Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder
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Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder. / Fjermestad-Noll, Jane; Ronningstam, Elsa; Bach, Bo S.; Rosenbaum, Bent; Simonsen, Erik.
In: Journal of Personality Disorders, Vol. 34, No. Suppl., 2020, p. 25-41.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder
AU - Fjermestad-Noll, Jane
AU - Ronningstam, Elsa
AU - Bach, Bo S.
AU - Rosenbaum, Bent
AU - Simonsen, Erik
PY - 2020
Y1 - 2020
N2 - Depressive symptoms are known to co-occur in patients with narcissistic personality disorder (NPD). From a psychodynamic perspective, perfectionism, shame, and aggression are regarded as prominent in depressed patients. The authors investigated the occurrence of perfectionism, shame, and aggression in patients with NPD, and whether shame is a mediating or a moderating factor for aggression. Two groups of patients with depression, 61 diagnosed with NPD and no other personality disorders (PD) were compared with 56 without any PD, using the SCID screening questionnaire and a semistructured interview. All participants were administered the Multidimensional Perfectionism Scale, the Internalized Shame Scale, and the Buss-Perry Aggression Questionnaire. The NPD group showed significantly higher scores for self-oriented and socially prescribed perfectionism, shame, and aggression (i.e., physical, verbal, anger, and hostility). Shame was found to act as a mediating factor, reducing levels of aggression in patients with perfectionistic traits.
AB - Depressive symptoms are known to co-occur in patients with narcissistic personality disorder (NPD). From a psychodynamic perspective, perfectionism, shame, and aggression are regarded as prominent in depressed patients. The authors investigated the occurrence of perfectionism, shame, and aggression in patients with NPD, and whether shame is a mediating or a moderating factor for aggression. Two groups of patients with depression, 61 diagnosed with NPD and no other personality disorders (PD) were compared with 56 without any PD, using the SCID screening questionnaire and a semistructured interview. All participants were administered the Multidimensional Perfectionism Scale, the Internalized Shame Scale, and the Buss-Perry Aggression Questionnaire. The NPD group showed significantly higher scores for self-oriented and socially prescribed perfectionism, shame, and aggression (i.e., physical, verbal, anger, and hostility). Shame was found to act as a mediating factor, reducing levels of aggression in patients with perfectionistic traits.
KW - Aggression
KW - Depression
KW - Narcissism
KW - Narcissistic pathology
KW - Narcissistic personality disorder
KW - Narcissistic traits
KW - Perfectionism
KW - Shame
U2 - 10.1521/pedi.2020.34.supp.25
DO - 10.1521/pedi.2020.34.supp.25
M3 - Journal article
C2 - 32186981
AN - SCOPUS:85082025005
VL - 34
SP - 25
EP - 41
JO - Journal of Personality Disorders
JF - Journal of Personality Disorders
SN - 0885-579X
IS - Suppl.
ER -
ID: 244322114