Relationship between maladaptive cognitions about sleep and recovery in patients with borderline personality disorder |
| |
Authors: | David T Plante Frances R Frankenburg Garrett M Fitzmaurice Mary C Zanarini |
| |
Institution: | 1. Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA;2. Laboratory for the Study of Adult Development, McLean Hospital, Belmont, MA, USA;3. Boston University School of Medicine, Boston, MA, USA;4. Edith Nourse Rogers Memorial Veterans Administration Medical Center, Bedford, MA, USA;5. Department of Psychiatry, Harvard Medical School, Boston, MA, USA;6. Laboratory for Psychiatric Biostatistics, McLean Hospital, Belmont, MA, USA;g Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA |
| |
Abstract: | Borderline personality disorder (BPD) has been associated with maladaptive cognitive processes including dysfunctional attitudes and a negative attribution style. Comorbid insomnia affects the course of multiple psychiatric disorders, and has been associated with the absence of recovery from BPD. Because dysfunctional beliefs and attitudes are common among patients with insomnia, the purpose of this study was to evaluate the association between maladaptive sleep-related cognitions and recovery status (symptomatic remission plus good concurrent psychosocial functioning) in patients with BPD. Two hundred and twenty three BPD patients participating in the McLean Study of Adult Development (MSAD) were administered the Dysfunctional Beliefs and Attitudes about Sleep questionnaire (DBAS-16) as part of the 16-year follow-up wave. Maladaptive sleep cognitions were compared between recovered (n=105) and non-recovered (n=118) BPD participants, in analyses that adjusted for age, sex, depression, anxiety, and primary sleep disorders. Results demonstrated that non-recovered BPD patients had significantly more severe maladaptive sleep-related cognitions as measured by the overall DBAS-16 score. These results demonstrate an association between dysfunctional beliefs and attitudes about sleep and recovery status among BPD patients. Further research is warranted to evaluate treatments targeted towards maladaptive sleep-related cognitions, and their subsequent effects on the course of BPD. |
| |
Keywords: | Borderline personality disorder Insomnia DBAS |
本文献已被 ScienceDirect 等数据库收录! |
|