Cluster of Excellence-Languages of Emotion, Free University of Berlin.
Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin.
Personal Disord. 2014 Jul;5(3):305-13. doi: 10.1037/per0000058. Epub 2014 Feb 10.
Personality disorders are characterized as temporally stable patterns of symptoms (APA, 2000). However, evidence on the stability of narcissistic personality disorder (NPD) is generally lacking. This study tracked the prevalence and remission rates of individual criteria for NPD over the course of 2 years. In addition, the stability of dimensional personality pathology in patients with NPD (assessed with the Dimensional Assessment of Personality Pathology, DAPP-BQ) was assessed over time. A sample of 96 patients with a diagnosis of NPD was recruited at baseline. Forty patients participated in the follow-up assessment 2 years later. Our results indicate a moderate remission rate (53%) for NPD as a categorical diagnosis. However, single NPD criteria differed in their prevalence and temporal stability, similar to findings for other personality disorders. Moreover, scores on dimensional subscales of the DAPP-BQ remained stable over time. Theoretical implications are discussed.
人格障碍的特点是症状具有时间上的稳定性（APA，2000）。然而，自恋型人格障碍（NPD）的稳定性证据通常缺乏。本研究在 2 年的时间内跟踪了 NPD 各项标准的患病率和缓解率。此外，还评估了 NPD 患者的维度人格病理学（使用 DAPP-BQ 进行评估）随时间的稳定性。在基线时招募了 96 名患有 NPD 诊断的患者。40 名患者在 2 年后参加了随访评估。我们的结果表明，NPD 的缓解率（53%）为中度。然而，单一的 NPD 标准在其患病率和时间稳定性方面存在差异，这与其他人格障碍的发现相似。此外，DAPP-BQ 的维度子量表的分数随时间保持稳定。讨论了理论意义。
