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We also compared their ability to reduce grandiose and vulnerable symptoms of NPD. One hundred and fourteen individuals were randomly assigned to these groups. Severity of NPD was significantly reduced to an equivalent degree in both treatment groups across a 12\u2010month follow\u2010up period. SFT group showed significantly greater reduction in measures of narcissistic grandiosity, while UP group showed a significantly greater reduction in narcissistic vulnerability, anger, shame and emotion dysregulation. Patients with a vulnerable presentation showed significantly greater reduction in fear of intimacy and shame severity, while patients with a grandiose presentation showed significantly greater reduction in identity disturbance, anger control and neuroticism. Results suggest that both SFT and UP can play a useful role in mitigating symptoms of NPD.<\/jats:p>","DOI":"10.1002\/cpp.70247","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:38:23Z","timestamp":1772991503000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A Randomized Controlled Trial Comparing Two Treatments for Vulnerable and Grandiose Narcissism: Unified Protocol vs. Schema\u2010Focused Therapy"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1765-2884","authenticated-orcid":false,"given":"Banafsheh","family":"Mohajerin","sequence":"first","affiliation":[{"name":"Taleghani Hospital Research Development Committee, School of Medicine Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5397-7198","authenticated-orcid":false,"given":"Richard","family":"Howard","sequence":"additional","affiliation":[{"name":"Institute of Mental Health  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6308-0250","authenticated-orcid":false,"given":"Aaron\u00a0L.","family":"Pincus","sequence":"additional","affiliation":[{"name":"Psychology Department Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2016_30_254"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466502163778"},{"issue":"5","key":"e_1_2_9_5_1","first-page":"75","article-title":"The Reliability and Criterion Validity of a Persian Version of the State\u2010Trait Anger Expression Inventory\u20102 (STAXI\u20102) in a Clinical Sample","volume":"3","author":"Asghari Moghaddam M. 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