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Cited by 28Personality Disorders and PsychopathologyPersonality Traits and PsychologyBipolar Disorder and Treatment

Clinical Characteristics of Comorbid Narcissistic Personality Disorder in Patients With Borderline Personality Disorder

Hörz-Sagstetter, Susanne, Diamond, Diana, Clarkin, John F., Levy, Kenneth N., Rentrop, Michael, Fischer-Kern, Melitta, Cain, Nicole M., Doering, Stephan·2018·Journal of Personality Disorders
DOI 10.1521/pedi_2017_31_306
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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.

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Crossref · 10.1521/pedi_2017_31_306

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62 of 62 references verified0 citation errors · 0 not checkable

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  • Grandiosity predisposes individuals to respond with antagonism/hostility and reduced reality testing when the grandiose self is threatened.

    “This grandiosity, however, “predisposes [these individuals] to respond with antagonism/hostility and reduced reality testing when the grandiose self is threatened” (p.571).”

    From Living with pathological narcissism: a qualitative study (2020) · cites this paper as [28]

  • Grandiosity, as reflected in the DSM-5, has been argued to be a key feature of pathological narcissism that distinguishes it from other disorders.

    “Grandiosity, as reflected in the DSM-5, has been argued to be a key feature of pathological narcissism that distinguishes it from other disorders [26, 28].”

    From Living with pathological narcissism: a qualitative study (2020) · cites this paper as [28]

  • Grandiosity is a narcissistic 'specific' factor that distinguishes it from other disorders (e.g. BPD).

    “Hörz-Sagstetter, Diamond [28] proposes grandiosity as a narcissistic ‘specific’ factor that distinguishes it from other disorders (e.g. BPD).”

    From Living with pathological narcissism: a qualitative study (2020) · cites this paper as [28]

Cites

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Research works printed but not linked: 10

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Authors
Hörz-Sagstetter, S., Diamond, D., Clarkin, J. F., Levy, K. N., Rentrop, M., Fischer-Kern, M., Cain, N. M., & Doering, S.
Affiliations
  • Psychologische Hochschule Berlin, Germany.
  • City University of New York (US)
  • Weill Cornell Medicine (US)
  • Pennsylvania State University (US)
  • Technical University of Munich (DE)
  • Medical University of Vienna, Austria.
  • Long Island University (US)
  • Medical University of Vienna (AT)
ORCID
Venue
Journal of Personality Disorders
Publisher
Guilford Publications
Published
2018-08
Volume
32
Issue
4
Pages
562-575
ISSN
0885-579X (ISSN-L)
DOI
10.1521/pedi_2017_31_306
OpenAlex
W2741917268
Semantic Scholar
71dd3eecb1c0f3796f88404a1f7693f077d8bb4f
Cited by
28
References
62
Citations by year
2026: 5 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 7 · 2019: 1 · 2018: 1
FWCI
3.05
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Personality Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Rutgers University Community Repository (Rutgers University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
borderline personality disorder, narcissistic personality disorder, comorbidities, personality disorders, histrionic personality disorder, paranoid personality disorder, schizotypal personality disorder, psychiatric hospitalization, self-harm, suicide attempts, clinical features
MeSH terms
Adult, Borderline Personality Disorder, Female, Humans, Male, Middle Aged, Personality Disorders, Suicide, Attempted, Comorbidity, Diagnostic and Statistical Manual of Mental Disorders

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