Narcissistic personality disorder: relations with distress and functional impairment
Narcissistic personality disorder: relations with distress and functional impairment
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DOI：
10.1016/j.comppsych.2006.10.003
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发表时间：
2007-03-01
影响因子：
7.3
通讯作者：
Pilkonis, Paul A.
中科院分区：
文献类型：
--
作者：
Miller, Joshua D.;Campbell, W. Keith;Pilkonis, Paul A.
本研究通过同时和前瞻性地考察两个样本的自恋型人格障碍（NPD）与心理困扰和功能障碍之间的关系，检验了NPD的结构效度。特别是，目标是解决NPD是否通常“满足”DSM-IV人格障碍定义的标准C，该标准要求症状导致临床显著的痛苦或功能障碍。样本1（n = 152）由接受精神病治疗的个人组成，而样本2（n = 151）由精神病患者（46%）和来自社区的个人组成。自恋型人格障碍与抑郁、焦虑和几种损伤指标的评分相关，同时与6个月随访时的评分相关。然而，NPD和心理困扰之间的关系是（a）小，特别是在同时测量，和（B）主要是由功能受损介导。自恋型人格障碍与给他人造成痛苦和折磨的关系最为密切，即使在控制了其他B类人格障碍的情况下，这种关系也很明显。这些结果表明，NPD是一种适应不良的人格风格，主要导致人际领域的功能障碍和痛苦。自恋者的行为最终会给自恋者和与他们互动的人带来问题和痛苦。(c)2007年爱思唯尔公司All rights reserved.
This study examined the construct validity of narcissistic personality disorder (NPD) by examining the relations between NPD and measures of psychologic distress and functional impairment both concurrently and prospectively across 2 samples. In particular, the goal was to address whether NPD typically "meets" criterion C of the DSM-IV definition of Personality Disorder, which requires that the symptoms lead to clinically significant distress or impairment in functioning. Sample 1 (n = 152) was composed of individuals receiving psychiatric treatment, whereas sample 2 (n = 151) was composed of both psychiatric patients (46%) and individuals from the community. Narcissistic personality disorder was linked to ratings of depression, anxiety, and several measures of impairment both concurrently and at 6-month follow-up. However, the relations between NPD and psychologic distress were (a) small, especially in concurrent measurements, and (b) largely mediated by impaired functioning. Narcissistic personality disorder was most strongly related to causing pain and suffering to others, and this relationship was significant even when other Cluster B personality disorders were controlled. These findings suggest that NPD is a maladaptive personality style which primarily causes dysfunction and distress in interpersonal domains. The behavior of narcissistic individuals ultimately leads to problems and distress for the narcissistic individuals and for those with whom they interact. (c) 2007 Elsevier Inc. All rights reserved.