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Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology

BACKGROUND: 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). METHODS: This cross-sectional study interviewed 186 eligibl...

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Autores principales: Svindseth, Marit F, Nøttestad, Jim Aage, Wallin, Juliska, Roaldset, John Olav, Dahl, Alv A
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267178/
https://www.ncbi.nlm.nih.gov/pubmed/18304339
http://dx.doi.org/10.1186/1471-244X-8-13
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author Svindseth, Marit F
Nøttestad, Jim Aage
Wallin, Juliska
Roaldset, John Olav
Dahl, Alv A
author_facet Svindseth, Marit F
Nøttestad, Jim Aage
Wallin, Juliska
Roaldset, John Olav
Dahl, Alv A
author_sort Svindseth, Marit F
collection PubMed
description BACKGROUND: 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). METHODS: 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). RESULTS: 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. CONCLUSION: 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.
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spelling pubmed-22671782008-03-13 Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology Svindseth, Marit F Nøttestad, Jim Aage Wallin, Juliska Roaldset, John Olav Dahl, Alv A BMC Psychiatry Research Article BACKGROUND: 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). METHODS: 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). RESULTS: 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. CONCLUSION: 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. BioMed Central 2008-02-27 /pmc/articles/PMC2267178/ /pubmed/18304339 http://dx.doi.org/10.1186/1471-244X-8-13 Text en Copyright © 2008 Svindseth et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Svindseth, Marit F
Nøttestad, Jim Aage
Wallin, Juliska
Roaldset, John Olav
Dahl, Alv A
Narcissism in patients admitted to psychiatric acute wards: its relation to violence, suicidality and other psychopathology
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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267178/
https://www.ncbi.nlm.nih.gov/pubmed/18304339
http://dx.doi.org/10.1186/1471-244X-8-13
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