Sleep recordings in individuals with borderline personality disorder before and after trauma therapy

Weinhold, Sara Lena; Göder, Robert; Pabst, Astrid; Scharff, Anna-Lena; Schauer, Maggie; Baier, Paul Christian; Aldenhoff, Josef B.; Elbert, Thomas; Seeck‐Hirschner, Mareen

doi:10.1007/s00702-016-1536-3

Cited by 8 publications

(21 citation statements)

References 38 publications

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“…The study by Weinhold et al. (2017), however, found no effect of NET on the subjective data of the PSQI, which we used to assess sleep quality in the present study. One possible explanation for this inconsistent result may be the different sample populations (i.e., medicated clients with severe BPD vs. unmedicated refugee youth with PTSD.…”

Section: Discussioncontrasting

confidence: 52%

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Effects of Narrative Exposure Therapy on Posttraumatic Stress Disorder, Depression, and Insomnia in Traumatized North Korean Refugee Youth

Park

Elbert

et al. 2020

Journal of Traumatic Stress

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Refugees affected by multiple traumatic stressors are at high risk for developing trauma‐related mental disorders, including posttraumatic stress disorder (PTSD), depression, and insomnia, which is sometimes overlooked. The present study examined the effectiveness of narrative exposure therapy (NET) on trauma‐related symptoms in a sample of North Korean refugee youth. We focused on sleep patterns in addition to changes in symptom severity for PTSD, depression, and internalizing and externalizing symptoms. North Korean refugee youth (N = 20) with PTSD were assigned to either an NET‐based treatment group or a control group, which consisted of treatment as usual (TAU). There were clinically significant reductions in PTSD, depression, and internalizing and externalizing symptoms for the NET group, Hedges’ g = 3.6, but not the TAU group. The change in diagnostic status for PTSD was more notable for participants in the NET group compared to the TAU group. Of note, NET also produced a significant improvement in insomnia symptoms and sleep quality, Hedges’ g = 2.1. The substantial recovery regarding overall posttraumatic symptoms in the NET group was observed 2 weeks after the end of treatment and remained stable at 6‐month follow‐up. The results of the present study suggest that NET may be a treatment option for traumatized North Korean refugee youth and may also be effective for the treatment of sleep problems that arise from traumatic experiences.

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Section: Discussioncontrasting

confidence: 52%

“…However, to our knowledge, the only previous study to examine the effects of NET on various sleep parameters was conducted by Weinhold et al. (2017), who used a small sample of individuals with BPD and comorbid PTSD. Their results suggest that NET may reduce sleep onset latency and arousal.…”

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confidence: 99%

Effects of Narrative Exposure Therapy on Posttraumatic Stress Disorder, Depression, and Insomnia in Traumatized North Korean Refugee Youth

Park

Elbert

et al. 2020

Journal of Traumatic Stress

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“…Finally, from the viewpoint of posttreatment evaluation, the improvement of sleep problems may be indicative of good treatment outcomes in the treatment of trauma-related psychological disorders. Weinhold et al (12) argue that improvement in sleep quality can be considered as an important condition for treatment outcome regarding PTSD symptoms. Considering our finding of the relation between PTSD, depression, and insomnia, treating PTSD may result in improvement in depression symptoms, leading to improved sleep.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, experiencing more adversities increased the risk of insomnia, which indicates a dose–response relationship (11). On the other hand, clients with longer pretreatment total sleep time and pretreatment Rapid Eye Movement (REM) sleep duration showed a better treatment outcome (12), whereby Narrative Exposure Therapy (NET) resulted in an increased reduction in sleep latency and a reduction in arousals over time.…”

Section: Introductionmentioning

confidence: 99%

The Contribution of Posttraumatic Stress Disorder and Depression to Insomnia in North Korean Refugee Youth

et al. 2019

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Refugees are exposed to multiple traumatic and stressful events and thereby are at higher risk for developing a variety of psychological sequelae including posttraumatic stress disorder (PTSD). However, the relation of PTSD to other mental health conditions has not been fully revealed in refugee populations. The present study investigated relationships among trauma exposure, PTSD, depression, and insomnia in North Korean refugee youth. Seventy-four refugee youth were assessed for exposure to traumatic events, PTSD, depression, and insomnia symptoms. The results showed high rates of multiple trauma exposures among the refugee youth and high incidences of co-occurring symptoms of PTSD and insomnia in those who have multiple trauma. Furthermore, the overall symptoms and four cluster symptoms of PTSD were strongly correlated with insomnia in addition to depression. In the path model to predict insomnia, PTSD affected insomnia only through depression, indicating that the greater the levels of PTSD suffered, the greater the likelihood for developing sleep problems via depression. The present study indicates how sleep problems relate to trauma-related symptoms, i.e., PTSD and depression in refugee populations, and highlights the need for further investigation of the specific relation between sleep problems and trauma-related symptoms for effective evaluation and intervention.

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“…Most individuals diagnosed with BPD have been exposed to severe and traumatic stressors, and therefore, often show post-traumatic stress disorder (PTSD). 18 BPD is highlighted as a high-risk subgroup of PTSD due to increased insomnia and suicidal tendencies. 72 In addition to the effects of comorbid depression and anxiety symptoms, emerging evidence has identified impulsivity and emotional dysregulation as possible mechanisms leading to an association between insomnia and suicide in BPD.…”

Section: Comorbidity Of Borderline Personality Disorder and Insomniamentioning

confidence: 99%

Insomnia in Patients with Borderline Personality Disorder

Vaněk¹,

Praško²,

Ocisková³

et al. 2021

NSS

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Objective Both sleep disorders and BPD are prevalent in the population, and one is often a comorbidity of the other. This narrative review aims to assess contemporary literature and scientific databases to provide the current state of knowledge about sleep disorders in patients with borderline personality disorder (BPD) and clinical suggestions for managing sleep disorders in BPD patients and future research direction. Methods Articles were acquired via PubMed and Web of Science, and papers published between January 1980 and October 2020 were extracted. Authors made a series of literature searches using the keywords: Sleep problems, Insomnia, Nightmares, Obstructive sleep apnea, Borderline personality disorder. The inclusion criteria were: published in peer-reviewed journals; studies in humans; or reviews on the related topic; English language. The exclusion criteria were: abstracts from conferences; commentaries; subjects younger than 18 years. After an inspection of the full texts, 42 papers from 101 were selected. Secondary documents from the reference lists of the primary designated papers were searched, assessed for suitability, and included. In total, 71 papers were included in the review process. Results Sleep disturbance is common among patients with BPD. Nevertheless, the number of investigations is limited, and the prevalence differs between 5–45%. Studies assessing objective changes in sleep architecture in BPD show inconsistent results. Some of them identify REM sleep changes and a decrease in slow-wave sleep, while other studies found no objective sleep architecture changes. There is also a higher prevalence of nightmares in patients with BPD. Untreated insomnia can worsen BPD symptoms via interference with emotional regulation. BPD itself seems to influence the subjective quality of sleep significantly. Proper diagnosis and treatment of sleep disorders in patients with BPD could lead to better results in therapy. Psychotherapeutic approaches can improve both sleep disorders and BPD symptoms. Conclusion Recognising and managing sleep disorders in patients with BPD may help alleviate the disorder’s symptoms. Treatment of people with BPD may be more effective if the treatment plan explicitly addresses sleep problems. Further research is needed to reach reliable conclusions.

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Sleep recordings in individuals with borderline personality disorder before and after trauma therapy

Cited by 8 publications

References 38 publications

Effects of Narrative Exposure Therapy on Posttraumatic Stress Disorder, Depression, and Insomnia in Traumatized North Korean Refugee Youth

Effects of Narrative Exposure Therapy on Posttraumatic Stress Disorder, Depression, and Insomnia in Traumatized North Korean Refugee Youth

The Contribution of Posttraumatic Stress Disorder and Depression to Insomnia in North Korean Refugee Youth

Insomnia in Patients with Borderline Personality Disorder

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