Determining the Pattern of Relationship Between Sleep Disorder, Borderline Personality Disorder, and Post-Traumatic Stress Disorder in Nurses of Kermanshah City
Keywords:
Sleep disorder, Post, traumatic stress disorder, Borderline personality disorder, NursesAbstract
Objective: This study aimed to determine the pattern of relationship between sleep disorder and borderline personality disorder with post-traumatic stress disorder in nurses of Kermanshah city.
Methodology: The research method is applied in terms of purpose and survey-based in terms of implementation. The statistical population of this study includes all present and dispatched nurses to the site of the incident in Kermanshah city. The sampling method was random convenient sampling, and the sample size was determined to be 150 participants using Cochran's formula. Based on the inclusion and exclusion criteria, the participants responded to the Mississippi PTSD Scale, Pittsburgh Sleep Quality Index, and the Jackson and Claridge (1991) Borderline Personality Scale.
Findings: The results indicated that post-traumatic stress disorder has a significant positive relationship, both directly and indirectly, with borderline personality disorder thoughts and sleep disorder. Furthermore, in fitting the designed model, it was shown that the obtained GFI and AGFI indices are close to one, and the root mean square error of approximation (RMSEA) is less than 0.08 and within an acceptable range, suggesting that the model variables are well-fitted by the data.
Conclusion: Considering the findings of the present study and the importance of nurses' health on community health, the evaluation, recognition, and treatment of sleep quality and borderline personality disorder and their relationship with post-traumatic stress disorder can provide valuable guidelines for improving PTSD in nurses.
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References
Abbasian Hadadan, M. (2024). The Effectiveness of Schema Therapy on Psychological Distress and Emotional Regulation in Individuals with Borderline Personality Disorder. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1), 160-174. https://doi.org/10.22034/pdmd.2024.454880.1088
Afshari, B. (2023). Psychology of Bipolar Depression: Revisiting Past and Present Researches, Prospects Ahead, and Moving Toward Future Directions. Explor Neurosci, 2(6), 331-349. https://doi.org/10.37349/en.2023.00032
Akhtar, S. (2024). Comparative Study of Cognitive Behavior Therapy and Virtual Reality Exposure Therapy for PTSD. https://doi.org/10.21203/rs.3.rs-3897225/v1
Atmaca, M., Karakoc, T., Mermi, O., Gurok, M. G., & Yildirim, H. (2014). Neurochemical Alterations Associated With Borderline Personality Disorder. The International Journal of Psychiatry in Medicine, 48(4), 317-324. https://doi.org/10.2190/pm.48.4.f
Bodner, E., Cohen-Fridel, S., Mashiah, M., Segal, M. M., Grinshpoon, A., Fischel, T., & Iancu, I. (2015). The Attitudes of Psychiatric Hospital Staff Toward Hospitalization and Treatment of Patients With Borderline Personality Disorder. BMC psychiatry, 15(1). https://doi.org/10.1186/s12888-014-0380-y
ÇInaroĞLu, M. (2024). Psychotherapies for the Treatment of Bipolar Disorder. Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, 16(2), 373-382. https://doi.org/10.18863/pgy.1332919
Clark, C. J., Fox, E., & Long, C. G. (2014). Can Teaching Staff About the Neurobiological Underpinnings of Borderline Personality Disorder Instigate Attitudinal Change? Journal of Psychiatric Intensive Care, 11(01), 43-51. https://doi.org/10.1017/s1742646414000132
Daros, A. R., Zakzanis, K. K., & Ruocco, A. C. (2012). Facial Emotion Recognition in Borderline Personality Disorder. Psychological medicine, 43(9), 1953-1963. https://doi.org/10.1017/s0033291712002607
Day, N. J. S., Hunt, A., Cortis-Jones, L., & Grenyer, B. F. S. (2018). Clinician Attitudes Towards Borderline Personality Disorder: A 15‐year Comparison. Personality and Mental Health, 12(4), 309-320. https://doi.org/10.1002/pmh.1429
Dickens, G. L., Hallett, N., & Lamont, E. (2016). Interventions to Improve Mental Health Nurses’ Skills, Attitudes, and Knowledge Related to People With a Diagnosis of Borderline Personality Disorder: Systematic Review. International journal of nursing studies, 56, 114-127. https://doi.org/10.1016/j.ijnurstu.2015.10.019
Dickens, G. L., Lamont, E., & Gray, S. (2016). Mental Health Nurses’ Attitudes, Behaviour, Experience and Knowledge Regarding Adults With a Diagnosis of Borderline Personality Disorder: Systematic, Integrative Literature Review. Journal of clinical nursing, 25(13-14), 1848-1875. https://doi.org/10.1111/jocn.13202
Dong, M. (2024). Identifying Factors, Such as Low Sleep Quality, That Predict Suicidal Thoughts Using Machine Learning. J Emerg Invest. https://doi.org/10.59720/23-999
Fleischer, M., Schäfer, M. K. E., Coogan, A. N., Häßler, F., & Thome, J. (2012). Sleep Disturbances and Circadian CLOCK Genes in Borderline Personality Disorder. Journal of Neural Transmission, 119(10), 1105-1110. https://doi.org/10.1007/s00702-012-0860-5
Gabrielle, F. F. (2024). The Psychopathology Among the Offspring of Schizophrenia and Bipolar I Disorder Patients in an Egyptian Sample: A Comparative Study. International Journal of Social Psychiatry, 70(3), 482-488. https://doi.org/10.1177/00207640231216354
Glad, K. A., Aakvaag, H. F., Wentzel-Larsen, T., Dyb, G., & Thoresen, S. (2024). What will others think of me? The longitudinal association between trauma-related shame and guilt and psychopathology after a terror attack. BJPsych Open, 10(1), e30, Article e30. https://doi.org/10.1192/bjo.2023.624
Gray, S. (2022). Addressing Stigma in Borderline Personality Disorder Requires Ongoing Support for Nurses. Iranian Journal of Nursing and Midwifery Research, 27(4), 351. https://doi.org/10.4103/ijnmr.ijnmr_186_21
Lai, X., Chen, J., Li, H., Zhou, L., Huang, Q., Liao, Y., Krewski, D., Wen, S. W., Zhang, L., & Xie, R.-h. (2023). The Incidence of Post‐traumatic Stress Disorder Following Traumatic Childbirth: A Systematic Review and Meta‐analysis. International Journal of Gynecology & Obstetrics, 162(1), 211-221. https://doi.org/10.1002/ijgo.14643
Liao, D.-D., Long, Y., Chen, Y., Kang, X., Liu, S., Yan, J., & Zhang, A. (2023). Emergency Medical Service Personnel' Post-Traumatic Stress Disorder and Psychological Detachment: The Mediating Role of Presenteeism. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1030456
Mirkovic, B., Delvenne, V., Robin, M., Pham‐Scottez, A., Corcos, M., & Speranza, M. (2021). Borderline Personality Disorder and Adolescent Suicide Attempt: The Mediating Role of Emotional Dysregulation. BMC psychiatry, 21(1). https://doi.org/10.1186/s12888-021-03377-x
Mohammadi, S., & Hojjati, H. (2020). Examining the Effectiveness of Continuous Care on the Sleep Quality of Veterans with Post-Traumatic Stress Disorder Visiting Psychiatric Clinics in Alborz Province. Military Medicine Journal, 21(4), 418-424. https://militarymedj.bmsu.ac.ir/article_1000842.html?lang=en
Nematollahi, S., Afshari Nia, K., Alsadat Hosseini, S., Kakabraei, K., & Parandin, S. (2023). The Effectiveness of Metacognitive Therapy and Compassion-Based Therapy on Reducing Rumination, Anxiety and Worry in Obsessive-Compulsive Patients. Journal of Psychological Dynamics in Mood Disorders (PDMD), 2(3), 50-61. https://doi.org/10.22034/pdmd.2023.188277
Okati, G. N., Shahabizadeh, F., & Bahreinian, S. A. M. (2023). The Effectiveness of Metacognitive Therapy on Relationship Obsessive-Compulsive Disorder (ROCD) and Experiential Avoidance. Journal of Psychological Dynamics in Mood Disorders (PDMD), 1(4), 18-29. https://ijpdmd.com/article_183693_565efe26e7dc835d28a16da0da470f5c.pdf
Oliveira, S. (2024). Sleep Disorders and Subjective Well-Being in Portuguese Adults: Evidence From a Representative Study. Sleep Science, 17(01), e1-e6. https://doi.org/10.1055/s-0043-1772812
Pavlova, M., & Latreille, V. (2019). Sleep Disorders. The American Journal of Medicine, 132(3), 292-299. https://doi.org/10.1016/j.amjmed.2018.09.021
Peeters, N., van Passel, B., & Krans, J. (2022). The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. British Journal of Clinical Psychology, 61(3), 579-597. https://doi.org/10.1111/bjc.12324
Plante, D. T., Frankenburg, F. R., Fitzmaurice, G. M., & Zanarini, M. C. (2013a). Relationship Between Maladaptive Cognitions About Sleep and Recovery in Patients With Borderline Personality Disorder. Psychiatry research, 210(3), 975-979. https://doi.org/10.1016/j.psychres.2013.08.004
Plante, D. T., Frankenburg, F. R., Fitzmaurice, G. M., & Zanarini, M. C. (2013b). Relationship Between Sleep Disturbance and Recovery in Patients With Borderline Personality Disorder. Journal of psychosomatic research, 74(4), 278-282. https://doi.org/10.1016/j.jpsychores.2013.01.006
Sadeghi, K., Goodarzi, G., & Foroughi, A. (2023). Recovering from Post-Traumatic Stress Disorder symptoms: A study on the combination of art and mindfulness. Shenakht, 9(6), 131-145. https://doi.org/10.32598/shenakht.9.6.131
Sansone, R. A., Edwards, H. C., & Forbis, J. S. (2010). Sleep Quality in Borderline Personality Disorder. The Primary Care Companion to the Journal of Clinical Psychiatry. https://doi.org/10.4088/pcc.09m00919bro
Shariati, M., & Karimi, S. (2020). The mediating role of stress in the relationship between sleep quality and sexual performance in married women. Journal of Women's Health and Family, 18(1), 33-44.
Shen, Q., Mu, Y., & Shin, P.-Y. (2024). Health Behavior Change in Post-Traumatic Stress Disorder: Patient Perspectives. Journal of Personality and Psychosomatic Research (JPPR), 2(3), 35-42. https://doi.org/10.61838/kman.jppr.2.3.6
Shin, N. Y., & Choi, Y. J. (2023). Professional Quality of Life, Resilience, Posttraumatic Stress and Leisure Activity Among Intensive Care Unit Nurses. International Nursing Review, 71(1), 94-100. https://doi.org/10.1111/inr.12850
Singh, B. (2023). Ketamine for Treatment‐Resistant- Bipolar Depression- A Reality Check! Bipolar Disorders. https://doi.org/10.1111/bdi.13324
Thew, G. R., Wild, J., & Ehlers, A. (2023). Early Intervention in Post‐traumatic Stress Disorder Without Exposure to Trauma Memories Using Internet‐delivered Cognitive Therapy: A Pilot Case Series. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12419
Vaněk, J., Praško, J., Ocisková, M., Hodny, F., Holubová, M., Minaříková, K., Šlepecký, M., & Nesnídal, V. (2021). Insomnia in Patients With Borderline Personality Disorder. Nature and science of sleep, Volume 13, 239-250. https://doi.org/10.2147/nss.s295030
Veen, M. M. V., Karsten, J., & Lancel, M. (2017). Poor Sleep and Its Relation to Impulsivity in Patients With Antisocial or Borderline Personality Disorders. Behavioral Medicine, 43(3), 218-226. https://doi.org/10.1080/08964289.2017.1313719
Wang, Y., Hong, A., Yang, W., & Wang, Z. (2023). The impact of childhood trauma on perceived stress and personality in patients with obsessive-compulsive disorder: A cross-sectional network analysis. Journal of psychosomatic research, 172, 111432. https://doi.org/10.1016/j.jpsychores.2023.111432
Willis, D. N., Dowling, A. P. C., Deehan, T., & O'Reilly, P. G. (2023). Exploring the Impact of Trauma and the Role of Compassion Before and After a Phase-orientated Intervention for Complex Trauma. European Journal of Trauma & Dissociation, 7(1), 100308. https://www.sciencedirect.com/science/article/pii/S2468749922000503
Yang, X., Hu, L., Zeng, J., Tan, Y., & Cheng, B.-C. (2016). Default Mode Network and Frontolimbic Gray Matter Abnormalities in Patients With Borderline Personality Disorder: A Voxel-Based Meta-Analysis. Scientific reports, 6(1). https://doi.org/10.1038/srep34247
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. M. (2012). Attainment and Stability of Sustained Symptomatic Remission and Recovery Among Patients With Borderline Personality Disorder and Axis II Comparison Subjects: A 16-Year Prospective Follow-Up Study. American Journal of Psychiatry, 169(5), 476-483. https://doi.org/10.1176/appi.ajp.2011.11101550
Zanarini, M. C., Hörz, S., Frankenburg, F. R., Weingeroff, J. L., Reich, D. B., & Fitzmaurice, G. M. (2011). The 10-Year Course of PTSD in Borderline Patients and Axis II Comparison Subjects. Acta Psychiatrica Scandinavica, 124(5), 349-356. https://doi.org/10.1111/j.1600-0447.2011.01717.x
Zimmerman, M., Ellison, W. D., Morgan, T. A., Young, D., Chelminski, I., & Dalrymple, K. (2015). Psychosocial Morbidity Associated With Bipolar Disorder and Borderline Personality Disorder in Psychiatric Out-Patients: Comparative Study. The British Journal of Psychiatry, 207(4), 334-338. https://doi.org/10.1192/bjp.bp.114.153569
Zimmerman, M., Galione, J. N., Ruggero, C. J., Chelminski, I., Young, D., Dalrymple, K., & McGlinchey, J. B. (2010). Screening for Bipolar Disorder and Finding Borderline Personality Disorder. The Journal of Clinical Psychiatry, 71(09), 1212-1217. https://doi.org/10.4088/jcp.09m05161yel
Zimmerman, M., Martinez, J. H., Young, D., Chelminski, I., Morgan, T. A., & Dalrymple, K. (2014). Comorbid Bipolar Disorder and Borderline Personality Disorder and History of Suicide Attempts. Journal of personality disorders, 28(3), 358-364. https://doi.org/10.1521/pedi_2013_27_122
Zomia, A. S. A. (2023). Child Anxiety, Depression, and Post-Traumatic Stress Disorder Following Orthopedic Trauma. Cureus. https://doi.org/10.7759/cureus.42140
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