ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025
Sleep disturbance and maladaptive sleep-related cognitions in borderline personality disorder in the longitudinal McLean Study of Adult Development.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
STUDY
objectivesSleep and mental illnesses, particularly mood disorders, share complex bidirectional relationships. Emerging evidence suggests sleep may also play an important role in the course of borderline personality disorder (BPD). This study was designed to examine associations between sleep disturbance and maladaptive sleep-related cognitions with recovery from BPD in a longitudinal sample.
methodsThe Pittsburgh Sleep Quality Index and brief Dysfunctional Beliefs and Attitudes about Sleep-16 scales were completed by 223 participants in the McLean Study of Adult Development at the 16-year follow-up wave and over 4 additional consecutive biannual follow-up waves. Generalized estimating equations were used to assess relationships between sleep-related outcomes and recovery vs nonrecovery among participants with BPD over time.
resultsAfter controlling for clinical and demographic covariates, nonrecovered BPD participants had poorer sleep quality as assessed by the Pittsburgh Sleep Quality Index, lower self-reported sleep quality, greater sleep disturbance, higher use of sleep medication, and greater daytime dysfunction compared to recovered BPD (all
conclusionsThese findings demonstrate relationships between sleep disturbance and maladaptive sleep-related cognitions with recovery from BPD over a decade of longitudinal evaluation. Further research to determine whether interventions that target sleep improve core symptoms, functional impairment, and recovery in BPD is indicated. CITATION: Plante DT, Glass IV, Zanarini MC. Sleep disturbance and maladaptive sleep-related cognitions in borderline personality disorder in the longitudinal McLean Study of Adult Development.
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