Insomnia in Patients with Borderline Personality Disorder

Jakub Vanek,1 Jan Prasko,1– 3 Marie Ociskova,1 Frantisek Hodny,1 Michaela Holubova,4 Kamila Minarikova,1 Milos Slepecky,2 Vlastimil Nesnidal1 1Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, 77520, The Czech Republic; 2...

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Autores principales:	Vanek J, Prasko J, Ociskova M, Hodny F, Holubova M, Minarikova K, Slepecky M, Nesnidal V
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	insomnia / borderline personality disorder / cognitive behavioral therapy / dialectic behavioral therapy / transference focus therapy / mentalization therapy / obstructive sleep apnoea / nightmares Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/d8877a5b39f84f9b9e55a176140f86eb
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id	oai:doaj.org-article:d8877a5b39f84f9b9e55a176140f86eb
record_format	dspace
institution	DOAJ
collection	DOAJ
language	EN
topic	insomnia / borderline personality disorder / cognitive behavioral therapy / dialectic behavioral therapy / transference focus therapy / mentalization therapy / obstructive sleep apnoea / nightmares Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	insomnia / borderline personality disorder / cognitive behavioral therapy / dialectic behavioral therapy / transference focus therapy / mentalization therapy / obstructive sleep apnoea / nightmares Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Vanek J Prasko J Ociskova M Hodny F Holubova M Minarikova K Slepecky M Nesnidal V Insomnia in Patients with Borderline Personality Disorder
description	Jakub Vanek,1 Jan Prasko,1– 3 Marie Ociskova,1 Frantisek Hodny,1 Michaela Holubova,4 Kamila Minarikova,1 Milos Slepecky,2 Vlastimil Nesnidal1 1Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, 77520, The Czech Republic; 2Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University in Nitra, Nitra, The Slovak Republic; 3Institute for Postgraduate Education in Health Care, Prague, The Czech Republic; 4Department of Psychiatry, Hospital Liberec, Liberec, The Czech RepublicCorrespondence: Jan PraskoDepartment of Psychiatry, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, I. P. Pavlova 6, Olomouc, 77520, The Czech RepublicEmail praskojan@seznam.czObjective: Both sleep disorders and BPD are prevalent in the population, and one is often a comorbidity of the other. This narrative review aims to assess contemporary literature and scientific databases to provide the current state of knowledge about sleep disorders in patients with borderline personality disorder (BPD) and clinical suggestions for managing sleep disorders in BPD patients and future research direction.Methods: Articles were acquired via PubMed and Web of Science, and papers published between January 1980 and October 2020 were extracted. Authors made a series of literature searches using the keywords: Sleep problems, Insomnia, Nightmares, Obstructive sleep apnea, Borderline personality disorder. The inclusion criteria were: published in peer-reviewed journals; studies in humans; or reviews on the related topic; English language. The exclusion criteria were: abstracts from conferences; commentaries; subjects younger than 18 years. After an inspection of the full texts, 42 papers from 101 were selected. Secondary documents from the reference lists of the primary designated papers were searched, assessed for suitability, and included. In total, 71 papers were included in the review process.Results: Sleep disturbance is common among patients with BPD. Nevertheless, the number of investigations is limited, and the prevalence differs between 5– 45%. Studies assessing objective changes in sleep architecture in BPD show inconsistent results. Some of them identify REM sleep changes and a decrease in slow-wave sleep, while other studies found no objective sleep architecture changes. There is also a higher prevalence of nightmares in patients with BPD. Untreated insomnia can worsen BPD symptoms via interference with emotional regulation. BPD itself seems to influence the subjective quality of sleep significantly. Proper diagnosis and treatment of sleep disorders in patients with BPD could lead to better results in therapy. Psychotherapeutic approaches can improve both sleep disorders and BPD symptoms.Conclusion: Recognising and managing sleep disorders in patients with BPD may help alleviate the disorder’s symptoms. Treatment of people with BPD may be more effective if the treatment plan explicitly addresses sleep problems. Further research is needed to reach reliable conclusions.Keywords: insomnia, borderline personality disorder, cognitive behavioral therapy, dialectic behavioral therapy, transference focus therapy, mentalization therapy
format	article
author	Vanek J Prasko J Ociskova M Hodny F Holubova M Minarikova K Slepecky M Nesnidal V
author_facet	Vanek J Prasko J Ociskova M Hodny F Holubova M Minarikova K Slepecky M Nesnidal V
author_sort	Vanek J
title	Insomnia in Patients with Borderline Personality Disorder
title_short	Insomnia in Patients with Borderline Personality Disorder
title_full	Insomnia in Patients with Borderline Personality Disorder
title_fullStr	Insomnia in Patients with Borderline Personality Disorder
title_full_unstemmed	Insomnia in Patients with Borderline Personality Disorder
title_sort	insomnia in patients with borderline personality disorder
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/d8877a5b39f84f9b9e55a176140f86eb
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spelling	oai:doaj.org-article:d8877a5b39f84f9b9e55a176140f86eb2021-12-02T10:34:37ZInsomnia in Patients with Borderline Personality Disorder1179-1608https://doaj.org/article/d8877a5b39f84f9b9e55a176140f86eb2021-02-01T00:00:00Zhttps://www.dovepress.com/insomnia-in-patients-with-borderline-personality-disorder-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Jakub Vanek,1 Jan Prasko,1– 3 Marie Ociskova,1 Frantisek Hodny,1 Michaela Holubova,4 Kamila Minarikova,1 Milos Slepecky,2 Vlastimil Nesnidal1 1Department of Psychiatry, Faculty of Medicine and Dentistry, University Palacky Olomouc, University Hospital, Olomouc, 77520, The Czech Republic; 2Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University in Nitra, Nitra, The Slovak Republic; 3Institute for Postgraduate Education in Health Care, Prague, The Czech Republic; 4Department of Psychiatry, Hospital Liberec, Liberec, The Czech RepublicCorrespondence: Jan PraskoDepartment of Psychiatry, University Hospital Olomouc and Faculty of Medicine and Dentistry, Palacky University Olomouc, I. P. Pavlova 6, Olomouc, 77520, The Czech RepublicEmail praskojan@seznam.czObjective: Both sleep disorders and BPD are prevalent in the population, and one is often a comorbidity of the other. This narrative review aims to assess contemporary literature and scientific databases to provide the current state of knowledge about sleep disorders in patients with borderline personality disorder (BPD) and clinical suggestions for managing sleep disorders in BPD patients and future research direction.Methods: Articles were acquired via PubMed and Web of Science, and papers published between January 1980 and October 2020 were extracted. Authors made a series of literature searches using the keywords: Sleep problems, Insomnia, Nightmares, Obstructive sleep apnea, Borderline personality disorder. The inclusion criteria were: published in peer-reviewed journals; studies in humans; or reviews on the related topic; English language. The exclusion criteria were: abstracts from conferences; commentaries; subjects younger than 18 years. After an inspection of the full texts, 42 papers from 101 were selected. Secondary documents from the reference lists of the primary designated papers were searched, assessed for suitability, and included. In total, 71 papers were included in the review process.Results: Sleep disturbance is common among patients with BPD. Nevertheless, the number of investigations is limited, and the prevalence differs between 5– 45%. Studies assessing objective changes in sleep architecture in BPD show inconsistent results. Some of them identify REM sleep changes and a decrease in slow-wave sleep, while other studies found no objective sleep architecture changes. There is also a higher prevalence of nightmares in patients with BPD. Untreated insomnia can worsen BPD symptoms via interference with emotional regulation. BPD itself seems to influence the subjective quality of sleep significantly. Proper diagnosis and treatment of sleep disorders in patients with BPD could lead to better results in therapy. Psychotherapeutic approaches can improve both sleep disorders and BPD symptoms.Conclusion: Recognising and managing sleep disorders in patients with BPD may help alleviate the disorder’s symptoms. Treatment of people with BPD may be more effective if the treatment plan explicitly addresses sleep problems. Further research is needed to reach reliable conclusions.Keywords: insomnia, borderline personality disorder, cognitive behavioral therapy, dialectic behavioral therapy, transference focus therapy, mentalization therapyVanek JPrasko JOciskova MHodny FHolubova MMinarikova KSlepecky MNesnidal VDove Medical Pressarticleinsomnia / borderline personality disorder / cognitive behavioral therapy / dialectic behavioral therapy / transference focus therapy / mentalization therapy / obstructive sleep apnoea / nightmaresPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 239-250 (2021)

Insomnia in Patients with Borderline Personality Disorder

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