Jenkins Claire A, Thompson Katherine N, Chanen Andrew M, Hartmann Jessica A, Nicol Katie, Nicholas Christian L
Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Victoria, Australia.
Orygen, Parkville, Victoria., Australia.
J Sleep Res. 2022 Apr;31(2):e13463. doi: 10.1111/jsr.13463. Epub 2021 Aug 19.
Characterising sleep in young people (aged 15-25 years) with borderline personality disorder (BPD) features is crucial given the association between BPD features and sleep disturbance, negative consequences of poor sleep, and normative developmental sleep changes that occur in this age group. The present study aimed to characterise the sleep profile of young people with BPD to determine whether this profile is non-normative and specific to BPD. Participants were 96 young people (40 with BPD features, 38 healthy individuals, and 18 young people seeking help for mental health difficulties without BPD). Sleep was measured subjectively (self-report questionnaires) and objectively (10 days of actigraphy). Young people with BPD features reported poorer subjective sleep quality, greater insomnia symptoms and later chronotype than same-age healthy and clinical comparison groups. Young people with BPD features also displayed irregular sleep timing, later rise times, greater time in bed and longer sleep durations than healthy young people. Those with BPD features had superior sleep quality (greater sleep efficiency, less wake after sleep onset) and longer sleep durations than the clinical comparison group. Sleep profiles were similar across young people with BPD features with and without co-occurring depression. Overall, the findings revealed a subjective-objective sleep discrepancy and suggest that sleep-improvement interventions might be beneficial to improve subjective sleep in young people with BPD features.
鉴于边缘型人格障碍（BPD）特征与睡眠障碍之间的关联、睡眠不佳的负面后果以及该年龄组发生的正常发育性睡眠变化，对具有边缘型人格障碍（BPD）特征的年轻人（15至25岁）的睡眠进行特征描述至关重要。本研究旨在描述患有BPD的年轻人的睡眠特征，以确定该特征是否不符合正常标准且特定于BPD。参与者为96名年轻人（40名具有BPD特征、38名健康个体以及18名因心理健康问题寻求帮助但无BPD的年轻人）。通过主观（自我报告问卷）和客观（10天的活动记录仪）方式测量睡眠情况。具有BPD特征的年轻人报告的主观睡眠质量较差，失眠症状更严重，且比同龄健康和临床对照组的昼夜节律类型更晚。与健康年轻人相比，具有BPD特征的年轻人还表现出睡眠时间不规则、起床时间更晚、卧床时间更长以及睡眠时间更长。与临床对照组相比，具有BPD特征的人睡眠质量更好（睡眠效率更高、睡眠开始后觉醒时间更短）且睡眠时间更长。有无共病抑郁症的具有BPD特征年轻人的睡眠特征相似。总体而言，研究结果揭示了主观-客观睡眠差异，并表明改善睡眠的干预措施可能有助于改善具有BPD特征年轻人的主观睡眠。
