Fleischer, Monika and Schafer, Michael and Coogan, Andrew and Hassler, Frank and Thome, Johannes (2012) Sleep disturbances and circadian CLOCK genes in borderline personality disorder. Journal of Neural Transmission, 119 (10). pp. 1105-1110. ISSN 0300-9564

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Abstract

Borderline personality disorder (BPD) is characterised by a deep-reaching pattern of affective instability, incoherent identity, self-injury, suicide attempts, and disturbed interpersonal relations and lifestyle. The daily activities of BPD patients are often chaotic and disorganized, with patients often staying up late while sleeping during the day. These behavioural patterns suggest that altered circadian rhythms may be associated with BPD. Furthermore, BPD patients frequently report suffering from sleep disturbances. In this review, we overview the evidence that circadian rhythms and sleep are disturbed in BPD, and we explore the possibility that personality traits that are pertinent for BPD may be associated with circadian typology, and perhaps to circadian genotypes. With regards to sleep architecture, we review the evidence that BPD patients display altered non-REM and REM sleep. A possible cue to a deeper understanding of this temporal dysregulation might be an analysis of the circadian clock at the molecular and cellular level, as well as behavioural studies using actigraphy and we suggest avenues for further exploration of these factors.

Item Type:	Article
Additional Information:	The definitive version of this article is available at 10.1007/s00702-012-0860-5
Keywords:	Actigraphy; BMAL; CRY; PER; Psychotherapy; Sleep disorder;
Academic Unit:	Faculty of Science and Engineering > Psychology
Item ID:	4235
Depositing User:	Dr. Andrew Coogan
Date Deposited:	05 Mar 2013 16:25
Journal or Publication Title:	Journal of Neural Transmission
Publisher:	Springer Verlag
Refereed:	Yes
URI:	http://link.springer.com/journal/722
Use Licence:	This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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