ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
Current issue Archive Manuscripts accepted About the journal Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
vol. 27
Case report

The influence of circadian rhythm of sleep on functioning in a marital relationship and on a sexual activity

Joanna Katarzyna Szmyd, Adam Wichniak, Justyna Anna Holka-Pokorska, Michał Lew-Starowicz

Adv Psychiatry Neurol 2018; 27 (3): 247-257
Online publish date: 2018/09/30
View full text
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
Delayed Sleep-Wake Phase Disorder (DSWPD) occurs in 7–16% of young people. Development of this disorder is favored by prolonged and late use of electronic devices, shift work, irregular meal times and other socio-cultural changes. The aim of the article is to describe the case study and to analyze treatment of the patient with a diagnosis of DSWPD.

Case description
A 28-year-old man who reported negative impact of sleep disorders on the quality of his marital relationship, including the quality of sex life. Previous treatment with a sleeping medicine was not effective. Only the use of a full chronobiological treatment program, in line with current standards, and melatonin therapy has led to significant improvement in his condition.

DSWPD is a disorder that significantly affects the quality of life and daily functioning, not only of the patient but also of his family. Recommended treatment methods include melatonin therapy, phototherapy, and behavioral interventions.


circadian rhythm, circadian rhythm sleep-wake disorders, quality of sex life

Hirshkowitz M, Whiton K, Albert SM, Alessi C, et al. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health 2015; 1.
Wichniak A, Jankowski KS, Skalski M, Skwarło-Sońta K, Zawilska JB, Żarowski M, et al. Standardy leczenia zaburzeń rytmu okołodobowego snu i czuwania opracowane przez Polskie Towarzystwo Badań nad Snem i Sekcję Psychiatrii Biologicznej Polskiego Towarzystwa Psychiatrycznego. Część 1. Fizjologia, metody oceny i oddziaływania terapeutyczne. Psychiatr Pol 2017; 51: 793-814.
Schmidt-Nielsen K. Fizjologia zwierząt. Adaptacja do środowiska. Warszawa: Wydawnictwo Naukowe PWN; 2008.
Wichniak A, Jankowski KS, Skalski M, Skwarło-Sońta K, Zawilska JB, Żarowski M, et al. Standardy leczenia zaburzeń rytmu okołodobowego snu i czuwania Polskiego Towarzystwa Badań nad Snem i Sekcji Psychiatrii Biologicznej Polskiego Towarzystwa Psychiatrycznego. Część 2. Diagnoza i leczenie. Psychiatr Pol 2017; 51: 815-832.
Ekirch AR. Sleep we have lost: pre-industrial slumber in the British Isles. Am Hist Rev 2001; 106: 343-386.
Horne JA, Östberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. International Journal of Chronobiology 1976; 4: 97-110.
Lew-Starowicz Z, Skrzypulec V. Psychofizjologia seksualności. In: Podstawy seksuologii. Warszawa: PZWL; 2010, p. 83-181.
Gupta SK, Lindemulder EA, Sathyan G. Modeling of Circadian Testosterone in Healthy Men and Hypogonadal Men. Journal of Clinical Pharmacology 2000; 40: 731-738.
Snyder PJ. Editorial: the role of androgens in women. J Clin Endocrinol Metab 2001; 86: 1006-1007.
Nucci L, Smetana JG. Mothers’ Concepts of Young Children’s Areas of Personal Freedom. Child Development 1996; 67: 1870-1886.
Roenneberg T, Merrow M. Entrainment of the human circadian clock. Cold Spring Harb Symp Quant Biol 2007; 72: 293-299.
Roenneberg T, Kuehnle T, Pramstaller PP, Ricken J, Havel M, Guth A, et al. A marker for the end of adolescence. Current Biology 2004; 14: R1038-R1039.
Meadows R, Arber S, Venn S, Hislop J. Engaging with sleep: Male definitions, understandings and attitudes. Sociol Health Illn 2008; 30: 696-710.
Rogojanski J, Carney CE, Monson CM. Interpersonal factors in insomnia: A model for integrating bed partners into cognitive behavioral therapy for insomnia. Sleep Med Rev 2013 Feb; 17: 55-64.
Venn S. It’s Okay for a Man to Snore: The Influence of Gender on Sleep Disruption in Couple. Sociological Research Online 2007; 12.
Beninati W, Cameron D, Harris BS, Herold DL, Shepard JW. The Effect of Snoring and Obstructive Sleep Apnea on the Sleep Quality of Bed Partners. Mayo Clinic Proceedings 1999; 74: 955-958.
Troxel WM, Robles TF, Hall M, Buysse DJ. Marital quality and the marital bed: Examining the covariation between relationship quality sleep. Sleep Med Rev 2007; 11: 389-404.
Bajoghli H, Keshavarzi Z, Mohammadi MR, Schmidt NB, Norton PJ, Holsboer-Trachsler E, et al. “I love you more than I can stand!” – Romantic love, symptoms of depression and anxiety, and sleep complaints are related among young adults. Published online 2014; p. 169-174.
Brand S, Luethi M, von Planta A, Hatzinger M, Holsboer-Trachsler E. Romantic love, hypomania, and sleep pattern in adolescents. J Adolesc Health 2007; 41: 69-76.
Arber S, Bote M, Meadows R. Gender and the socio-economic patterning of self-reported sleep problems in Britain, Social Science and Medicine 2009; 68: 281-289.
Baron KG, Smith TW, Czajkowski LA, Gunn HE, Jones CR. Relationship quality and CPAP adherence in patients with obstructive sleep apnea. Behav Sleep Med 2009; 7: 22-36.
Cartwright R. Sleeping together: a pilot study of the effects of shared sleeping on adherence to CPAP treatment in obstructive sleep apnea. J Clin Sleep Med 2008; 4: 123-127.
McFadyen TA, Espie CA, McArdle N, Douglas NJ, Engleman HM. Controlled, prospective trial of psychosocial function before and after continuous positive airway pressure therapy. Eur Respir J 2001; 18: 996-1002.
Pankhurst FP, Horne JA. The influence of bed partners on movement during sleep. Sleep 1994; 17: 308-315.
Monroe LJ. Transient changes in EEG sleep patterns of married good sleepers: the effects of altering sleeping arrangement. Psychophysiology 1969; 6: 330-337.
Dittami J, Keckeis M, Machatschke I, Katina S, Zeitlhofer J, Kloesch G. Sex differences in the reactions to sleeping in pairs versus sleeping alone in humans. Sleep and Biological Rhythms 2007; 5: 271-276.
Refinetti R. Time for sex: Nycthemeral distribution of human sexual behavior. J Circadian Rhythms 2005; 3: 4.
Reinberg A, Lagoguey M. Circadian and circannual rhythms in sexual activity and plasma hormones (FSH, LH, testosterone) of five human males. Arch Sex Behav 1978; 7: 13-30.
Palmer JD, Udry JR, Morris NM. Diurnal and weekly, but no lunar rhythm in human copulation. Hum Biol 1982; 54: 111-121.
Jankowski KS, Diaz-Morales JE, Randler C. Chronotype, Gender and Time for Sex. Chronobiology International 2014; 31: 911-916.
Randler C, Barrenstein S, Vollmer C, et al. Women would like their partners to be more synchronized with them in their sleep-wake rhythm. Span J Psychol 2014; 17: E70.
Larsen JH, Crane DR, Smith CW. Morning and night couples: The effect of wake and sleep patterns on marital adjustment. J Marital Fam Ther 1991; 17: 53-65.
National Sleep Foundation. Sleep in America bedroom poll. Washington, DC: Author; 2011.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe