Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy.
Department of Educational Sciences, University of Genoa, Corso Andrea Podestà 2, 16128, Genoa, Italy.
J Gambl Stud. 2018 Dec;34(4):1241-1260. doi: 10.1007/s10899-018-9759-x.
Gambling Disorder (GD) is a complex psychopathology involving a numbers of cognitive, behavioral, emotional and neurobiological determinants. Previous research suggests that GD may frequently co-occur with Narcissistic Personality Disorder. However, there is still a lack of study investigating Pathological Narcissism (PN) in both its vulnerable and grandiose facets among clinical population. Moreover, emotional dysregulation is commonly thought to underlie GD albeit research on this topic remains poor. The present study aims to investigate the role of both vulnerable and grandiose narcissism in relation to GD as well as the mediator role played by emotion dysregulation in such link. We administered to a sample of addicted gamblers (n = 74) and a sample of heathy controls (n = 105), the South Oaks Gambling Screen (SOGS), the Pathological Narcissism Inventory (PNI) and the Difficulties in Emotion Regulation Scale (DERS). Differences across groups emerged on the scores obtained on the PNI and DERS. Moreover, we found positive associations between SOGS scores and both PNI and DERS. Also, strategic addicted gamblers showed higher levels of vulnerable narcissism compared to others. Finally, emotion dysregulation difficulties appeared to fully mediate the relationship between grandiose narcissism and GD severity. Grandiose and vulnerable narcissism appear important variables involved in GD. Also, emotion regulation deficits seem to account for GD and to explain the pathways by which grandiose narcissism leads to GD. Clinical implications and future directions are discussed.
赌博障碍 (GD) 是一种涉及多种认知、行为、情感和神经生物学决定因素的复杂心理病理学。先前的研究表明，GD 可能经常与自恋型人格障碍共病。然而，目前仍缺乏针对临床人群中脆弱和夸大自恋的病理性自恋 (PN) 的研究。此外，情绪调节障碍通常被认为是 GD 的基础，尽管关于这一主题的研究仍然很少。本研究旨在探讨脆弱和夸大自恋在 GD 中的作用，以及情绪调节障碍在这种联系中的中介作用。我们对一组成瘾赌徒（n=74）和一组健康对照组（n=105）进行了测试，测试内容包括 South Oaks Gambling Screen (SOGS)、Pathological Narcissism Inventory (PNI) 和 Difficulties in Emotion Regulation Scale (DERS)。PNI 和 DERS 的得分存在组间差异。此外，我们发现 SOGS 分数与 PNI 和 DERS 呈正相关。此外，策略性成瘾赌徒的脆弱型自恋水平高于其他人。最后，情绪调节困难似乎完全介导了夸大型自恋与 GD 严重程度之间的关系。夸大和脆弱的自恋似乎是 GD 涉及的重要变量。此外，情绪调节缺陷似乎可以解释 GD，并解释了夸大型自恋导致 GD 的途径。讨论了临床意义和未来方向。
