Pathological narcissism and somatic symptoms among men and women attending an outpatient mental health clinic

Kealy, David; Tsai, Michelle; Ogrodniczuk, John S.

doi:10.1080/13651501.2016.1199811

Cited by 10 publications

(6 citation statements)

References 25 publications

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“…A further study examining the association of vulnerable narcissism (assessed with the Hypersensitive Narcissism Scale, HSNS: [31]) and depression severity (BDI) in dysthymic outpatients supported a significant positive association between the two constructs [32]. Differently, in mixed samples of psychiatric outpatients [33,34], positive but non-significant direct associations were revealed between narcissistic vulnerability and grandiosity (PNI) and depressive symptom severity (Patient Health Questionnaire, PHQ-9; [35]).…”

Section: Narcissism and Depressionmentioning

confidence: 90%

The Role of Vulnerable and Grandiose Narcissism in the Inpatient Treatment of Stress-Related Depressive Disorders

Marca¹,

Scheiwiller²,

Pfaff³

et al. 2022

jppd

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Depression relapse rates are high, therefore, identifying factors related to mental health and treatment outcome is important. We examined differences between inpatients with a stress-related depression and healthy controls regarding narcissism, stress, resource alterations, exhaustion, and depression. Twenty-one healthy controls and 36 inpatients with a stress-related depressive disorder completed questionnaires assessing vulnerable and Journal of Psychiatry and Psychiatric Disorders grandiose narcissism (PNIvn, PNIgn), perceived stress (PSS), resource gain and actual or threatened resource loss during the past six months (COR-Egain, COR-Eloss, COR-Eloss?), vital exhaustion (MQ), and depression severity (BDI-II). Depression severity was additionally assessed using the HAMD17. Most data was assessed repeatedly, i.e. after treatment initiation, before treatment termination, and at six months follow-up. Inpatients revealed significantly higher levels of PSS, MQ, BDI-II, HAMD17, and PNIvn, while PNIgn reached a trend significance level. In healthy controls, PNIvn correlated positively with COR-Eloss. In inpatients, PNIvn was positively related to levels of PSS, COR-Eloss, COR-Eloss?, and BDI-II, while PNIgn was positively correlated with levels of PSS. Higher PNIvn at the beginning was further significantly associated with a stronger decrease in PSS until follow-up, and in BDI-II until the end or follow-up. These results underline the importance of personality factors in the treatment of stress-related depression.

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Section: Narcissism and Depressionmentioning

confidence: 90%

The Role of Vulnerable and Grandiose Narcissism in the Inpatient Treatment of Stress-Related Depressive Disorders

Marca¹,

Scheiwiller²,

Pfaff³

et al. 2022

jppd

View full text Add to dashboard Cite

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“…Such data may allow for the delineation of specific symptoms which impact on the presentation of narcissism in males and females, and thus may require gender-sensitive interventions that address such indicators. Future research should also explore gender differences in patients with narcissistic pathology to evaluate whether expressions of narcissism shift depending on the severity of dysfunction ( Kealy et al, 2016 ).…”

Section: Discussionmentioning

confidence: 99%

Clinician perception of pathological narcissism in females: a vignette-based study

2023

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The DSM-5 reports that up to 75% of those diagnosed with Narcissistic Personality Disorder (NPD) are males, which denotes that narcissism is a clinical phenomenon that operates differently in men and women. Vulnerable narcissism, which tends to be more prevalent in females and is currently under-appreciated in the DSM-5, may be diagnosed as other “vulnerable” disorders (e.g., Borderline Personality Disorder; BPD). The current study investigated gender differences in clinicians’ perceptions of narcissistic pathology. Adopting an online vignette-based study, clinicians (N = 108; 79 females) read clinical case vignettes of hypothetical patients and provided diagnostic ratings of existing personality disorders. Clinicians’ diagnostic ratings of NPD were concurrent with the vignette containing grandiose narcissism symptoms, irrespective of patient gender. However, when presented with a vulnerable narcissism vignette, clinicians were significantly more likely to attribute a BPD diagnosis in female patients, compared to male patients. Clinicians with a psychodynamic approach and more experience in practice were also more likely to label vulnerable narcissism symptoms as NPD, compared to those with a CBT approach and less experience in practice. The clinical implications of these results support the shift toward assessing personality dysfunction based on dimensional trait domains.

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“…The study also demonstrated a connection between pathological narcissism and hypersensitivity, which is also an interesting finding in the context of chronic pain. 29 In clinical pain therapy, challenges coming along with individual personalities and especially with PD have not been systematically incorporated yet. Particularly, in the context of interdisciplinary treatment programmes, once the indication for an interdisciplinary treatment is set, all patients go through the same programme.…”

Section: Discussionmentioning

confidence: 99%

Personality disorders and outcome after multidisciplinary pain therapy

et al. 2022

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Objectives Interdisciplinary treatment programmes are the gold standard for patients suffering from chronic pain. However, several patient-related factors seem to influence the patients’ outcome. The aim of our study was to inquire whether patients with personality disorders (PD) might benefit less from an interdisciplinary treatment programme compared to patients without PD. Methods A prospective, observational study with chronic pain patients attending a 5-week interdisciplinary treatment programme was performed. Main outcome parameters were psychological stabilization and pain intensity before and after the programme. Results Out of the 104 included patients, 71 (68.3%) showed personality accentuations and 16 (15.4%) were diagnosed with PDs. PDs were mostly classified as histrionic, followed by borderline and narcistic personality. Patients diagnosed with histrionic accentuation showed a significantly better treatment response in terms of pain. Reduction in ADS (Allgemeine Depressionsskala – depression scale) was 3.4 in patients with PD and 11.1 in those without PD. Borderline patients showed a significant increase of ADS (by 2.0; p < 0.05) after programme completion. Discussion Patients with chronic pain and personality accentuations or disorder only showed a slightly different outcome after interdisciplinary treatment programme and should therefore not be excluded from these programmes. Registered at German Clinical Trials Register (DRKS-ID: DRKS00015141).

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Pathological narcissism and somatic symptoms among men and women attending an outpatient mental health clinic

Abstract: The connection between narcissistic pathology and somatic symptom severity appears to differ based on gender. Further research is needed to confirm and extend this preliminary finding.

Cited by 10 publications

References 25 publications

The Role of Vulnerable and Grandiose Narcissism in the Inpatient Treatment of Stress-Related Depressive Disorders

The Role of Vulnerable and Grandiose Narcissism in the Inpatient Treatment of Stress-Related Depressive Disorders

Clinician perception of pathological narcissism in females: a vignette-based study

Personality disorders and outcome after multidisciplinary pain therapy

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