Insomnia in patients with personality disorders: A narrative review of clinical characteristic and therapeutic implications

Strany: 26 - 39

Jazyk: eng

BACKGROUND: Insomnia is a frequent but often overlooked problem in patients with personality disorders. Despite its significant impact on emotional regulation, illness course, and treatment outcomes, insomnia is frequently underdiagnosed and undertreated. AIM: To summarise current knowledge on the prevalence, characteristics, and clinical relevance of insomnia in patients with personality disorders and to discuss therapeutic implications. METHODS: This article is a narrative review of the literature. Relevant studies were identified through searches of PubMed, PsycINFO, and Web of Science focusing on personality disorders, sleep disturbances, and clinical outcomes. Sixty publications were included based on clinical relevance; no formal quality appraisal was performed. RESULTS: Insomnia affects approximately 40–70% of patients with personality disorders, with the highest prevalence observed in borderline personality disorder. The clinical presentation of insomnia varies across personality disorder types and includes difficulties initiating sleep, sleep fragmentation, early morning awakenings, and non-restorative sleep. Insomnia is associated with greater emotional dysregulation, increased suicide risk, and poorer treatment response. CONCLUSION: Insomnia represents a clinically significant and modifiable therapeutic target in patients with personality disorders. Systematic sleep assessment and the integration of non-pharmacological approaches, particularly cognitive behavioural therapy for insomnia and schema therapy, may improve clinical outcomes and long-term prognosis.

ISO 690:

Praško, J., Ociskova, M., Belohradová, K., Dvořáček, B., Vanek, J., Pánek, D., Zatkova, M., Slepecky, M. 2026. Insomnia in patients with personality disorders: A narrative review of clinical characteristic and therapeutic implications. In Activitas Nervosa Superior Rediviva, vol. 68, no.1, pp. 26-39. 1337-933X. DOI: https://doi.org/10.31577/ansr.2026.68.1.3

APA:

Praško, J., Ociskova, M., Belohradová, K., Dvořáček, B., Vanek, J., Pánek, D., Zatkova, M., Slepecky, M. (2026). Insomnia in patients with personality disorders: A narrative review of clinical characteristic and therapeutic implications. Activitas Nervosa Superior Rediviva, 68(1), 26-39. 1337-933X. DOI: https://doi.org/10.31577/ansr.2026.68.1.3

Vydavateľ: Slovak Akademy of Sciences