PSN-1. Comorbidity in adolescents with narcissistic personality features.Narcissistic personality characteristics are known to be present in adolescents, but less is known about the typical clinical presentation. This study was undertaken to explore the Axis I Axis I Psychiatry A classification dimension used with DSM-IV, which includes clinical disorders and syndromes and/or other areas of concern. See DSM-IV, Multiaxial system. and personality disorder personality disorder Mental disorder that is marked by deeply ingrained and lasting patterns of inflexible, maladaptive, or antisocial behaviour to the degree that an individual's social or occupational functioning is impaired. comorbidity patterns present in this group. Fifty-six consecutive admissions (19 males, 37 females) to an adolescent psychiatry inpatient unit were assessed for narcissistic traits and comorbid disorders using the Diagnostic Interview for Children and Adolescents (DICA-R-A) and the Structured Interview for DSM-III-R Personality (SIDP-R). Eighteen (32%) of the 56 subjects (5 males, 13 females) fulfilled SIDP-R criteria for narcissistic personality disorder narcissistic personality disorder Autophilia, narcism, narcissism, self-centeredness, self-love Psychiatry A condition characterized by '…a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy that begins in or traits and were designated the Narcissistic Group. There were no statistically significant differences between the Narcissistic Group and the subjects with out narcissism narcissism (närsĭs`ĭzəm), Freudian term, drawn from the Greek myth of Narcissus, indicating an exclusive self-absorption. In psychoanalysis, narcissism is considered a normal stage in the development of children. in terms of average age, gender distribution, race, socioeconomic status, full scale IQs, or total Axis-I comorbid disorders. When compared with the subjects with out narcissism, the Narcissistic Group had significantly more subjects with major depressive disorder Major depressive disorder A mood disorder characterized by profound feelings of sadness or despair. Mentioned in: Conduct Disorder major depressive disorder (72 vs 42%), and personality disorders including paranoid (44 vs 10%), borderline (61 vs 13%), histrionic histrionic /his·tri·on·ic/ (his?tre-on´ik) excessively dramatic or emotional, as in histrionic personality disorder; see under personality. (67 vs 16%), dependent (44 vs 8%), and passive aggressive (89 vs 39%). The Narcissistic Group also had significantly more total comorbid personality disorders per subject (3.2 vs 1.1). These complex comorbidity patterns, particularly in the personality disorder sphere, should be recognized as they may complicate the treatment of individuals with narcissistic features. Roger C. Burket, MD. Division of Child and Family Psychiatry, University of Virginia, Charlottesville, VA. |
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