Sleep-Wake Patterns of Adolescents with Borderline Personality Disorder and Bipolar Disorder |
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Authors: | Christophe?Hu?nh Jean-Jacques?Breton Email author" target="_blank">Roger?GodboutEmail author |
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Institution: | 1.Sleep Laboratory and Clinic,Rivière-des-Prairies Hospital,Montréal,Canada;2.Mood Disorders Clinic and Research Branch,Rivière-des-Prairies Hospital,Montréal,Canada;3.Department of Psychiatry,Université de Montréal,Montréal,Canada;4.Research Centre,Rivière-des-Prairies Hospital and Institut Universitaire en Santé Mentale de Montréal,Montréal,Canada |
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Abstract: | Sleep-wake patterns are rarely examined in adolescents with borderline personality disorder (BPD) or bipolar disorder (BD). Within a developmental perspective, this study explores the sleep-wake cycle of adolescents aged 12–17 years with BPD or BD and healthy controls (HC) during periods with and without entrainment by school/work schedules. Eighteen euthymic BPD, six euthymic BD, and 20 HC adolescents wore wrist actigraphy during nine consecutive days to assess sleep-wake patterns. During school/work days, BPD adolescents spent more time awake when they were in bed compared to HC and BD adolescents (p = 0.039). On schedule-free days, BPD and BD youths spent more time in bed compared to HC adolescents (p = 0.015). BPD adolescents woke up over 1 h later compared to HC (p = 0.003). Total sleep time was more variable between nights in BPD adolescents compared to the HC group (p = 0.031). Future research should explore if sleep-wake pattern disruptions are a cause or a consequence of BPD symptomatology in adolescents. Addressing sleep-wake pattern during clinical assessment and treatment of BPD adolescents may potentially reduce their symptoms; this therapeutic effect still needs to be evaluated. |
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