Department of Psychology, University of Houston.
Psychiatry and Behavioral Sciences, Baylor College of Medicine.
J Clin Child Adolesc Psychol. 2022 Nov-Dec;51(6):892-906. doi: 10.1080/15374416.2020.1772081. Epub 2020 Jun 17.
: The current study aimed to examine the relation between sleep disturbance, emotion dysregulation and borderline personality features in adolescent inpatients.: = 217 adolescents (67.1% female; ages 12-17) with the following racial/ethnic breakdown: 67.4% White, 3.7% Hispanic, 2.8% Asian, 1.8% African American, and 6.4% multiracial) completed self-report measures of sleep disturbance, emotion dysregulation and borderline personality symptoms at admission to, discharge from, and at 6-months-post discharge from an inpatient psychiatric hospital. Group comparison and path analyses were conducted to examine differences in sleep disturbance between those with and without borderline personality disorder and the mediating role of emotion dysregulation in the relation between sleep disturbance and borderline personality features.: Borderline personality features and emotion dysregulation were significantly related to indices of sleep disturbance. Path models revealed that some sleep disturbance indices at admission directly predicted levels of borderline features at discharge and at 6-months-post-discharge. However, none of the indirect pathways between sleep disturbance at admission, emotion dysregulation at discharge, and borderline features at discharge or 6-months post-discharge were significant.: Findings are consistent with prior literature which suggest that a unique relation exists between sleep disturbance and BPD, beyond comorbid depression symptoms. However, contrary to our hypotheses, the current study did not provide empirical support for the mediating role of emotion regulation in this relation. These findings have implications for existing personality disorder and sleep interventions and suggest further research into the mechanisms underlying the relation between sleep disturbance and borderline personality pathology is necessary.
当前的研究旨在考察青少年住院患者睡眠障碍、情绪失调与边缘型人格特征之间的关系。方法：共有 217 名青少年（67.1%为女性；年龄 12-17 岁）参与了此项研究，其种族/民族分布如下：67.4%为白人，3.7%为西班牙裔，2.8%为亚洲人，1.8%为非裔美国人，6.4%为多种族裔。这些参与者在入住、出院和出院后 6 个月时，完成了自我报告的睡眠障碍、情绪失调和边缘型人格特征量表。采用组间比较和路径分析，考察了有和无边缘型人格障碍患者之间睡眠障碍的差异，以及情绪失调在睡眠障碍与边缘型人格特征之间的关系中的中介作用。结果：边缘型人格特征和情绪失调与睡眠障碍的各项指标显著相关。路径模型显示，入院时的一些睡眠障碍指标直接预测出院时和出院后 6 个月时的边缘特征水平。然而，入院时的睡眠障碍、出院时的情绪失调与出院时或出院后 6 个月时的边缘特征之间没有任何间接路径是显著的。结论：研究结果与先前的文献一致，表明睡眠障碍与 BPD 之间存在独特的关系，超出了共病抑郁症状的范围。然而，与我们的假设相反，本研究并没有为情绪调节在这种关系中的中介作用提供实证支持。这些发现对现有的人格障碍和睡眠干预措施具有启示意义，并表明有必要进一步研究睡眠障碍与边缘型人格病理之间关系的潜在机制。
