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

There is a presumption that pathological narcissism, or narcissistic personality disorder , 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....

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Published in:Frontiers in psychiatry Vol. 13; p. 1041480
Main Authors: Riegel, Karel D, Schlosserova, Lucia, Zbornik, Tadeas S
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 25-11-2022
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Summary:There is a presumption that pathological narcissism, or narcissistic personality disorder , 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. 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. Two samples were employed in the study. Sample 1 ( = 421) consisted of patients with addiction; Sample 2 ( = 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. 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. 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.
Bibliography:Edited by: Bo Bach, Psychiatry Region Zealand, Denmark
Reviewed by: Tim Bastiaens, University Psychiatric Center KU Leuven, Belgium; Mark Freestone, Queen Mary University of London, United Kingdom; Ava Green, City, University of London, United Kingdom; Elizabeth Huxley, Australian National University, Australia
This article was submitted to Psychopathology, a section of the journal Frontiers in Psychiatry
ISSN:1664-0640
1664-0640
DOI:10.3389/fpsyt.2022.1041480