Personality disorder features and insomnia status amongst hypnotic-dependent adults

dc.contributor.authorRuiter, Megan E.
dc.contributor.authorLichstein, Kenneth L.
dc.contributor.authorNau, Sidney D.
dc.contributor.authorGeyer, James D.
dc.contributor.otherUniversity of Alabama Birmingham
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherUniversity of Memphis
dc.date.accessioned2023-09-28T22:02:23Z
dc.date.available2023-09-28T22:02:23Z
dc.date.issued2012
dc.description.abstractObjective: To determine the prevalence of personality disorders and their relation to insomnia parameters among persons with chronic insomnia with hypnotic dependence. Methods: Eighty-four adults with chronic insomnia with hypnotic dependence completed the SCID-II personality questionnaire, two-weeks of sleep diaries, polysomnography, and measures of insomnia severity, impact, fatigue severity, depression, anxiety, and quality of life. Frequencies, between-subjects t-tests and hierarchical regression models were conducted. Results: Cluster C personality disorders were most prevalent (50%). Obsessive-Compulsive personality disorder (OCPD) was most common (n = 39). These individuals compared to participants with no personality disorders did not differ in objective and subjective sleep parameters. Yet, they had poorer insomnia-related daytime functioning. OCPD and Avoidant personality disorders features were associated with poorer daytime functioning. OCPD features were related to greater fatigue severity, and overestimation of time awake was trending. Schizotypal and Schizoid features were positively associated with insomnia severity. Dependent personality disorder features were related to underestimating time awake. Conclusions: Cluster C personality disorders were highly prevalent in patients with chronic insomnia with hypnotic dependence. Features of Cluster C and A personality disorders were variously associated with poorer insomnia-related daytime functioning, fatigue, and estimation of nightly wake-time. Future interventions may need to address these personality features. (C) 2012 Elsevier B.V. All rights reserved.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationRuiter, M. E., Lichstein, K. L., Nau, S. D., & Geyer, J. D. (2012). Personality disorder features and insomnia status amongst hypnotic-dependent adults. In Sleep Medicine (Vol. 13, Issue 9, pp. 1122–1129). Elsevier BV. https://doi.org/10.1016/j.sleep.2012.05.004
dc.identifier.doi10.1016/j.sleep.2012.05.004
dc.identifier.orcidhttps://orcid.org/0000-0001-5443-7548
dc.identifier.urihttps://ir.ua.edu/handle/123456789/12131
dc.languageEnglish
dc.language.isoen_US
dc.publisherElsevier
dc.subjectInsomnia
dc.subjectHypnotic-dependence
dc.subjectPersonality disorders
dc.subjectCluster C personality disorders
dc.subjectSleep-wake perception
dc.subjectDaytime functioning
dc.subjectHEALTH SURVEY SF-36
dc.subjectPSYCHIATRIC-DISORDERS
dc.subjectSEVERITY INDEX
dc.subjectPSYCHOLOGICAL TREATMENT
dc.subjectSLEEP
dc.subjectCOMORBIDITY
dc.subjectQUALITY
dc.subjectQUESTIONNAIRE
dc.subjectRELIABILITY
dc.subjectVALIDATION
dc.subjectClinical Neurology
dc.titlePersonality disorder features and insomnia status amongst hypnotic-dependent adultsen_US
dc.typeArticle
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