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Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence
Sleep disorders, such as insomnia and nightmares, are commonly associated with Borderline Personality Disorder (BPD) in adulthood. Whether nightmares and sleep-onset and maintenance problems predate BPD symptoms earlier in development is unknown. We addressed this gap in the literature using data fr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer US
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5219009/ https://www.ncbi.nlm.nih.gov/pubmed/27108717 http://dx.doi.org/10.1007/s10802-016-0158-4 |
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author | Lereya, Suzet Tanya Winsper, Catherine Tang, Nicole K. Y. Wolke, Dieter |
author_facet | Lereya, Suzet Tanya Winsper, Catherine Tang, Nicole K. Y. Wolke, Dieter |
author_sort | Lereya, Suzet Tanya |
collection | PubMed |
description | Sleep disorders, such as insomnia and nightmares, are commonly associated with Borderline Personality Disorder (BPD) in adulthood. Whether nightmares and sleep-onset and maintenance problems predate BPD symptoms earlier in development is unknown. We addressed this gap in the literature using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). Participants included 6050 adolescents (51.4 % female) who completed the UK Childhood Interview for DSM-IV BPD at 11 to 12 years of age. Nightmares and sleep onset and maintenance problems were prospectively assessed via mother report when children were 2.5, 3.5, 4.8 and 6.8 years of age. Psychopathological (i.e., emotional temperament; psychiatric diagnoses; and emotional and behavioural problems) and psychosocial (i.e., abuse, maladaptive parenting, and family adversity) confounders were assessed via mother report. In logistic regressions, persistent nightmares (i.e., regular nightmares at 3 or more time-points) were significantly associated with BPD symptoms following adjustment for sleep onset and maintenance problems and all confounders (Adjusted Odds Ratio = 1.62; 95 % Confidence Interval = 1.12 to 2.32). Persistent sleep onset and maintenance problems were not significantly associated with BPD symptoms. In path analysis controlling for all associations between confounders, persistent nightmares independently predicted BPD symptoms (Probit co-efficient [β] = 0.08, p = 0.013). Emotional and behavioural problems significantly mediated the association between nightmares and BPD (β =0.016, p < 0.001), while nightmares significantly mediated associations between emotional temperament (β = 0.001, p = 0.018), abuse (β = 0.015, p = 0.018), maladaptive parenting (β = 0.002, p = 0.021) and subsequent BPD. These findings tentatively support that childhood nightmares may potentially increase the risk of BPD symptoms in early adolescence via a number of aetiological pathways. If replicated, the current findings could have important implications for early intervention, and assist clinicians in the identification of children at risk of developing BPD. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10802-016-0158-4) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5219009 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-52190092017-01-19 Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence Lereya, Suzet Tanya Winsper, Catherine Tang, Nicole K. Y. Wolke, Dieter J Abnorm Child Psychol Article Sleep disorders, such as insomnia and nightmares, are commonly associated with Borderline Personality Disorder (BPD) in adulthood. Whether nightmares and sleep-onset and maintenance problems predate BPD symptoms earlier in development is unknown. We addressed this gap in the literature using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). Participants included 6050 adolescents (51.4 % female) who completed the UK Childhood Interview for DSM-IV BPD at 11 to 12 years of age. Nightmares and sleep onset and maintenance problems were prospectively assessed via mother report when children were 2.5, 3.5, 4.8 and 6.8 years of age. Psychopathological (i.e., emotional temperament; psychiatric diagnoses; and emotional and behavioural problems) and psychosocial (i.e., abuse, maladaptive parenting, and family adversity) confounders were assessed via mother report. In logistic regressions, persistent nightmares (i.e., regular nightmares at 3 or more time-points) were significantly associated with BPD symptoms following adjustment for sleep onset and maintenance problems and all confounders (Adjusted Odds Ratio = 1.62; 95 % Confidence Interval = 1.12 to 2.32). Persistent sleep onset and maintenance problems were not significantly associated with BPD symptoms. In path analysis controlling for all associations between confounders, persistent nightmares independently predicted BPD symptoms (Probit co-efficient [β] = 0.08, p = 0.013). Emotional and behavioural problems significantly mediated the association between nightmares and BPD (β =0.016, p < 0.001), while nightmares significantly mediated associations between emotional temperament (β = 0.001, p = 0.018), abuse (β = 0.015, p = 0.018), maladaptive parenting (β = 0.002, p = 0.021) and subsequent BPD. These findings tentatively support that childhood nightmares may potentially increase the risk of BPD symptoms in early adolescence via a number of aetiological pathways. If replicated, the current findings could have important implications for early intervention, and assist clinicians in the identification of children at risk of developing BPD. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s10802-016-0158-4) contains supplementary material, which is available to authorized users. Springer US 2016-04-25 2017 /pmc/articles/PMC5219009/ /pubmed/27108717 http://dx.doi.org/10.1007/s10802-016-0158-4 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Lereya, Suzet Tanya Winsper, Catherine Tang, Nicole K. Y. Wolke, Dieter Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence |
title | Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence |
title_full | Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence |
title_fullStr | Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence |
title_full_unstemmed | Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence |
title_short | Sleep Problems in Childhood and Borderline Personality Disorder Symptoms in Early Adolescence |
title_sort | sleep problems in childhood and borderline personality disorder symptoms in early adolescence |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5219009/ https://www.ncbi.nlm.nih.gov/pubmed/27108717 http://dx.doi.org/10.1007/s10802-016-0158-4 |
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