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自恋与适应不良的白日梦之间有什么关系?防御机制作为中介的作用。

What Is the Relationship Between Narcissism and Maladaptive Daydreaming? The Role of Defense Mechanisms as Mediators.

作者信息

Renzi Alessia, Mariani Rachele

机构信息

Department of Dynamic and Clinical Psychology and Health Studies "Sapienza" University of Rome Rome Italy.

出版信息

Psychiatr Res Clin Pract. 2025 Apr 9;7(3):156-164. doi: 10.1176/appi.prcp.20250018. eCollection 2025 Fall.

Abstract

OBJECTIVE

Maladaptive daydreaming (MD) is a recently defined clinical condition characterized by an excessively immersive use of fantasy and imagination, which can significantly impact both professional and social life. The primary aim of this study is to examine potential associations between MD levels, narcissistic personality traits, and defense mechanisms. Additionally, the study aims to test mediation models to explore the direct and indirect roles of narcissism on MD levels through defense mechanisms.

METHODS

A total of 562 participants (mean age = 27.16 years; SD = 10.21; 68% female) completed an online survey comprising a socio-demographic questionnaire, the Maladaptive Daydreaming Scale (MDS), the Pathological Narcissism Inventory (PNI), and the Defense Mechanisms Rating Scales-Self Report-30 item (DMRS-SR-30).

RESULTS

The MDS score was positively related to the PNI total and subscales. Moreover, there were negative associations with mature defenses, and a positive association with neurotic and immature defenses. Age showed a weak negative association with MDS. A direct effect of narcissism on MD levels and an indirect impact through immature and neurotic defense and direct trough mature defenses, emerged.

CONCLUSIONS

The significant associations found in this study support a link between narcissistic personality traits and MD, where defenses seem to play a relevant role.

RELEVANCE TO CLINICAL PRACTICE

These findings underscore the potential benefits of treatments and clinical interventions aimed at fostering mature defense mechanisms. Such approaches can be particularly valuable for young adults in managing psychological distress linked to narcissistic vulnerability, which directly contributes to maladaptive fantasies and social withdrawal.

摘要

目的

适应不良性白日梦(MD)是一种最近定义的临床状况,其特征是过度沉浸于幻想和想象,这会对职业和社交生活产生重大影响。本研究的主要目的是检验MD水平、自恋型人格特质和防御机制之间的潜在关联。此外,该研究旨在测试中介模型,以探索自恋通过防御机制对MD水平的直接和间接作用。

方法

共有562名参与者(平均年龄=27.16岁;标准差=10.21;68%为女性)完成了一项在线调查,该调查包括一份社会人口学问卷、适应不良性白日梦量表(MDS)、病理性自恋量表(PNI)和防御机制评定量表-自我报告-30项(DMRS-SR-30)。

结果

MDS得分与PNI总分及各子量表呈正相关。此外,与成熟防御呈负相关,与神经质和不成熟防御呈正相关。年龄与MDS呈微弱负相关。出现了自恋对MD水平的直接影响以及通过不成熟和神经质防御的间接影响以及通过成熟防御的直接影响。

结论

本研究中发现的显著关联支持了自恋型人格特质与MD之间的联系,其中防御似乎起到了相关作用。

与临床实践的相关性

这些发现强调了旨在培养成熟防御机制的治疗和临床干预的潜在益处。这种方法对于管理与自恋易感性相关的心理困扰的年轻人可能特别有价值,自恋易感性直接导致适应不良的幻想和社交退缩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/021a/12418757/f8056ab1583b/RCP2-7-156-g003.jpg

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