Shame behind the corner? A daily diary investigation of pathological narcissism

This study investigated the association between narcissism and shame, considering different measures of narcissism, different levels of analysis, and different situational conditions. Nonclinical participants (N = 196) completed baseline measures, followed by daily questionnaires for 28 days. Multilevel models indicated that trait and daily vulnerable narcissism, as well as trait neuroticism, were positively associated with daily shame. When controlling for vulnerable narcissism, trait grandiose narcissism was unrelated to shame, and daily grandiose narcissism was mostly negatively related to it. As for situations, social stress and workload were related to increased shame, especially in those high in trait neuroticism, or narcissism scales with neurotic content. Results highlight the key role of shame in pathological narcissistic functioning.     

Direct comparisons between residential and community students on school performance measures in a public school setting

The purpose of the current study was to evaluate the school performance of residential youth who attended a public school setting. Direct comparisons were made between the residential youth and students in the community on a number of school measures. Results from a multivariate analysis of covariance indicated that the residential students had significantly lower grades, participated in significantly fewer extracurricular activities, and exhibited more problematic behaviors such as tardies and absences. These findings were consistent with previous research which found that many residential youth have a number of behavioral, social, and academic difficulties that interfere with school functioning. A number of recommendations were made regarding educational placement for residential youth.     

Narcissism,Bullying, and Social Dominance in Youth: A Longitudinal Analysis

A few previous studies have shown that narcissistic traits in youth are positively associated with bullying. However, research examining the developmental relationship between narcissism and bullying is lacking. Moreover, it is unclear whether narcissists constitute a homogeneous group and whether the bullying of narcissistic youth results in establishing social dominance over peers. The present work addresses these gaps. Children (N?=?393; M _age?=?10.3; 51 % girls) were followed during the last 3 years of primary school. Person-centered analyses were used to examine whether groups with distinct developmental trajectories for narcissism and two bullying forms (direct and indirect) can be identified, and how these trajectories are related. Multiple groups emerged for all constructs examined. For girls, higher narcissism was neither related to more intense bullying, nor to higher social dominance. In contrast, highly narcissistic boys were more likely than their peers to show elevated direct bullying, and in particular elevated indirect bullying. Hence, high narcissism is a risk factor for bullying in boys, but not in girls. However, narcissism is not always accompanied by high bullying, given that many boys on the high bullying trajectories were not high in narcissism. Results show that among narcissistic youth only those who engage in high levels of bullying are high in social dominance.     

Assessment of social functioning in combat veterans with ptsd

Maladaptive patterns of social functioning have been widely noted as core features associated with the clinical syndrome of combat-related posttraumatic stress disorder (PTSD), including interpersonal violence, social anxiety and avoidance, marital/family discord, and occupational impairment. Unfortunately, clinical instruments for evaluating the complex domains of social functioning are lacking, and no measures have been developed specifically for combat-related PTSD. Therefore, the development of reliable and valid procedures for assessing the social functioning of this group is sorely needed. A number of strategies currently exist, including symptom severity, symptom chronicity, and monetary gain incentive; however, assessment of this population represents several unique challenges. Until measures of social functioning are developed and validated specifically for combat-related PTSD, comprehensive assessment should consist of a multimethod approach, including (a) self-report measures; (b) structured interviews and clinician ratings; (c) patient ratings (e.g., daily diaries); (d) behavioral performance assessments of social skill strengths and deficits; and (e) other behavioral assessments, including functional analysis, psychophysiological measurements, and objective indicators of functioning. The development of an endstate functioning index, anchored to a normal population, would advance our ability to gage the social functioning of veterans following treatment.     

A Multilevel Meta-analysis on Academic Achievement Among Maltreated Youth

Maltreatment can influence normative development and negatively impact emotional, behavioral, and social functioning in youth. As a result, it is not surprising that maltreated youth, as compared to non-maltreated youth, tend to underperform academically. Research on the academic performance of maltreated youth has increased over the last decade and several review papers have been published in this area. While the conclusions of these review articles have been that maltreated youth are at greater risk for academic deficits as compared to their non-maltreated peers, there are several conflicting findings within the literature that make it difficult to determine if or to what extent maltreated youth may demonstrate academic difficulty. Using a multilevel, structural equation model meta-analysis technique, the current study sought to provide a quantitative synthesis of the literature by examining the mean difference between maltreated and non-maltreated youth on measures of academic performance. Moreover, the current study also examined group differences between academic subject and maltreatment type. A total of 72 effect sizes were extracted from 32 studies that met inclusion criteria. Results demonstrated an overall negative, medium effect size, such that maltreated youth tended to perform slightly greater than half a standard deviation below non-maltreated youth on measures of academic performance. Moderation analyses suggest deficits may be greater on measures of general academic performance, as compared to language arts measures. No differences were observed for maltreatment type. These findings highlight the need for increased focus on academic difficulties among maltreated youth.     

Social effectiveness therapy for children: five years later

Social Effectiveness Therapy for Children (SET-C) is a comprehensive behavioral treatment combining social skills training, peer generalization experiences, and individualized in vivo exposure for the treatment of social phobia in youth. SET-C results in positive treatment outcome and its effects are maintained at least 3 years later. In this investigation, maintenance of treatment gains 3, 4, and 5 years later was examined using a multidimensional assessment strategy consisting of self-report, parental report, clinician ratings, and direct behavioral assessment. Furthermore, the overall functioning of adolescents treated with SET-C 5 years earlier was compared with that of a group of adolescents who never suffered from psychological disorders. All posttreatment gains were maintained 5 years later, and the general functioning of SET-C treatment responders was not significantly different from those who never had a disorder. The data indicate that SET-C results in long-term positive effects for youth suffering from social phobia.     

How Adolescents’ Mental Health Predicts Their Physical Health: Unique Contributions of Indicators of Subjective Well-being and Psychopathology

Studies among youth have established a link between mental health and physical health, and highlight the importance of attending to these relationships to provide a more complete picture of functioning. However, most previous investigations have limited their focus to examining the relationship between physical health and either particular aspects of psychopathology or particular aspects of subjective well-being. The current study serves as a first examination that includes both positive (subjective well-being [SWB]) and negative (psychopathology) indicators of mental health in relation to physical health functioning, assessed via self-report measures completed by a sample of 401 early adolescents from the general population. Mental health indicators accounted for 30% of the variance in physical health ratings, and 4 of the 5 mental health indicators were unique predictors of physical health. Positive affect, a component of SWB, explained the most unique variance in physical health, followed by the other components of SWB. Results support the importance of attending to positive indicators of mental health when determining the link with physical health among youth. Implications for a research and practice focus on comprehensive wellness among youth are discussed.     

Adolescent Narcissism,Aggression, and Prosocial Behavior: The Relevance of Socially Desirable Responding

An important threat to validity in personality research pertains to an individual's motivation to respond in a socially desirable manner on self-report inventories. This issue was examined in this study in the context of narcissism, aggression, and prosocial behavior in a sample of at-risk adolescents. Participants were 161 adolescents (128 males, 29 females, 4 not reported) ranging in age from 16 to 19 years who were attending a residential program for youth who have dropped out of school. Overall, socially desirable response tendencies were negatively correlated with vulnerable narcissism and self-reported aggression. Moreover, low socially desirable responses strengthened the relation between narcissism and self-reported aggression. Socially desirable responding was not associated with self- or peer-reported prosocial behavior and did not moderate the relation between narcissism and prosocial behavior. These findings indicate that the relation between narcissism and aggression is attenuated by concerns with social desirability. However, further work is needed in broader samples of adolescents to more closely examine whether social desirability concerns actually mitigate aggression among some youth or signify underreporting of one's problem behaviors.     

自恋与社交网站使用的关系

自恋作为一种人格特质,以膨胀的自我概念、寻求他人持续的关注和肯定为主要特征,而社交网站鼓励多种形式的自我提升行为,深受自恋者的喜欢。在考察社交网站上的一般性使用行为、不同类型社交平台上、不同性质的使用行为以及具体的使用行为时,均发现了自恋的显著预测作用(自我选择效应);不同形式的社交网站使用行为也会强化个体的自恋水平(媒体效应)。自恋和社交网站使用之间相互作用、相互强化(强化螺旋模型)。两者的关系还受性别、年龄和代际差异以及文化等因素的影响。未来研究还需进一步探讨自恋和社交网站使用行为的界定及测量、两者的作用方向以及研究方法的改进等问题。     

Emotional, behavioral, and cognitive factors that differentiate obsessive-compulsive disorder and other anxiety disorders in youth

Abstract The current study examined specific emotional, behavioral, and cognitive variables that may distinguish obsessive-compulsive disorder (OCD) from generalized anxiety disorder (GAD), social phobia (SoP), and separation anxiety disorder (SAD) in youth. Youth with OCD (n=26) and other anxiety disorders (ADs; n=31), aged 7-12 years (56.1% males), and their parents participated. The study compared the two anxious groups on levels of emotional, behavioral, and cognitive functioning, as well as impairment associated with the disorder. Results indicated that in comparison to youth with GAD, SoP, or SAD, youth with OCD were found to have poorer emotion regulation skills, as well as greater oppositionality, cognitive problems/inattention, and parent impairment associated with the disorder. The findings suggest that there are unique characteristics of OCD that may differentiate this disorder from other ADs in youth. Potential clinical implications and directions for future research are discussed.     

Clinician Perspectives of Diagnosis and Perceived Client Change in “Real World” Psychotherapy for Youth Emotional and Behavioral Disorders

We investigated the extent to which clinician-assigned diagnoses of emotional and behavioral disorders and clinicians’ perceptions of client change are consistent with structured measures of youth clinical functioning and parent/family characteristics within the context of usual care or “real world” psychotherapy. A total of 54 therapists from two publicly-funded youth outpatient mental health clinics and 128 youths and parents from the therapists’ combined caseloads were included in the study. Clinician-assigned diagnosis and youth and family demographics were collected at the initial visit, clinician-reported perceived client change was collected at 6-month follow-up, and structured measures of youth clinical functioning and parent/family characteristics were collected at both time points. Results indicate some overlap between clinician-assigned diagnosis, clinician-reported perceived client change, and structured measures of youth clinical functioning and parent/family characteristics after controlling for demographic factors. Results are discussed in terms of implications for the implementation of evidence-based practices in real world community settings.     

Measuring Mental Wellbeing Among Adolescents: A Systematic Review of Instruments

Globally, promoting mental wellbeing among adolescents is of great public health and social significance. However, less is known about advances in measures of mental wellbeing, relevant for use in mental health interventions, which are age-appropriate and acceptable for use among adolescents. Comprehensive assessment includes multiple aspects of mental wellbeing, as well as positive indicators of feeling and functioning. This review used systematic review methods, guided by PRISMA, to identify and assess comprehensive instruments in terms of their content, conceptual relevance for youth, and responsiveness to change. Ryan and Deci’s framework for mental wellbeing, grounded in hedonic and eudaimonic perspectives, was applied to assess the preponderance of feeling and functioning items for each instrument. The review identified 11 instruments that fit specified inclusion criteria. Only four of the scales were developed for adolescents. Though the scales varied in their preponderance of items, all scales encompassed at least one indicator of both feeling and functioning. Findings emphasize the importance of validating adult-developed instruments for youth and ensuring the instrument’s cultural and conceptual relevance within groups of adolescents. As promoting mental wellbeing becomes critical to the field of practice, practitioners need access to relevant and acceptable measures.     

Fathers' and Mothers' Emotional Accessibility and Youth's Developmental Outcomes

ABSTRACT

This study examined the association between parents' emotional accessibility and youth's functioning. Participants included 154 parents who completed measures of parental emotional accessibility and their children's emotional and behavioral problems. Results showed that mothers are more emotionally accessible to their children. Mothers' emotional accessibility was associated negatively with youth's emotional and behavioral problems; whereas, fathers' emotional accessibility was associated with only youth's behavioral problems. This study highlights the importance of examining parental emotional accessibility when studying youth's development, utilizing parental perceptions to learn about youth and family functioning, and actively including fathers in family research studies.     

Internalizing problems and their impact on the relation between callous-unemotional traits,narcissism, and aggression

Narcissism and callous-unemotional (CU) traits have demonstrated relations with youth aggression across studies. However, different forms of narcissism and internalizing problems may exacerbate the relation between CU traits and aggression. To that end, the current study examined the degree to which interactions among internalizing problems, CU traits, and dimensions of narcissism related to aggression in a sample of 219 adolescents (83.1% males), ages 16–19, enrolled in a military-style residential program. Consistent with previous research, psychopathy-linked narcissism significantly moderated the relation between CU traits and aggression. Addtionally, self-reported aggression was highest among adolescents who endorsed high levels of CU traits, psychopathy-linked narcissism, and internalizing problems. The same pattern of results was not evident for other forms of narcissism. These results suggest that internalizing problems further increase the probability of aggression among adolescents with psychopathic tendencies (i.e., CU traits, psychopathy-linked narcissism). Further implications are discussed.     

Narcissism and well‐being: A longitudinal perspective

This study used a longitudinal design to examine both concurrent and prospective relations between narcissism and several indicators of well‐being in a non‐clinical population. Consistent with previous research, the concurrent analyses showed that (1) narcissism was related to greater well‐being with self‐esteem fully mediating the association, and (2) narcissism was related to greater self‐esteem contingency on negative interpersonal events. The prospective analyses showed that greater well‐being predicted an increase in narcissism; however, higher narcissism did not predict changes in well‐being. Lower affective reactivity to negative interpersonal events also predicted an increase in narcissism. The “would‐be” narcissist appears to be a person reporting feeling well and not overly concerned by an aversive social environment. However, narcissism does not appear to predict future benefits for one's well‐being. Copyright © 2009 John Wiley & Sons, Ltd.     

Behavioral dysexecutive symptoms in normal aging

Executive deficits of normal aging such as deficits in planning, organization or decision making are likely to affect elderly individuals in their daily life functioning. Therefore, executive functioning in aging seems to be interesting to study not only in cognitive terms but also in relation to the behavioral area. This pilot study aimed to investigate the nature of behavioral dysexecutive problems in a sample of normal elderly adults as measured by the Dysexecutive Questionnaire. Factor analysis showed that five interpretable factors could be derived from the DEX: intentionality (factor 1), interference management (factor 2), inhibition (factor 3), planning (factor 4), and social regulation (factor 5), suggesting that different components may underlie the behavioral dysexecutive symptoms of normal aging. The relationship between these factors and neuropsychological measures of Executive Functions were also briefly explored.     

Emotional,behavioral, and cognitive factors that differentiate obsessive-compulsive disorder and other anxiety disorders in youth

Abstract

The current study examined specific emotional, behavioral, and cognitive variables that may distinguish obsessive-compulsive disorder (OCD) from generalized anxiety disorder (GAD), social phobia (SoP), and separation anxiety disorder (SAD) in youth. Youth with OCD (n=26) and other anxiety disorders (ADs; n=31), aged 7–12 years (56.1% males), and their parents participated. The study compared the two anxious groups on levels of emotional, behavioral, and cognitive functioning, as well as impairment associated with the disorder. Results indicated that in comparison to youth with GAD, SoP, or SAD, youth with OCD were found to have poorer emotion regulation skills, as well as greater oppositionality, cognitive problems/inattention, and parent impairment associated with the disorder. The findings suggest that there are unique characteristics of OCD that may differentiate this disorder from other ADs in youth. Potential clinical implications and directions for future research are discussed.     

The Indirect Effects of Adolescent Psychopathic Traits on Aggression Through Social-Cognitive Factors

Psychopathic traits have been shown to designate youth who are at-risk for varied forms of aggression. The present study examined the indirect effects of social-cognitive factors (i.e., hostility and general approval of aggression) in the association between psychopathic traits (i.e., callous-unemotional traits, narcissism) and two functions of adolescent aggression (i.e., reactive, proactive). Participants were 209 (178 males, 31 females) adolescents aged 16 to 19 attending a residential program for youth who have dropped out of high school. Using a cross-sectional design, participants completed self-report measures of callous-unemotional traits (i.e., callousness, uncaring, unemotional), narcissism, aggression, hostility, and approval of aggression. Results indicated significant indirect effects of callousness on both functions of aggression through hostility. Similarly, there were significant indirect effects of narcissism on both functions of aggression through hostility. Significant indirect effects were also evident for general approval of aggression in the relations between callous-unemotional traits (both callous and uncaring dimensions) and both functions of aggression, and between narcissism and both functions of aggression. These results suggest the importance of examining social-cognitive processes insofar as they may contribute to the relation between psychopathic traits and aggression in youth and serve as possible targets of intervention.     

Mediators of aggression among young adult offspring of depressed mothers

The current article explores the connection between maternal depression and offspring aggression during the transition to adulthood, expanding the scope of prior research on this topic. Both family-level factors (including parent-child relationship quality and maternal romantic relationship quality) and youth factors (including depression history and social functioning in midadolescence) were tested as potential mediators in a longitudinal community sample of 710 youth at ages 15 and 20. The results suggest that maternal depression confers a risk for higher levels of aggressive behavior by offspring at age 20. Structural equation models suggested that the association between maternal depression and youth aggression is fully mediated by youth history of depression by midadolescence, even when accounting for the stability of aggression between ages 15 and 20. Parent-child relationship quality, youth social functioning, and maternal relationship quality were not unique mediators of this association. Limitations and implications are discussed.     

Comprehensive school-based behavioral assessment of the effects of methylphenidate.

Individualized assessments of the effects of three doses of methylphenidate (MPH) were conducted for 2 students with attention deficit hyperactivity disorder within each child's classroom using behavioral, academic, and social measures. A double-blind, placebo-controlled, multielement design was used to evaluate the results. Results suggested that at least one or more dosages of MPH were associated with some degree of improvement for both children in each area of functioning as compared to placebo. However, the degree of improvement at times varied substantially across dosage and area of functioning. Results suggest that MPH dosage and area of child functioning are critical assessment parameters and that controlled clinical trials are necessary to optimize the effectiveness of treatment with MPH for the individual child.