Jenkins Claire A, Thompson Katherine N, Nicholas Christian L, Hartmann Jessica A, Chanen Andrew M
Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia.
Orygen, Melbourne, Australia.
Borderline Personal Disord Emot Dysregul. 2022 Mar 10;9(1):10. doi: 10.1186/s40479-022-00180-2.
Sleep disturbance is common among young people (15-25 years) with features of borderline personality disorder (BPD). However, the mechanisms underlying sleep disturbance in BPD remain unknown. Understanding these underlying processes is essential to guide the development of sleep-improvement interventions and to optimise their efficacy through identifying beneficial treatment targets. This exploratory study aimed to investigate potential underlying mechanisms to inform future hypotheses, research development, and provide insight into potential treatment targets to improve sleep in young people with BPD. This study explored the indirect roles of emotion regulation difficulties, depression, anxiety and stress in the relationship between BPD features and sleep disturbance in young people.
Sleep was measured subjectively (self-report questionnaires) and objectively (10 days wrist actigraphy) in 40 young people with BPD features and 38 healthy young people. Participants also completed the Difficulties in Emotion Regulation Scale and the Depression, Anxiety and Stress Scale.
Mediation analyses revealed that impulse control difficulties, limited emotion regulation strategies and anxiety indirectly affected the relationship between group (BPD vs. healthy) and subjective sleep disturbance in young people. Lack of emotional awareness and anxiety contributed to associations between group and objectively longer time in bed and bedtime variability, respectively.
These preliminary findings suggest that targeting emotional dysregulation (impulse control, strategies, emotional awareness) and anxiety might be beneficial for improving sleep in this population.
睡眠障碍在具有边缘型人格障碍（BPD）特征的年轻人（15 - 25岁）中很常见。然而，BPD中睡眠障碍的潜在机制仍不清楚。了解这些潜在过程对于指导改善睡眠干预措施的制定以及通过确定有益的治疗靶点来优化其疗效至关重要。这项探索性研究旨在调查潜在的潜在机制，为未来的假设、研究发展提供信息，并深入了解改善BPD年轻人睡眠的潜在治疗靶点。本研究探讨了情绪调节困难、抑郁、焦虑和压力在BPD特征与年轻人睡眠障碍关系中的间接作用。
对40名具有BPD特征的年轻人和38名健康年轻人进行了主观（自我报告问卷）和客观（10天腕部活动记录仪）睡眠测量。参与者还完成了情绪调节困难量表以及抑郁、焦虑和压力量表。
中介分析显示，冲动控制困难、有限的情绪调节策略和焦虑间接影响了年轻人中组间（BPD组与健康组）与主观睡眠障碍之间的关系。缺乏情绪意识和焦虑分别导致了组间与客观上较长卧床时间和就寝时间变异性之间的关联。
这些初步发现表明，针对情绪失调（冲动控制、策略、情绪意识）和焦虑可能有助于改善该人群的睡眠。
