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Sleep-Wake Patterns of Adolescents with Borderline Personality Disorder and Bipolar Disorder

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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Soumis le : jeudi 10 mars 2022 - 11:50:22
Dernière modification le : mardi 6 septembre 2022 - 15:08:23




Christophe Huynh, Jean-Marc Guile, Jean-Jacques Breton, Roger Godbout. Sleep-Wake Patterns of Adolescents with Borderline Personality Disorder and Bipolar Disorder. Child Psychiatry and Human Development, Springer Verlag, 2016, 47 (2), pp.202-214. ⟨10.1007/s10578-015-0557-8⟩. ⟨hal-03604181⟩



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