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).</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

WISC-V assessment and interpretation : scientist-practitioner perspectives /

Includes bibliographical references and index.Part I. Applied considerations. WISC-V : advances in the assessment of intelligence / Lawrence G. Weiss, Donald H. Saklofske, James A. Holdnack, and Aurelio Prifitera -- Practical issues in WISC-V administration and scoring / Dustin Wahlstrom, Lawrence G. Weiss, and Donald H. Saklofske -- Practical considerations in WISC-V interpretation and intervention / A. Lynne Beal, James A. Holdnack, Donald H. Saklofske, and Lawrence G. Weiss -- Part II. Theoretical considerations. Theoretical and clinical foundations of the WISC-V index scores / Lawrence G. Weiss, James A. Holdnack, Donald H. Saklofske, Aurelio Prifitera -- WISC-V use in societal context / Lawrence G. Weiss, Victoria Locke, Tianshu Pan, Jossette G. Harris, Donald H. Saklofske, and Aurelio Prifitera -- The Flynn effect and its clinical implications / Jacques Grégoire, Mark Daniel, Antolin M. Llorente, and Lawrence G. Weiss -- Part III. Clinical considerations. Testing Hispanics with WISC-V and WISC-IV Spanish / Lawrence G. Weiss, Maria R. Munoz, and Aurelio Prifitera -- WISC-V and the evolving role of intelligence testing in the assessment of learning disabilities / Donald H. Saklofske, Lawrence G. Weiss, Kristina Breaux, and A. Lynne Beal -- Translating scientific progress in dyslexia into twenty-first century diagnosis and interventions / Bennett A. Shaywitz, Lawrence G. Weiss, Donald H. Saklofske, and Sally E. Shaywitz -- Issues related to the WISC-V assessment of cognitive functioning in clinical and special groups / Jessie L. Miller, Donald H. Saklofske, Lawrence G. Weiss, Lisa Drozdick, Antolin M. Llorente, James A. Holdnack, and Aurelio Prifitera -- Part IV. Current and future directions. Digital assessment with Q-interactive / Dustin Wahlstrom, Mark Daniel, Lawrence G. Weiss, and Aurelio Prifitera -- WISC-V and the personalized assessment approach / James A. Holdnack, Aurelio Prifitera, Lawrence G. Weiss, and Donald H. Saklofske.Testothee