Non-suicidal self-injury in patients with narcissistic personality disorder in adolescenceстатья
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Дата последнего поиска статьи во внешних источниках: 4 сентября 2019 г.
Аннотация:Background and aims.– The aim of the presented research is to determine NSSI clinical psychopathological features in patients with
narcissistic personality disorder in adolescence.
Methods.– Clinical psychopathological interview. Sample N = 57
males adolescents (age: 16–25) with:1. Adolescent depression in
narcissistic personality disorder and 2. Episodes of Non-suicidal
self-injury in narcissistic personality disorder.
Results.– NSSI in patients with narcissistic personality disorder
in adolescence develops affective lability due to identity crisis,
changes of social stereotypes, different environmental factors.
NSSI data has clear age specificity - polymorphism, connections
with fixed ideas and different comorbid psychopathological syndromes, and followed behavioral problems, existential or/and body
dysmorphic fixations (overvalued ideas) and high rate of suicidal tendencies (68.5%). Based on psychopathological differences,
several types of NSSI in patients with narcissistic personality disorder in adolescence were described: «demonstrative» (N = 15, 26,
3%), «anxious» (N = 14, 24, 6%), «depersonalization» (N = 11,19,3%),
«compulsive» (N = 8, 14, 0%), «impulsive» (N = 9, 15, 8%). Several
correlations between NSSI in patients with narcissistic personality
disorder in adolescence and comorbide syndromes:
• «anxious» и «depersonalization» NSSI connected with depressive
syndrome
• «demonstrative» and «impulsive» NSSI associated with pathological personality features such as: conviction of their own
mightiness, egocentrism, the need for praise
• «compulsive»NSSI appear with pathological thinking phenomena
– fixed ideas and obsessive reactions, often filled by adolescent
existential and / or dysmorphic content.
Conclusions.– Conclusion: Observed and clincally described NSSI
typology of patients with narcissistic personality disorder in adolescence. It encourage more accurate evaluation of related clinical
conditions in order to develop more specific approach to psychopharmacotherapy. In addition mental healthcare professionals
may produce more detailed prognostic profile.
Disclosure of interest.– The authors have not supplied a conflict of
interest statement.