Psychotherapeutic Treatment of Depressive Symptoms in Patients with Narcissistic Disturbances: A Review

Fjermestad-Noll, Jane; Ronningstam, Elsa; Bach, Bo; Storebø, Ole Jacob; Rosenbaum, Bent; Simonsen, Erik

doi:10.1007/s10879-019-09437-4

Cited by 8 publications

(6 citation statements)

References 25 publications

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“…It was demonstrated that the Self‐Aggrandizer mode was the only mode that was not correlated to depression and did not mediate the relationship between parental burnout and depression. This finding is consistent with previous studies in which self‐aggrandizing or grandiosity was related to depression only when narcissistic personality traits or bipolar disorder are present (Kealy et al., 2012 ; Fjermestad‐Noll et al., 2019 ; Hawke & Provencher, 2012 ; Picardi et al., 2018 ). The Detached Protector mode was shown to be the strongest mediator linking parental burnout to depression.…”

Section: Discussionsupporting

confidence: 92%

Parental burnout and depression among Iranian mothers: The mediating role of Maladaptive Coping modes

2023

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Objective Depression in mothers impacts children negatively. Understanding the antecedents and the underlying mechanisms of depression is essential in helping clinicians target depressive symptoms effectively. This study investigated the relationship between parental burnout and depression in mothers and examined the mediation role of Maladaptive Coping modes. Method A total of 224 mothers participated in this study and completed the Parental Burnout Assessment scale, Patient Health Questionnaire, and items related to coping modes in Schema Mode Inventory. Results Data analysis with structural equation modeling revealed that depression and parental burnout were positively and significantly related. Bootstrap analysis showed that all coping modes except the Self‐Aggrandizer mode act as mediators between parental burnout and depression in mothers. Detached Protector mode had the strongest indirect effect on depression. Conclusion The results suggest Maladaptive Coping modes mediate the association between parental burnout and depression. The present finding provides evidence that Maladaptive Coping modes can be considered probable mediational mechanisms that relate depression to parental burnout in mothers and may serve as potential interventional targets.

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Section: Discussionsupporting

confidence: 92%

Parental burnout and depression among Iranian mothers: The mediating role of Maladaptive Coping modes

2023

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“…At the same time there are empirically supported treatment approaches available [34,35]. In clinical contexts, Narcissistic PD often poses a challenge for treatment [36]. In the following, we therefore seek to portray these two familiar types using specific ICD-11 PD definitions.…”

Section: How To Translate the Icd-10 Categories Into The New Icd-11 C...mentioning

confidence: 99%

The ICD-11 classification of personality disorders: a European perspective on challenges and opportunities

Bach

Kramer

Doering

et al. 2022

bord personal disord emot dysregul

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The 11th revision of the World Health Organization (WHO) International Classification of Diseases (ICD-11) includes a fundamentally new approach to Personality Disorders (PD). ICD-11 is expected to be implemented first in European countries before other WHO member states. The present paper provides an overview of this new ICD-11 model including PD severity classification, trait domain specifiers, and the additional borderline pattern specifier. We discuss the perceived challenges and opportunities of using the ICD-11 approach with particular focus on its continuity and discontinuity with familiar PD categories such as avoidant PD and narcissistic PD. The advent of the ICD-11 PD classification involves major changes for health care workers, researchers, administrators, and service providers as well as patients and families involved. The anticipated challenges and opportunities are put forward in terms of specific unanswered questions. It is our hope that these questions will stimulate further research and discussion among researchers and clinicians in the coming years.

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“…The presence of depressive symptoms or disorder in NPD have been verified in several studies (Dawood & Pincus, 2018;Ronningstam, 1996). Conceptually, the presence of perfectionistic traits may spur aggression in patients when they are experiencing feelings of shame (Fjermestad-Noll et al, 2019;Ronningstam, 2011). This study therefore investigated the occurrence of perfectionism, shame, and aggression in depressed patients with NPD, and explored if shame may act as a mediating or a moderating factor for expressions of aggression.…”

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confidence: 92%

“…Narcissistic personality disorder (NPD) is known to be associated with perfectionism, shame, and aggression, and several studies have pointed to the presence and impact of these features in patients with NPD (Fjermestad-Noll et al, 2019;Kealy, Tsai, & Ogrodniczuk, 2012;Kernberg, 2009;Marčinko et al, 2014;Ogrodniczuk, Piper, Joyce, Steinberg, & Duggal, 2009;Velotti, Ellison, & Garofalo, 2014). In particular, the co-occurrence of and interaction between perfectionism, shame, and aggression can challenge self-esteem, escalate vulnerability, and contribute to susceptibility to symptoms of depression in NPD (Dawood & Pincus, 2018;Huprich, Porcerelli, Keaschuk, Binienda, & Engle, 2008;Marčinko et al, 2014;Ronningstam, 2011).…”

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confidence: 99%

Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder

Fjermestad-Noll

Ronningstam

Bach

et al. 2020

Journal of Personality Disorders

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Psychotherapeutic Treatment of Depressive Symptoms in Patients with Narcissistic Disturbances: A Review

Cited by 8 publications

References 25 publications

Parental burnout and depression among Iranian mothers: The mediating role of Maladaptive Coping modes

Parental burnout and depression among Iranian mothers: The mediating role of Maladaptive Coping modes

The ICD-11 classification of personality disorders: a European perspective on challenges and opportunities

Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder

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