Preliminary Evidence for Emotion Dysregulation as a Mechanism Underlying Poor Sleep Quality in Borderline Personality Disorder.

Journal Article (Journal Article)

Sleep disturbance is common in borderline personality disorder (BPD), yet the reasons for this association are not clear. The present study sought to extend prior studies by testing emotion dysregulation as a mechanism underlying this association. We administered self-report measures of sleep quality (SQ), emotion dysregulation, and borderline features to two cross-sectional samples of undergraduates (sample 1: N = 293; sample 2: N = 188). In addition to replicating prior studies linking BPD features to poor SQ, analyses indicated that BPD features related to emotion dysregulation were most strongly correlated with poorer global SQ across both samples. Further, bootstrapping techniques revealed indirect associations by total score on the Difficulties in Emotion Regulation Scale (DERS), as well as for several of its facets (lack of strategies, lack of emotional clarity, lack of awareness). We discuss the potential clinical relevance of emotion dysregulation in the treatment of co-occurring sleep problems in BPD.

Full Text

Duke Authors

Cited Authors

  • Grove, JL; Smith, TW; Crowell, SE; Ellis, JH

Published Date

  • August 2017

Published In

Volume / Issue

  • 31 / 4

Start / End Page

  • 542 - 552

PubMed ID

  • 27617649

Electronic International Standard Serial Number (EISSN)

  • 1943-2763

Digital Object Identifier (DOI)

  • 10.1521/pedi_2016_30_261


  • eng

Conference Location

  • United States