Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology
<p>Abstract</p> <p>Background</p> <p>The objective was to examine various aspects of narcissism in patients admitted to acute psychiatric wards and to compare their level of narcissism to that of an age- and gender-matched sample from the general population (NORM).</...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2008-02-01
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| Series: | BMC Psychiatry |
| Online Access: | http://www.biomedcentral.com/1471-244X/8/13 |
| _version_ | 1818474169505939456 |
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| author | Wallin Juliska Nøttestad Jim Svindseth Marit F Roaldset John Dahl Alv A |
| author_facet | Wallin Juliska Nøttestad Jim Svindseth Marit F Roaldset John Dahl Alv A |
| author_sort | Wallin Juliska |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The objective was to examine various aspects of narcissism in patients admitted to acute psychiatric wards and to compare their level of narcissism to that of an age- and gender-matched sample from the general population (NORM).</p> <p>Methods</p> <p>This cross-sectional study interviewed 186 eligible acute psychiatric patients with the Brief Psychiatric Rating Scale (BPRS) and the Global Assessment of Functioning (GAF). The patients filled in the Narcissistic Personality Inventory-21 item version (NPI-21), The Hospital Anxiety and Depression Scale (HADS) and the Rosenberg Self-Esteem Scale. High and low narcissism was defined by the median of the total NPI-21 score. An age- and gender-matched control sample from the general population also scored the NPI-21 (NORM).</p> <p>Results</p> <p>Being male, involuntary admitted, having diagnosis of schizophrenia, higher self-esteem, and severe violence were significantly associated with high narcissism, and so were also low levels of suicidality, depression, anxiety and GAF scores. Severe violence and high self-esteem were significantly associated with high narcissism in multivariable analyses. The NPI-21 and its subscales showed test-retest correlations ≥0.83, while the BPRS and the HADS showed lower correlations, confirming the trait character of the NPI-21. Depression and suicidality were negatively associated with the NPI-21 total score and all its subscales, while positive association was observed with grandiosity. No significant differences were observed between patients and NORM on the NPI-21 total score or any of the NPI subscales.</p> <p>Conclusion</p> <p>Narcissism in the psychiatric patients was significantly associated with violence, suicidality and other symptoms relevant for management and treatment planning. Due to its trait character, use of the NPI-21 in acute psychiatric patients can give important clinical information. The similar level of narcissism found in patients and NORM is in need of further examination.</p> |
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| format | Article |
| id | doaj.art-dc872d5491d043cf8b5c07f72922442f |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-14T04:34:24Z |
| publishDate | 2008-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-dc872d5491d043cf8b5c07f72922442f2022-12-22T02:11:57ZengBMCBMC Psychiatry1471-244X2008-02-01811310.1186/1471-244X-8-13Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathologyWallin JuliskaNøttestad JimSvindseth Marit FRoaldset JohnDahl Alv A<p>Abstract</p> <p>Background</p> <p>The objective was to examine various aspects of narcissism in patients admitted to acute psychiatric wards and to compare their level of narcissism to that of an age- and gender-matched sample from the general population (NORM).</p> <p>Methods</p> <p>This cross-sectional study interviewed 186 eligible acute psychiatric patients with the Brief Psychiatric Rating Scale (BPRS) and the Global Assessment of Functioning (GAF). The patients filled in the Narcissistic Personality Inventory-21 item version (NPI-21), The Hospital Anxiety and Depression Scale (HADS) and the Rosenberg Self-Esteem Scale. High and low narcissism was defined by the median of the total NPI-21 score. An age- and gender-matched control sample from the general population also scored the NPI-21 (NORM).</p> <p>Results</p> <p>Being male, involuntary admitted, having diagnosis of schizophrenia, higher self-esteem, and severe violence were significantly associated with high narcissism, and so were also low levels of suicidality, depression, anxiety and GAF scores. Severe violence and high self-esteem were significantly associated with high narcissism in multivariable analyses. The NPI-21 and its subscales showed test-retest correlations ≥0.83, while the BPRS and the HADS showed lower correlations, confirming the trait character of the NPI-21. Depression and suicidality were negatively associated with the NPI-21 total score and all its subscales, while positive association was observed with grandiosity. No significant differences were observed between patients and NORM on the NPI-21 total score or any of the NPI subscales.</p> <p>Conclusion</p> <p>Narcissism in the psychiatric patients was significantly associated with violence, suicidality and other symptoms relevant for management and treatment planning. Due to its trait character, use of the NPI-21 in acute psychiatric patients can give important clinical information. The similar level of narcissism found in patients and NORM is in need of further examination.</p>http://www.biomedcentral.com/1471-244X/8/13 |
| spellingShingle | Wallin Juliska Nøttestad Jim Svindseth Marit F Roaldset John Dahl Alv A Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology BMC Psychiatry |
| title | Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology |
| title_full | Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology |
| title_fullStr | Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology |
| title_full_unstemmed | Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology |
| title_short | Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology |
| title_sort | narcissism in patients admitted to psychiatric acute wards its relation to violence suicidality and other psychopathology |
| url | http://www.biomedcentral.com/1471-244X/8/13 |
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