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首页> 外文期刊>Psychotherapie, Psychosomatik, medizinische Psychologie >Comorbidity in patients with narcissistic personality disorder in comparison to patients with borderline personality disorder [Komorbidit?ten bei Patienten mit einer Narzisstischen Pers?nlichkeitsst?rung im Vergleich zu Patienten mit einer Borderline-Pers?nlichkeitsst?rung]
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Comorbidity in patients with narcissistic personality disorder in comparison to patients with borderline personality disorder [Komorbidit?ten bei Patienten mit einer Narzisstischen Pers?nlichkeitsst?rung im Vergleich zu Patienten mit einer Borderline-Pers?nlichkeitsst?rung]

机译：自恋型人格障碍患者的合并症与交际型人格障碍患者的合并症[自恋型人格障碍患者的合并症与交际型人格障碍患者的合并症]

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Background: Patients with a narcissistic personality disorder (NPD) do not often consult a psychotherapist or psychiatrist because of their NPD, but rather, because of co-occurring psychiatric disorders, or higher general symptom stress. Until now there is no actual data about rates of co-occurrence disorders and general symptom stress. Objective: Which axis I and axis II disorders occur typically in NPD in comparison to patients with a borderline personality disorder (BPD)? How are general symptom stress and depressive symptoms related? Methods: Prevalence of co-occurring disorders (Structured Clinical Interview for DSM-IV for Axis I and Axis II) and general symptom stress (SCL-90-R) and depression (BDI) were investigated in 62 patients with a NPD, 62 patients with a BPD and 59 patients with a double diagnosis NPD/BPD. Results: Affective disorders (64.5%) and substance use disorders (35.5%) were the most comorbid psychiatric disorders in patients with NPD. Substance use disorders (p<0.01) and posttraumatic stress disorder (PTSD) (p<0.01) were more common in BPD than in NPD. In comparison to patients with the double diagnosis NPD/BPD major depression (p<0.05) was more frequent in patients with NPD and substance use disorders (p<0.001) and antisocial personality disorder (p<0.001) were less common in patients with NPD. Gender effects were found in PTSD, bulimia nervosa, substance use disorders and antisocial personality disorder. Patients with NPD showed lowest rates of co-occurring disorders and lowest scores in general symptom stress and depression than the other two groups. Conclusions: In general, patients with NPD showed similar co-occurring disorders as patients with BPD, or with the co-diagnosis NPD and BPD, but they showed lower scores for general symptom stress and depression.
机译：背景：自恋型人格障碍（NPD）的患者由于NPD而不是经常咨询心理治疗师或精神病医生，而是因为同时发生的精神病或更高的一般症状压力。到目前为止，还没有关于共存疾病和一般症状应激的发生率的实际数据。目的：与边缘性人格障碍（BPD）患者相比，NPD中通常发生哪些I轴和II轴疾病？一般症状压力和抑郁症状之间有何关系？方法：对62例NPD患者，62例患者的共发疾病（DSM-IV对I轴和II轴进行结构化临床访谈）和一般症状应激（SCL-90-R）和抑郁症（BDI）的患病率进行了调查BPD和59位双重诊断NPD / BPD的患者。结果：情感障碍（64.5％）和物质使用障碍（35.5％）是NPD患者中最常见的精神病。与NPD相比，BPD中物质使用障碍（p <0.01）和创伤后应激障碍（PTSD）（p <0.01）更为常见。与具有双重诊断功能的NPD / BPD患者相比，NPD患者的严重抑郁症（p <0.05）更为常见，而NPD患者的物质使用障碍（p <0.001）和反社会人格障碍（p <0.001）较少。在PTSD，神经性贪食症，物质使用障碍和反社会人格障碍中发现了性别影响。与其他两组相比，NPD患者的并发疾病发生率最低，一般症状应激和抑郁症状得分最低。结论：总的来说，NPD患者与BPD患者或同时诊断NPD和BPD的患者并发疾病相似，但他们的总体症状压力和抑郁评分较低。

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