PMID- 32186981 OWN - NLM STAT- MEDLINE DCOM- 20211021 LR - 20211021 IS - 1943-2763 (Electronic) IS - 0885-579X (Linking) VI - 34 IP - Suppl DP - 2020 Mar TI - Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder. PG - 25-41 LID - 10.1521/pedi.2020.34.supp.25 [doi] AB - Depressive symptoms are known to co-occur in patients with narcissistic personality disorder (NPD). From a psychodynamic perspective, perfectionism, shame, and aggression are regarded as prominent in depressed patients. The authors investigated the occurrence of perfectionism, shame, and aggression in patients with NPD, and whether shame is a mediating or a moderating factor for aggression. Two groups of patients with depression, 61 diagnosed with NPD and no other personality disorders (PD) were compared with 56 without any PD, using the SCID screening questionnaire and a semistructured interview. All participants were administered the Multidimensional Perfectionism Scale, the Internalized Shame Scale, and the Buss-Perry Aggression Questionnaire. The NPD group showed significantly higher scores for self-oriented and socially prescribed perfectionism, shame, and aggression (i.e., physical, verbal, anger, and hostility). Shame was found to act as a mediating factor, reducing levels of aggression in patients with perfectionistic traits. FAU - Fjermestad-Noll, Jane AU - Fjermestad-Noll J AD - Psychiatric Research Unit, Region Zealand. FAU - Ronningstam, Elsa AU - Ronningstam E AD - Harvard Medical School, McLean Hospital, Boston, Massachusetts. FAU - Bach, Bo S AU - Bach BS AD - Center for Personality Disorder Research, Psychiatric Research Unit, Region Zealand, Denmark. FAU - Rosenbaum, Bent AU - Rosenbaum B AD - Institute of Psychology, University of Copenhagen, Denmark. FAU - Simonsen, Erik AU - Simonsen E AD - Psychiatric Research Unit, Region Zealand and Department of Clinical Medicine, University of Copenhagen. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Pers Disord JT - Journal of personality disorders JID - 8710838 SB - IM MH - *Aggression MH - Anger MH - Humans MH - *Perfectionism MH - Personality Disorders/diagnosis MH - Shame OTO - NOTNLM OT - aggression OT - depression OT - narcissism OT - narcissistic pathology OT - narcissistic personality disorder OT - narcissistic traits OT - perfectionism OT - shame EDAT- 2020/03/19 06:00 MHDA- 2023/02/25 06:00 CRDT- 2020/03/19 06:00 PHST- 2020/03/19 06:00 [entrez] PHST- 2020/03/19 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] AID - 10.1521/pedi.2020.34.supp.25 [doi] PST - ppublish SO - J Pers Disord. 2020 Mar;34(Suppl):25-41. doi: 10.1521/pedi.2020.34.supp.25.