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The sleep phenotype of Borderline Personality Disorder : a systematic review and meta-analysis
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Winsper, Catherine, Tang, Nicole K. Y., Marwaha, Steven, Lereya, Suzet Tanya, Gibbs, Melanie, Thompson, Andrew David and Singh, Swaran P. (2017) The sleep phenotype of Borderline Personality Disorder : a systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 73 . pp. 48-67. doi:10.1016/j.neubiorev.2016.12.008 ISSN 0149-7634.
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Official URL: https://doi.org/10.1016/j.neubiorev.2016.12.008
Abstract
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). Findings were independent of depression (in clinical and community populations), and concomitant psychotropic medication use. There were few significant differences between BPD and clinical (majority depressed) control groups.
Conclusion: BPD is associated with comparable sleep disturbances to those observed in depression. These disturbances are not solely attributable to comorbid depression. Given growing evidence that sleep disturbance may exacerbate emotional dysregulation and suicide risk, treatments for BPD should explicitly address sleep problems. Future studies should utilise prospective designs to ascertain whether (and in which circumstances) sleep problems predate or follow the onset of the disorder.
| Item Type: | Journal Article | ||||||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Neuroscience & Biobehavioral Reviews | ||||||||
| Publisher: | Pergamon | ||||||||
| ISSN: | 0149-7634 | ||||||||
| Official Date: | February 2017 | ||||||||
| Dates: |
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| Volume: | 73 | ||||||||
| Page Range: | pp. 48-67 | ||||||||
| DOI: | 10.1016/j.neubiorev.2016.12.008 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 15 December 2016 | ||||||||
| Date of first compliant Open Access: | 15 December 2017 | ||||||||
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