{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T11:29:58Z","timestamp":1793705398925,"version":"4.5.1"},"posted":{"date-parts":[[2026,9,23]]},"group-title":"Psychiatry and Clinical Psychology","reference-count":87,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nd\/4.0\/"}],"funder":[{"name":"Brain & Behavior Research Foundation","award":["31556"],"award-info":[{"award-number":["31556"]}],"id":[{"id":"https:\/\/ror.org\/03a63f080","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,10,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:p>\n                  Borderline personality disorder (BPD) is a serious mental illness that often emerges in adolescence. Although efficacious treatments have been developed, they are often lengthy, expensive, inaccessible, and require specialized training to deliver. Optimizing BPD prevention and early treatment is an important public health priority. Disrupted sleep is closely linked to key BPD features, and prior research has documented a range of sleep problems among BPD samples that appear to worsen symptom course and duration. This intervention trial (\n                  <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT04507308\">NCT04507308<\/jats:ext-link>\n                  ) assessed the effects of a single-session sleep-focused treatment on adolescent sleep and BPD-related symptoms. Fifty-seven adolescents (ages 13-18) with 3+ clinically impairing BPD features and at least some self-reported sleep-related difficulties participated with a caregiver. Participants completed baseline surveys, interviews, and 10-day ecological momentary assessment (EMA) protocol to examine BPD symptoms and sleep in daily life. Youth also collected at-home ambulatory electroencephalogram (EEG) recordings before undergoing the treatment informed by the Transdiagnostic Sleep and Circadian Intervention. Post-treatment, youth practiced their new sleep routine for approximately one month before undergoing reassessment (EMA, EEG, surveys). Many indices of sleep quantity and quality improved across both objective (EEG) and subjective assessments (EMA and self- and caregiver-report). Youth reported an earlier clock time at sleep onset and earlier waketime, more sleep, and fewer awakenings in daily life. Every sleep-related questionnaire score improved at post-intervention and was maintained at one-month follow-up. Multiple (though not all) indices of BPD symptoms also improved significantly. Findings suggest sleep may be a promising intervention target for at-risk youth.\n                <\/jats:p>","DOI":"10.64898\/2026.09.22.26363695","type":"posted-content","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:30:12Z","timestamp":1790206212000},"source":"Crossref","is-referenced-by-count":0,"title":["Improved Sleep and Clinical Outcomes Following a Single-Session Intervention among Adolescents with Borderline Personality Disorder Features"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7636-6602","authenticated-orcid":false,"given":"Erin A.","family":"Kaufman","sequence":"first","affiliation":[{"name":"Department of Psychiatry & Huntsman Mental Health Institute, Spencer Fox Eccles School of Medicine, University of Utah, 383 Colorow Dr., Salt Lake City, UT, 84108 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7944-7299","authenticated-orcid":false,"given":"Sarah E.","family":"Victor","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, Texas Tech University, 2700 18th St., Lubbock, TX 79410 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6730-5531","authenticated-orcid":false,"given":"Jin H.","family":"Prunuske","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Huntsman Mental Health Institute, Spencer Fox Eccles School of Medicine, University of Utah, 383 Colorow Dr., Salt Lake City, UT, 84108 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny L.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Huntsman Mental Health Institute, Spencer Fox Eccles School of Medicine, University of Utah, 383 Colorow Dr., Salt Lake City, UT, 84108 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4892-9962","authenticated-orcid":false,"given":"Geoffrey","family":"Laforge","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Utah, Salt Lake City, UT, 383 Colorow Dr., Salt Lake City, UT, 84108 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"54368","reference":[{"key":"2026110303000653000_2026.09.22.26363695v2.1","unstructured":"Achenbach, T.M . 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