Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Narcissistic Personality Disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions

By F. Stinson, D. Dawson, Rise B. Golstein, P. Chou, Boji Huang, Sharon M. Smith, W. J. Ruan, A. Pulay, T. Saha, R. Pickering and 1 more. Journal of Clinical Psychiatry, 2008

1,467 citations recorded by the source corpus.

Objectives To present nationally representative findings on prevalence, sociodemographic correlates, disability, and comorbidity of narcissistic personality disorder (NPD) among men and women. Methods Face-to-face interviews with 34,653 adults participating in the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Results Prevalence of lifetime NPD was 6.2%, with rates greater for men (7.7%) than women (4.8%). NPD was significantly more prevalent among Black men and women and Hispanic women, younger adults, and separated/divorced/widowed and never married adults. NPD was associated with mental disability among men but not women. High co-occurrence rates of substance use, mood, anxiety, and other personality disorders (PDs) were observed. With additional comorbidity controlled for, associations with bipolar I disorder, PTSD, and schizotypal and borderline PDs remained significant, but weakened, among men and women. Similar associations were observed between NPD and specific phobia, generalized anxiety disorder, and bipolar II disorder among women; and alcohol abuse, alcohol dependence, drug dependence, and histrionic and obsessive-compulsive PDs among men. Dysthymia was significantly and negatively associated with NPD. Conclusions NPD is a prevalent PD in the general U.S. population and is associated with considerable disability among men, whose rates exceed those of women. NPD may not be as stable as previously recognized or described in the DSM-IV. The results highlight the need for further research from numerous perspectives to identify the unique and common genetic and environmental factors underlying the disorder-specific associations with NPD observed in this study.

Subfields: Clinical Psychology

View Paper: https://www.semanticscholar.org/paper/799d3729818a4076ab108aef29b5d66945ddfd6e

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Citations in the corpus

The Evidence for Generation Me and Against Generation We (2013, neutral): “The fifth data set examined NPD, the more severe, clinical form of the trait.”
Prevalence and Axis I Comorbidity of Full and Partial Posttraumatic Stress Disorder in the United States: Results from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (2010, background): “…Grant et al., 2004c; Grant et al., 2005c); antisocial PD was assessed at both waves (Goldstein & Grant, 2009); and schizotypal, narcissistic, and borderline PDs were assessed in Wave 2 (Grant et al., 2008; Stinson, Dawson, Goldstein, Chou, Huang, Smith, Ruan, Pulay, Saha, Pickering, & Grant, 2008).”
Affective Disturbance and Psychopathology: An Emotion Regulation Perspective (2013, neutral): “9% (Grant et al., 2008; Samuels et al., 2002; Swartz, Blazer, George, & Winfield, 1990; Torgersen, Kringlen, & Cramer, 2001), lifetime suicide attempt rates over 70% (Soloff, Lynch, & Kelly, 2002; Soloff, Lynch, Kelly, Malone, & Mann, 2000; Zisook, Goff, Sledge, & Shuchter, 1994), and typically, at ”
Narcissism in organizational contexts (2010, background): “The result is that the point prevalence of NPD is relatively low, while the prevalence of those with narcissistic symptoms (but without the sufficient distress to cross the line into the clinical disorder) is much larger (e.g., Stinson et al., 2008).”
A biosocial developmental model of borderline personality: Elaborating and extending Linehan's theory. (2009, background): “Although the prevalence of BPD appears to be higher among Native American populations and among those with incomes below $70,000 (Grant et al., 2008), the specific mechanisms by which such risk is increased require further exploration (see also Ziegenbein, Calliess, Sieberer, & Machleidt, 2008).”
Borderline Personality Disorder (2016, neutral): “Both PTSD and depression can be situated at both ends of the fast-slow LHS spectrum.”
Neuronal correlates of altered empathy and social cognition in borderline personality disorder (2011, neutral): “, 2006) and thus is rare after the age ofmidforties (Grant et al., 2008).”