{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:51:57Z","timestamp":1786978317241,"version":"build-2736575974"},"reference-count":62,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pathological narcissism (PN) is a common psychopathological issue leading to maladaptive strategies to cope with self\u2010esteem threats, including self\u2010enhancement and exploitation (grandiose strategies) or internalized shame, depression, and social withdrawal (vulnerable strategies). Mentalizing is a key process for regulating self and other representations and their associated emotions. Patients with PN further struggle with emotion dysregulation (ED), which during development is intertwined with the growing capacity to mentalize. We seek to contribute to emerging empirical data documenting the associations between PN and ED and between PN and mentalizing, and to provide information on the nature of their mutual relationships. In the present study, we assessed PN, ED, and three mentalizing dimensions (mentalizing self, other, and motivation to mentalize) in 183 patients consulting in our outpatient unit specialized in ED. We found that narcissistic vulnerability was negatively associated with self\u2010mentalizing and positively associated with overall ED, both even after adjustment for borderline and attention deficit hyperactivity disorder (ADHD) symptoms. However, the association with ED was not maintained after further adjustment for self\u2010mentalizing or overall\u2010mentalizing, which suggests that mentalizing may play a mediating role in this relationship. On the other hand, narcissistic grandiosity was positively associated with other\u2010mentalizing and ED and negatively associated with self\u2010mentalizing in bivariate analyses, but these last two associations were not maintained after adjustment for comorbid borderline and\/or ADHD symptomatology. This study provides new information on the link between PN and ED and on key mentalizing dimensions meaningfully relating to PN, notably through a potential role of self\u2010mentalizing processes between PN and ED.<\/jats:p>","DOI":"10.1002\/pmh.1613","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T21:37:53Z","timestamp":1715031473000},"page":"227-237","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Association between pathological narcissism and emotion regulation: The role of self\u2010mentalizing?"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7021-1768","authenticated-orcid":false,"given":"Martin","family":"Blay","sequence":"first","affiliation":[{"name":"ADDIPSY, Addictology and Psychiatry Outpatient Center, Groupe Sant\u00e9 Basque D\u00e9veloppement  Lyon France"},{"name":"Universit\u00e9 Paris\u2010Saclay, UVSQ, INSERM, Centre de recherche en Epid\u00e9miologie et Sant\u00e9 des Populations Team \u201cDevPsy\u201d  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaux","family":"Bouteloup","sequence":"additional","affiliation":[{"name":"Service of Psychiatric Specialties, Department of Psychiatry University Hospitals of Geneva  Geneva Switzerland"},{"name":"Developmental Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Duarte","sequence":"additional","affiliation":[{"name":"Service of Psychiatric Specialties, Department of Psychiatry University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Hasler","sequence":"additional","affiliation":[{"name":"Service of Psychiatric Specialties, Department of Psychiatry University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonore","family":"Pham","sequence":"additional","affiliation":[{"name":"Service of Psychiatric Specialties, Department of Psychiatry University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosetta","family":"Nicastro","sequence":"additional","affiliation":[{"name":"Service of Psychiatric Specialties, Department of Psychiatry University Hospitals of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marl\u00e8ne","family":"Jan","sequence":"additional","affiliation":[{"name":"University Department of Child and Adolescent Psychiatry Versailles Hospital Center  Le Chesnay France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Debban\u00e9","sequence":"additional","affiliation":[{"name":"Developmental Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences University of Geneva  Geneva Switzerland"},{"name":"Research Department of Clinical, Educational and Health Psychology University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nader","family":"Perroud","sequence":"additional","affiliation":[{"name":"Service of Psychiatric Specialties, Department of Psychiatry University Hospitals of Geneva  Geneva Switzerland"},{"name":"Department of Psychiatry University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2016.08.009"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266540"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.10.048"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.566254"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2010.tb00255.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00314-0"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000173701"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2007.09.006"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.900277"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psychotherapy.20210017"},{"key":"e_1_2_9_12_1","volume-title":"Conner's Adult ADHD Rating Scales: Technical manual","author":"Conners C. 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