TY - JOUR
T1 - Clinical characteristics of comorbid narcissistic personality disorder in patients with borderline personality disorder
AU - Hörz-Sagstetter, Susanne
AU - Diamond, Diana
AU - Clarkin, John F.
AU - Levy, Kenneth N.
AU - Rentrop, Michael
AU - Fischer-Kern, Melitta
AU - Cain, Nicole M.
AU - Doering, Stephan
N1 - Funding Information:
From Psychologische Hochschule Berlin, Germany (S. H.-S); Department of Psychology, City University of New York (D. D.); Weill Cornell Medical College, New York, New York (D. D., J. F. C., K. N. L.); Pennsylvania State University (K. N. L.); Technische Universität München, Germany (M. R.); Medical University of Vienna, Austria (M. F.-K., S. D.); and Long Island University – Brooklyn, New York (N. M. C.). This research was supported by grants from the National Institute of Mental Health (MH012530; PI: Levy), the International Psychoanalytic Association (PI: Levy), the Kohler Fund of Munich, the Borderline Personality Disorder Research Foundation (BPDRF; PI: Clarkin, Kernberg), the Jubiläumsfonds of the Austrian National Bank (#10636; PI: Doering), and the German Psychoanalytic Society (DPG; PI: Doering). Address correspondence to Dr. Susanne Hörz-Sagstetter, Psychologische Hochschule Berlin (PHB), Am Köllnischen Park 2, 10179 Berlin, Germany. E-mail: [email protected]
Funding Information:
This research was supported by grants from the National Institute of Mental Health (MH012530; PI: Levy), the International Psychoanalytic Association (PI: Levy), the Kohler Fund of Munich, the Borderline Personality Disorder Research Foundation (BPDRF; PI: Clarkin, Kernberg), the Jubiläumsfonds of the Austrian National Bank (#10636; PI: Doering), and the German Psychoanalytic Society (DPG; PI: Doering).
Publisher Copyright:
© 2018, Guilford Publications. All rights reserved.
PY - 2018/8
Y1 - 2018/8
N2 - This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM-IV. The BPD patients with comorbid NPD, compared to the BPD patients without comorbid NPD, showed significantly more BPD criteria (M = 7.44 vs. M = 6.55, p <.001), fulfilled more criteria of comorbid histrionic (M = 3.84 vs. M = 1.98, p <.001), paranoid (M = 3.12 vs. M = 2.27, p =.014), and schizotypal (M = 1.64 vs. M = 1.02, p =.018) personality disorders, and were more likely to meet criteria for full histrionic PD diagnosis (44.0% vs. 14.2%, p <.001). The BPD-NPD group also reported significantly fewer psychiatric hospitalizations in the previous year (M = 0.40 vs. M = 0.82, p =.019) and fewer axis I disorders (M = 2.68 vs. M = 3.75, p =.033). No differences could be found in general functioning, self-harming behavior, and suicide attempts.
AB - This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM-IV. The BPD patients with comorbid NPD, compared to the BPD patients without comorbid NPD, showed significantly more BPD criteria (M = 7.44 vs. M = 6.55, p <.001), fulfilled more criteria of comorbid histrionic (M = 3.84 vs. M = 1.98, p <.001), paranoid (M = 3.12 vs. M = 2.27, p =.014), and schizotypal (M = 1.64 vs. M = 1.02, p =.018) personality disorders, and were more likely to meet criteria for full histrionic PD diagnosis (44.0% vs. 14.2%, p <.001). The BPD-NPD group also reported significantly fewer psychiatric hospitalizations in the previous year (M = 0.40 vs. M = 0.82, p =.019) and fewer axis I disorders (M = 2.68 vs. M = 3.75, p =.033). No differences could be found in general functioning, self-harming behavior, and suicide attempts.
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U2 - 10.1521/pedi_2017_31_306
DO - 10.1521/pedi_2017_31_306
M3 - Article
C2 - 28758884
AN - SCOPUS:85055254601
SN - 0885-579X
VL - 32
SP - 562
EP - 575
JO - Journal of personality disorders
JF - Journal of personality disorders
IS - 4
ER -
