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Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 5/2015

21-11-2014 | Original Article

The Role of Narcissistic Vulnerability in Predicting Adult Posttraumatic Symptoms from Childhood Sexual Abuse

Auteurs: Eytan Bachar, Laura Canetti, Hilit Hadar, Julia Baruch, Yehuda Dor, Sara Freedman

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 5/2015

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Abstract

The aim of the present study is to determine whether narcissistic vulnerability can aid in clarifying the debate regarding the relationship between childhood sexual abuse (CSA) and adulthood adjustment to traumatic events. 157 survivors (mean age = 31.1, SD = 10.9) of a traumatic event (war activities and road and work accidents) were assessed 1 week, 1, and 4 months following the event. Of the 157 participants, 15 reported experiencing CSA, and 26 reported experiencing childhood physical abuse (CPA). In the first-week assessment, patients were administered the Narcissistic Vulnerability Scale (NVS) and the Beck Depression Inventory (BDI). In the follow-up assessments, subjects were interviewed on the Clinician-Administered PTSD Scale. Narcissistic vulnerability was found, both in 1- and 4-month follow-ups, to increase the likelihood of participants who experienced CSA to develop PTSD symptoms later in their adult life, when exposed to other additional trauma. Narcissistic vulnerability, in both follow-ups, did not increase the likelihood of participants who experienced CPA to develop PTSD symptoms later in their life when exposed to other additional trauma. The NVS predicted the development of PTSD symptoms in the whole sample, both in the 1- and 4-month follow-ups, above and beyond the prediction of the BDI. In other words, narcissistic vulnerability can add additional information above and beyond general negative emotionality. In conclusion, it is recommended to take into consideration the interplay between CSA and the individual’s narcissistic vulnerability when assessing the long term effects of CSA such as acute or chronic PTSD.
vorige artikel Measuring Somatic Complaints in Primary School Children: Validation and Revision of the German Children’s Somatization Inventory (CSI) and its Parental Version
volgende artikel A Review of the Direct and Interactive Effects of Life Stressors and Dispositional Traits on Youth Psychopathology
Literatuur
1.
Rind B, Tromovitch P, Bauserman R (1998) A meta-analytic examination of assumed properties of child sexual abuse using college samples. Psychol Bull 124(1):22–53CrossRefPubMed
2.
Jonzon E, Lindblad F (2006) Risk factors and protective factors in relation to subjective health among adult female victims of child sexual abuse. Child Abuse Neglect 30(2):127–143CrossRefPubMed
3.
Cain NM, Pincus AL, Ansell EB (2008) Narcissism at the crossroads: phenotypic description of pathological narcissism across clinical theory, social/personality psychology, and psychiatric diagnosis. Clin Psychol Rev 28(4):638–656CrossRefPubMed
4.
Maxwell K, Donnellan MB, Hopwood CJ, Ackerman RA (2011) The two faces of Narcissus? An empirical comparison of the Narcissistic Personality Inventory and the Pathological Narcissism Inventory. Pers Individ Differ 50(5):577–582CrossRef
5.
Bachar E, Hadar H, Shalev AY (2005) Narcissistic vulnerability and the development of PTSD. J Nerv Ment Dis 193(11):762–765CrossRefPubMed
6.
Perry JD, Perry JC (1996) Reliability and convergence of three concepts of narcissistic personality. Psychiatry 59(1):4–19PubMed
7.
Pincus AL, Lukowitsky MR (2010) Pathological narcissism and narcissistic personality disorder. Annu Rev Clin Psychol 6:421–446CrossRefPubMed
8.
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th ed., text rev. Washington, DC
9.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington, VA
10.
Bremner D, Vermetten E, Kelley ME (2007) Cortisol, dehydroepiandrosterone, and estradiol measured over 24 hours in women with childhood sexual abuse-related posttraumatic stress disorder. J Nerv Ment Dis 195(11):919–927CrossRefPubMed
11.
Ginzburg K, Butler LD, Giese-Davis J, Cavanaugh CE, Neri E, Koopman C et al (2009) Shame, guilt, and posttraumatic stress disorder in adult survivors of childhood sexual abuse at risk for human immunodeficiency virus: outcomes of a randomized clinical trial of group psychotherapy treatment. J Nerv Ment Dis 197(7):536–542CrossRefPubMed
12.
Kolko DJ, Hurlburt MS, Zhang J, Barth RP, Leslie LK, Burns BJ (2010) Posttraumatic stress symptoms in children and adolescents referred for child welfare investigation: a national sample of in-home and out-of-home care. Child Maltreatment 15(1):48–63CrossRefPubMed
13.
Ozer EJ, Best SR, Lipsey TL, Weiss DS (2003) Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis. Psychol Bull 129(1):52–73CrossRefPubMed
14.
Cantón-Cortés D, Cantón J, Cortés MR (2012) The interactive effect of blame attribution with characteristics of child sexual abuse on posttraumatic stress disorder. J Nerv Ment Dis 200(4):329–335CrossRefPubMed
15.
Pierrehumbert B, Torrisi R, Glatz N, Dimitrova N, Heinrichs M, Halfon O (2009) The influence of attachment on perceived stress and cortisol response to acute stress in women sexually abused in childhood or adolescence. Psychoneuroendocrinology 34(6):924–938CrossRefPubMed
16.
Shapiro DL, Levendosky AA (1999) Adolescent survivors of childhood sexual abuse: the mediating role of attachment style and coping in psychological and interpersonal functioning. Child Abus Negl 23(11):1175–1191CrossRef
17.
Aspelmeier JE, Elliott AN, Smith CH (2007) Childhood sexual abuse, attachment, and trauma symptoms in college females: the moderating role of attachment. Child Abus Negl 31(5):549–566CrossRef
18.
Schechter DS, Brunelli SA, Cunningham N, Brown J, Baca P (2002) Mother-daughter relationships and child sexual abuse: a pilot study of 35 dyads. Bull Menninger Clin 66(1):39–60CrossRefPubMed
19.
DaigneaultI Hébert M, Tourigny M (2006) Attributions and coping in sexually abused adolescents referred for group treatment. J Child Sex Abus 15(3):35–59CrossRef
20.
FeiringC Miller-Johnson S, Cleland CM (2007) Potential pathways from stigmatization and internalizing symptoms to delinquency in sexually abused youth. Child Maltreatment 12(3):220–232CrossRef
21.
Bradley B, Davis TA, Wingo AP, Mercer KB, Ressler KJ (2013) Family environment and adult resilience: contributions of positive parenting and the oxytocin receptor gene. Eur J Psychotraumatol 4:1–22
22.
Binder EB, Bradley RG, Liu W, Epstein MP, Deveau TC, Mercer KB et al (2008) Association of FKBP5 polymorphisms and childhood abuse with risk of posttraumatic stress disorder symptoms in adults. JAMA J Am Med Assoc 299(11):1291–1305CrossRef
23.
Moor A, Silvern L (2006) Identifying pathways linking child abuse to psychological outcome: the mediating role of perceived parental failure of empathy. J Emot Abus 6(4):91–114CrossRef
24.
Kohut H (1977) The restoration of the self. International Universities Press, Inc, The Restoration of the Self. New York
25.
Kohut H (1984) How does analysis cure?. University of Chicago Press, ChicagoCrossRef
26.
Simon RI (2002) Distinguishing trauma-associated narcissistic symptoms from posttraumatic stress disorder: a diagnostic challenge. Harv Rev Psychiatry 10(1):28–36CrossRefPubMed
27.
28.
Eckenrode J, Laird M, Doris J (1993) School performance and disciplinary problems among abused and neglected children. Dev Psychol 29(1):53–62CrossRef
29.
Ney PG, Fung T, Wickett AR (1994) The worst combinations of child abuse and neglect. Child Abus Negl 18(9):705–714CrossRef
30.
Sullivan TP, Fehon DC, Andres-Hyman RC, Lipschitz DS, Grilo CM (2006) Differential relationships of childhood abuse and neglect subtypes to PTSD symptom clusters among adolescent inpatients. J Trauma Stress 19(2):229–239CrossRefPubMed
31.
Deblinger E, McLeer SV, Atkins MS, Ralphe D, Foa E (1989) Post-traumatic stress in sexually abused, physically abused, and nonabused children. Child Abus Negl 13(3):403–408CrossRef
32.
Widom CS (1999) Posttraumatic stress disorder in abused and neglected children grown up. Am J Psychiatry 156(8):1223–1229PubMed
33.
Banyard VL, Williams LM, Siegel JA (2001) The long-term mental health consequences of child sexual abuse: an exploratory study of the impact of multiple traumas in a sample of women. (D. Update, Ed.). J Trauma Stress 14(4):697–715CrossRefPubMed
34.
Ginzburg K, Ein-Dor T, Solomon Z (2010) Comorbidity of posttraumatic stress disorder, anxiety and depression: a 20-year longitudinal study of war veterans. J Affect Disord 123:249–257CrossRefPubMed
35.
Bleich A, Koslowsky M, Dolev A, Lerer B (1997) Post-traumatic stress disorder and depression. An analysis of comorbidity. Br J Psychiatry 170:479–482CrossRefPubMed
36.
Momartin S, Silove D, Manicavasagar V, Steel Z (2004) Comorbidity of PTSD and depression: associations with trauma exposure, symptom severity and functional impairment in Bosnian refugees resettled in Australia. J Affect Disord 80:231–238CrossRefPubMed
37.
Blanchard EB, Buckley TC, Hickling EJ, Taylor AE (1998) Posttraumatic stress disorder and comorbid major depression: is the correlation an illusion? J Anxiety Disord 12(1):21–37CrossRefPubMed
38.
39.
Beck AT, Steer RA (1984) Internal consistencies of the original and revised Beck Depression Inventory. J Clin Psychol 40(6):1365–1367CrossRefPubMed
40.
Beck AT, Steer RA, Carbin MG (1988) Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev 8(1):77–100CrossRef
41.
Goodman LA, Corcoran C, Turner K, Yuan N, Green BL (1998) Assessing traumatic event exposure: general issues and preliminary findings for the Stressful Life Events Screening Questionnaire. J Trauma Stress 11(3):521–542CrossRefPubMed
42.
Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Gusman FD, Charney DS et al (1995) The development of a Clinician-administered PTSD Scale. J Trauma Stress 8(1):75–90CrossRefPubMed
43.
Kernberg O (1982) An ego-psychological object relation theory approach to the narcissistic personality. In: Greenspoon E (ed) Psychiatric update annual review I. American Psychiatric Press, New York
44.
Ulman RB, Brothers D (1987) A self-psychological reevaluation of posttraumatic stress disorder (PTSD) and its treatment: shattered fantasies. J Am Acad Psychoanal 15(2):175–203PubMed
45.
Wolf E (1988) Treating the self: elements of clinical self psychology. The Guilford Press, New York
46.
Higgins DJ, McCabe MP, Ricciardelli LA (2003) Child maltreatment, family characteristics and adult adjustment. JAMT 6(2):61–86
47.
Stith S, Liu T, Davies L, Boykin E, Alder M, Harris J et al (2009) Risk factors in child maltreatment: a meta-analytic review of the literature. Aggress Violent Behav 14(1):13–29CrossRef
48.
Boney-McCoy S, Finkelhor D (1996) Is youth victimization related to trauma symptoms and depression after controlling for prior symptoms and family relationships? A longitudinal, prospective study. J Consult Clin Psychol 64(6):1406–1416CrossRefPubMed
49.
Merrill LL, Thomsen CJ, Sinclair BB, Gold SR, Milner JS (2001) Predicting the impact of child sexual abuse on women: the role of abuse severity, parental support, and coping strategies. J Consult Clin Psychol 69(6):992–1006CrossRefPubMed
50.
Peleikis DE, Mykletun A, Dahl AA (2004) The relative influence of childhood sexual abuse and other family background risk factors on adult adversities in female outpatients treated for anxiety disorders and depression. Child Abus Negl 28(1):61–76CrossRef
51.
Larson JH, LaMont C (2005) The relationship of childhood sexual abuse to the marital attitudes and readiness for marriage of single young adult women. J Fam Issues 26(4):415–430CrossRef
52.
Dube SR, Anda RF, Whitfield CL, Brown DW, Felitti VJ, Dong M, Giles WH (2005) Long-term consequences of childhood sexual abuse by gender of victim. Am J Prev Med 28(5):430–438CrossRefPubMed
53.
Browne A, Finkelhor D (1986) Impact of child sexual abuse: a review of the research. Psychol Bull 99(1):66CrossRefPubMed
54.
Fischer DG, McDonald WL (1998) Characteristics of intrafamilial and extrafamilial child sexual abuse. Child Abus Negl 22(9):915–929CrossRef
55.
Cicchetti D, Rogosch FA, Gunnar MR, Toth SL (2010) The differential impacts of early physical and sexual abuse and internalizing problems on daytime cortisol rhythm in school-aged children. Child Dev 81(1):252–269PubMedCentralCrossRefPubMed
56.
Teicher MH, Samson JA, Tomoda A, Ashy M, Andersen SL (2006) Neurobiological and behavioral consequences of exposure to childhood traumatic stress. In: Arnetz BB, and Ekman R (eds) Stress in health and disease. Wiley-VCH, Weinheim, pp 280–291
Metagegevens
Titel
The Role of Narcissistic Vulnerability in Predicting Adult Posttraumatic Symptoms from Childhood Sexual Abuse
Auteurs
Eytan Bachar
Laura Canetti
Hilit Hadar
Julia Baruch
Yehuda Dor
Sara Freedman
Publicatiedatum
21-11-2014
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 5/2015
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-014-0521-z

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