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

6 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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