title: Interpersonal factors in insomnia: a model for integrating bed partners into cognitive behavioral therapy for insomnia.
abstract: Sleep has largely been conceptualized as an individual phenomenon, despite the fact that most adults share their bed with a partner at some time in their life. Only recently have researchers begun to examine the dyadic nature of sleep, and there is growing evidence that bed partners can play a role in the onset and maintenance of insomnia. Additionally, emerging evidence suggests that bed partners can be powerful agents of social control in terms of promoting adaptive health and sleep-related behaviors, and shared social rhythms between partners can help foster an environment that is conducive to good sleep. As such, the aim of the present article is to review the social context of the sleep environment and how best to include bed partners in insomnia treatment. Based on a synthesis of relevant literatures, a model for integrating bed partners into cognitive behavior therapy for insomnia (CBT-I) is presented and directions for future research are discussed.
authors.affiliation: Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, Ontario, Canada. jenny.rogojanski@psych.ryerson.ca
authors.forename: Jenny
authors.initials: J
authors.lastname: Rogojanski
authors.forename: Colleen E
authors.initials: CE
authors.lastname: Carney
authors.forename: Candice M
authors.initials: CM
authors.lastname: Monson
mesh_terms: D000339:Affect; D001143:Arousal; D002940:Circadian Rhythm; D015928:Cognitive Behavioral Therapy; D054541:Family Conflict / Q000523:psychology; D006801:Humans; D007398:Interpersonal Relations; D008388:Marital Therapy; D009769:Object Attachment; D012307:Risk Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology* / Q000628:therapy*; D012927:Social Control, Informal; D012931:Social Environment; D018454:Spouses / Q000523:psychology*; D013315:Stress, Psychological / Q000150:complications