PMID- 18304339
OWN - NLM
STAT- MEDLINE
DCOM- 20080423
LR  - 20220316
IS  - 1471-244X (Electronic)
IS  - 1471-244X (Linking)
VI  - 8
DP  - 2008 Feb 27
TI  - Narcissism in patients admitted to psychiatric acute wards: its relation to 
      violence, suicidality and other psychopathology.
PG  - 13
LID - 10.1186/1471-244X-8-13 [doi]
AB  - 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.
FAU - Svindseth, Marit F
AU  - Svindseth MF
AD  - Department of Psychiatry, Sunnmore Hospital, N-6026 Aalesund, Norway. 
      marit.svindseth@helse-sunnmore.no
FAU - Nottestad, Jim Aage
AU  - Nottestad JA
FAU - Wallin, Juliska
AU  - Wallin J
FAU - Roaldset, John Olav
AU  - Roaldset JO
FAU - Dahl, Alv A
AU  - Dahl AA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20080227
PL  - England
TA  - BMC Psychiatry
JT  - BMC psychiatry
JID - 100968559
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - Anxiety Disorders/diagnosis/epidemiology/psychology
MH  - Cross-Sectional Studies
MH  - Demography
MH  - *Depressive Disorder, Major/diagnosis/epidemiology/psychology
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Narcissism
MH  - Personality Disorders/*epidemiology/*psychology
MH  - Psychiatric Department, Hospital/statistics & numerical data
MH  - Psychiatric Status Rating Scales
MH  - Self Concept
MH  - Suicide, Attempted/*prevention & control
MH  - Surveys and Questionnaires
MH  - Violence/*prevention & control
PMC - PMC2267178
EDAT- 2008/02/29 09:00
MHDA- 2008/04/24 09:00
PMCR- 2008/02/27
CRDT- 2008/02/29 09:00
PHST- 2007/08/22 00:00 [received]
PHST- 2008/02/27 00:00 [accepted]
PHST- 2008/02/29 09:00 [pubmed]
PHST- 2008/04/24 09:00 [medline]
PHST- 2008/02/29 09:00 [entrez]
PHST- 2008/02/27 00:00 [pmc-release]
AID - 1471-244X-8-13 [pii]
AID - 10.1186/1471-244X-8-13 [doi]
PST - epublish
SO  - BMC Psychiatry. 2008 Feb 27;8:13. doi: 10.1186/1471-244X-8-13.