Signs of Insomnia in Borderline Personality Disorder Individuals
Identifieur interne : 000392 ( Pmc/Corpus ); précédent : 000391; suivant : 000393Signs of Insomnia in Borderline Personality Disorder Individuals
Auteurs : Célyne H. Bastien ; Sandra Guimond ; Geneviève St-Jean ; Sophie LemelinSource :
- Journal of Clinical Sleep Medicine : JCSM : official publication of the American Academy of Sleep Medicine [ 1550-9389 ] ; 2008.
Abstract
Recent findings suggest few differences in sleep continuity and quality between borderline personality disorder individuals (BPD-I) and good sleepers (GS). Nonetheless, BPD-I show marked discrepancies between subjective and objective sleep measures. The objective of this study was to document sleep in BPD-I, GS, and insomnia sufferers (paradoxical, Para-I; psychophysiological, Psy-I).
Twelve BPD-I (mean age 33.3 years), 15 GS (mean age 34.1 years), 15 Para-I (mean age 41.1 years), and 15 Psy-I (mean age 36.6 years).
Participants underwent 3 consecutive nights of polysomnography recordings. All participants completed a clinical interview and 2 weeks of sleep diaries. BPD-I received DIB-R assessment. Participants were not suffering from any other psychopathology and were drug free.
Subjectively, BPD-I and GS laboratory sleep reports were similar. However, Psy-I and Para-I took longer to fall asleep, were awake longer after sleep onset and during the night, slept less, and had lower sleep efficiency than both GS and BPD-I (p < 0.05). Objectively, BPD-I, Psy-I, and Para-I had longer sleep onset, shorter sleep time, and lower sleep efficiency on all 3 nights than GS (p < 0.05). Furthermore, BPD-I had more stage 4 (both in proportion and time) than Para-I on all 3 nights (p < 0.05).
Results suggest that BPD-I suffer from insomnia. While BDI-I reported feeling less refreshed upon awakening, they spent more time in stage 4 than other individuals. As BPD-I are very sensitive to loneliness and interpersonal stressors, laboratory settings might provide a secure context facilitating sleep.
Bastien CH; Guimond S; St-Jean G; Lemelin S. Signs of insomnia in borderline personality disorder individuals.
Url:
PubMed: 18853705
PubMed Central: 2576314
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PMC:2576314Le document en format XML
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<author><name sortKey="Bastien, Celyne H" sort="Bastien, Celyne H" uniqKey="Bastien C" first="Célyne H." last="Bastien">Célyne H. Bastien</name>
<affiliation><nlm:aff id="aff1">École de Psychologie, Université Laval, Québec, Québec, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff2">Laboratoire de Neurosciences Comportementales Humaines, Centre de Recherche Université Laval-Robert Giffard, Québec, Québec, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Guimond, Sandra" sort="Guimond, Sandra" uniqKey="Guimond S" first="Sandra" last="Guimond">Sandra Guimond</name>
<affiliation><nlm:aff id="aff1">École de Psychologie, Université Laval, Québec, Québec, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff3">Institut Universitaire en Sante Mentalé Robert-Giffard, Québec, Québec, Canada</nlm:aff>
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<author><name sortKey="St Jean, Genevieve" sort="St Jean, Genevieve" uniqKey="St Jean G" first="Geneviève" last="St-Jean">Geneviève St-Jean</name>
<affiliation><nlm:aff id="aff1">École de Psychologie, Université Laval, Québec, Québec, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff2">Laboratoire de Neurosciences Comportementales Humaines, Centre de Recherche Université Laval-Robert Giffard, Québec, Québec, Canada</nlm:aff>
</affiliation>
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<author><name sortKey="Lemelin, Sophie" sort="Lemelin, Sophie" uniqKey="Lemelin S" first="Sophie" last="Lemelin">Sophie Lemelin</name>
<affiliation><nlm:aff id="aff2">Laboratoire de Neurosciences Comportementales Humaines, Centre de Recherche Université Laval-Robert Giffard, Québec, Québec, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff3">Institut Universitaire en Sante Mentalé Robert-Giffard, Québec, Québec, Canada</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Signs of Insomnia in Borderline Personality Disorder Individuals</title>
<author><name sortKey="Bastien, Celyne H" sort="Bastien, Celyne H" uniqKey="Bastien C" first="Célyne H." last="Bastien">Célyne H. Bastien</name>
<affiliation><nlm:aff id="aff1">École de Psychologie, Université Laval, Québec, Québec, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff2">Laboratoire de Neurosciences Comportementales Humaines, Centre de Recherche Université Laval-Robert Giffard, Québec, Québec, Canada</nlm:aff>
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<author><name sortKey="Guimond, Sandra" sort="Guimond, Sandra" uniqKey="Guimond S" first="Sandra" last="Guimond">Sandra Guimond</name>
<affiliation><nlm:aff id="aff1">École de Psychologie, Université Laval, Québec, Québec, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff3">Institut Universitaire en Sante Mentalé Robert-Giffard, Québec, Québec, Canada</nlm:aff>
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<author><name sortKey="St Jean, Genevieve" sort="St Jean, Genevieve" uniqKey="St Jean G" first="Geneviève" last="St-Jean">Geneviève St-Jean</name>
<affiliation><nlm:aff id="aff1">École de Psychologie, Université Laval, Québec, Québec, Canada</nlm:aff>
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<affiliation><nlm:aff id="aff2">Laboratoire de Neurosciences Comportementales Humaines, Centre de Recherche Université Laval-Robert Giffard, Québec, Québec, Canada</nlm:aff>
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<author><name sortKey="Lemelin, Sophie" sort="Lemelin, Sophie" uniqKey="Lemelin S" first="Sophie" last="Lemelin">Sophie Lemelin</name>
<affiliation><nlm:aff id="aff2">Laboratoire de Neurosciences Comportementales Humaines, Centre de Recherche Université Laval-Robert Giffard, Québec, Québec, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="aff3">Institut Universitaire en Sante Mentalé Robert-Giffard, Québec, Québec, Canada</nlm:aff>
</affiliation>
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<series><title level="j">Journal of Clinical Sleep Medicine : JCSM : official publication of the American Academy of Sleep Medicine</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Study Objectives:</title>
<p>Recent findings suggest few differences in sleep continuity and quality between borderline personality disorder individuals (BPD-I) and good sleepers (GS). Nonetheless, BPD-I show marked discrepancies between subjective and objective sleep measures. The objective of this study was to document sleep in BPD-I, GS, and insomnia sufferers (paradoxical, Para-I; psychophysiological, Psy-I).</p>
</sec>
<sec><title>Participants:</title>
<p>Twelve BPD-I (mean age 33.3 years), 15 GS (mean age 34.1 years), 15 Para-I (mean age 41.1 years), and 15 Psy-I (mean age 36.6 years).</p>
</sec>
<sec><title>Methods:</title>
<p>Participants underwent 3 consecutive nights of polysomnography recordings. All participants completed a clinical interview and 2 weeks of sleep diaries. BPD-I received DIB-R assessment. Participants were not suffering from any other psychopathology and were drug free.</p>
</sec>
<sec><title>Results:</title>
<p>Subjectively, BPD-I and GS laboratory sleep reports were similar. However, Psy-I and Para-I took longer to fall asleep, were awake longer after sleep onset and during the night, slept less, and had lower sleep efficiency than both GS and BPD-I (p < 0.05). Objectively, BPD-I, Psy-I, and Para-I had longer sleep onset, shorter sleep time, and lower sleep efficiency on all 3 nights than GS (p < 0.05). Furthermore, BPD-I had more stage 4 (both in proportion and time) than Para-I on all 3 nights (p < 0.05).</p>
</sec>
<sec><title>Conclusion:</title>
<p>Results suggest that BPD-I suffer from insomnia. While BDI-I reported feeling less refreshed upon awakening, they spent more time in stage 4 than other individuals. As BPD-I are very sensitive to loneliness and interpersonal stressors, laboratory settings might provide a secure context facilitating sleep.</p>
</sec>
<sec><title>Citation:</title>
<p>Bastien CH; Guimond S; St-Jean G; Lemelin S. Signs of insomnia in borderline personality disorder individuals. <italic>J Clin Sleep Med 2008</italic>
;4(5):462–470.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Sleep Med</journal-id>
<journal-id journal-id-type="publisher-id">JCSM</journal-id>
<journal-title>Journal of Clinical Sleep Medicine : JCSM : official publication of the American Academy of Sleep Medicine</journal-title>
<issn pub-type="ppub">1550-9389</issn>
<issn pub-type="epub">1550-9397</issn>
<publisher><publisher-name>American Academy of Sleep Medicine</publisher-name>
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<article-meta><article-id pub-id-type="pmid">18853705</article-id>
<article-id pub-id-type="pmc">2576314</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>New Research</subject>
<subj-group><subject>Scientific Investigations</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Signs of Insomnia in Borderline Personality Disorder Individuals</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bastien</surname>
<given-names>Célyne H.</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guimond</surname>
<given-names>Sandra</given-names>
</name>
<degrees>M.Ps.</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>St-Jean</surname>
<given-names>Geneviève</given-names>
</name>
<degrees>B.A.</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lemelin</surname>
<given-names>Sophie</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<aff id="aff1"><label>1</label>
École de Psychologie, Université Laval, Québec, Québec, Canada</aff>
<aff id="aff2"><label>2</label>
Laboratoire de Neurosciences Comportementales Humaines, Centre de Recherche Université Laval-Robert Giffard, Québec, Québec, Canada</aff>
<aff id="aff3"><label>3</label>
Institut Universitaire en Sante Mentalé Robert-Giffard, Québec, Québec, Canada</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to: <addr-line>Célyne H. Bastien, PhD, École de Psychologie, Université Laval, Québec, Québec, Canada, G1K 7P4</addr-line>
<phone>(418) 656-2131, Ext: 8344</phone>
<fax>(418) 656-3646</fax>
<email>Celyne.bastien@psy.ulaval.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>15</day>
<month>10</month>
<year>2008</year>
</pub-date>
<volume>4</volume>
<issue>5</issue>
<fpage>462</fpage>
<lpage>470</lpage>
<history><date date-type="received"><month>5</month>
<year>2008</year>
</date>
<date date-type="accepted"><month>7</month>
<year>2008</year>
</date>
</history>
<copyright-statement>© 2008 American Academy of Sleep Medicine</copyright-statement>
<copyright-year>2008</copyright-year>
<abstract><sec><title>Study Objectives:</title>
<p>Recent findings suggest few differences in sleep continuity and quality between borderline personality disorder individuals (BPD-I) and good sleepers (GS). Nonetheless, BPD-I show marked discrepancies between subjective and objective sleep measures. The objective of this study was to document sleep in BPD-I, GS, and insomnia sufferers (paradoxical, Para-I; psychophysiological, Psy-I).</p>
</sec>
<sec><title>Participants:</title>
<p>Twelve BPD-I (mean age 33.3 years), 15 GS (mean age 34.1 years), 15 Para-I (mean age 41.1 years), and 15 Psy-I (mean age 36.6 years).</p>
</sec>
<sec><title>Methods:</title>
<p>Participants underwent 3 consecutive nights of polysomnography recordings. All participants completed a clinical interview and 2 weeks of sleep diaries. BPD-I received DIB-R assessment. Participants were not suffering from any other psychopathology and were drug free.</p>
</sec>
<sec><title>Results:</title>
<p>Subjectively, BPD-I and GS laboratory sleep reports were similar. However, Psy-I and Para-I took longer to fall asleep, were awake longer after sleep onset and during the night, slept less, and had lower sleep efficiency than both GS and BPD-I (p < 0.05). Objectively, BPD-I, Psy-I, and Para-I had longer sleep onset, shorter sleep time, and lower sleep efficiency on all 3 nights than GS (p < 0.05). Furthermore, BPD-I had more stage 4 (both in proportion and time) than Para-I on all 3 nights (p < 0.05).</p>
</sec>
<sec><title>Conclusion:</title>
<p>Results suggest that BPD-I suffer from insomnia. While BDI-I reported feeling less refreshed upon awakening, they spent more time in stage 4 than other individuals. As BPD-I are very sensitive to loneliness and interpersonal stressors, laboratory settings might provide a secure context facilitating sleep.</p>
</sec>
<sec><title>Citation:</title>
<p>Bastien CH; Guimond S; St-Jean G; Lemelin S. Signs of insomnia in borderline personality disorder individuals. <italic>J Clin Sleep Med 2008</italic>
;4(5):462–470.</p>
</sec>
</abstract>
<kwd-group><kwd>Borderline personality disorders</kwd>
<kwd>sleep</kwd>
<kwd>paradoxical insomnia</kwd>
<kwd>psychophysiological insomnia</kwd>
<kwd>PSG</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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