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

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Huynh, Christophe Guilé, Jean-Marc Breton, Jean-Jacques Godbout, Roger
Description	Country affiliation: Canada Author Affiliation: Huynh C ( Sleep Laboratory and Clinic, Rivière-des-Prairies Hospital, 7070 Boul. Perras, Montréal, QC, H1E 1A4, Canada.); Guilé JM ( Mood Disorders Clinic and Research Branch, Rivière-des-Prairies Hospital, Montréal, QC, Canada.); Breton JJ ( Department of Psychiatry, Université de Montréal, Montréal, QC, Canada.); Godbout R ( Research Centre, Rivière-des-Prairies Hospital and Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada.)
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.
File Format	HTM / HTML
ISSN	0009398X
Issue Number	2
Journal	Child Psychiatry & Human Development
Volume Number	47
e-ISSN	15733327
Language	English
Publisher	Springer
Publisher Date	2016-04-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychiatry Discipline Pediatrics
Content Type	Text
Resource Type	Article
Subject	Developmental and Educational Psychology Pediatrics, Perinatology and Child Health Psychiatry and Mental Health

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