Zur Validität der Skala Derealisation/Depersonalisation des Narzissmusinventars

Michal, Matthias; Kaufhold, Johannes; Engelbach, Ute; Lenz, Cynthia; Lischke, Michaela; Overbeck, Gerd; Grabhorn, Ralph

doi:10.1055/s-2005-866944

Cited by 9 publications

(5 citation statements)

References 8 publications

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“…The NI is considered a valid and reliable instrument and is widely used in Germany [38][39][40][41][42] . The NI contains 163 items which cover different aspects of self-regulation in 18 subscales.…”

Section: Cratic (Pa) Competitive (Bc) Cold (De) Introverted (Fg) mentioning

confidence: 99%

Narcissistic Regulation of the Self and Interpersonal Problems in Depersonalized Patients

Michal

Kaufhold²,

Overbeck³

et al. 2006

Psychopathology

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Background: Psychoanalytical theories coincide in understanding depersonalization (DP) as a disorder of narcissistic self-regulation. DP is described as an ego defense against overwhelming shame resulting in a splitting of an observing ego detached from the experiencing self. In contrast to a behavioral-cognitive theory on DP, which suggests that the catastrophic appraisal of normal transient DP maintains the disorder, psychodynamic approaches stress that DP is an important defensive function for the individual. We examine this psychodynamic aspect more closely as it relates to narcissistic self-regulation and interpersonal behavior in depersonalized patients. Sampling and Methods: Thirty-five patients with pathological DP are compared with 28 patient controls concerning their narcissistic self-regulation and interpersonal behavior. For the assessment, we used the German Narcissism Inventory and the Inventory of Interpersonal Problems. The two groups were controlled for sociodemographic data, comorbidity with a personality disorder, and the General Severity Index of the Symptom Check List-90-R. Results: Bonferroni-corrected group comparison showed that the depersonalized patients are characterized by perceiving themselves as helpless, hopeless, socially isolated and worthless, perceiving others as bad and disappointing, and that they avoid interpersonal relations and reality significantly more than other patients with equal symptom severity. Conclusions: Treatment approaches on DP should take the issue of low self-esteem, pervasive shame and the related defensive social avoidance into account. Further empirical research on psychodynamic concepts of DP is warranted also for the sake of linking modern neurobiological findings with clinical experience.

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Section: Cratic (Pa) Competitive (Bc) Cold (De) Introverted (Fg) mentioning

confidence: 99%

Narcissistic Regulation of the Self and Interpersonal Problems in Depersonalized Patients

Michal

Kaufhold²,

Overbeck³

et al. 2006

Psychopathology

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“…The short-scale CDS-9 used in this study is a screening version, which covers the core symptoms of depersonalisation through nine questions from the CDS [13], [24]. …”

Section: Methodsmentioning

confidence: 99%

Burnout, Depression und Depersonalisation – Psychologische Faktoren und Bewältigungsstrategien bei Studierenden der Zahn- und Humanmedizin

Prinz

Hertrich²,

Hirschfelder³

et al. 2012

GMS Zeitschrift Für Medizinische Ausbildung; 29(1):Doc10; ISSN 1860-3572

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“…B. dem PHQ-2 zur Erfassung von Depressivit ä t [11] oder dem GAD-2 zur Erfassung von Angstst ö rungen [18] . In der untersuchten Stichprobe entsprechen die Patienten mit klinisch signifi kanter DP-DR gem ä ß ihrer Selbstauskunft und der Fremdbeurteilung ganz ü berwiegend Patienten mit schwergradiger DP-DR. Michal et al [19] fanden f ü r eine mittels dem SKID-D charakterisierten Stichprobe von n = 48 Patienten mit klinisch signifi kanter DP-DR, dass Patienten mit schwergradiger DP-DR im Mittel einen CDS-9 Score von 45,7 ± 19,2 aufwiesen, welcher in etwa dem Wertebereich der Depersonalisierten dieser Studie entspricht ( • ▶ Tab. 1 ).…”

Section: Auswertung Der Datenunclassified

Screening nach Depersonalisation-Derealisation mittels zweier Items der Cambridge Depersonalisation Scale

Michal¹,

Zwerenz²,

Tschan³

et al. 2009

Psychother Psych Med

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Depersonalization (DP) and derealization (DR) are considered to be highly underdiagnosed. Therefore the development of screening instruments is important. From the Cambridge Depersonalization Scale (CDS) two items were extracted discriminating best patients with clinical significant DP from patients without DP. These two Items were assembled to a short version of the CDS. This short version (CDS-2) was tested in a sample of 38 patients with clinical significant DP-DR and 49 patients without or only mild DP-DR. Scores were compared against clinical diagnoses based on a structured interview (gold standard). The CDS-2 was able to differentiate patients with clinical significant DP well from other groups (cut-off of CDS-2>or=3, sensitivity=78.9%, specifity=85.7%) and also showed high reliability (Cronbachs alpha=0.92). Therefore the CDS-2 can be considered as a useful tool for screening and identification of DP-DR.

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Zur Validität der Skala Derealisation/Depersonalisation des Narzissmusinventars

Cited by 9 publications

References 8 publications

Narcissistic Regulation of the Self and Interpersonal Problems in Depersonalized Patients

Narcissistic Regulation of the Self and Interpersonal Problems in Depersonalized Patients

Burnout, Depression und Depersonalisation – Psychologische Faktoren und Bewältigungsstrategien bei Studierenden der Zahn- und Humanmedizin

Screening nach Depersonalisation-Derealisation mittels zweier Items der Cambridge Depersonalisation Scale

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