Debates on the narcissism conundrum: trait, domain, dimension, type, or disorder?

Narcissism, Social Media Addiction, Self-Esteem, and Haxeco Traits: Exploring Influences on Life Satisfaction Among Generation Z

Purpose

This study aimed to analyze the influence of narcissism on self-esteem and social media addiction. In addition, it highlights the consequences of social media addiction through internal factors such as self-esteem and external factors such as life satisfaction. It also examined the regulatory role of personality traits in this context.

Participants and Methods

Conducted in Ho Chi Minh City, it surveyed 426 Generation Z individuals aged 13-26 spending over two hours daily on social media, using convenience sampling. Data analysis and reliability assessment were done with SPSS 29, and SmartPLS 4 evaluated the linear structural model.

Results

The study has demonstrated that narcissism among Generation Z significantly influences life satisfaction. The results indicate that narcissism plays a crucial role in determining the self-esteem of Generation Z. Furthermore, individuals exhibit varying levels of narcissism, which are positively related to various online social activities. Therefore, high levels of narcissism are likely to lead to social media addiction. Those who exhibit symptoms of social media addiction tend to have lower self-esteem because they perceive social media as a safe space where they can express themselves. However, each individual possesses unique personality traits, and this study has proven that specific personality traits such as Agreeableness and Openness impact the life satisfaction of Generation Z.

Conclusion

The study investigated how narcissism, self-esteem, and social media addiction affect life satisfaction among Generation Z, exploring their complex interplay and mental health implications. It emphasized Gen Z's widespread social media engagement and addiction risks, impacting mental health and emotional satisfaction. Additionally, it highlighted the influence of personality traits on life satisfaction. The examination scrutinized the intricate relationship between self-esteem and narcissism, stressing its nuances, especially among Generation Z.

Tracing the Link Between Narcissistic Personality Disorder and Childhood Overgratification

Narcissistic personality disorder (NPD) is a psychiatric disorder that remains largely undiagnosed in modern society. Theories claim that the roots of this disorder can often be traced back to childhood experiences and parenting styles. The prevalence of NPD in the general population is estimated to be significantly high, although rates may vary widely depending on the assessment method and population being considered as a significant portion of the population remains largely unaware of this disorder or though the patient is aware of his/her condition, the bad reputation for the illness demotivates him/her from seeking professional help. This is the main reason why it is difficult to know the real prevalence of these disorders that are so frequently encountered in psychiatric practice but still largely undiagnosed. This review collects and analyzes several research studies and literature reviews found in the electronic databases. The inclusion criteria prioritize studies focusing on the effect of overgratification on the development of NPD. Empirical evidence suggests a link between childhood overgratification and the development of narcissistic traits in adulthood. However, the relationship between childhood overgratification and NPD is much more complex and is deeply influenced by various factors, such as parent-child attachment, individual nature, and cultural context. This paper aims to simplify and illustrate the complex interplay between childhood overgratification and the manifestation of NPD, thereby revealing underlying mechanisms and identifying potential interventions for treatment. This article explores the intriguing correlation between NPD and overgratification during childhood, exploring how early indulgence may sow the seeds for narcissistic personality traits in adulthood.

Narcissistic dimensions and depressive symptoms in patients across mental disorders in cognitive behavioural therapy and in psychoanalytic interactional therapy in Germany: a prospective cohort study

BACKGROUND

Narcissistic personality traits have been theorised to negatively affect depressive symptoms, therapeutic alliance, and treatment outcome, even in the absence of narcissistic personality disorder. We aimed to examine how the dimensional narcissistic facets of admiration and rivalry affect depressive symptoms across treatment modalities in two transdiagnostic samples.

METHODS

We did a naturalistic, observational prospective cohort study in two independent adult samples in Germany: one sample pooled from an inpatient psychiatric clinic and an outpatient treatment service offering cognitive behavioural treatment (CBT), and one sample from an inpatient clinic providing psychoanalytic interactional therapy (PIT). Inpatients treated with CBT had an affective or psychotic disorder. For the other two sites, data from all service users were collected. We examined the effect of core narcissism and its facets admiration and rivalry, measured by Narcissistic Admiration and Rivalry Questionnaire-short version, on depressive symptoms, measured by Beck's Depression Inventory and Patient Health Questionnaire-Depression Scale, at baseline and after treatment in patients treated with CBT and PIT. Primary analyses were regression models, predicting baseline and post-treatment depression severity from core narcissism and its facets. Mediation analysis was done in the outpatient CBT group for the effect of the therapeutic alliance on the association between narcissism and depression severity after treatment.

FINDINGS

The sample included 2371 patients (1423 [60·0%] female and 948 [40·0%] male; mean age 33·13 years [SD 13·19; range 18-81), with 517 inpatients and 1052 outpatients in the CBT group, and 802 inpatients in the PIT group. Ethnicity data were not collected. Mean treatment duration was 300 days (SD 319) for CBT and 67 days (SD 26) for PIT. Core narcissism did not predict depression severity before treatment in either group, but narcissistic rivalry was associated with higher depressive symptom load at baseline (β 2·47 [95% CI 1·78 to 3·12] for CBT and 1·05 [0·54 to 1·55] for PIT) and narcissistic admiration showed the opposite effect (-2·02 [-2·62 to -1·41] for CBT and -0·64 [-1·11 to -0·17] for PIT). Poorer treatment response was predicted by core narcissism (β 0·79 [0·10 to 1·47]) and narcissistic rivalry (0·89 [0·19 to 1·58]) in CBT, whereas admiration showed no effect. No effect of narcissism on treatment outcome was discernible in PIT. Therapeutic alliance mediated the effect of narcissism on post-treatment depression severity in the outpatient CBT sample.

INTERPRETATION

As narcissism affects depression severity before and after treatment with CBT across psychiatric disorders, even in the absence of narcissistic personality disorder, the inclusion of dimensional assessments of narcissism should be considered in future research and clinical routines. The relevance of the therapeutic alliance and therapeutic strategy could be used to guide treatment approaches.

FUNDING

IZKF Münster.

TRANSLATION

For the German translation of the abstract see Supplementary Materials section.

Self-reported narcissistic traits in patients with addiction through the lens of the ICD-11 model for personality disorders

BACKGROUND

There is a presumption that pathological narcissism, or narcissistic personality disorder per se, can be considered a precursor to addiction. Although the ICD-11 model does not distinguish specific personality disorders, narcissistic psychopathology should be captured through personality trait qualifiers.

OBJECTIVES

To verify the capacity of the ICD-11 model in the detection of narcissistic psychopathology in patients with addiction; to test its discrimination capacity, convergent validity, and specificity toward the gender and the type of addiction.

MATERIALS AND METHODS

Two samples were employed in the study. Sample 1 (n = 421) consisted of patients with addiction; Sample 2 (n = 567) consisted of general population volunteers. Age range was 18-75 years and a battery of self-assessment questionnaires containing Personality Inventory for DSM-5-Brief Form Plus Modified; Triarchic Psychopathy Measure; Hypersensitive Narcissism Scale; and Level of Personality Functioning Scale-Self-Report was administered by pencil-and-paper method.

RESULTS

The following was confirmed: (1) capacity of the ICD-11 model in relation to capture narcissistic pathology; (2) the differentiation capacity between the clinical and non-clinical population; (3) gender specificity in relation to grandiose and vulnerable narcissism; (4) the connection between the overall degree of impairment in personality functioning and most of trait qualifiers; (5) certain specifics of patients with addiction in relation to the type of addiction.

CONCLUSION

Results support the empirical and clinical relevance of the ICD-11 model in capturing narcissistic pathology in addicted patients. Clinical implications concerning assessment and treatment in addiction settings, and certain limits regarding the Anankastia domain are discussed.

Narcissistic personality traits and prefrontal brain structure

Narcissistic traits have been linked to structural and functional brain networks, including the insular cortex, however, with inconsistent findings. In this study, we tested the hypothesis that subclinical narcissism is associated with variations in regional brain volumes in insular and prefrontal areas. We studied 103 clinically healthy subjects, who were assessed for narcissistic traits using the Narcissistic Personality Inventory (NPI, 40-item version) and received high-resolution structural magnetic resonance imaging. Voxel-based morphometry was used to analyse MRI scans and multiple regression models were used for statistical analysis, with threshold-free cluster enhancement (TFCE). We found significant (p < 0.05, family-wise error FWE corrected) positive correlations of NPI scores with grey matter in multiple prefrontal cortical areas (including the medial and ventromedial, anterior/rostral dorsolateral prefrontal and orbitofrontal cortices, subgenual and mid-anterior cingulate cortices, insula, and bilateral caudate nuclei). We did not observe reliable links to particular facets of NPI-narcissism. Our findings provide novel evidence for an association of narcissistic traits with variations in prefrontal and insular brain structure, which also overlap with previous functional studies of narcissism-related phenotypes including self-enhancement and social dominance. However, further studies are needed to clarify differential associations to entitlement vs. vulnerable facets of narcissism.

Psychometric Properties of a French Version of the Narcissistic Personality Inventory in Young Adults

Abstract. The Narcissistic Personality Inventory (NPI) is widely used in social and personality psychology. The present study validates a French version of the NPI (NPI-Fr) for use with young adults. Respondents (N = 1275, Mage = 21.83, SD = 4.97) completed the NPI and two other convergent measures (Rosenberg Self-Esteem Scale and French version of the Big Five Inventory) for three validation steps. Exploratory factor analyses yielded evidence for a structure with either two (Power/Authority, Exhibitionism/Self-Admiration) or four (Leadership/Authority, Grandiosity/Exhibitionism, Special Person, Exploitativeness/Entitlement) first-order factors for the NPI. Confirmatory factor analyses supported the 33-item four-factor model, with moderate model fit indices (χ2/df = 2.04, RMSEA = .058, CFI = .90, GFI = .85). We found significant positive correlations (r = .11 to .44) with self-esteem, Extraversion, and Openness, and a negative correlation with Neuroticism (r = –.09 to –.21). There was high internal consistency, with a reliability coefficient of α = .73 to .93, while test–retest reliability at 4 weeks was satisfactory. Our results confirm the psychometric quality of the questionnaire for French young adults.

The relationship between addictive use of social media, narcissism, and self-esteem: Findings from a large national survey

Social media has become an increasingly popular leisure activity over the last decade. Although most people's social media use is non-problematic, a small number of users appear to engage in social media excessively and/or compulsively. The main objective of this study was to examine the associations between addictive use of social media, narcissism, and self-esteem. A cross-sectional convenient sample of 23,532 Norwegians (M_age=35.8years; range=16-88years) completed an open web-based survey including the Bergen Social Media Addiction Scale (BSMAS), the Narcissistic Personality Inventory-16, and the Rosenberg Self-Esteem Scale. Results demonstrated that lower age, being a woman, not being in a relationship, being a student, lower education, lower income, lower self-esteem, and narcissism were associated with higher scores on the BSMAS, explaining a total of 17.5% of the variance. Although most effect sizes were relatively modest, the findings supported the notion of addictive social media use reflecting a need to feed the ego (i.e., narcissistic personality traits) and an attempt to inhibit a negative self-evaluation (i.e., self-esteem). The results were also consistent with demographic predictions and associations taken from central theories concerning "addiction", indicating that women may tend to develop more addictive use of activities involving social interaction than men. However, the cross-sectional study design makes inferences about directionality impossible.

Personality disorder in DSM-5: an oral history

As the revision process leading to DSM-5 began, the domain of personality disorder embodied the highest aspirations for major change. After an initial prototype-based proposal failed to gain acceptance, the Personality and Personality Disorders Work Group (P&PDWG) developed a hybrid model containing categorical and dimensional components. A clash of perspectives both within the P&PDWG and between the P&PDWG and DSM-5 oversight committees led to the rejection of this proposal from the main body of DSM-5. Major issues included conflicting ways of conceptualizing validation, differences of opinion from personality disorder experts outside the P&PDWG, divergent concepts of the magnitude of evidence needed to support substantial changes, and the disagreements about clinical utility of the hybrid model. Despite these setbacks, the 'Alternative DSM-5 Model of Personality Disorder' is presented in Section III of the DSM-5. Further research should clarify its performance relative to the DSM-IV criteria reprinted in the main DSM-5 text.

Narcissistic personality disorder: an integrative review of recent empirical data and current definitions

Although concepts of pathological narcissism are as old as psychology and psychiatry itself, only a small number of clinical studies are based on the criteria for narcissistic personality disorder (NPD), as defined in the Diagnostic and Statistical Manuals of Mental Disorders (DSM). As a result, NPD appears to be one of the most controversially discussed nosological entities in psychiatry. Whereas the majority of empirical studies used self or other ratings of NPD criteria to address issues of reliability and validity of the diagnostic category (i.e., internal consistency, factor structure, discriminant validity), only recent research has applied experimental designs to investigate specific features of NPD (e.g., self-esteem, empathy, shame). The aim of this review is to summarize available empirical data on NPD and relate these findings to current definitions of NPD (according to the DSM-5, [1]). In order to do so, this review follows the five steps to establishing diagnostic validity proposed by Robins and Guze [2], i.e., (1) clinical description, (2) laboratory studies, (3) delimitation from other disorders, (4) family studies, and (5) follow up studies. Finally, this review suggests pathways for future research that may assist further nosological evaluation of NPD and contribute to the overall goal, the improvement of treatment for patients.