Dados do Trabalho

Título

Impact of Borderline Personality Disorder on sleep quality - Systematic Review

Introdução

Borderline Personality Disorder (BPD) impacts sleep quality. People with BPD often report sleep-related problems, which can aggravate the symptoms of the disorder and negatively affect their quality of life.

Objetivo

Therefore, the objective of this systematic review was to assess the impact of borderline personality disorder on sleep quality.

Métodos

The PRISMA protocol was used as a guide for the review. The descriptors indexed in DeCS/MeSH, “Borderline Personality Disorder” and “Sleep Quality”, were used to search the main databases. The inclusion criteria were: studies evaluating sleep quality in patients with BPD.

Resultados

A total of 226 articles were selected, of which 19 met the eligibility criteria, totaling two thousand ninety-one participants (N=2091). The main results found are: [1] Schredl et al., 2012, compared the polysomnographic results of 27 patients with BPD and 20 healthy individuals, obtaining sleep efficiency (BPD: 87.9% ± 5.2; Control: 91.1 ± 3.8), sleep latency (BPD: 18.3min ± 9.7; Control: 21.8 min ± 14. 6), time spent in stage N3 (BPWT: 14.0% ± 9.5; Control: 17.6% ± 5.1) and subjective results of sleep quality problems before PSG, following the Schlaffragebogen A and B questionnaires score (BPD: 25.3 ± 7.5; Control: 15.7 ± 4.5). [2] In 2021, Jenkins et al. studied 96 young people aged 15-25. The group with BPD (n=40) had poorer quality sleep according to the PSQI and Insomnia Severity Index (ISI) questionnaires (p<0.001). Using actigraphy showed that people presenting BPD woke up later and had more significant variability in waking and sleeping times, longer total sleep time, greater sleep efficiency, and shorter time awake after sleep onset. [3] Weibel et al., 2017, found that adults with BPD had worse sleep quality than the control group according to the Pittsburgh Sleepiness Questionnaire Index (BPD: 9.41 ± 4.04; Control: 4.57 ± 2.69); Insomnia Severity Index (BPD: 15.86 ± 6.19; Control: 7.52 ± 5.64); and Epworth Sleepiness Scale (BPD: 11.24 ± 7.02; Control: 8.09 ± 4.69).

Conclusões

The results obtained indicate that, when compared to the control group, individuals with borderline personality disorder have greater difficulty in initiating and maintaining sleep, less time in deep sleep, and more significant variability in sleep patterns. In addition, the subjective data shows a generalized perception of poorer sleep quality among patients with borderline personality disorder.

Palavras -chave

Sleep quality; Borderline Personality Disorder; Adults