Altered sleep in Borderline Personality Disorder in relation to the core dimensions of psychopathology

The aim of the study was to review the literature regarding sleep disturbances in Borderline Personality Disorder (BPD) and to relate the reported sleep alterations to the underlying core dimensions of BPD pathology. We present a qualitative and theoretical review regarding the empirical studies that investigated objective and subjective sleep quality in BPD and in different psychiatric conditions showing high co‐morbidity with this disorder. We show that disturbed sleep including sleep fragmentation, alterations in Slow Wave Sleep and REM sleep, and dysphoric dreaming are prevalent symptoms in BPD. We provide a framework relating the specific sleep alterations to the core dimensions of BPD pathology in order to clarify the inconsistencies of the different findings. The specific sleep disturbances in BPD seem to be related to different dimensions of psychopathological functioning and may have detrimental consequences on waking affect and cognition. Investigating disturbed sleep in BPD in relation to waking symptoms and underlying neural functioning would shed more light on the nature of this complex disorder. Moreover, a stronger emphasis on sleep disturbances would enrich the treatment protocols of BPD.     

Cognitive-behavioural Analysis and 1 reatment ot Insomnia

Abstract

Insomnia is a condition characterized by subjective complaints of insufficient sleep and poor daytime functioning. Objective measures of sleep and daytime functioning, however, seldom show evidence of a similar degree of dysfunction. Most insomniacs, for example, do not suffer from sleep deprivation or daytime sleepiness. This discrepancy between subjective and objective measures of sleep and daytime functioning suggests that cognitive factors may play a central role in persistent insomnia. In particular, it is argued that fears about insufficient sleep and its adverse daytime consequences tend to interfere with sleep, thereby causing a vicious cycle which serves to maintain the insomnia. It is also argued that perfectionist standards and other dysfunctional beliefs may predispose people to these kinds of fears. Finally, existing models for cognitive-behavioural treatment of insomnia are criticized for being almost exclusively focused on the night-time aspects of insomnia. If insomnia is maintained by various kinds of vicious cycles involving fears, beliefs, and standards with regard to daytime functioning, these daytime aspects of insomnia should receive more attention in cognitive-behavioural treatment.     

视觉特征捆绑：基于时间同步还是基于相同空间位置？

通过操纵客体呈现的空间位置和时间顺序,来考察视觉特征捆绑是基于相同空间位置线索还是基于时间邻近线索。在两个实验中,给被试在固定的注视点位置（固定呈现条件）或在注视点上/下位置（变换呈现条件）快速地系列呈现刺激,记录靶子前后各两个时间位置（-2、-1、+1、+2）的错觉性结合（IC）率。结果发现,在固定呈现条件下,IC更多地出现在-1和+1的时间位置上;而在变换呈现条件下,错觉性结合更多地出现在-2和+2时间位置上。为了进一步排除特定实验范式的影响,在实验3中,我们采用特征分离范式,使被分离的刺激特征同时呈现在相同（相同位置同步）或不同（不同位置同步）的空间位置上。结果表明,这两种条件下的IC率无显著差异,这说明错觉性结合不受时间同步模式的影响。综上所述,来自三个实验的结果表明,时间范围内的特征捆绑机制是按空间位置,而不是按时间邻近,线索进行的：若特征的空间位置相同,时间邻近的特征才被捆绑起来;若空间位置不同,即使时间邻近的特征也不能被捆绑到一起。     

基于位置和基于语义交互作用的无意识启动

采用线索-靶子范式,同时操纵刺激的位置和语义属性,考察了基于位置和基于语义交互作用的无意识启动。实验1和实验2分别要求被试完成定位任务和辨别任务。结果发现,当刺激位置属性与实验任务需求相关时,无论刺激的语义属性是否一致都产生了基于位置的启动效应;当刺激的语义属性与实验任务相关时,出现了基于位置和基于语义交互的无意识启动,即启动项和目标项的位置不同时,语义辨别任务存在启动效应;而启动项与目标项位置相同时,语义辨别任务存在着抑制趋势。研究结果表明,基于位置和基于语义交互作用的无意识启动效应仅存在于辨别任务中,而不存在于定位任务中。     

Do you remember where sounds,pictures and words came from? The role of the stimulus format in object location memory

Contrasting results in visual and auditory spatial memory stimulate the debate over the role of sensory modality and attention in identity-to-location binding. We investigated the role of sensory modality in the incidental/deliberate encoding of the location of a sequence of items. In 4 separated blocks, 88 participants memorised sequences of environmental sounds, spoken words, pictures and written words, respectively. After memorisation, participants were asked to recognise old from new items in a new sequence of stimuli. They were also asked to indicate from which side of the screen (visual stimuli) or headphone channel (sounds) the old stimuli were presented in encoding. In the first block, participants were not aware of the spatial requirement while, in blocks 2, 3 and 4 they knew that their memory for item location was going to be tested. Results show significantly lower accuracy of object location memory for the auditory stimuli (environmental sounds and spoken words) than for images (pictures and written words). Awareness of spatial requirement did not influence localisation accuracy. We conclude that: (a) object location memory is more effective for visual objects; (b) object location is implicitly associated with item identity during encoding and (c) visual supremacy in spatial memory does not depend on the automaticity of object location binding.     

The effects of fixed‐interval schedules on variability of pigeons' pecking location

Many studies that have investigated performance under reinforcement schedules have measured response rate or interresponse time, which reflect the temporal dimension of responding; however, relatively few studies have examined other dimensions. The present study investigated the effects of fixed‐interval schedules on the location of pigeons' pecking response. A circular response area 22.4 cm in diameter was used so that the pecking responses were effective over a wide range. Pigeons were exposed to a fixed‐interval schedule whose requirement was systematically varied between conditions. Response location moved closer to the location of the last reinforced response as time elapsed in each trial. Additionally, as the fixed‐interval duration requirement increased, response locations shifted to the border of the response area and the variability of response locations increased. These results suggest that fixed‐interval schedules systematically control response location.     

Sleep quality in healthy and mood-disordered persons predicts daily life emotional reactivity

Disordered sleep has been linked to impaired emotional functioning in healthy and depressed individuals. Little is known, however, about how chronic sleep problems influence emotional reactivity in everyday life. Participants with major or minor unipolar depressive disorder (n?=?60) and healthy controls (n?=?35) reported on sleep and emotional responses to daily life events using a computerised Experience Sampling Method. We examined whether impaired sleep quality influenced emotional reactivity to daily events, and if this relationship was altered by unipolar mood disorders. Among healthy individuals, sleep difficulties were associated with enhanced negative affect (NA) to unpleasant events and a dulled response to neutral events. However, among mood-disordered persons, sleep difficulties were associated with higher NA across all types of everyday life events. Impaired sleep quality differentially affects daily life emotional reactions as a function of depression.     

慢性腰背痛患者和抑郁症患者的情绪、睡眠及疼痛症状

本研究对慢性腰背痛患者、抑郁症患者和对照人群的疼痛、抑郁水平、焦虑水平和睡眠质量进行测评,发现慢性腰背痛患者的抑郁、焦虑程度增高,失眠较常见;抑郁症患者的焦虑和失眠现象严重,疼痛是其常见症状。结果提示临床上对慢性疼痛患者和抑郁症患者的疼痛、情绪和睡眠问题予以评定和治疗具有重要意义。