Sleep hygiene habits can be influenced by other family members and are often mimicked. Depending on the functionality of the family dynamic, poor habits promoted within the household can increase risk for hypertension, especially in youth.

Family Dynamics in Sleep Health and Hypertension

A element that impacts the functionality of the family dynamic, cohesion is conceptualized as the nature and strength of familial bonds, characterized by emotional closeness and individual autonomy.

Family Cohesion

Part of the family dynamic, structure refers to the hierarchy and organization of each household unit. Configurations include:

•Nuclear families

•Single-parent families

•Extended families 

•Childless families

•Grandparent families

Family Structure 

- Family relations
- Communication patterns 
- Role and responsibilities
- Emotional climate 
- Power and decision-making

Components of Family Dynamics 

Proposed by Diana Baumrind, this theory suggests that parenting styles are a significant factor in a child's socioemotional development and the formation of a healthy self-concept. The theory outlines four primary styles: authoritative, authoritarian, permissive, and uninvolved, each describing a different approach to raising children.

Diana Baumrind's Theory of Parenting Styles

Family dynamics encompass the ways in which individual members interact with each other based on their hierarchies, roles, and identities, and how familial relationships are perceived. Elements of family dynamics include:

• Structure

• Cohesion 

• Conflict style 

• Parenting style 

Grand Valley State University

Introduced by Murray Bowen in the 1950s, family systems theory views households as emotional units with family members having interconnected lives and behavioral processes. Family environments, structures, routines, and relationships influence the development of each individual.

Family Systems Theory

Yan, Y., Zhang, J., & Dong, S. (2021). Influence of childhood family routines on adult depression: A cross sectional study. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.654433

 Influence of childhood family routines on adult depression: A cross sectional study

Smith, S. L., DeGrace, B., Ciro, C., Bax, A., Hambrick, A., James, J., & Evans, A. (2017). Exploring families’ experiences of health: Contributions to a model of family health. Psychology, Health & Medicine, 22(10), 1239–1247. https://doi.org/10.1080/13548506.2017.1319069

Exploring families’ experiences of health: Contributions to a model of family health

Gunn, H. E., & Eberhardt, K. R. (2019). Family dynamics in sleep health and hypertension. Current Hypertension Reports, 21(5), 39. https://doi.org/10.1007/s11906-019-0944-9

Family dynamics in sleep health and hypertension

Not to be conflated with the family structure/unit, the environment is the conditions, circumstances, norms, and resources surrounding a family. The interaction between family and environment is bidirectional, and individual family members may perceive the same environmental stimuli differently. 


Family Environment

Consisting of conversational and conformity dimensions, family communication patterns theory conceptualizes the way family heirarchies make decisions, transmit attitudes and beliefs, relate to one another, and elicit support. 

Family Communication Patterns Theory

In the discipline of psychology, routines are defined as organized, predictable, and intentional sets of behaviors repeated frequently in day to day life. Routines can include physical and mental components and can involve some or all family members. 
Routines can provide environmental and emotional stability within households.

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