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).
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Notes
The full break down of the ethnicities and country of origin of the participants are included in Appendix A of the supplemental materials.
References
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
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
Pincus AL et al (2009) Initial construction and validation of the Pathological Narcissism Inventory. Psychol Assess 21:365. https://doi.org/10.1037/a0016530
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
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
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
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
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
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
Linehan MM (1993) Cognitive behavioral therapy of borderline personality disorder. Guilford Press, New York
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
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
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
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
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
Krizan Z, Herlache AD (2017) The narcissism spectrum model. Personal Soc Psychol Rev 22:3–31. https://doi.org/10.1177/1088868316685018
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
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
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
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
Hayes AF (2013) Introduction to mediation, moderation, and conditional process analysis: a regression based approach. Guilford Press, New York
Tabachnick BG, Fidell LS (2013) Using multivariate statistics, 6th edn. Pearson, London
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
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
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
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
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
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
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
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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.
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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.
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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
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DOI: https://doi.org/10.1007/s40519-019-00647-2
Keywords
- Eating disorders
- Narcissism
- Parental invalidation
- Mediation analysis