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Narcissistic Personality Disorder, Major Depressive Disorder and Sex: a Case-report

Published online by Cambridge University Press:  15 April 2020

D. Garino ,
D. Celona ,
F. Bertossi ,
V. Botter ,
F. Sandri  and
E. Pascolo-Fabrici
D. Garino
Affiliation:
Mental Health Department CHMC Maddalena, University of Udine, Trieste, Italy
D. Celona
Affiliation:
Mental Health Department CHMC Maddalena, Università di Trieste, Trieste, Italy
F. Bertossi
Affiliation:
Mental Health Department CHMC Maddalena, ASS1 ”Triestina“, Trieste, Italy
V. Botter
Affiliation:
Mental Health Department CHMC Maddalena, ASS1 ”Triestina“, Trieste, Italy
F. Sandri
Affiliation:
University Psychiatric Clinic, Università di Trieste, Trieste, Italy
E. Pascolo-Fabrici
Affiliation:
University Psychiatric Clinic, Università di Trieste, Trieste, Italy

Abstract

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Introduction

Narcissistic Personality Disorder (NPD) has a prevalence of 6,2% on general population, with greater rates for men (7,7%) than women (4,8%). It has been frequently associated with substance misuse, Bipolar Disorder (type I and II), anxiety and other personality disorders, but seldom it has been associated with Major Depressive Disorder.

Objectives

The emphasis put on sex by elder people with NPD hasn't been widely studied in Literature. Frustration on the maintenance of a fixed rate of weekly sexual intercourse with their partners has led to a MDD in two outpatients that, for this reason, came to our Community Mental Health Center (CMHC).

Aims

Find if the supposed relation between certain Life Events for people with a well-controlled NPD can lead to a MDD can be detected.

Methods

Both completed the Minnesota Multiphasic Personality Inventory (MMPI-II) that confirmed the co-existence.

Results

Diagnostically, these patients presented an exaggerated self-appraisal even during the depressive phases, attempts to gain others’ approval and attention, very little interest on others’ thoughts and efforts to gain personal advantages in a depressive frame.

Conclusions

This report suggest the necessity of further studies on the relation between NPD and MDD when a kind of frustration in important fields of patients’ life occurs.

Type
Article: 0727
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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