Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Australia.
J Pers Disord. 2020 Dec;34(6):799-813. doi: 10.1521/pedi_2019_33_413. Epub 2019 Feb 7.
Pathological narcissism is characterized by impaired interpersonal functioning, but few studies have examined the impact of the disorder on those living in a close relationship. Participants ( = 683; comprising romantic partners [77.8%], mothers [8.5%] or other family members [10%]) in a close relationship with a relative with pathological narcissism completed measures assessing levels of grief, burden, mental health, and coping style. Participants' reported burden was over 1.5 standard deviations above comparison carers of people with mood, neurotic, or psychotic disorders, and higher than carers of people with borderline personality disorder. Similarly, caseness for depression (69% of sample) or anxiety disorders (82%) in the sample was high. Relationship type, subtype expression (vulnerable/grandiose), and coping style were all found to significantly relate to experienced psychopathology. Although limitations exist regarding sample selection that may influence interpretation of results, these findings quantify the significant interpersonal impact of pathological narcissism in this sample.
病理性自恋的特点是人际关系受损，但很少有研究探讨这种障碍对亲密关系中生活的人的影响。与病理性自恋的亲属（包括浪漫伴侣[77.8%]、母亲[8.5%]或其他家庭成员[10%]）有亲密关系的参与者完成了评估悲伤、负担、心理健康和应对方式水平的测量。参与者报告的负担比心境、神经质或精神病性障碍患者的对照照顾者高出 1.5 个标准差以上，比边缘型人格障碍患者的对照照顾者还要高。同样，该样本中抑郁（69%）或焦虑障碍（82%）的病例数也很高。研究发现，关系类型、亚类型表达（脆弱/浮夸）和应对方式都与所经历的精神病理学显著相关。尽管样本选择存在限制，可能影响结果的解释，但这些发现量化了病理性自恋在该样本中的人际影响。
