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Sleep problems in childhood and borderline personality disorder symptoms in early adolescence
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Lereya, Suzet Tanya, Winsper, Catherine, Tang, Nicole K. Y. and Wolke, Dieter (2017) Sleep problems in childhood and borderline personality disorder symptoms in early adolescence. Abnormal Child Psychology, 45 (1). pp. 193-206. doi:10.1007/s10802-016-0158-4 ISSN 0091-0627.
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Official URL: http://dx.doi.org/10.1007/s10802-016-0158-4
Abstract
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 6,050 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 2.5, 3.5, 4.8 and 6.8 years of age. Psychopathological (i.e., emotional temperament; psychiatric diagnoses; and emotional and behavioural problems) and psychosocial (i.e., abuse, maladaptive parenting, and family adversity) confounders were assessed via mother report. In logistic regressions, persistent nightmares (i.e., regular nightmares at three or more time-points) were significantly associated with BPD symptoms following adjustment for sleep onset and maintenance problems and all confounders (Adjusted Odds Ratio=1.67; 95% Confidence Interval=1.18, 2.38). Persistent sleep onset and maintenance problems were not significantly associated with BPD symptoms. In path analysis controlling for all associations between confounders, persistent nightmares independently predicted BPD symptoms (Probit co-efficient [β] = 0.08, p = 0.013). Emotional and behavioural problems significantly mediated the association between nightmares and BPD (β =0.016, p<0.001), while nightmares significantly mediated associations between emotional temperament (β=0.001, p=0.018), abuse (β=0.015, p=0.018), maladaptive parenting (β=0.002, p=0.021) and subsequent BPD. These findings tentatively support that childhood nightmares may potentially increase the risk of BPD symptoms in early adolescence via a number of aetiological pathways. If replicated, the current findings could have important implications for early intervention, and assist clinicians in the identification of children at risk of developing BPD.
Item Type: | Journal Article | ||||||||||||
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Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HQ The family. Marriage. Woman R Medicine > RC Internal medicine |
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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 > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Borderline personality disorder, Nightmares, Adolescence, Children, Sleep | ||||||||||||
Journal or Publication Title: | Abnormal Child Psychology | ||||||||||||
Publisher: | Springer New York LLC | ||||||||||||
ISSN: | 0091-0627 | ||||||||||||
Official Date: | January 2017 | ||||||||||||
Dates: |
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Volume: | 45 | ||||||||||||
Number: | 1 | ||||||||||||
Number of Pages: | 14 | ||||||||||||
Page Range: | pp. 193-206 | ||||||||||||
DOI: | 10.1007/s10802-016-0158-4 | ||||||||||||
Status: | Peer Reviewed | ||||||||||||
Publication Status: | Published | ||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||||||
Date of first compliant deposit: | 20 April 2016 | ||||||||||||
Date of first compliant Open Access: | 22 August 2016 | ||||||||||||
Funder: | Medical Research Council (Great Britain) (MRC), Wellcome Trust (London, England), University of Bristol | ||||||||||||
Grant number: | Grant ref.: 102215/2/13/2 (MRC) | ||||||||||||
RIOXX Funder/Project Grant: |
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