Effect of preexisting borderline personality disorder on clinical and EEG sleep correlates of depression

Bell, Jesse E.; Lycaki, Helene; Jones, Dallas; Kelwala, Surendra; Sitaram, Natraj

doi:10.1016/0165-1781(83)90033-1

Cited by 57 publications

(30 citation statements)

References 13 publications

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“…Inconsistencies can be found in Table 1. Some of these inconsistencies may be attributed to the presence or absence of comorbid depression, which influences the relationship between BPD and sleep patterns [17,20]. Failures to replicate findings in this area may also be the product of varying levels and combinations of symptoms used to define BPD, which is clearly a heterogeneous diagnostic construct (any five of nine DSM criteria can be present to diagnose BPD).…”

Section: Polysomnographic Findingsmentioning

confidence: 99%

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Borderline Personality Pathology, Polysomnography, and Self-Reported Sleep Problems: A Review

Oltmanns

2015

Curr Sleep Medicine Rep

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There is a growing body of research that links borderline personality pathology to sleep disturbance through polysomnography (PSG) and self-report studies. Twelve PSG studies are reviewed that found sleep differences in recordings of sleep parameters such as sleep continuity, non-REM sleep, and REM sleep in borderline personality disorder (BPD) patients compared to controls. Further, since the turn of the century, self-report methodology has been increasingly utilized to investigate this relationship, and findings from these studies are reviewed. The evidence suggests that borderline personality pathology is uniquely associated with sleep disturbance. Future directions for this research are discussed.

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Section: Polysomnographic Findingsmentioning

confidence: 99%

“…Investigators had already taken notice of the high diagnostic comorbidity of BPD with MDD [17]. Initially, it was debated whether observations of shortened REM latency in BPD patients should be taken as evidence that the disorder was best classified as a mood disorder rather than a personality disorder [18][19][20][21]54].…”

Section: Polysomnographic Studiesmentioning

confidence: 99%

Borderline Personality Pathology, Polysomnography, and Self-Reported Sleep Problems: A Review

Oltmanns

2015

Curr Sleep Medicine Rep

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“…A number of publications focus on sleep disorder, BPD and EEG (Bell et al 1983;McNamara et al 1984;Benson et al 1990;Battaglia et al 1993Battaglia et al , 1999De la Fuente et al 2001Asaad et al 2002;Philipsen et al 2005;Bastien et al 2008). Bastien and colleagues (2008) looked at differences in sleep structure between BPD patients, insomnia patients (both paradoxical and psychophysiological), and healthy sleepers as control individuals.…”

Section: Sleep Disorder In Patients With Bpdmentioning

confidence: 99%

“…Bell et al (1983) studied two sub-samples of patients with major depression (with and without comorbid BPD) for a period of three nights using EEG recording. Both groups displayed a similar pattern of abnormal shortened REM latency and sleep continuity disturbances.…”

Section: Sleep Disorder In Patients With Bpdmentioning

confidence: 99%

Sleep disturbances and circadian CLOCK genes in borderline personality disorder

et al. 2012

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“…There have been at least 9 studies on sleep electroencephalography (sleep EEG) in BPD [37,[41][42][43][44][45][46][47][48]. Some of these have reported sleep EEG alterations in BPD similar to those found in MD, especially a shortened REM latency, but most have disregarded or not taken into account the possible existence of an axis I MD in BPD patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of Carbamazepine on Dexamethasone Suppression and Sleep Electroencephalography in Borderline Personality Disorder

Fuente

Bobes²,

Vizuete³

et al. 2002

Neuropsychobiology

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The pathophysiology of borderline personality disorder (BPD) remains obscure, but there is mounting evidence of brain dysfunction without focal abnormality. The dexamethasone suppression test (DST) and sleep electroencephalography (sleep EEG) have been studied in BPD, but the findings seem to be related to a concomitant axis I diagnosis of major depression (MD) rather than to BPD itself. There is no effective treatment for BPD. Carbamazepine (CBZ) has shown contradictory results and in a previous study, our results were negative. In this study, we investigated the effects of CBZ versus placebo on the DST and sleep EEG in a sample of 20 BPD patients without concomitant MD. CBZ given at doses that are therapeutic for epilepsy and affective disorders may have an effect on the DST and sleep EEG in BPD. CBZ significantly increased the postdexamethasone plasma cortisol values. This did not parallel MD or an increase in the Hamilton depression rating scores. CBZ also increased slow wave sleep (SWS). The mechanisms by which CBZ increased postdexamethasone plasma cortisol levels and SWS in BPD are discussed.

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Effect of preexisting borderline personality disorder on clinical and EEG sleep correlates of depression

Cited by 57 publications

References 13 publications

Borderline Personality Pathology, Polysomnography, and Self-Reported Sleep Problems: A Review

Borderline Personality Pathology, Polysomnography, and Self-Reported Sleep Problems: A Review

Sleep disturbances and circadian CLOCK genes in borderline personality disorder

Effects of Carbamazepine on Dexamethasone Suppression and Sleep Electroencephalography in Borderline Personality Disorder

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