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[Not Available].

A Thiel1

  • 1Klinik für Psychiatrie und Psychotherapie, Diakoniekrankenhaus Rotenburg, Elise-Averdieck-Straße, D-27356 Rotenburg (Wümme).

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
|January 10, 2002
PubMed
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Concomitant narcissistic self-disorders do not predict a worse outcome for patients with anorexia nervosa (AN) or bulimia nervosa (BN). Improvement in eating disorder symptoms correlates with reduced obsessive-compulsive symptoms.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorder Research

Context:

  • Anorexia nervosa (AN) and bulimia nervosa (BN) are severe eating disorders.
  • Comorbid narcissistic self-disorders are common in patients with AN and BN.
  • The prognostic significance of these comorbidities is not fully understood.

Purpose:

  • To investigate whether narcissistic self-disorders influence the prognosis of AN and BN.
  • To assess the long-term outcomes of patients with and without narcissistic self-disorders.

Summary:

  • Ninety-one female inpatients with AN or BN were assessed using diagnostic interviews and psychological inventories.
  • Patients were grouped based on the presence or absence of narcissistic self-disorders.
  • Seventy-five patients were reassessed 30 months post-discharge.
Keywords:
Anorexia nervosaBulimia nervosaNarcissismObsessivecompulsive SymptomsOutcomePrognosisSelf-disorder

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Impact:

  • Fifty-one percent of patients no longer met criteria for AN or BN at follow-up.
  • Narcissistic self-disorders did not correlate with poorer eating disorder outcomes.
  • Patients with narcissistic self-disorders showed significant improvement in eating disorder and interpersonal symptoms, sometimes exceeding those without these disorders.