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Updated: Jun 24, 2025

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Published on: August 26, 2011
Association between Pathological Narcissism and Emotion Dysregulation: A Systematic Review
Martin Blay1,2, Marie-Aude Cham3, Miguel Duarte4
1Centre de recherche en Epidémiologie et Santé des Populations Team "DevPsy", INSERM, UVSQ, Université Paris-Saclay, Villejuif, France, martin.blay5@gmail.com.
Pathological narcissism (PN) is linked to emotion dysregulation (ED), particularly vulnerable narcissism. Emotion regulation difficulties are strongly associated with narcissistic vulnerability, suggesting ED is crucial for treating PN.
Area of Science:
- Psychology
- Clinical Psychology
- Psychiatry
Background:
- Pathological narcissism (PN) involves unstable self-esteem regulation, leading to grandiose or vulnerable reactions.
- A potential link between PN and emotion dysregulation (ED) has been proposed but not systematically reviewed.
Purpose of the Study:
- To systematically review the literature on the association between PN and ED.
- To examine emotion regulation difficulties and strategies in relation to PN.
Main Methods:
- Systematic review of studies published until February 2024.
- Analysis of the association between PN (clinical and non-clinical) and ED domains.
Main Results:
- Insufficient data on grandiose narcissism and ED in non-clinical populations.
- Evidence suggests a positive association between vulnerable narcissism and ED across populations.
- Data on emotion regulation strategies and PN are scarce, with a trend towards expressive suppression in vulnerable narcissism.
Conclusions:
- Emotion dysregulation (ED) is significantly associated with narcissistic vulnerability.
- ED should be integrated into psychoeducation and psychotherapy for pathological narcissism.
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