Insomnia in Patients with Borderline Personality Disorder.
borderline personality disorder
cognitive behavioral therapy
dialectic behavioral therapy
insomnia
mentalization therapy
transference focus therapy
Journal
Nature and science of sleep
ISSN: 1179-1608
Titre abrégé: Nat Sci Sleep
Pays: New Zealand
ID NLM: 101537767
Informations de publication
Date de publication:
2021
2021
Historique:
received:
01
12
2020
accepted:
20
01
2021
entrez:
3
3
2021
pubmed:
4
3
2021
medline:
4
3
2021
Statut:
epublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 33654445
doi: 10.2147/NSS.S295030
pii: 295030
pmc: PMC7910080
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
239-250Informations de copyright
© 2021 Vanek et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
Références
Sleep. 2006 Apr;29(4):444-53
pubmed: 16676777
Neuro Endocrinol Lett. 2020 Sep;41(2):86-101
pubmed: 33185995
BMC Psychiatry. 2018 Jul 17;18(1):230
pubmed: 30016935
J Pers Disord. 2018 Aug;32(4):433-446
pubmed: 28594633
J Pers Disord. 2012 Aug;26(4):568-82
pubmed: 22867507
Int Rev Psychiatry. 2014 Apr;26(2):189-204
pubmed: 24892894
J Clin Psychiatry. 2018 May/Jun;79(3):
pubmed: 28703950
Personal Ment Health. 2014 Aug;8(3):178-87
pubmed: 24574136
Compr Psychiatry. 2017 Jul;76:119-128
pubmed: 28501733
Psychiatry Clin Neurosci. 2016 Jan;70(1):51-61
pubmed: 26289141
J Clin Sleep Med. 2013 Feb 01;9(2):135-40
pubmed: 23372466
J Anxiety Disord. 2002;16(2):175-90
pubmed: 12194543
Asian J Psychiatr. 2013 Dec;6(6):452-9
pubmed: 24309854
J Clin Sleep Med. 2008 Oct 15;4(5):462-70
pubmed: 18853705
Australas Psychiatry. 2015 Apr;23(2):132-5
pubmed: 25616313
Curr Dir Psychol Sci. 2009 Apr 1;18(2):78-83
pubmed: 20161092
BMC Psychiatry. 2010 May 11;10:33
pubmed: 20459788
Suicide Life Threat Behav. 2005 Apr;35(2):227-37
pubmed: 15843339
J Affect Disord. 2002 Sep;71(1-3):11-8
pubmed: 12167496
Am J Psychiatry. 2009 Dec;166(12):1355-64
pubmed: 19833787
Psychiatry Res. 2001 Dec 15;105(1-2):87-95
pubmed: 11740978
Psychiatry Res. 1983 Jun;9(2):115-23
pubmed: 6578523
Trials. 2018 Oct 10;19(1):547
pubmed: 30305148
J Psychiatr Res. 2008 Jul;42(8):653-8
pubmed: 17706671
Int J Psychoanal. 2008 Jun;89(3):601-20
pubmed: 18558958
Psychiatry Res. 2015 Jul 30;233(1):23-35
pubmed: 25982488
Personal Disord. 2020 Nov;11(6):440-450
pubmed: 32162940
Psychiatry Clin Neurosci. 2008 Feb;62(1):48-55
pubmed: 18289141
Biol Psychiatry. 1999 Apr 15;45(8):1056-8
pubmed: 10386191
Psychiatry Res. 2012 Dec 30;200(2-3):430-6
pubmed: 22657954
Compr Psychiatry. 1999 Jul-Aug;40(4):278-82
pubmed: 10428187
J Pers Disord. 1999 Spring;13(1):1-9
pubmed: 10228922
World Psychiatry. 2019 Jun;18(2):130-139
pubmed: 31059626
J Neural Transm (Vienna). 2017 Feb;124(Suppl 1):99-107
pubmed: 26970970
J Affect Disord. 1990 Apr;18(4):267-73
pubmed: 2140379
Clin Psychol Rev. 2001 Apr;21(3):345-73
pubmed: 11288605
Int J Methods Psychiatr Res. 2004;13(2):60-8
pubmed: 15297904
BMC Psychiatry. 2017 Jun 15;17(1):221
pubmed: 28619017
Compr Psychiatry. 2017 Jul;76:104-112
pubmed: 28456054
Biol Psychiatry. 1993 Mar 1;33(5):326-34
pubmed: 8471690
Am J Psychiatry. 1995 May;152(5):789-91
pubmed: 7726321
Soc Psychiatry Psychiatr Epidemiol. 2020 May 11;:
pubmed: 32394007
Rev Gen Psychol. 2009 Sep 1;13(3):219
pubmed: 20161656
J Psychiatr Res. 2013 Oct;47(10):1499-506
pubmed: 23856083
J Clin Sleep Med. 2008 Oct 15;4(5):475-80
pubmed: 18853707
Psychiatr Clin North Am. 2008 Sep;31(3):405-20, vi
pubmed: 18638643
Psychiatry Res. 1985 Jan;14(1):1-15
pubmed: 3857645
Am J Psychiatry. 1985 Feb;142(2):192-8
pubmed: 3970243
Biol Psychiatry. 1990 Oct 15;28(8):697-704
pubmed: 2242389
J Cell Biochem. 2014 Dec;115(12):2065-72
pubmed: 25043477
Behav Sleep Med. 2020 Jan-Feb;18(1):81-90
pubmed: 30472890
Curr Opin Psychol. 2018 Jun;21:80-85
pubmed: 29065381
Compr Psychiatry. 2018 Nov;87:100-106
pubmed: 30312885
Behav Sleep Med. 2010;8(1):28-39
pubmed: 20043247
J Clin Sleep Med. 2010 Aug 15;6(4):322-9
pubmed: 20726279
Am J Psychiatry. 2009 Dec;166(12):1365-74
pubmed: 19755574
Scand J Psychol. 2013 Aug;54(4):300-12
pubmed: 23574575
Alcohol Res. 2019 Dec 30;40(1):
pubmed: 31886107
Personal Disord. 2018 Jan;9(1):73-80
pubmed: 27657166
J Affect Disord. 2019 Feb 1;244:85-91
pubmed: 30326346
Biol Psychiatry. 2006 Dec 15;60(12):1364-71
pubmed: 16952333
J Clin Psychiatry. 2005 Apr;66(4):412-7
pubmed: 15816781
Am J Psychiatry. 2005 Oct;162(10):1911-8
pubmed: 16199838
Sleep. 2011 Sep 01;34(9):1149-50
pubmed: 21886349
Psychol Med. 2020 Jun;50(8):1327-1337
pubmed: 31317840
Transl Psychiatry. 2017 Jun 20;7(6):e1155
pubmed: 28632202
Clin Psychol Rev. 2008 Jan;28(1):75-91
pubmed: 17544188
Am J Psychiatry. 1984 Feb;141(2):182-6
pubmed: 6691476
Arch Gen Psychiatry. 2006 Jun;63(6):649-58
pubmed: 16754838
PLoS One. 2018 Nov 21;13(11):e0206039
pubmed: 30462650
J Forens Psychiatry Psychol. 2010 Feb 1;21(1):23-39
pubmed: 20198127
Behav Med. 2017 Jul-Sep;43(3):218-226
pubmed: 28767018
Psychosom Med. 1981 Oct;43(5):439-51
pubmed: 7313035
J Pers Disord. 2017 Aug;31(4):433-448
pubmed: 27322577
Medicina (Kaunas). 2019 May 28;55(6):
pubmed: 31142033
Sleep. 2005 Jan;28(1):47-54
pubmed: 15700720
Sleep Med Rev. 2006 Feb;10(1):19-31
pubmed: 16377217
J Abnorm Psychol. 2006 Nov;115(4):850-855
pubmed: 17100543
Behav Cogn Psychother. 2014 May;42(3):355-67
pubmed: 23458343
Psychiatry Res. 2004 Nov 30;129(1):65-73
pubmed: 15572186
Behav Sleep Med. 2004;2(1):50-62
pubmed: 15600224
J Psychosom Res. 2007 Feb;62(2):179-88
pubmed: 17270576
J Consult Clin Psychol. 2013 Oct;81(5):941-7
pubmed: 23731205
Curr Opin Psychol. 2020 Aug;34:72-76
pubmed: 31778972
Curr Psychiatry Rep. 2014 May;16(5):443
pubmed: 24633938
Personal Disord. 2013 Apr;4(2):152-9
pubmed: 22686464
Front Psychiatry. 2017 Aug 04;8:136
pubmed: 28824467
Psychopathology. 2018;51(2):96-104
pubmed: 29672301
Int J Behav Med. 2005;12(4):278-85
pubmed: 16262547
Psychiatry Res. 1988 Jul;25(1):19-30
pubmed: 3217463
Psychiatr Clin North Am. 2018 Jun;41(2):207-223
pubmed: 29739521
J Neural Transm (Vienna). 2012 Oct;119(10):1105-10
pubmed: 22806005
J Psychiatr Res. 2005 Sep;39(5):489-98
pubmed: 15992558
Psychiatr Clin North Am. 2008 Sep;31(3):395-403, vi
pubmed: 18638642
J Clin Epidemiol. 2009 Oct;62(10):1006-12
pubmed: 19631508
Nutrients. 2020 Jun 15;12(6):
pubmed: 32549225
Sleep. 2005 Sep;28(9):1135-41
pubmed: 16268383
Exp Clin Psychopharmacol. 2012 Aug;20(4):333-44
pubmed: 22686496
Eur Arch Psychiatry Clin Neurosci. 2016 Jun;266(4):307-16
pubmed: 26182893
Neurosci Biobehav Rev. 2015 Apr;51:64-76
pubmed: 25616185
JAMA Psychiatry. 2020 Jul 1;:
pubmed: 32609357