Alternating sleeping arrangements as a coping strategy for snorers and their bed partners—A prospective study


Background: Despite overwhelming evidence for gender differences in sleep quality as well as gender-specific changes of sleep parameters with respect to habitual sleeping arrangements, studies on snorers and their bed partners have ignored the influence of individual quality of sleep as a potential co-factor. Objective: The objective of this study was to record subjective and objective sleep parameters and to analyze the effects of alternating of sleeping arrangements in snorers and their bed partners. Methods: Habitual snorers and their bed partners were recruited via newspaper articles not stating the exact purpose of the study. Both filled out a 90-day sleep diary. During this time, we recorded subjective and objective sleep parameters in the snorers and their bed partners via wrist actigraphy and sleep diaries for 14 days. For statistical analysis, we used two-sided t-tests and Spearman’s Rho. Results: The dataset included 45 snorers (11 females) and 45 bed partners (34 females) with a mean age of 47 ± 13 and 43 ± 12 years. Screening for sleep apnea yielded snoring without OSAS, mild-, moderate- and severe OSAS in 27 (60%), eight (18%), three (7%) and six (15%) snorers. PSQI total scores were significantly lower in snorers than in bed partners (4 ± 2 vs. 6 ± 4, p = 0.002). We could not find a significant correlation between subjective and objective sleep latency and efficiency. Couples who changed their sleeping arrangement were significantly younger than those who habitually slept alone or together (p = 0.01). Subjective sleep parameters of snorers or bed partners were not related to the number of consecutive nights spent either together or apart. Conclusions: Our study confirmed the weak correlation of subjective and objective sleep parameters in pairs with snoring problems. Couples changing their sleeping arrangement were the youngest among the whole group, but their separation of sleeping arrangements did not improve subjective sleep parameters.

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Seidel, S. , Wöber, C. , Salhofer-Polanyi, S. , Lieba-Samal, D. , Pablik, E. , Zeitlhoferq, J. and Klösch, G. (2013) Alternating sleeping arrangements as a coping strategy for snorers and their bed partners—A prospective study. Health, 5, 6-13. doi: 10.4236/health.2013.58A2002.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Troxel, W.M., Robles, T.F., Hall, M. and Buysse, D.J. (2007) Marital quality and the marital bed: Examining the covariation between relationship quality and sleep. Sleep Medicine Reviews, 11, 389-404. doi:10.1016/j.smrv.2007.05.002
[2] Monroe, L.J. (1969) Transient changes in EEG sleep patterns of married good sleepers: The effects of altering sleeping arrangement. Psychophysiology, 6, 330-337. doi:10.1111/j.1469-8986.1969.tb02910.x
[3] Pankhurst, F.P. and Horne, J.A. (1994) The influence of bed partners on movement during sleep. Sleep, 17, 308-315.
[4] Dittami, J., Keckeis, M., Machatschke, I., Katina, S., Zeitlhofer, J. and Klosch, G. (2007) Sex differences in the reactions to sleeping in pairs versus sleeping alone in humans. Sleep and Biological Rhythms, 5, 271-276. doi:10.1111/j.1479-8425.2007.00320.x
[5] Manber, R. and Armitage, R. (1999) Sex, steroids, and sleep: A review. Sleep, 22, 540-555.
[6] Hasler, B.P. and Troxel, W.M. (2010) Couples’ nighttime sleep efficiency and concordance: Evidence for bidirectional associations with daytime relationship functioning. Psychosomatic Medicine, 72, 794-801. doi:10.1097/PSY.0b013e3181ecd08a
[7] Harvey, A.G. (2002) A cognitive model of insomnia. Behaviour Research and Therapy, 40, 869-893. doi:10.1016/S0005-7967(01)00061-4
[8] Ulfberg, J., Carter, N., Talback, M. and Edling, C. (2000) Adverse health effects among women living with heavy snorers. Health Care for Women International, 21, 81-90. doi:10.1080/073993300245311
[9] Hiestand, D.M., Britz, P., Goldman, M. and Phillips, B. (2006) Prevalence of symptoms and risk of sleep apnea in the US population: Results from the national sleep foundation sleep in America 2005 poll. Chest, 130, 780-786. doi:10.1378/chest.130.3.780
[10] Virkkula, P., Bachour, A., Hytonen, M., Malmberg, H., Salmi,T. and Maasilta, P. (2005) Patient and bed partner-reported symptoms, smoking, and nasal resistance in sleep-disordered breathing. Chest, 128, 2176-2182. doi:10.1378/chest.128.4.2176
[11] Means, M.K., Edinger, J.D., Glenn, D.M. and Fins, A.I. (2003) Accuracy of sleep perceptions among insomnia sufferers and normal sleepers. Sleep Med. 4, 285-296. doi:10.1016/S1389-9457(03)00057-1
[12] Blumen, M., Quera Salva, M.A., d’Ortho, M.P., Leroux, K., Audibert, P., Fermanian, C., Chabolle, F. and Lofaso, F. (2009) Effect of sleeping alone on sleep quality in female bed partners of snorers. European Respiratory Journal, 34, 1127-1131. doi:10.1183/09031936.00012209
[13] Blumen, M.B., Quera-Salva, M.A., Vaugier, I., Leroux, K., d’Ortho, M.P., Barbot, F., Chabolle, F. and Lofaso, F. (2012) Is snoring intensity responsible for the sleep partner’s poor quality of sleep? Sleep and Breathing, 16, 903-907. doi:10.1007/s11325-011-0554-5
[14] Meadows, R., Venn, S., Hislop, J., Stanley, N. and Arber, S. (2005) Investigating couples’ sleep: An evaluation of actigraphic analysis techniques. Journal of Sleep Research, 14, 377-386. doi:10.1111/j.1365-2869.2005.00485.x
[15] Seidel, S., Frantal, S., Oberhofer, P., Bauer, T., Scheibel, N., Albert, F., Pacher, J., Casjens, T., Klosch, G., Zeitlhofer, J. and Wober, C. (2012) Morning headaches in snorers and their bed partners: A prospective diary study. Cephalalgia, 32, 888-895. doi:10.1177/033310241245395
[16] Buysse, D.J., Reynolds III, C.F., Monk, T.H., Berman, S.R. and Kupfer, D.J. (1989) The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213. doi:10.1016/0165-1781(89)90047-4
[17] Johns, M.W. (1991) A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep, 14, 540-545.
[18] Zung, W.W. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 63-70. doi:10.1001/archpsyc.1965.01720310065008
[19] Zung, W.W. (1976) SAS, Self-rating anxiety scale. In: Guy, W., Ed., ECDEU Assessment Manual for Psychopharmacology, Rockville, 337-340.
[20] Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S. and Badr, S. (1993) The occurrence of sleep-disordered breathing among middle-aged adults. The New England Journal of Medicine, 328, 1230-1235. doi:10.1056/NEJM199304293281704
[21] Doherty, L.S., Kiely, J.L., Lawless, G. and McNicholas, W.T. (2003) Impact of nasal continuous positive airway pressure therapy on the quality of life of bed partners of patients with obstructive sleep apnea syndrome. Chest, 124, 2209-2214. doi:10.1378/chest.124.6.2209
[22] Stalkrantz, A., Brostrom, A., Wiberg, J., Svanborg, E. and Malm, D. (2012) Everyday life for the spouses of patients with untreated OSA syndrome. Scandinavian Journal of Caring Science, 26, 324-332. doi:10.1111/j.1471-6712.2011.00937.x
[23] Walsleben, J.A., Kapur, V.K., Newman, A.B., Shahar, E., Bootzin, R.R., Rosenberg, C.E., O’Connor, G. and Nieto, F.J. (2004) Sleep and reported daytime sleepiness in normal subjects: The Sleep Heart Health Study. Sleep, 27, 293-298.
[24] Troxel, W.M., Buysse, D.J., Hall, M. and Matthews, K.A. (2009) Marital happiness and sleep disturbances in a multi-ethnic sample of middle-aged women. Behavioral Sleep Medicine, 7, 2-19. doi:10.1080/15402000802577736

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