Chapter 15
Sociodemographic Correlates of DSM-IV Narcissistic Personality Disorder
Results From the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)
Attila J. Pulay,
Risë B. Goldstein,
Bridget F. Grant,
Attila J. Pulay
Search for more papers by this authorRisë B. Goldstein
Search for more papers by this authorBridget F. Grant
Search for more papers by this authorAttila J. Pulay,
Risë B. Goldstein,
Bridget F. Grant,
Attila J. Pulay
Search for more papers by this authorRisë B. Goldstein
Search for more papers by this authorBridget F. Grant
Search for more papers by this authorBook Editor(s):W. Keith Campbell,
Joshua D. Miller,
W. Keith Campbell
Search for more papers by this authorJoshua D. Miller
Search for more papers by this authorSummary
This study investigated the prevalence, sociodemographic correlates, and symptom endorsement of narcissistic personality disorder (NPD) in the general U.S. population based on the Wave 2 NESARC. Prevalence of NPD was 6.2% in the total sample, with greater rates among men, Blacks, young adults, and divorced, separated, or widowed respondents. NPD symptomatology also varied by sex, age, and race-ethnicity, highlighting the importance of these factors in personality pathology.
References
- Alarcon, R. D. (1995). Culture and psychiatric diagnosis. Impact on DSM-IV and ICD-10. Psychiatric Clinics of North America, 18, 449–465.
- Alarcon, R. D., & Foulks, E. F. (1995a). Personality disorders and culture: Contemporary clinical views (Part A). Cultural Diversity and Mental Health, 1, 3–17.
- Alarcon R.D., & Foulks, E. F. (1995b). Personality disorders and culture: Contemporary clinical views (Part B). Cultural Diversity and Mental Health, 1, 79–91.
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders ( 4th ed.). Washington, DC: Authors.
- Baumsteiner, R. F. (1986). Identity: Cultural change and the struggle for self. New York, NY: Oxford University Press.
- Black, D. W., Noyes, Jr. R., Pfohl, B., Goldstein, R. B., & Blum, N. (1993). Personality disorder in obsessive-compulsive volunteers, well comparison subjects, and their first-degree relatives. American Journal of Psychiatry, 150, 1226–1232.
- Caldwell-Harris, C. L., & Aycicegi, A. (2006). When personality and culture clash. Transcultural Psychiatry, 43, 331–61.
- Campbell, W. K., Bush, C. P., Brunell, A. B., & Shelton, J. (2005). Understanding the social costs of narcissism: The case of tragedy of the commons. Personality and Social Psychology Bulletin, 31, 1358–1368.
- Campbell, W. K., Foster, C. A., & Finkel, E. J. (2002). Does self-love lead to love for others? A story of narcissistic game playing. Journal of Personality and Social Psychology, 83, 340–354.
- Chavira, D. A., Grilo, M., Shea, M. T., Yen, S., Gunderson, J. G., Morey L.C., … McGlashan, T. H. (2003). Ethnicity and personality disorders. Comprehensive Psychiatry, 44, 483–491.
- Coid, J. (2003). Epidemiology, public health and the problem of personality disorder. British Journal of Psychiatry, 182, S3–S10.
- Coid, J., Yang, M., Tyrer, P., Roberts, A., & Ullrich, S. (2006). Prevalence and correlates of personality disorder in Great Britain. British Journal of Psychiatry, 188, 423–431.
- Compton, W. M., Conway, K. P., Stinson, F. S., Colliver, J. D., & Grant, B. F. (2005). Prevalence, correlates, and comorbidity of DSM-IV antisocial personality syndromes and alcohol and specific drug use disorders in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 677–685.
- Cramer, V., Torgersen, S., & Kringlen, E. (2006). Personality disorders and quality of life: A population survey. Comprehensive Psychiatry, 47, 178–184.
- Diener, E., & Suh, E. M. (1999). National differences in subjective well-being. In D. E. Kahneman & E. Diener (Eds.), Well-being: The foundations of hedonic psychology (pp. 443–450). New York, NY: Sage.
- Dolan, B., & Coid, J. (1993). Psychopathic and antisocial personality disorders: Treatment and research issues. London, England: Gaskell.
- Ekselius, L., Tillfors, M., Furmark, T., & Fredrikson, M. (2001). Personality disorders in the general population: DSM-IV and ICD-10 defined prevalence as related to sociodemographic profile. Personality and Individual Differences, 30, 311–320.
- First, M. B., Gibbon, M., Spitzer, R. L., Williams, J.B.W., & Benjamin, L. S. (1997). User's guide for the structured clinical interview for DSM-IV personality disorders. Washington, DC: American Psychiatric Press.
- Grant, B. F., Dawson, D. A., & Hasin, D. S. (2001). The alcohol use disorder and associated disabilities interview schedule—DSM-IV version. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.
- Grant, B. F., Dawson, D. A., & Hasin, D. S. (2004). The wave 2 national epidemiologic survey on alcohol and related conditions alcohol use disorder and associated disabilities interview schedule—DSM-IV version. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.
- Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J., & Pickering, R. P. (2004). Prevalence, correlates, and disability of personality disorders in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 65, 948–995.
- Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Chou, S. P., & Ruan, W. J. (2005). Co-occurrence of 12-month mood and anxiety disorders and personality disorders in the U.S.: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Psychiatric Research, 39, 1–9.
- Grant, B. F., Kaplan, K. K., & Stinson, F. S. (2005). Source and accuracy statement for the wave 2 national epidemiologic survey on alcohol and related conditions. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.
- Grant, B. F., Moore, T. C., Shepard, J., & Kaplan, K. (2003). Source and accuracy statement: Wave 1 national epidemiologic survey on alcohol and related conditions (NESARC). Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.
- Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Dufour, M. C., Compton, W., … Kaplan, K. (2004). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: Results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry, 61, 807–816.
- Hamberger, L. K., & Hastings, J. E. (1992). Racial differences on the MCMI in an outpatient clinical sample. Journal of Personality Assessment, 58, 90–95.
- Jenkins, R. (2001). Making psychiatric epidemiology useful: The contribution of epidemiology to government policy. Acta Psychiatrica Scandinavica, 102, 2–14.
- Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., … Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the national comorbidity survey. Archives of General Psychiatry, 51, 8–19.
- Klein, D. N., Riso, L. P., Donaldson, S. K., Schwartz, J. E., Anderson, R. L., Ouimette, P. C., … Aronson, T. A. (1995). Family study of early-onset dysthymia: Mood and personality disorders in relatives of outpatients of dysthymia and episodic major depression and normal controls. Archives of General Psychiatry, 52, 487–496.
- Komarraju, M., & Cokley, K. O. (2008). Horizontal and vertical dimensions of individualism-collectivism: A comparison of African Americans and European Americans. Cultural Diversity and Ethnic Minority Psychology, 14, 336–343.
- Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler R.C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 62, 553–564.
- Lenzenweger, M. F., Loranger, A. W., Korfine, L. & Neff, C. (1997). Detecting personality disorders in a nonclinical population: Application of a 2-stage procedure for case identification. Archives of General Psychiatry, 54, 345–351.
- Loranger, A. W. (1999). International personality disorder examination: DSM-IV and ICD-10 interviews. Odessa, FL: Psychological Assessment Resources.
- Miller, J. D., Campbell, W. K., & Pilkonis, P. A. (2007). Narcissistic personality disorder: Relation with distress and functional impairment. Comprehensive Psychiatry, 48, 170–177.
- Narrow, W. E., First, M. E., Sirovatka, P., & Regier, D. A. (2007). Age and gender considerations in psychiatic diagnosis. Arlington, VA: American Psychiatric Association.
- Oldham, J. M., Skodol, A. E., Kellman, H. D., Hyler, S. E., Doidge, N., Rosnick, L., & Gallaher, P. E. (1995). Comorbidity of axis I and axis II disorders. American Journal of Psychiatry, 152, 571–578.
- Research Triangle Institute. (2006). Software for survey data analysis (SUDAAN). Version 10.0.1. Research Triangle Institute, Research Triangle Park, NC: Author.
- L. N. Robins, & D. A. Regier (Eds.). (1991). Psychiatric disorders in America. New York, NY: Free Press.
- Rogler, L. H. (1999). Methodological sources of cultural insensitivity in mental health research. American Psychologist, 54, 424–433.
- Ronningstam, E., Gunderson, J., & Lyons, M. (1995). Changes in pathological narcissism. American Journal of Psychiatry, 152, 253–257.
- Ruan, W. J., Goldstein, R. B., Chou, S. P., Smith, S. M., Saha, T. D., Pickering, R. P., … Grant, B. F. (2008). The alcohol use disorder and associated disabilities interview schedule—IV (AUDADIS-IV): Reliability of new psychiatric diagnostic modules and risk factors in a general population sample. Drug and Alcohol Dependence, 92, 27–36.
- Samuels, J. F., Nestadt, G., Romanoski, A. J., Folstein, M. F., & McHugh, P. R. (1994). DSM-III personality disorders in the community. American Journal of Psychiatry, 151, 1055–1062.
- Skodol, A. E., Oldham, J. M., Hyler, S. E., Stein, D. J., Hollander, E., Gallaher, P. E., & Lopez, A. E. (1995). Patterns of anxiety and personality disorder comorbidity. Journal of Psychiatric Research, 29, 361–374.
- Skodol, A. E., Stout, R. L., McGlashan, T. H., Grilo, C. M., Gunderson, J. G., Shea, M. T., … Oldham, J. M. (1999). Co-occurrence of mood and personality disorders: A report from the collaborative longitudinal personality disorders study (CLPS). Depression and Anxiety, 10, 175–182.
- Stinson, F. S., Dawson, D. A., Goldstein, R. B., Chou, S. P., Huang, B., Smith, S. M., … Grant, B. F. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder: Results from the wave 2 national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry 69, 1033–1045.
- Torgersen, S., Kringlen, E., & Cramer, V. (2001). The prevalence of personality disorders in a community sample. Archives of General Psychiatry, 58, 590–596.
- Zanarini, M. C., Frankenburg, F. R., Sickel, A. E., & Yong, L. (1996). The diagnostic interview for DSM-IV personality disorders. McLean Hospital, Laboratory for the Study of Adult Development, Belmont, MA.
- Zimmerman, M., & Coryell, W. (1989). DSM-III personality disorder diagnoses in a nonpatient sample: Demographic correlates and comorbidity. Archives of General Psychiatry, 46, 682–689.
- Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162, 1911–1918.
