Sleep-EEG in borderline patients without concomitant major depression: a comparison with major depressives and normal control subjects

The sleep phenotype of Borderline Personality Disorder: A systematic review and meta-analysis

“…It appears that BPD may have an independent association with a range of sleep problems (many of them objectively measured) not accounted for by concomitant depression (or other psychiatric disorders). This conclusion is supported by converging evidence from clinical studies utilising BPD patients with and without comorbid Axis I disorders (e.g., Battaglia et al, 1993;De La Fuente et al, 2001), and larger studies controlling for the effects of depression symptoms and substance dependence on BPD-sleep associations (Harty et al, 2010;Oltmanns et al, 2014;Selby, 2013).…”

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

“…Battaglia et al [19,54] included an additional self-report measure (which was used to cross-validate interview diagnosis), three studies included two semi-structured interviews assessing BPD [26•, 27, 28], and one study relied on a consensus diagnosis by two separate interviewers [20]. Five of the studies assessed only inpatients being treated for BPD [19,20,25,27,28,54]; one included eight inpatients and two outpatients [21], three consisted of all outpatients [18, 23, 26•], one consisted of all inmates in a psychiatric facility accused of violent crimes [29], and two did not specify this information [12•, 30]. The studies were conducted in the USA and Europe, with one in Egypt [23].…”

“…Initially, investigators focused on the finding of shortened REM latency in BPD, specifically, because shortened REM latency is characteristic of MDD and other mood disorders (e.g., [22]). Some argued that BPD is better conceptualized as a mood disorder because of this finding (e.g., [18] and later [27]). However, after three initial studies shared this finding, most subsequent studies have not found shortened REM latency in BPD groups relative to controls.…”

Sleep disturbances and circadian CLOCK genes in borderline personality disorder

“…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.…”