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Borderline personality disorder and sleep

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https://www.readbyqxmd.com/read/28985629/dsm-5-alternative-model-of-personality-disorder-testing-the-trait-perspective-captured-in-criterion-b
#1
REVIEW
Joshua D Miller, Chelsea Sleep, Donald R Lynam
We review the trait model (i.e., Criterion B) included as a central piece of the alternative model of personality disorder (PD) included in DSM-5. The pathological traits are organized into five domains with 25 facets that overlap substantially with basic personality models (e.g., five-factor model). These PD traits can be reliably assessed using a variety of measures; however, questions of poor discriminant validity have been raised. Concerns were raised that this model would result in the loss of clinically meaningful constructs (e...
September 23, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28972814/examining-the-incremental-utility-of-dsm-5-section-iii-traits-and-impairment-in-relation-to-traditional-personality-disorder-scores-in-a-female-correctional-sample
#2
Chelsea E Sleep, Dustin B Wygant, Joshua D Miller
Personality disorders (PDs) are challenging to assess and are associated with great individual and societal costs. In response to the limitations of categorical models, the DSM-5 included an alternative model (i.e., Section III), which uses impairment (Criterion A) and pathological traits (Criterion B) to diagnose PDs. Although numerous studies have illustrated dimensional trait models' ability to capture personality psychopathology, less attention has been paid to personality impairment. The present investigation sought to examine Criterion A's ability to contribute incrementally to the prediction of antisocial (ASPD), borderline (BPD), and narcissistic personality disorders (NPD), and Interpersonal-Affective (F1) and Impulsive-Antisocial (F2) features of psychopathy...
October 3, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28826411/auditory-hallucinations-not-necessarily-a-hallmark-of-psychotic-disorder
#3
F Waters, J D Blom, R Jardri, K Hugdahl, I E C Sommer
Auditory hallucinations (AH) are often considered a sign of a psychotic disorder. This is promoted by the DSM-5 category of Other Specified Schizophrenia Spectrum And Other Psychotic Disorder (OSSSOPD), the diagnostic criteria for which are fulfilled with the sole presence of persistent AH, in the absence of any other psychotic symptoms. And yet, persistent AH are not synonymous with having a psychotic disorder, and should therefore not be uncritically treated as such. Many people who seek treatment for persistent AH have no other psychotic symptoms, have preserved reality-testing capacities, and will never develop a schizophrenia spectrum disorder...
August 22, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28767018/poor-sleep-and-its-relation-to-impulsivity-in-patients-with-antisocial-or-borderline-personality-disorders
#4
M M Van Veen, J Karsten, M Lancel
Studies investigating sleep and personality disorders consistently demonstrate a relation between personality disorders characterized by behavioral disinhibition and/or emotional dysregulation (traditionally termed cluster B personality disorders) and poor sleep. This finding is in line with previous studies associating insomnia with impulsive behavior, since this is a core characteristic of both antisocial and borderline personality disorder. The current study investigates a group (n = 112) of forensic psychiatric inpatients with antisocial or borderline personality disorder or traits thereof...
July 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28546141/clinical-insight-into-latent-variables-of-psychiatric-questionnaires-for-mood-symptom-self-assessment
#5
Athanasios Tsanas, Kate Saunders, Amy Bilderbeck, Niclas Palmius, Guy Goodwin, Maarten De Vos
BACKGROUND: We recently described a new questionnaire to monitor mood called mood zoom (MZ). MZ comprises 6 items assessing mood symptoms on a 7-point Likert scale; we had previously used standard principal component analysis (PCA) to tentatively understand its properties, but the presence of multiple nonzero loadings obstructed the interpretation of its latent variables. OBJECTIVE: The aim of this study was to rigorously investigate the internal properties and latent variables of MZ using an algorithmic approach which may lead to more interpretable results than PCA...
May 25, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/28501733/insomnia-in-adult-attention-deficit-hyperactivity-disorder-a-comparison-with-borderline-personality-disorder-population-in-a-clinical-setting-and-control-participants
#6
Sébastien Weibel, Françoise Jermann, Luisa Weiner, Rosetta Nicastro, Stefano Ardu, Eleonore Pham, Roland Hasler, Alexandre Dayer, Paco Prada, Nader Perroud
OBJECTIVES: Many adults with attention-deficit/hyperactivity disorder (ADHD) report sleeping difficulties. The relationship between sleep and ADHD is poorly understood, and shows discrepancies between subjective and objective measures. In order to determine the specificity of sleep-associated symptoms in ADHD, subjective sleep assessments among ADHD adult patients were compared with control subjects and with individuals suffering from borderline personality disorder (BPD). METHODS: 129 outpatients with ADHD, 70 with BPD (including 17 patients with BPD and ADHD comorbidity), and 65 control participants were assessed for sleep quality, insomnia, and sleepiness, using the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), and the Epworth Sleepiness Scale (ESS)...
July 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28181141/does-post-operative-psychotherapy-contribute-to-improved-comorbidities-in-bariatric-patients-with-borderline-personality-disorder-traits-and-bulimia-tendencies-a-prospective-study
#7
Francesca Gallé, Pietro Maida, Assunta Cirella, Elena Giuliano, Patrizia Belfiore, Giorgio Liguori
BACKGROUND: Borderline personality disorder (BPD) and eating disorders may affect the outcomes of bariatric surgery. This study was aimed to evaluate the influence of a post-operative dialectical behavioral therapy (DBT) intervention on weight loss and comorbidities in a sample of comorbid obese Italian patients with BPD traits and bulimia tendencies who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB). METHODS: One hundred fifty-four LRYGB or LAGB patients showing BPD and bulimia traits and type II diabetes, hypertension, and/or sleep apnea (OSAS) voluntarily adhered to DBT (n = 72) or treatment as usual (n = 82) for 12 months after surgery...
July 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28077135/comorbidity-study-of-borderline-personality-disorder-applying-association-rule-mining-to-the-taiwan-national-health-insurance-research-database
#8
Cheng-Che Shen, Li-Yu Hu, Ya-Han Hu
BACKGROUND: Borderline personality disorder (BPD) is a complex clinical state with highly polymorphic symptoms and signs. Studies have demonstrated that people with a BPD diagnosis are likely to have numerous co-occurring psychiatric disorders and physical comorbidities. The aim of our study was to obtain further insight about the associations among comorbidities of BPD and to demonstrate the practicality of using association rule mining (ARM) technique in clinical databases. METHODS: A retrospective case-control study was conducted on information of 1460 patients (292 BPD patients and 1168 control patients) selected from the Taiwan National Health Insurance Research Database...
January 11, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27988314/the-sleep-phenotype-of-borderline-personality-disorder-a-systematic-review-and-meta-analysis
#9
REVIEW
Catherine Winsper, Nicole K Y Tang, Steven Marwaha, Suzet Tanya Lereya, Melanie Gibbs, Andrew Thompson, Swaran P Singh
AIM: To delineate the sleep profile of Borderline Personality Disorder (BPD). METHOD: A meta-analysis to synthesise findings on the objective and subjective sleep characteristics of BPD. RESULTS: We identified 32 studies published between 1980 and December 2015. Meta-analysis indicated significant differences between BPD and healthy control groups across objective sleep continuity (sleep onset latency, total sleep time, sleep efficiency) and architecture (rapid eye movement latency/density, slow wave sleep) measures, and self-reported sleep problems (nightmares, sleep quality)...
February 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/27617649/preliminary-evidence-for-emotion-dysregulation-as-a-mechanism-underlying-poor-sleep-quality-in-borderline-personality-disorder
#10
Jeremy L Grove, Timothy W Smith, Sheila E Crowell, Jennifer H Ellis
Sleep disturbance is common in borderline personality disorder (BPD), yet the reasons for this association are not clear. The present study sought to extend prior studies by testing emotion dysregulation as a mechanism underlying this association. We administered self-report measures of sleep quality (SQ), emotion dysregulation, and borderline features to two cross-sectional samples of undergraduates (sample 1: N = 293; sample 2: N = 188). In addition to replicating prior studies linking BPD features to poor SQ, analyses indicated that BPD features related to emotion dysregulation were most strongly correlated with poorer global SQ across both samples...
September 12, 2016: Journal of Personality Disorders
https://www.readbyqxmd.com/read/27587229/risk-stratification-for-the-early-diagnosis-of-borderline-personality-disorder-using-psychiatric-co-morbidities
#11
Cheng-Che Shen, Li-Yu Hu, Shih-Jen Tsai, Albert C Yang, Pan-Ming Chen, Ya-Han Hu
AIM: To develop a risk stratification model for the early diagnosis of borderline personality disorder (BPD) using Taiwan National Health Insurance Research Database. METHODS: We conducted a retrospective case-control study of 6132 patients (292 BPD patients and 5840 control subjects) who were selected from the National Health Insurance Research Database. Psychiatric co-morbidities including depressive disorder, bipolar disorder, anxiety disorder, substance-use disorder, personality disorders other than BPD, sleep disorder, eating disorder, autistic spectrum disorder, mental retardation and attention-deficit hyperactivity disorder, which were diagnosed within 3 years before enrolment, were collected...
September 1, 2016: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/27543835/contribution-of-health-motive-to-cannabis-use-among-high-school-students
#12
Henri Chabrol, Charline Beck, Stéphanie Laconi
The Marijuana Motives Measure (MMM), which is derived from a scale measuring alcohol use motives, has been the main instrument used to explore the role of motives in cannabis use and related problems. Two studies attempted to developed specific cannabis use motives but none of them showed a unique association to cannabis use and problems when controlling for MMM motives. The aim of our study was to examine if additional motives contributed to problematic use beyond MMM motives and psychopathological symptoms...
January 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/27416139/sleep-and-mental-disorders-a-meta-analysis-of-polysomnographic-research
#13
REVIEW
Chiara Baglioni, Svetoslava Nanovska, Wolfram Regen, Kai Spiegelhalder, Bernd Feige, Christoph Nissen, Charles F Reynolds, Dieter Riemann
Investigating sleep in mental disorders has the potential to reveal both disorder-specific and transdiagnostic psychophysiological mechanisms. This meta-analysis aimed at determining the polysomnographic (PSG) characteristics of several mental disorders. Relevant studies were searched through standard strategies. Controlled PSG studies evaluating sleep in affective, anxiety, eating, pervasive developmental, borderline and antisocial personality disorders, attention-deficit-hyperactivity disorder (ADHD), and schizophrenia were included...
September 2016: Psychological Bulletin
https://www.readbyqxmd.com/read/27276365/doxazosin-an-%C3%AE-1-adrenergic-receptor-antagonist-for-nightmares-in-patients-with-posttraumatic-stress-disorder-and-or-borderline-personality-disorder-a-chart-review
#14
Stefan Roepke, Heidi Danker-Hopfe, Dimitris Repantis, Behnoush Behnia, Florian Bernard, Marie-Luise Hansen, Christian Otte
Objective: Centrally active α-1-adrenergic-receptor antagonists such as prazosin are effective in the treatment of nightmares in patients with posttraumatic stress disorder (PTSD). A pharmacological alternative is doxazosin, which has a longer half-life and fewer side effects. However, doxazosin is currently being used without solid empirical evidence. Furthermore, no study so far has assessed the effects of α-1-antagonists on nightmares in patients with borderline personality disorder (BPD). We retrospectively assessed the effectiveness of doxazosin on nightmares in PTSD and BPD...
January 2017: Pharmacopsychiatry
https://www.readbyqxmd.com/read/27240507/developmental-delay-in-young-children-with-sleep-disordered-breathing-before-and-after-tonsil-and-adenoid-surgery
#15
Nira A Goldstein, Michael Gorynski, Candice Yip, Jonathan Harounian, Harris Huberman, Jeremy Weedon
OBJECTIVE: Our objective was to determine the developmental status of young children with sleep-disordered breathing (SDB) as measured by the Ages and Stages Questionnaire (ASQ-3) and to evaluate improvement after treatment. METHODS: The ASQ-3 was completed at entry, 3 months and 6 months after adenotonsillectomy or adenoidectomy. The questionnaire consists of 30 items that assess five domains: communication, gross motor, fine motor, problem solving and personal-social...
June 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27108717/sleep-problems-in-childhood-and-borderline-personality-disorder-symptoms-in-early-adolescence
#16
Suzet Tanya Lereya, Catherine Winsper, Nicole K Y Tang, Dieter Wolke
Sleep disorders, such as insomnia and nightmares, are commonly associated with Borderline Personality Disorder (BPD) in adulthood. Whether nightmares and sleep-onset and maintenance problems predate BPD symptoms earlier in development is unknown. We addressed this gap in the literature using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). Participants included 6050 adolescents (51.4 % female) who completed the UK Childhood Interview for DSM-IV BPD at 11 to 12 years of age. Nightmares and sleep onset and maintenance problems were prospectively assessed via mother report when children were 2...
January 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/26970970/sleep-recordings-in-individuals-with-borderline-personality-disorder-before-and-after-trauma-therapy
#17
Sara Lena Weinhold, Robert Göder, Astrid Pabst, Anna-Lena Scharff, Maggie Schauer, Paul Christian Baier, Josef Aldenhoff, Thomas Elbert, Mareen Seeck-Hirschner
Most individuals diagnosed with borderline personality disorder (BPD) have been exposed to severe and traumatic stressors and thus frequently present with symptoms of a posttraumatic stress disorder (PTSD). Severe sleep disturbances often accompany these complex cases, but changes of sleep parameters during therapy and the impact of sleep on treatment response have barely been studied. Narrative Exposure Therapy (NET) is an evidence-based approach for the treatment of trauma-related psychological disorders...
February 2017: Journal of Neural Transmission
https://www.readbyqxmd.com/read/26441768/dream-reality-confusion-in-borderline-personality-disorder-a-theoretical-analysis
#18
Dagna Skrzypińska, Barbara Szmigielska
This paper presents an analysis of dream-reality confusion (DRC) in relation to the characteristics of borderline personality disorder (BPD), based on research findings and theoretical considerations. It is hypothesized that people with BPD are more likely to experience DRC compared to people in non-clinical population. Several variables related to this hypothesis were identified through a theoretical analysis of the scientific literature. Sleep disturbances: problems with sleep are found in 15-95.5% of people with BPD (Hafizi, 2013), and unstable sleep and wake cycles, which occur in BPD (Fleischer et al...
2015: Frontiers in Psychology
https://www.readbyqxmd.com/read/26401306/nightmares-affect-the-experience-of-sleep-quality-but-not-sleep-architecture-an-ambulatory-polysomnographic-study
#19
Franc Paul, Michael Schredl, Georg W Alpers
BACKGROUND: Nightmares and bad dreams are common in people with emotional disturbances. For example, nightmares are a core symptom in posttraumatic stress disorder and about 50% of borderline personality disorder patients suffer from frequent nightmares. Independent of mental disorders, nightmares are often associated with sleep problems such as prolonged sleep latencies, poorer sleep quality, and daytime sleepiness. It has not been well documented whether this is reflected in objectively quantifiable physiological indices of sleep quality...
2015: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/26003420/sleep-wake-patterns-of-adolescents-with-borderline-personality-disorder-and-bipolar-disorder
#20
Christophe Huỳnh, Jean-Marc Guilé, Jean-Jacques Breton, Roger Godbout
Sleep-wake patterns are rarely examined in adolescents with borderline personality disorder (BPD) or bipolar disorder (BD). Within a developmental perspective, this study explores the sleep-wake cycle of adolescents aged 12-17 years with BPD or BD and healthy controls (HC) during periods with and without entrainment by school/work schedules. Eighteen euthymic BPD, six euthymic BD, and 20 HC adolescents wore wrist actigraphy during nine consecutive days to assess sleep-wake patterns. During school/work days, BPD adolescents spent more time awake when they were in bed compared to HC and BD adolescents (p = 0...
April 2016: Child Psychiatry and Human Development
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