Insomnia in Patients with Borderline Personality Disorder

被引:12
作者
Vanek, Jakub [1 ]
Prasko, Jan [1 ,2 ,3 ]
Ociskova, Marie [1 ]
Hodny, Frantisek [1 ]
Holubova, Michaela [4 ]
Minarikova, Kamila [1 ]
Slepecky, Milos [2 ]
Nesnidal, Vlastimil [1 ]
机构
[1] Univ Palacky Olomouc, Univ Hosp, Fac Med & Dent, Dept Psychiat, Olomouc 77520, Czech Republic
[2] Constantine Philosopher Univ Nitra, Fac Social Sci & Hlth Care, Dept Psychol Sci, Nitra, Slovakia
[3] Inst Postgrad Educ Hlth Care, Prague, Czech Republic
[4] Hosp Liberec, Dept Psychiat, Liberec, Czech Republic
来源
NATURE AND SCIENCE OF SLEEP | 2021年 / 13卷
关键词
insomnia; borderline personality disorder; cognitive behavioral therapy; dialectic behavioral therapy; transference focus therapy; mentalization therapy; TRANSFERENCE-FOCUSED PSYCHOTHERAPY; NONSUICIDAL SELF-INJURY; MAJOR DEPRESSION; MEDIATING ROLE; SLEEP-EEG; EMOTION DYSREGULATION; PHYSICAL HEALTH; SUICIDE RISK; NIGHTMARES; SYMPTOMS;
D O I
10.2147/NSS.S295030
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: Both sleep disorders and BPD are prevalent in the population, and one is often a comorbidity of the other. This narrative review aims to assess contemporary literature and scientific databases to provide the current state of knowledge about sleep disorders in patients with borderline personality disorder (BPD) and clinical suggestions for managing sleep disorders in BPD patients and future research direction. Methods: Articles were acquired via PubMed and Web of Science, and papers published between January 1980 and October 2020 were extracted. Authors made a series of literature searches using the keywords: Sleep problems, Insomnia, Nightmares, Obstructive sleep apnea, Borderline personality disorder. The inclusion criteria were: published in peer-reviewed journals; studies in humans; or reviews on the related topic; English language. The exclusion criteria were: abstracts from conferences; commentaries; subjects younger than 18 years. After an inspection of the full texts, 42 papers from 101 were selected. Secondary documents from the reference lists of the primary designated papers were searched, assessed for suitability, and included. In total, 71 papers were included in the review process. Results: Sleep disturbance is common among patients with BPD. Nevertheless, the number of investigations is limited, and the prevalence differs between 5-45%. Studies assessing objective changes in sleep architecture in BPD show inconsistent results. Some of them identify REM sleep changes and a decrease in slow-wave sleep, while other studies found no objective sleep architecture changes. There is also a higher prevalence of nightmares in patients with BPD. Untreated insomnia can worsen BPD symptoms via interference with emotional regulation. BPD itself seems to influence the subjective quality of sleep significantly. Proper diagnosis and treatment of sleep disorders in patients with BPD could lead to better results in therapy. Psychotherapeutic approaches can improve both sleep disorders and BPD symptoms. Conclusion: Recognising and managing sleep disorders in patients with BPD may help alleviate the disorder's symptoms. Treatment of people with BPD may be more effective if the treatment plan explicitly addresses sleep problems. Further research is needed to reach reliable conclusions.
引用
收藏
页码:239 / 250
页数:12
相关论文
共 110 条
[1]  
AKISKAL HS, 1985, AM J PSYCHIAT, V142, P192
[2]   Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement [J].
Moher, David ;
Liberati, Alessandro ;
Tetzlaff, Jennifer ;
Altman, Douglas G. .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2009, 62 (10) :1006-1012
[3]  
[Anonymous], 2013, DIAGNOSTIC STAT MANU
[4]   Sleep EEG findings in ICI-10 borderline personality disorder in Egypt [J].
Asaad, T ;
Okasha, T ;
Okasha, A .
JOURNAL OF AFFECTIVE DISORDERS, 2002, 71 (1-3) :11-18
[5]   Cognitive-Behavioral Factors Associated With Sleep Quality in Chronic Pain Patients [J].
Ashworth, Polly C. H. ;
Davidson, Kate M. ;
Espie, Colin A. .
BEHAVIORAL SLEEP MEDICINE, 2010, 8 (01) :28-39
[6]   TREATMENT OUTCOME OF 18-MONTH, DAY HOSPITAL MENTALIZATION-BASED TREATMENT (MBT) IN PATIENTS WITH SEVERE BORDERLINE PERSONALITY DISORDER IN THE NETHERLANDS [J].
Bales, Dawn ;
van Beek, Nicole ;
Smits, Maaike ;
Willemsen, Sten ;
Busschbach, Jan J. V. ;
Verheul, Roe ;
Andrea, Helene .
JOURNAL OF PERSONALITY DISORDERS, 2012, 26 (04) :568-582
[7]   Poor Sleep Associates With Recent Nonsuicidal Self-Injury Engagement in Adolescents [J].
Bandel, Shelby L. ;
Brausch, Amy M. .
BEHAVIORAL SLEEP MEDICINE, 2020, 18 (01) :81-90
[8]  
Bastien Celyne H, 2004, Behav Sleep Med, V2, P50, DOI 10.1207/s15402010bsm0201_5
[9]  
Bastien CH, 2008, J CLIN SLEEP MED, V4, P462
[10]   Randomized Controlled Trial of Outpatient Mentalization-Based Treatment Versus Structured Clinical Management for Borderline Personality Disorder [J].
Bateman, Anthony ;
Fonagy, Peter .
AMERICAN JOURNAL OF PSYCHIATRY, 2009, 166 (12) :1355-1364