Understanding the Relationship Between Sleep Problems in Early Childhood and Borderline Personality Disorder: A Narrative Review

被引:4
|
作者
Morales-Munoz, Isabel [1 ,2 ]
Durdurak, Buse Beril [1 ]
Bilgin, Ayten [3 ]
Marwaha, Steven [1 ,4 ]
Winsper, Catherine [5 ]
机构
[1] Univ Birmingham, Sch Psychol, Inst Mental Hlth, 52 Pritchatts Rd, Birmingham B15 2TT, W Midlands, England
[2] Finnish Inst Hlth & Welf, Dept Publ Hlth Solut, Helsinki, Finland
[3] Univ Kent, Sch Psychol, Canterbury, Kent, England
[4] Birmingham & Solihull Mental Hlth Trust, Barberry Natl Ctr Mental Hlth, Birmingham, W Midlands, England
[5] Coventry & Warwickshire Partnership NHS Trust, Res & Innovat, Coventry, W Midlands, England
来源
NATURE AND SCIENCE OF SLEEP | 2021年 / 13卷
关键词
sleep; borderline personality disorder; biosocial developmental model; childhood; adolescence; mechanisms; BEHAVIORAL-PROBLEMS; INFANT SLEEP; POSTNATAL DEPRESSION; CORTISOL SECRETION; EMOTION REGULATION; ADOLESCENT SLEEP; SUBSTANCE USE; CHILDREN; ATTACHMENT; SYMPTOMS;
D O I
10.2147/NSS.S311672
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: Recent research indicates that sleep problems in childhood precede the development of borderline personality disorder (BPD) symptoms, but the mechanisms by which sleep problems associate with BPD are still unknown. This narrative review aims to provide some potential explanations for how early sleep problems might associate with BPD. Methods: We used the biosocial developmental model of BPD as a framework to discuss how sleep problems may associate with BPD. Articles were identified via PubMed and Embase, and papers published between January 1991 and April 2021 were extracted. Authors made a series of literature searches using the following keywords: Sleep problems, Insomnia, Nightmares, Hypothalamic-Pituitary-Adrenal Axis (HPA), Prefrontal Cortex, Family Psychopathology, Disrupted Attachment, Child Maltreatment, Impulsivity, Emotion Regulation, Internalizing, Externalizing, Rumination, Childhood, Adolescence, Young people. The inclusion criteria were published in peer-reviewed journals; human studies or reviews; published in English. The exclusion criteria were commentaries; abstracts from conferences; studies with animal samples. A total of 96 articles were included for the purpose of this review. Results: The evidence from this review suggests that some biological factors and core features of BPD act as potential mechanisms mediating the associations between early sleep and subsequent BPD, while some family-related factors might constitute common risk factors for sleep problems and BPD. Conclusion: The biosocial developmental model of BPD provides a plausible characterization of how sleep disruption might lead to subsequent BPD. Further research on new developmental and early intervention approaches to understand how sleep in early stages associates with BPD could have significant clinical impact on these patients and could inform targeted therapeutic interventions.
引用
收藏
页码:2175 / 2202
页数:28
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