1994
DOI: 10.1176/ajp.151.4.568
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Abstract: These data suggest that patient-informant concordance for axis II disorders is poor for diagnoses but somewhat better for dimensional scores. There was no evidence that low agreement can be explained by patients attempting to present themselves in a favorable light. Further work is necessary to elucidate the reasons for discordance and determine which data source provides the most valid information.

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Cited by 61 publications
(15 citation statements)
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“…When we included any case in which either a self- or informant reported a diagnostic level of NPD, the prevalence rose to 14% (a 3.4 time increase over self-reports alone). Although this total NPD prevalence estimate (14%) is likely inflated, the finding that informant reports yield additional cases is consistent with previous research (e.g., Bernstein et al, 1997; Dreessen et al, 1998; Ferro & Klein, 1997; Fiedler et al, 2004; Klein, 2003; Miller et al, 2005; Riso et al, 1994; Zimmerman et al, 1988). Therefore, it seems reasonable to consider the possibility that current prevalence estimates of NPD may be underestimates, at least with regard to the frequency with which people exhibit specific features of the disorder.…”
Section: Discussionsupporting
confidence: 90%
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“…When we included any case in which either a self- or informant reported a diagnostic level of NPD, the prevalence rose to 14% (a 3.4 time increase over self-reports alone). Although this total NPD prevalence estimate (14%) is likely inflated, the finding that informant reports yield additional cases is consistent with previous research (e.g., Bernstein et al, 1997; Dreessen et al, 1998; Ferro & Klein, 1997; Fiedler et al, 2004; Klein, 2003; Miller et al, 2005; Riso et al, 1994; Zimmerman et al, 1988). Therefore, it seems reasonable to consider the possibility that current prevalence estimates of NPD may be underestimates, at least with regard to the frequency with which people exhibit specific features of the disorder.…”
Section: Discussionsupporting
confidence: 90%
“… 1 Some studies have found have no significant NPD prevalence rate differences between self- and informant-reported data (e.g., Dreessen et al, 1998; Riso et al, 1994), but we do not know of any studies in which selves reported significantly more pathological narcissism than informants. We are aware of only one study that has specifically analyzed the self-informant agreement for NPD and its diagnostic criteria (Dowson, 1992), and its findings were generally inconclusive regarding which source reported more pathological narcissism.…”
mentioning
confidence: 89%
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“…Surprisingly, few studies have reported these types of analyses. Some of these studies have focused on personality disorders (Riso, Klein, Anderson, Ouimette, & Lizardi, 1994; South, Oltmanns, Johnson, & Turkheimer, 2011) and others have emphasized normative personality dimensions (Flett, Besser, & Hewitt, 2005; McCrae et al, 2004; Miller, Pilkonis, & Clifton, 2005). Overall, these studies find lower levels of pathological personality using informant- than self-reports.…”
mentioning
confidence: 99%