Clinical characteristics of comorbid narcissistic personality disorder in patients with borderline personality disorder

Susanne Hörz-Sagstetter, Diana Diamond, John F. Clarkin, Kenneth N. Levy, Michael Rentrop, Melitta Fischer-Kern, Nicole M. Cain, Stephan Doering

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)562-575
Number of pages14
JournalJournal of personality disorders
Volume32
Issue number4
DOIs
StatePublished - Aug 2018

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

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