Harty Laura, Duckworth Rebecca, Thompson Aaron, Stuewig Jeffrey, Tangney June P
Department of Psychology, George Mason University, Fairfax, USA.
J Forens Psychiatry Psychol. 2010 Feb 1;21(1):23-39. doi: 10.1080/14789940903194095.
Previous research investigating the relationship between Borderline Personality Disorder (BPD) and sleep problems, independent of depression, has been conducted on small atypical samples with mixed results. This study extends the literature by utilizing a much larger sample and by statistically controlling for depression and substance dependence. Subjective reports of sleep problems were obtained from 513 jail inmates (70% male) incarcerated on felony charges. Symptoms of BPD were significantly associated with sleep problems even when controlling for depression. Thus, sleep problems associated with BPD cannot be attributed simply to co-morbid symptoms of depression and substance dependence was ruled out as proximal causes for this relationship. Symptoms of depression, but not Antisocial Personality features, were related to sleep problems independent of substance dependence. Treatment of individuals with BPD may be more effective if sleep problems are explicitly addressed in the treatment plan.
以往关于边缘型人格障碍（BPD）与睡眠问题之间关系的研究，在排除抑郁症影响的情况下，是在非典型小样本中进行的，结果不一。本研究通过使用大得多的样本并对抑郁症和物质依赖进行统计控制，扩展了相关文献。睡眠问题的主观报告来自513名因重罪指控而被监禁的监狱囚犯（70%为男性）。即使在控制了抑郁症的情况下，BPD症状仍与睡眠问题显著相关。因此，与BPD相关的睡眠问题不能简单地归因于抑郁症的共病症状，并且物质依赖作为这种关系的近端原因被排除。抑郁症症状而非反社会人格特征，与排除物质依赖后的睡眠问题相关。如果在治疗计划中明确解决睡眠问题，对BPD患者的治疗可能会更有效。
