PSYCH  Vol.6 No.15 , December 2015
The Relationship between Multidimensional Narcissism, Explicit and Implicit Self-Esteem in Eating Disorders
ABSTRACT
Eating disorders (EDs) are often characterised by a low self-esteem. Further examination of the different facets of self-esteem (explicit and implicit) and its relationship to a key personality trait, narcissism, might deepen our understanding of EDs. The aim of the present study is to examine the relationship between explicit and implicit self-esteem as well as grandiose and vulnerable narcissism in a population with EDs. Explicit and implicit self-esteem as well as pathological narcissism were compared in participants with EDs (n = 69), participants with anxiety disorders (n = 51) and participants with no history of psychiatric disorders (n = 93). All participants completed a battery of questionnaires and participated in a categorization task to measure implicit self-esteem, the Implicit Association Test (IAT). The participants with EDs had the lowest explicit self-esteem (p < 0.001), the highest levels of vulnerable narcissism (p < 0.001) and they presented higher levels of grandiose narcissism compared to participants with no history of psychiatric disorders. However, they were not different than the other groups on implicit self-esteem (p = 0.271). Participants with EDs are characterised by a low convergent self-esteem (low explicit and implicit self-esteem). Our findings also suggest that participants with EDs present narcissistic fragilities that are better explained by explicit self-esteem alone rather than by implicit self-esteem or an interaction of both facets of self-esteem.

Cite this paper
Boucher, K. , Bégin, C. , Gagnon-Girouard, M. and Ratté, C. (2015) The Relationship between Multidimensional Narcissism, Explicit and Implicit Self-Esteem in Eating Disorders. Psychology, 6, 2025-2039. doi: 10.4236/psych.2015.615200.
References
[1]   Akhtar, S., & Thomson, J. A. (1982). Overview: Narcissistic Personality Disorder. American Journal of Psychiatry, 139, 12-20.
http://dx.doi.org/10.1176/ajp.139.1.12

[2]   Besser, A., & Priel, B. (2010). Personality Vulnerability, Low Social Support, and Maladaptive Cognitive Emotion Regulation under Ongoing Exposure to Terrorist Attacks. Journal of Social and Clinical Psychology, 29, 166-201.
http://dx.doi.org/10.1521/jscp.2010.29.2.166

[3]   Besser, A., & Zeigler-Hill, V. (2010). The Influence of Pathological Narcissism on Emotional and Motivational Responses to Negative Events: The Roles of Visibility and Concern about Humiliation. Journal of Research in Personality, 44, 520-534.
http://dx.doi.org/10.1016/j.jrp.2010.06.006

[4]   Bosson, J. K., & Prewitt-Freilino, J. L. (2007). Overvalued and Ashamed: Considering the Roles of Self-Esteem and Self-Conscious Emotions in Covert Narcissism. In J. L. Tracy, R. W. Robins, & J. P. Tangney (Eds.), The Self-Conscious Emotions: Theory and Research (2nd ed., pp. 407-425). New York, NY: Guilford.

[5]   Bosson, J. K., Lakey, C. E., Campbell, W. K., Zeigler-Hill, V., Jordan, C. H., & Kernis, M. H. (2008). Untangling the Links between Narcissism and Self-Esteem: A Theoretical and Empirical Review. Social and Personality Psychology Compass, 2, 1415-1439.
http://dx.doi.org/10.1111/j.1751-9004.2008.00089.x

[6]   Brown, R. P., & Bosson, J. K. (2001). Narcissus Meets Sisyphus: Self-Love, Self-Loathing, and the Never-Ending Pursuit of Self-Worth. Psychological Inquiry, 12, 210-213.

[7]   Brunton, N. J., Lacey, H. J., & Waller, H. G. (2005). Narcissism and Eating Characteristics in Young Nonclinical Women. The Journal of Nervous and Mental Disease, 193, 140-143.
http://dx.doi.org/10.1097/01.nmd.0000152784.01448.fe

[8]   Buhlmann, U., Teachman, B., Gerbershagen, A., Kikul, J., & Rief, W. (2008). Implicit and Explicit Self-Esteem and Attractiveness Beliefs among Individuals with Body Dysmorphic Disorder. Cognitive Therapy and Research, 32, 213-225.
http://dx.doi.org/10.1007/s10608-006-9095-9

[9]   Campbell, K. W. & Foster, J. D. (2007). The Narcissistic Self: Background, an Extended Agency Model, and Ongoing Controversies. In C. Sedikides, & S. Spencer (Eds.), The Self (p. 115-138). New York: Psychology Press.

[10]   Campbell, K. W. & Green, J. D. (2007). Narcissism and Interpersonal Self-Regulation. In J. V. Wood, A. Tesser, & J. G. Holmes (Eds.), The Self and Social Relationships (pp. 73-94). New York: Psychology Press.

[11]   Campbell, K. W., Bosson, J. K., Goheen, T. W., Lakey, C. E., & Kernis, M. H. (2007). Do Narcissists Dislike Themselves “Deep Down Inside”? Psychological Science, 18, 227-229.
http://dx.doi.org/10.1111/j.1467-9280.2007.01880.x

[12]   Campbell, K. W., Brunell, A. B., & Finkel, E. J. (2006). Narcissism, Interpersonal Self-Regulation and Romantic Relationships: An Agency Model Approach. In K. D. Vohs, & E. J. Finkel (Eds.), Self and Relationships: Connecting Intrapersonal and Interpersonal Processes (pp. 57-83). New York: The Guilford Press.

[13]   Cockerham, E., Stopa, L., Bell, L., & Gregg, A. (2009). Implicit Self-Esteem in Bulimia Nervosa. Journal of Behavior Therapy and Experimental Psychiatry, 40, 265-273.
http://dx.doi.org/10.1016/j.jbtep.2008.12.003

[14]   Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

[15]   Cooper, J., & Maxwell, N. (1995). Narcissistic Wounds. London: Jason Aronson.

[16]   De Jong, P. J. (2002). Implicit Self-Esteem and Social Anxiety: Differential Self-Favouring Effects in High and Low Anxious Individuals. Behaviour Research and Therapy, 40, 501-508.
http://www.ncbi.nlm.nih.gov/pubmed/12038643
http://dx.doi.org/10.1016/S0005-7967(01)00022-5


[17]   De Raedt, R., Schacht, R., Franck, E., & De Houwer, J. (2006). Self-Esteem and Depression Revisited: Implicit Positive Self-Esteem in Depressed Patients? Behaviour Research and Therapy, 44, 1017-1028.
http://dx.doi.org/10.1016/j.brat.2005.08.003

[18]   Diguer, L., Turmel, V., Luis Da Silva, R., & Mathieu, V. (2014). Development and Initial Structure Analysis of a French version of the Pathological Narcissism Inventory. Poster Session Presented at the Meeting of the European Psychiatric Association, Munich, 1-4 March 2014.

[19]   Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive Behaviour Therapy for Eating Disorders: A “Transdiagnostic” Theory and Treatment. Behaviour Research and Therapy, 41, 509-528.
http://dx.doi.org/10.1016/S0005-7967(02)00088-8

[20]   Fetterman, A. K., & Robinson, M. D. (2010). Contingent Self-Importance among Pathological Narcissists: Evidence from an Implicit Task. Journal of Research in Personality, 44, 691-697.
http://dx.doi.org/10.1016/j.jrp.2010.09.002

[21]   Gemar, M. C., Segal, Z. V., Sagrati, S., & Kennedy, S. J. (2001). Mood-Induced Changes on the Implicit Association Test in Recovered Depressed Patients. Journal of Abnormal Psychology, 110, 282-289.
http://dx.doi.org/10.1037/0021-843X.110.2.282

[22]   Gordon, K. H., & Dombeck, J. J. (2010). The Associations between Two Facets of Narcissism and Eating Disorder Symptoms. Eating Behaviors, 11, 288-292.
http://dx.doi.org/10.1016/j.eatbeh.2010.08.004

[23]   Greenwald, A. G., & Farnham, S. D. (2000). Using the Implicit Association Test to Measure Self-Esteem and Self-Concept. Journal of Personality and Social Psychology, 79, 1022-1038.
http://dx.doi.org/10.1037/0022-3514.79.6.1022

[24]   Greenwald, A. G., Nosek, B. A., & Banaji, M. R. (2003). Understanding and Using the Implicit Association Test: I. An Improved Scoring Algorithm. Journal of Personality and Social Psychology, 85, 197-216.
http://dx.doi.org/10.1037/0022-3514.85.2.197

[25]   Greenwald, A. G., Poehlman, T. A., Uhlmann, E. L., & Banaji, M. R. (2009). Understanding and Using the Implicit Association Test: III. Meta-Analysis of Predictive Validity. Journal of Personality and Social Psychology, 97, 17-41.
http://dx.doi.org/10.1037/a0015575

[26]   Gregg, A. P., & Sedikides, C. (2010). Narcissistic Fragility: Rethinking Its Links to Explicit and Implicit Self-Esteem. Self and Identity, 9, 142-161.
http://dx.doi.org/10.1080/15298860902815451

[27]   Holliday, J., Uher, R., Landau, S., Collier, D., & Treasure, J. (2006). Personality Pathology among Individuals with a Lifetime History of Anorexia Nervosa. Journal of Personality Disorders, 20, 417-430.
http://dx.doi.org/10.1521/pedi.2006.20.4.417

[28]   Horowitz, M. (2013). Prototypical Formulation of Pathological Narcissism. In J. S. Ogrodniczuk (Ed.), Understanding and Treating Pathological Narcissism (pp. 81-92). Washington DC: American Psychological Association.
http://dx.doi.org/10.1037/14041-005

[29]   Horvath, S., & Morf, C. C. (2010). To Be Grandiose or Not to Be Worthless: Different Routes to Self-Enhancement for Narcissism and Self-Esteem. Journal of Research in Personality, 44, 585-592. http://dx.doi.org/10.1016/j.jrp.2010.07.002

[30]   Jacobi, C., Hayward, C., de Zwaan, M., Kraemer, H. C., & Agras, W. S. (2004). Coming to Terms with Risk Factors for Eating Disorders: Application of Risk Terminology and Suggestions for General Taxonomy. Psychological Bulletin, 130, 19-65.
http://dx.doi.org/10.1037/0033-2909.130.1.19

[31]   Johnson, C., & Connors, M. E. (1987). The Etiology and Treatment of Bulimia Nervosa. New York: Basic Books.

[32]   Jordan, C. H., Spencer, S. J., Zanna, M. P., Hoshino-Browne, E., & Correll, J. (2003). Secure and Defensive High Self-Esteem. Journal of Personality and Social Psychology, 85, 969-978.
http://dx.doi.org/10.1037/0022-3514.85.5.969

[33]   Kernberg, O. (1966). Structural Derivatives of Object Relationships. The International Journal of Psycho-Analysis, 47, 236-253.

[34]   Kernberg, O. (1975). Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.

[35]   Kohut, H., & Wolf, E. S. (1986). The Disorders of Self and Their Treatment: An Outline. In A. P. Morrison (Ed.), Essential Papers on Narcissism (pp. 175-196). New York and London: New York University Press.

[36]   Lehoux, P., Steiger, H., & Jabalpurwala, S. (2000). State/Trait Distinctions in Bulimic Syndromes. International Journal of Eating Disorders, 27, 36-42.
http://dx.doi.org/10.1002/(SICI)1098-108X(200001)27:1<36::AID-EAT4>3.0.CO;2-U

[37]   Meijboom, A., Jansen, A., Kampman, M., & Schouten, E. (1999). An Experimental Test of the Relationship between Self-Esteem and Concern about Body Shape and Weight in Restrained Eaters. International Journal of Eating Disorders, 25, 327-334.
http://dx.doi.org/10.1002/(SICI)1098-108X(199904)25:3<327::AID-EAT11>3.0.CO;2-5

[38]   Miller, J. D., Hoffman, B. J., Gaughan, E. T., Gentile, B., Maples, J., & Keith Campbell, W. (2011). Grandiose and Vulnerable Narcissism: A Nomological Network Analysis. Journal of Personality, 79, 1013-1042.
http://dx.doi.org/10.1111/j.1467-6494.2010.00711.x

[39]   Morf, C. C., & Rhodewalt, F. (2001). Unraveling the Paradoxes of Narcissism: A Dynamic Self-Regulatory Processing Model. Psychological Inquiry, 12, 177-196.
http://dx.doi.org/10.1207/S15327965PLI1204_1

[40]   Pimentel, C. A., Ansell, E. B., Pincus, A. L., & Cain, N. M. (2006). Initial Validation and Derivation of the Vulnerable Narcissism Scale. Unpublished Manuscript, University Park, PA: Pennsylvania State University.

[41]   Pincus, A. L., & Lukowitsky, M. R. (2010). Pathological Narcissism and Narcissistic Personality Disorder. Annual Review of Clinical Psychology, 6, 421-446.
http://dx.doi.org/10.1146/annurev.clinpsy.121208.131215

[42]   Pincus, A. L., Ansell, E. B., Pimentel, C., Cain, N. M., Wright, A. G. C., & Levy, K. N. (2009). Initial Construction and Validation of the Pathological Narcissism Inventory. Psychological Assessment, 21, 365-379.
http://dx.doi.org/10.1037/a0016530

[43]   Raskin, R. N., & Hall, C. S. (1979). A Narcissistic Personality Inventory. Psychological Reports, 45, 590.
http://dx.doi.org/10.2466/pr0.1979.45.2.590

[44]   Raskin, R. N., & Hall, C. S. (1981). The Narcissistic Personality Inventory: Alternative form Reliability and Further Evidence of Construct Validity. Journal of Personality and Social Psychology, 45, 159-162.
http://dx.doi.org/10.1207/s15327752jpa4502_10

[45]   Risch, A. K., Buba, A., Birk, U., Morina, N., Steffens, M. C., & Stangier, U. (2010). Implicit Self-Esteem in Recurrently Depressed Patients. Journal of Behavior Therapy and Experimental Psychiatry, 41, 199-206.
http://dx.doi.org/10.1016/j.jbtep.2010.01.003

[46]   Roche, M. J., Pincus, A. L., Lukowitsky, M. R., Ménard, K. S., & Conroy, D. E. (2013). An Integrative Approach to the Assessment of Narcissism. Journal of Personality Assessment, 95, 237-248.
http://dx.doi.org/10.1080/00223891.2013.770400

[47]   Rosenberg, M. (1965). Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press.

[48]   Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22-33.

[49]   Silverstone, P. H. (1992). Is Chronic Low Self-Esteem Disorders? Medical Hypotheses, 39, 311-315.
http://dx.doi.org/10.1016/0306-9877(92)90054-G

[50]   Steiger, H., Jabalpurwala, S., Champagne, J., & Stotland, S. (1997). A Controlled Study of Trait Narcissism in Anorexia and Bulimia Nervosa. International Journal of Eating Disorders, 22, 173-178.
http://dx.doi.org/10.1002/(SICI)1098-108X(199709)22:2<173::AID-EAT9>3.0.CO;2-C

[51]   Tritt, S., Ryder, A. G., Ring, A., & Pincus, A. L. (2010). Pathological Narcissism and the Depressive Temperament. Journal of Affective Disorders, 122, 208-284.
http://dx.doi.org/10.1016/j.jad.2009.09.006

[52]   Vallières, E. F., & Vallerand, R. J. (1990). Traduction et validation anadienne-française de l’échelle de l’estime de soi de Rosenberg. International Journal of Psychology, 25, 305-316.
http://dx.doi.org/10.1080/00207599008247865

[53]   Vanderlinden, J., Kamphuis, J. H., Slagmolen, C., Wigboldus, D., Pieters, G., & Probst, M. (2009). Be Kind to Your Eating Disorder Patients: The Impact of Positive and Negative Feedback on the Explicit and Implicit Self-Esteem of Female Patients with Eating Disorders. Eating Weight Disorders, 14, 237-242.
http://dx.doi.org/10.1007/BF03325124

[54]   Vater, A., Ritter, K., Schröder-Abé, M., Schütz, A., Lammers, C.-H., Bosson, J. K., & Roepke, S. (2013). When Grandiosity and Vulnerability Collide: Implicit and Explicit Self-Esteem in Patients with Narcissistic Personality Disorder. Journal of Behavior Therapy and Experimental Psychiatry, 44, 37-47.
http://dx.doi.org/10.1016/j.jbtep.2012.07.001

[55]   Wright, A. G. C., Lukowitsky, M. R., Pincus, A. L., & Conroy, D. E. (2010). The Higher Order Factor Structure and Gender Invariance of the Pathological Narcissism Inventory. Assessment, 17, 467-483.
http://dx.doi.org/10.1177/1073191110373227

[56]   Zeigler-Hill, V. (2006). Discrepancies between Implicit and Explicit Self-Esteem: Implications for Narcissism and Self-Esteem Instability. Journal of Personality, 74, 119-144.
http://dx.doi.org/10.1111/j.1467-6494.2005.00371.x

[57]   Zeigler-Hill, V., Myers, E. M., & Clark, C. B. (2010). Narcissism and Self-Esteem Reactivity: The Role of Negative Achievement Events. Journal of Research in Personality, 44, 285-292.
http://dx.doi.org/10.1016/j.jrp.2010.02.005

 
 
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