Examining sex differences in DSM-IV-TR narcissistic personality disorder symptom expression using Item Response Theory (IRT).
Examining sex differences in DSM-IV-TR narcissistic personality disorder symptom expression using Item Response Theory (IRT).
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DOI：
10.1016/j.psychres.2017.12.031
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发表时间：
2018-03
影响因子：
11.3
通讯作者：
Limosin F
中科院分区：
文献类型：
--
作者：
Hoertel N;Peyre H;Lavaud P;Blanco C;Guerin-Langlois C;René M;Schuster JP;Lemogne C;Delorme R;Limosin F
关于这个主题的有限的已发表文献表明，女性和男性在如何体验自恋型人格障碍（NPD）症状方面可能存在差异。本研究的目的是使用基于项目反应理论的方法，以检查是否等同于NPD症状严重程度的水平时，有性别差异的可能性报告DSM-IV-TR NPD症状。我们使用来自美国的大型全国代表性样本（n= 34，653）进行了这些分析，这是全国酒精和相关疾病流行病学调查（NESARC）的第二波。9种DSM-IV-TR NPD症状中有2种存在统计学和临床显著性性别差异。我们发现，在自恋型人格障碍严重程度较低的情况下，男性比女性更有可能赞同“缺乏同情心”这一项目。“被嫉妒”是一个更好的指标NPD的严重性，男性比女性。其余NPD症状无临床显著性别差异。总的来说，我们的研究结果表明，自恋型人格障碍症状表达的性别差异很大。虽然我们的研究结果可能反映了诊断标准中的性别偏见，但它们与最近的观点一致，即自恋型人格障碍可能受到共享和性别特异性机制的支持。
The limited published literature on the subject suggests that there may be differences in how females and males experience narcissistic personality disorder (NPD) symptoms. The aim of this study was to use methods based on item response theory to examine whether, when equating for levels of NPD symptom severity, there are sex differences in the likelihood of reporting DSM-IV-TR NPD symptoms. We conducted these analyses using a large, nationally representative sample from the USA (n=34,653), the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). There were statistically and clinically significant sex differences for 2 out of the 9 DSM-IV-TR NPD symptoms. We found that males were more likely to endorse the item ‘lack of empathy’ at lower levels of narcissistic personality disorder severity than females. The item ‘being envious’ was a better indicator of NPD severity in males than in females. There were no clinically significant sex differences on the remaining NPD symptoms. Overall, our findings indicate substantial sex differences in narcissistic personality disorder symptom expression. Although our results may reflect sex-bias in diagnostic criteria, they are consistent with recent views suggesting that narcissistic personality disorder may be underpinned by shared and sex-specific mechanisms.
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影响因子：
4.8
作者：
Dvash, Jonathan;Gilam, Gadi;Shamay-Tsoory, Simone G.
通讯作者：
Shamay-Tsoory, Simone G.
影响因子：
3.3
作者：
Edelstein RS;Yim IS;Quas JA
通讯作者：
Quas JA
影响因子：
2.1
作者：
Ames, DR;Kammrath, LK
通讯作者：
Kammrath, LK
DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
BENJAMINI, Y;HOCHBERG, Y
通讯作者：
HOCHBERG, Y
影响因子：
4.3
作者：
Barnett, Michael D.;Sharp, Kendall J.
通讯作者：
Sharp, Kendall J.