{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T03:37:58Z","timestamp":1788752278303,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Autism Research"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The relationship between Autism Spectrum Disorders (ASD) and Narcissistic Personality Disorder (NPD), considering the dimensions of narcissistic grandiosity and vulnerability, represents an important differential diagnosis and potential ground of comorbidity, since both conditions show high grades of pervasiveness, a life\u2010long course, ego\u2010syntonic traits, and difficulties in building up and sustaining interpersonal relationships Although the co\u2010diagnosis rates, according to the categorical criteria in use, are limited (0%\u20136.4%), it is common to encounter diagnostic doubts in clinical practice. Here we investigated the dimensions of narcissistic vulnerability and grandiosity in a sample of 87 adults diagnosed with ASD without intellectual disabilities through the administration of the Pathological Narcissism Inventory\u201052 Items (PNI\u201052). The mean scores of our sample were compared with the normative distribution available in the literature, and we found that individuals with ASD scored significantly higher than neurotypical controls at the Total Score and at the Vulnerable Narcissism subscale, but not at the Grandiose Narcissism subscales. Demographic features did not influence these results. Vulnerable narcissism was significantly associated with the \u201cRitvo Autism and Asperger Diagnostic Scale \u2010\u00a0Revised\u201d subscale Social Relatedness. These findings could potentially be indicative of a greater comorbidity rate between the two disorders with respect to the one reported to date, possibly because DSM\u20105 criteria are mainly focused on the grandiose dimension. Potential explanatory links between ASD phenomenology and vulnerable narcissism, such as the personality dimension of neuroticism, are discussed, together with the possible role of narcissistic vulnerability in mediating internalizing symptoms (e.g., anxiety, depression) in individuals with ASD.<\/jats:p>","DOI":"10.1002\/aur.3065","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T21:50:55Z","timestamp":1700603455000},"page":"138-147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Traits of narcissistic vulnerability in adults with autism spectrum disorders without intellectual disabilities"],"prefix":"10.1002","volume":"17","author":[{"given":"Giovanni","family":"Broglia","sequence":"first","affiliation":[{"name":"Dipartimento di Scienze della Salute Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Nistic\u00f2","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze della Salute Universit\u00e0 degli Studi di Milano Milan Italy"},{"name":"\u201cAldo Ravelli\u201d Research Center for Neurotechnology and Experimental Brain Therapeutics University of Milan Milan Italy"},{"name":"Dipartimento di Psicologia Universit\u00e0 degli Studi di Milano\u2010Bicocca Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Di Paolo","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze della Salute Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaella","family":"Faggioli","sequence":"additional","affiliation":[{"name":"Unit\u00e0 di Psichiatria 52, Dipartimento Salute Mentale e Dipendenze, Presidio San Paolo ASST Santi Paolo e Carlo Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Bertani","sequence":"additional","affiliation":[{"name":"Centro Giovani \u201cEttore Ponti\u201d, Dipartimento Salute Mentale e Dipendenze ASST Santi Paolo e Carlo Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orsola","family":"Gambini","sequence":"additional","affiliation":[{"name":"Dipartimento di Scienze della Salute Universit\u00e0 degli Studi di Milano Milan Italy"},{"name":"\u201cAldo Ravelli\u201d Research Center for Neurotechnology and Experimental Brain Therapeutics University of Milan Milan Italy"},{"name":"Unit\u00e0 di Psichiatria 52, Dipartimento Salute Mentale e Dipendenze, Presidio San Paolo ASST Santi Paolo e Carlo Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedetta","family":"Demartini","sequence":"additional","affiliation":[{"name":"\u201cAldo Ravelli\u201d Research Center for Neurotechnology and Experimental Brain Therapeutics University of Milan Milan Italy"},{"name":"Unit\u00e0 di Psichiatria 52, Dipartimento Salute Mentale e Dipendenze, Presidio San Paolo ASST Santi Paolo e Carlo Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2006.163.7.1239"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","DOI":"10.5040\/9781805014300","volume-title":"The complete guide to Asperger's syndrome","author":"Attwood T.","year":"2007"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JADD.0000022607.19833.00"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005653411471"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0026576"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_8_9_1","volume-title":"Narcisismo patologico. 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