Skip to main content
Log in

Vulnerable narcissism as a mediator of the relationship between perceived parental invalidation and eating disorder pathology

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

Parental invalidation and narcissism have been proposed to play an important role in understanding the etiology of eating disorders. The current research aimed to address two main gaps in the literature. The first aim was to determine the differential associations of grandiose and vulnerable narcissism with eating disorder pathology. The second aim was to find a common mediator between both maternal and paternal invalidation and eating disorder pathology. It was hypothesized that when controlling for vulnerable narcissism, grandiose narcissism would not predict eating disorder pathology. In addition, it was hypothesized that vulnerable narcissism would be a mediator of the relationship between parental invalidation and eating disorder pathology.

Methods

Participants were 352 women aged 18–30 years who were recruited from the general and tertiary student population, and as such constituted a community sample. Participants completed the Invalidating Childhood Environment Scale, Brief-Pathological Narcissism Inventory, Eating Disorder Examination Questionnaire, the Avoidance of Affect Subscale of the Distress Tolerance Scale, and the Emotional Expression as a Sign of Weakness Subscale of the Attitudes Towards Emotional Expression Scale in an online survey.

Results

Results showed that, when controlling for vulnerable narcissism, grandiose narcissism was no longer associated with eating disorder pathology. It was also found that parental invalidation had a positive indirect effect upon eating disorder pathology, via vulnerable narcissism.

Conclusions

The findings indicate that vulnerable narcissism is more strongly associated with eating disorder pathology as opposed to grandiose narcissism and help to further elucidate the mechanisms via which parental invalidation might exert its negative effect on eating disorder pathology.

Level of evidence

A cross-sectional survey (Level V).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Notes

  1. The full break down of the ethnicities and country of origin of the participants are included in Appendix A of the supplemental materials.

References

  1. Stice E (2002) Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 128:825–848. https://doi.org/10.1037//0033-2909.128.5.825

    Article  PubMed  Google Scholar 

  2. Zerach G (2014) The associations between pathological narcissism, alexithymia and disordered eating attitudes among participants of pro-anorexic online communities. Eat Weight Disord 19:337–345. https://doi.org/10.1007/s40519-013-0096-x

    Article  PubMed  Google Scholar 

  3. Pincus AL et al (2009) Initial construction and validation of the Pathological Narcissism Inventory. Psychol Assess 21:365. https://doi.org/10.1037/a0016530

    Article  PubMed  Google Scholar 

  4. Boucher K et al (2015) The relationship between multidimensional narcissism, explicit and implicit self-esteem in eating disorders. Psychology 6:2025. https://doi.org/10.4236/psych.2015.615200

    Article  Google Scholar 

  5. Dakanalis A, Clerici M, Carrà G (2016) Narcissistic vulnerability and grandiosity as mediators between insecure attachment and future eating disordered behaviors: a prospective analysis of over 2,000 freshmen. J Clin Psychol 72:279–292 https://doi.org/10.1002/jclp.22237

    Article  PubMed  Google Scholar 

  6. Gordon KH, Dombeck JJ (2010) The associations between two facets of narcissism and eating disorder symptoms. Eat Behav 11:288–292. https://doi.org/10.1016/j.eatbeh.2010.08.004

    Article  PubMed  Google Scholar 

  7. Mountford V et al (2007) Development of a measure to assess invalidating childhood environments in the eating disorders. Eat Behav 8:48–58. https://doi.org/10.1016/j.eatbeh.2006.01.003

    Article  PubMed  Google Scholar 

  8. Haslam M et al (2008) Invalidating childhood environments in anorexia and bulimia nervosa. Eat Behav 9:313–318. https://doi.org/10.1016/j.eatbeh.2007.10.005

    Article  PubMed  Google Scholar 

  9. Haslam M et al (2012) Attitudes towards emotional expression mediate the relationship between childhood invalidation and adult eating concern. Eur Eat Disord Rev 20:510–514. https://doi.org/10.1002/erv.2198

    Article  PubMed  Google Scholar 

  10. Linehan MM (1993) Cognitive behavioral therapy of borderline personality disorder. Guilford Press, New York

    Google Scholar 

  11. Huxley E, Bizumic B (2017) Parental invalidation and the development of narcissism. J Psychol 151:130–147. https://doi.org/10.1080/00223980.2016.1248807

    Article  PubMed  Google Scholar 

  12. Monell E et al (2015) Emotion dysregulation, self-image and eating disorder symptoms in University Women. J Eat Disord 3:44. https://doi.org/10.1186/s40337-015-0083-x

    Article  PubMed  PubMed Central  Google Scholar 

  13. Dickinson K, Pincus AL (2003) Interpersonal analysis of grandiose narcissism and vulnerable narcissism. J Pers Disord 17:188–207. https://doi.org/10.1521/pedi.17.3.188.22146

    Article  PubMed  Google Scholar 

  14. Hartmann A, Zeeck A, Barrett MS (2010) Interpersonal problems in eating disorders. Int J Eat Disord 43:619–627. https://doi.org/10.1002/eat.20747

    Article  PubMed  Google Scholar 

  15. Rieger E et al (2010) An eating disorder-specific model of interpersonal psychotherapy (IPT-ED): causal pathways and treatment implications. Clin Psychol Rev 30:400–410. https://doi.org/10.1016/j.cpr.2010.02.001

    Article  PubMed  Google Scholar 

  16. Krizan Z, Herlache AD (2017) The narcissism spectrum model. Personal Soc Psychol Rev 22:3–31. https://doi.org/10.1177/1088868316685018

    Article  Google Scholar 

  17. Hudson JI et al (2007) The prevalence and correlates of eating disorders in the national comorbidity survey replication. Biol Psychiatry 61:348–358. https://doi.org/10.1016/j.biopsych.2006.03.040

    Article  PubMed  Google Scholar 

  18. Schoenleber M et al (2015) Development of a brief version of the pathological narcissism inventory. Psychol Assess 27:1520–1526. https://doi.org/10.1037/pas0000158

    Article  PubMed  PubMed Central  Google Scholar 

  19. Fairburn CG, Beglin S (2008) Eating disorder examination questionnaire (EDE-Q 6.0). In: Fairburn CG (ed) Cognitive behaviour therapy for eating disorders. Guildford Press, New York

    Google Scholar 

  20. Joseph S et al (1994) The preliminary development of a measure to assess attitudes towards emotional expression. Personal Individ Differ 16:869–875. https://doi.org/10.1016/0191-8869(94)90231-3

    Article  Google Scholar 

  21. Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: a regression based approach. Guilford Press, New York

    Google Scholar 

  22. Tabachnick BG, Fidell LS (2013) Using multivariate statistics, 6th edn. Pearson, London

    Google Scholar 

  23. Krause ED, Mendelson T, Lynch TR (2003) Childhood emotional invalidation and adult psychological distress: the mediating role of emotional inhibition. Child Abuse Negl 27:199–213. https://doi.org/10.1016/S0145-2134(02)00536-7

    Article  PubMed  Google Scholar 

  24. Robertson CD, Kimbrel NA, Nelson-Gray RO (2013) The Invalidating Childhood Environment Scale (ICES): psychometric properties and relationship to borderline personality symptomatology. J Personal Disord 27:402–410. https://doi.org/10.1521/pedi_2012_26_062

    Article  Google Scholar 

  25. Shenk CE, Fruzzetti AE (2013) Parental validating and invalidating responses and adolescent psychological functioning: an observational study. Fam J 22:43–48. https://doi.org/10.1177/1066480713490900

    Article  Google Scholar 

  26. Foster JD, Campbell WK, Twenge JM (2003) Individual differences in narcissism: inflated self-views across the lifespan and around the world. J Res Personal 37:469–486. https://doi.org/10.1016/S0092-6566(03)00026-6

    Article  Google Scholar 

  27. O’Brien ML (1987) Examining the dimensionality of pathological narcissism: factor analysis and construct validity of the O’Brien multiphasic narcissism inventory. Psychol Rep 61:499–510. https://doi.org/10.2466/pr0.1987.61.2.499

    Article  PubMed  Google Scholar 

  28. Pincus AL, Cain NM, Wright AGC (2014) Narcissistic grandiosity and narcissistic vulnerability in psychotherapy. Personal Disord Theory Res Treat 5:439–443. https://doi.org/10.1037/per0000031

    Article  Google Scholar 

  29. Campbell MA, Waller G, Pistrang N (2009) The Impact of narcissism on drop-out from cognitive-behavioral therapy for the eating disorders: a pilot study. J Nerv Ment Dis 197:278–281. https://doi.org/10.1097/NMD.0b013e31819dc150

    Article  PubMed  Google Scholar 

Download references

Funding

There has been no funding received in conducting the study and in the preparation of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Danushika Sivanathan.

Ethics declarations

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the Human Research Ethics Committee of the Australian National University (ANU) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Ethics approval was obtained from the ANU Human Research Ethics Committee prior to conducting this research.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Data availability

The data sets generated during and/or analyzed during the current study are available in the Open Science Framework repository, https://mfr.osf.io/render?url=https://osf.io/6xpfg/?action=download%26mode=render.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Personality and eating and weight disorders.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PDF 318 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sivanathan, D., Bizumic, B., Rieger, E. et al. Vulnerable narcissism as a mediator of the relationship between perceived parental invalidation and eating disorder pathology. Eat Weight Disord 24, 1071–1077 (2019). https://doi.org/10.1007/s40519-019-00647-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-019-00647-2

Keywords

Navigation