Sleep Deprivation on Interpersonal Conflict

Hormonal synchrony in older couples' everyday life: The role of situational stressors and buffers

Synchrony in physiology in romantic couples has been suggested to be a result of joint interaction and co-regulation of stress and affect. However, it is subject of debate whether synchrony in endocrine levels - especially in oxytocin - is generally beneficial or if a reciprocal transmission of stress may even be stress-increasing. The aim of this study was to investigate hormonal synchrony in older couples in relation to situational mindfulness, relationship conflict (quarreling), as well as situational resilience and subjective stress levels. A total of N = 26 individuals (i.e., N = 13 couples) aged between 52 and 75 years provided saliva samples and self-report measures 12 times over the course of 2 days (312 measures in total). Superior to randomly scrambled dyads, multilevel models predicted cortisol, alpha-amylase, and oxytocin levels from one partner for the other. Synchrony was higher at times of high levels of quarreling but mitigated in moments of high mindfulness. Moreover, oxytocin synchrony was reduced in couples exerting higher average levels of stress. We interpret this finding as buffering personal factors to protect against the transmission of dyadic stress. To draw implications for clinical interventions to promote these factors and given the preliminary character of the sample and the effects, future studies need to systematically expand this field of research and application.

A narrative review of mechanisms linking romantic relationship experiences to sleep quality

Although a significant body of research has revealed associations between romantic relationship experiences and sleep quality, there has not been clarity regarding the mechanisms underlying such associations. Toward this end, we review the existing studies that have tested mechanisms linking romantic relationship experiences to sleep quality. Guided by both theory and existing research, we organize our review around five key categories of mechanisms that may explain associations between romantic relationship experiences and sleep quality: emotional/affective responses, self-perceptions, social perceptions, self-regulation, and biological functioning. Our review of the literature indicates strong evidence in support of the mediating effects of emotional/affective mechanisms (e.g. emotions and mood states) in explaining associations between various aspects of romantic relationships (e.g. relationship satisfaction, partner conflicts, and attachment orientation) and sleep quality. Although there is ample theoretical support for the other mechanisms proposed, and although all proposed mechanisms have been separately linked to both romantic relationship experiences and sleep quality, few studies have directly tested them, pointing to profitable directions for future research. Understanding underlying mechanisms will enable the development of wise, process-based interventions that target specific mechanisms to improve couple members' sleep quality and romantic relationship functioning.

Development of the Couples' Sleep Conflict Scale: A new tool to assess conflict around sleep in romantic relationships

OBJECTIVE

The purpose of this study was to evaluate the psychometric properties of the Couples' Sleep Conflict Scale, a new measure designed to identify the extent of conflict around sleep in romantic relationships.

METHODS

Data from an individual sample (N = 158) and dyadic sample (N = 143 mixed-gender couples) in romantic relationships were used to examine the psychometric properties of the Couples' Sleep Conflict Scale, including internal consistency, convergent and divergent validity, and whether the factor structure differed between couples with concordant and discordant chronotypes.

RESULTS

Results revealed that the Couples' Sleep Conflict Scale fit a 1-factor solution of 5 items, a summed or mean score can be used, and that it is reliable for both men and women. In addition, more relational sleep conflict was associated with both their own and their partners' poorer sleep hygiene, worse sleep quality, and more daytime sleepiness as well as more general relationship conflict, lower relationship satisfaction, and higher anxious and avoidant attachment. Finally, we found partial measurement invariance for factor loadings, intercepts, and latent variable variances between couples with concordant vs. discordant chronotypes.

CONCLUSION

The Couples' Sleep Conflict Scale is a brief measure that can be used in both research and in health care settings to examine how sleep-related conflict can affect both sleep and relationship quality among couples.

Fatigue and fallibility: the perils of prolonged shifts for neonatologists

Sleep deprivation is a major challenge for neonatologists, who face increasing demands in the complex healthcare system. Current neonatal intensive care unit (NICU) schedule models often include extended shifts and overnight call, which can lead to sleep deprivation. This lack of sufficient sleep poses adverse health risks to neonatologists and can impair cognitive function, which increases the risk of medical errors and compromises patient safety. This paper proposes reducing shift durations and implementing policies and interventions to reduce fatigue among neonatologists and improve patient safety. The paper also offers policymakers, healthcare leaders, and NICU physicians valuable insights on potential ways to promote the health of the neonatologist workforce and safety in the NICU.