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Narcissistic personality disorder

MedGen UID:
10262
•Concept ID:
C0027402
•
Mental or Behavioral Dysfunction
Synonyms: Malignant Narcissism; Malignant Narcissisms; Narcissism, Malignant; Narcissism, Pathological; Narcissisms, Malignant; Narcissisms, Pathological; Narcissistic Personality Disorder; Pathological Narcissism; Pathological Narcissisms; Personality Disorder, Narcissistic
SNOMED CT: Narcissistic personality disorder (80711002)
 
Monarch Initiative: MONDO:0002411

Definition

A disorder characterized by an enduring pattern of grandiose beliefs and arrogant behavior together with an overwhelming need for admiration and a lack of empathy for (and even exploitation of) others. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVNarcissistic personality disorder

Professional guidelines

PubMed

Building hope for treatment of narcissistic personality disorder.
Weinberg I
J Clin Psychol 2024 Apr;80(4):721-732. Epub 2023 Oct 10 doi: 10.1002/jclp.23598. PMID: 37815416
Mentalization-Based Treatment for Pathological Narcissism.
Drozek RP, Unruh BT
J Pers Disord 2020 Mar;34(Suppl):177-203. doi: 10.1521/pedi.2020.34.supp.177. PMID: 32186985
Narcissistic personality disorder. Descriptive features and differential diagnosis.
Akhtar S
Psychiatr Clin North Am 1989 Sep;12(3):505-29. PMID: 2678019

Recent clinical studies

Etiology

Adult ADHD and pathological narcissism: A retrospective-analysis.
Duarte M, Blay M, Hasler R, Pham E, Nicastro R, Jan M, Debbané M, Perroud N
J Psychiatr Res 2024 Jun;174:245-253. Epub 2024 Apr 21 doi: 10.1016/j.jpsychires.2024.04.032. PMID: 38670059
Delay discounting and narcissism: A meta-analysis with implications for narcissistic personality disorder.
Coleman SRM, Oliver AC, Klemperer EM, DeSarno MJ, Atwood GS, Higgins ST
Personal Disord 2022 May;13(3):210-220. Epub 2022 Jan 6 doi: 10.1037/per0000528. PMID: 34990195Free PMC Article
Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder.
Fjermestad-Noll J, Ronningstam E, Bach BS, Rosenbaum B, Simonsen E
J Pers Disord 2020 Mar;34(Suppl):25-41. doi: 10.1521/pedi.2020.34.supp.25. PMID: 32186981
Trust and Rejection Sensitivity in Personality Disorders.
Poggi A, Richetin J, Preti E
Curr Psychiatry Rep 2019 Jul 1;21(8):69. doi: 10.1007/s11920-019-1059-3. PMID: 31264030
Modernity and narcissistic personality disorder.
Paris J
Personal Disord 2014 Apr;5(2):220-6. Epub 2012 Jul 16 doi: 10.1037/a0028580. PMID: 22800179

Diagnosis

Adult ADHD and pathological narcissism: A retrospective-analysis.
Duarte M, Blay M, Hasler R, Pham E, Nicastro R, Jan M, Debbané M, Perroud N
J Psychiatr Res 2024 Jun;174:245-253. Epub 2024 Apr 21 doi: 10.1016/j.jpsychires.2024.04.032. PMID: 38670059
Traits of narcissistic vulnerability in adults with autism spectrum disorders without intellectual disabilities.
Broglia G, Nisticò V, Di Paolo B, Faggioli R, Bertani A, Gambini O, Demartini B
Autism Res 2024 Jan;17(1):138-147. Epub 2023 Nov 20 doi: 10.1002/aur.3065. PMID: 37983956
Controversies in Narcissism.
Miller JD, Lynam DR, Hyatt CS, Campbell WK
Annu Rev Clin Psychol 2017 May 8;13:291-315. Epub 2017 Mar 15 doi: 10.1146/annurev-clinpsy-032816-045244. PMID: 28301765
Narcissistic personality disorder: diagnostic and clinical challenges.
Caligor E, Levy KN, Yeomans FE
Am J Psychiatry 2015 May;172(5):415-22. doi: 10.1176/appi.ajp.2014.14060723. PMID: 25930131
Pathological narcissism and narcissistic personality disorder.
Pincus AL, Lukowitsky MR
Annu Rev Clin Psychol 2010;6:421-46. doi: 10.1146/annurev.clinpsy.121208.131215. PMID: 20001728

Therapy

Does Religiosity Reduce Narcissistic Personality Disorder? Examining the Case of Muslim University Students.
Buzdar MA, Tariq RUH, Jalal H, Nadeem M
J Relig Health 2019 Oct;58(5):1463-1470. doi: 10.1007/s10943-018-0628-9. PMID: 29691791
Clinical Characteristics of Comorbid Narcissistic Personality Disorder in Patients With Borderline Personality Disorder.
Hörz-Sagstetter S, Diamond D, Clarkin JF, Levy KN, Rentrop M, Fischer-Kern M, Cain NM, Doering S
J Pers Disord 2018 Aug;32(4):562-575. Epub 2017 Jul 31 doi: 10.1521/pedi_2017_31_306. PMID: 28758884
Attachment and mentalization in female patients with comorbid narcissistic and borderline personality disorder.
Diamond D, Levy KN, Clarkin JF, Fischer-Kern M, Cain NM, Doering S, Hörz S, Buchheim A
Personal Disord 2014 Oct;5(4):428-433. doi: 10.1037/per0000065. PMID: 25314231
Refining the construct of narcissistic personality disorder: diagnostic criteria and subtypes.
Russ E, Shedler J, Bradley R, Westen D
Am J Psychiatry 2008 Nov;165(11):1473-81. Epub 2008 Aug 15 doi: 10.1176/appi.ajp.2008.07030376. PMID: 18708489
Hypomanic symptoms predict an increase in narcissistic and histrionic personality disorder features in suicidal young adults.
Shahar G, Scotti MA, Rudd MD, Joiner TE
Depress Anxiety 2008;25(10):892-8. doi: 10.1002/da.20363. PMID: 17932897

Prognosis

Traits of narcissistic vulnerability in adults with autism spectrum disorders without intellectual disabilities.
Broglia G, Nisticò V, Di Paolo B, Faggioli R, Bertani A, Gambini O, Demartini B
Autism Res 2024 Jan;17(1):138-147. Epub 2023 Nov 20 doi: 10.1002/aur.3065. PMID: 37983956
Narcissistic Personality Disorder Studied the Long Way: Predicting Change in Narcissistic Pathology During College.
Lenzenweger MF
Am J Psychother 2023 Mar 1;76(1):15-25. Epub 2022 Oct 12 doi: 10.1176/appi.psychotherapy.20220020. PMID: 36221978
Grandiose and Vulnerable Narcissism in Borderline Personality Disorder.
Euler S, Stöbi D, Sowislo J, Ritzler F, Huber CG, Lang UE, Wrege J, Walter M
Psychopathology 2018;51(2):110-121. Epub 2018 Feb 21 doi: 10.1159/000486601. PMID: 29466803
Narcissistic Personality Disorder and suicidal behavior in mood disorders.
Coleman D, Lawrence R, Parekh A, Galfalvy H, Blasco-Fontecilla H, Brent DA, Mann JJ, Baca-Garcia E, Oquendo MA
J Psychiatr Res 2017 Feb;85:24-28. Epub 2016 Oct 24 doi: 10.1016/j.jpsychires.2016.10.020. PMID: 27816770Free PMC Article
Psychotherapy in borderline and narcissistic personality disorder.
Higgitt A, Fonagy P
Br J Psychiatry 1992 Jul;161:23-43. doi: 10.1192/bjp.161.1.23. PMID: 1638326

Clinical prediction guides

Traits of narcissistic vulnerability in adults with autism spectrum disorders without intellectual disabilities.
Broglia G, Nisticò V, Di Paolo B, Faggioli R, Bertani A, Gambini O, Demartini B
Autism Res 2024 Jan;17(1):138-147. Epub 2023 Nov 20 doi: 10.1002/aur.3065. PMID: 37983956
Perfectionism, Shame, and Aggression in Depressive Patients With Narcissistic Personality Disorder.
Fjermestad-Noll J, Ronningstam E, Bach BS, Rosenbaum B, Simonsen E
J Pers Disord 2020 Mar;34(Suppl):25-41. doi: 10.1521/pedi.2020.34.supp.25. PMID: 32186981
Grandiose and Vulnerable Narcissism in Borderline Personality Disorder.
Euler S, Stöbi D, Sowislo J, Ritzler F, Huber CG, Lang UE, Wrege J, Walter M
Psychopathology 2018;51(2):110-121. Epub 2018 Feb 21 doi: 10.1159/000486601. PMID: 29466803
An update on narcissistic personality disorder.
Ronningstam E
Curr Opin Psychiatry 2013 Jan;26(1):102-6. doi: 10.1097/YCO.0b013e328359979c. PMID: 23187086
Narcissistic personality disorder. Descriptive features and differential diagnosis.
Akhtar S
Psychiatr Clin North Am 1989 Sep;12(3):505-29. PMID: 2678019

Recent systematic reviews

Can clinical and subclinical forms of narcissism be considered risk factors for suicide-related outcomes? A systematic review.
Sprio V, Mirra L, Madeddu F, Lopez-Castroman J, Blasco-Fontecilla H, Di Pierro R, Calati R
J Psychiatr Res 2024 Apr;172:307-333. Epub 2024 Feb 24 doi: 10.1016/j.jpsychires.2024.02.017. PMID: 38437765
Disorder of the personality: a possible factor of risk for the dementia.
Deví Bastida J, Genescà Pujol J, Valle Vives S, Jofre Font S, Fetscher Eickhoff A, Arroyo Cardona E
Actas Esp Psiquiatr 2019 Mar;47(2):61-9. Epub 2019 Mar 1 PMID: 31017274
Prevalence and treatment of narcissistic personality disorder in the community: a systematic review.
Dhawan N, Kunik ME, Oldham J, Coverdale J
Compr Psychiatry 2010 Jul-Aug;51(4):333-9. Epub 2009 Dec 21 doi: 10.1016/j.comppsych.2009.09.003. PMID: 20579503

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