Oltmanns Joshua R, Weinstein Yana, Oltmanns Thomas F
Department of Psychology, Washington University in St. Louis, St. Louis, MO, United States.
Personal Ment Health. 2014 Aug;8(3):178-87. doi: 10.1002/pmh.1259. Epub 2014 Feb 27.
Prior research has associated BPD with sleep problems, but the relationship has been explored primarily in small clinical samples of younger adults. Findings from our lab have demonstrated that borderline symptoms remain present in later middle age and are associated with several negative life outcomes. A representative community sample of older adults (N = 633, Mage = 62.3) was obtained from the St Louis area, and interviewer-reports, self-reports, and informant-reports of personality pathology were completed along with an insomnia symptoms questionnaire. Cross-sectional analyses revealed that symptoms from all 10 DSM-IV personality disorders were significantly correlated with insomnia symptoms. However, after statistically controlling for major depression, body-mass index, race and gender, only borderline personality pathology remained significantly associated with insomnia symptoms. Our results demonstrate that in addition to other negative health outcomes, borderline personality pathology is uniquely associated with sleep problems in later middle-aged adults in the community.
先前的研究已将边缘型人格障碍（BPD）与睡眠问题联系起来，但这种关系主要是在较年轻成年人的小型临床样本中进行探讨的。我们实验室的研究结果表明，边缘型症状在中年后期依然存在，并与若干负面生活结果相关。从圣路易斯地区选取了一个具有代表性的老年人社区样本（N = 633，年龄中位数 = 62.3岁），完成了访谈者报告、自我报告以及关于人格病理学的 informant 报告，并同时填写了一份失眠症状问卷。横断面分析显示，所有10种《精神疾病诊断与统计手册》第四版（DSM-IV）人格障碍的症状均与失眠症状显著相关。然而，在对重度抑郁症、体重指数、种族和性别进行统计学控制后，只有边缘型人格病理学与失眠症状仍存在显著关联。我们的结果表明，除了其他负面健康结果外，边缘型人格病理学在社区中年后期成年人中与睡眠问题存在独特关联。
