ABSTRACT

Objective: The current study aimed to examine the relation between sleep disturbance, emotion dysregulation and borderline personality features in adolescent inpatients.

Method: N = 217 adolescents (67.1% female; ages 12–17) with the following racial/ethnic breakdown: 67.4% White, 3.7% Hispanic, 2.8% Asian, 1.8% African American, and 6.4% multiracial) completed self-report measures of sleep disturbance, emotion dysregulation and borderline personality symptoms at admission to, discharge from, and at 6-months-post discharge from an inpatient psychiatric hospital. Group comparison and path analyses were conducted to examine differences in sleep disturbance between those with and without borderline personality disorder and the mediating role of emotion dysregulation in the relation between sleep disturbance and borderline personality features.

Results: Borderline personality features and emotion dysregulation were significantly related to indices of sleep disturbance. Path models revealed that some sleep disturbance indices at admission directly predicted levels of borderline features at discharge and at 6-months-post-discharge. However, none of the indirect pathways between sleep disturbance at admission, emotion dysregulation at discharge, and borderline features at discharge or 6-months post-discharge were significant.

Conclusions: Findings are consistent with prior literature which suggest that a unique relation exists between sleep disturbance and BPD, beyond comorbid depression symptoms. However, contrary to our hypotheses, the current study did not provide empirical support for the mediating role of emotion regulation in this relation. These findings have implications for existing personality disorder and sleep interventions and suggest further research into the mechanisms underlying the relation between sleep disturbance and borderline personality pathology is necessary.

摘要

目的：本研究旨在探讨青少年住院患者睡眠障碍、情绪失调与边缘人格特征之间的关系。

方法：N = 217 名青少年（67.1% 为女性；年龄 12-17 岁）具有以下种族/民族细分：67.4% 白人、3.7% 西班牙裔、2.8% 亚裔、1.8% 非裔美国人和 6.4% 多种族）完成自我报告入院时、出院时和出院后 6 个月的睡眠障碍、情绪失调和边缘人格症状的措施。进行了组间比较和路径分析，以检查有和没有边缘性人格障碍的人在睡眠障碍方面的差异，以及情绪失调在睡眠障碍和边缘性人格特征之间的关系中的中介作用。

结果：边缘人格特征和情绪失调与睡眠障碍指标显着相关。路径模型显示，入院时的一些睡眠障碍指数可直接预测出院时和出院后 6 个月的临界特征水平。然而，入院时睡眠障碍、出院时情绪失调和出院时或出院后 6 个月的边缘特征之间的间接通路均不显着。

结论：研究结果与之前的文献一致，表明睡眠障碍与 BPD 之间存在独特的关系，而不仅仅是共病的抑郁症状。然而，与我们的假设相反，目前的研究并未为情绪调节在这种关系中的中介作用提供实证支持。这些发现对现有的人格障碍和睡眠干预有影响，并表明有必要进一步研究睡眠障碍与边缘人格病理学之间关系的潜在机制。