{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T08:14:06Z","timestamp":1789805646790,"version":"4.0.1"},"reference-count":70,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Borderline personality disorder (BPD) is characterized by emotion dysregulation, identity disturbance, suicidal behavior, and fear of abandonment. BPD is a Cluster B personality disorder, alongside narcissistic personality disorder (NPD), which can be conceptualized across two subtypes: grandiose narcissism and vulnerable narcissism (VN). Unlike grandiose narcissism, VN has been largely neglected in research\u2014despite overlapping features with personality and mood disorders, especially BPD. This research aims to address this gap by examining BPD and VN in a clinical sample to assess whether their co\u2010occurrence exacerbates symptom severity in the domains of emotion dysregulation, rejection sensitivity, and identity disturbance. The study included 97 adults hospitalized in a psychiatric inpatient unit in New York. Statistical analyses included latent profile analysis, ANOVAs, and pairwise comparisons. Four distinct profiles emerged: BPD\u2013VN, BPD, Subclinical, and Normative. The BPD\u2013VN group reported significantly greater levels of emotion dysregulation, identity disturbance, and rejection sensitivity compared to the other groups. They also endorsed more lifetime suicide attempts and trauma exposure. The BPD group was the most frequently readmitted and had the longest hospital stays. Findings highlight the importance of identifying this population early in treatment settings to inform targeted interventions and implement safeguards both during and after hospitalization.<\/jats:p>","DOI":"10.1002\/pmh.70104","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T07:46:12Z","timestamp":1789803972000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vulnerable Narcissism in Borderline Personality Disorder: Impact on Emotion Dysregulation, Identity Disturbance, and Rejection Sensitivity in Psychiatric Inpatients"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4745-5523","authenticated-orcid":false,"given":"Lauren B.","family":"Lloveras","sequence":"first","affiliation":[{"name":"Department of Psychology St. John's University  Queens New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425787","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"2022"},{"key":"e_1_2_9_3_1","unstructured":"Arble E. P.2008. \u201cEvaluating the Psychometric Properties of the Hypersensitive Narcissism Scale: Implications for the Distinction of Covert and Overt Narcissism.\u201dMaster's Theses and Doctoral Dissertations 236."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000185874.31672.a5"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2010.29.8.874"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-015-9514-x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020573"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/10731911221140313"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-021-00697-1"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.721361"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.12.009"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-012-0335-2"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.09.015"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-023-01199-y"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020642"},{"issue":"1","key":"e_1_2_9_16_1","first-page":"S364","article-title":"Comorbidity Borderline\u2010Narcissistic Personality Disorder","volume":"66","author":"Douk K.","year":"2023","journal-title":"European Psychiatry"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2012.742904"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2018.07.008"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000486601"},{"key":"e_1_2_9_20_1","volume-title":"The Structured Clinical Interview for DSM\u20105 Personality","author":"First M. B.","year":"2016"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-021-00155-9"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2019_33_459"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991-022-00380-8"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.08.007"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380221147559"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOBA.0000007455.08539.94"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/2158244019846693"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2021.35.5.776"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.9389"},{"key":"e_1_2_9_30_1","volume-title":"Borderline Personality Disorder: A Clinical Guide","author":"Gunderson J.","year":"2008"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1006\/jrpe.1997.2204"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2017_31_306"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22472"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1159\/000448624"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-014-9441-2"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.08.015"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/000306516701500309"},{"key":"e_1_2_9_38_1","volume-title":"Borderline Conditions and Pathological Narcissism","author":"Kernberg O. F.","year":"1985"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.12987\/yale\/9780300101805.001.0001"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2015.01.014"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.09.019"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.21893"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1183"},{"issue":"3","key":"e_1_2_9_44_1","first-page":"261","article-title":"Dialectical Behavior Therapy for Borderline Personality Disorder: Theory and Method","volume":"51","author":"Linehan M. M.","year":"1987","journal-title":"Bulletin of the Menninger Clinic"},{"key":"e_1_2_9_45_1","volume-title":"Cognitive\u2010Behavioral Treatment of Borderline Personality Disorder","author":"Linehan M. M.","year":"1993"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.693"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303578"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22053"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6494.2010.00711.x"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000083"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705510701575396"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000576"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55060223"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2010.09.013"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016530"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/sjop.12730"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-023-04980-9"},{"key":"e_1_2_9_58_1","volume-title":"Interpersonal Rejection Sensitivity Scale","author":"Rohner R. P.","year":"2020"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-017-0068-2"},{"issue":"1","key":"e_1_2_9_60_1","article-title":"Recurrent Mental Health Presentations to Public Hospital Services: A Focus on Borderline Personality Disorder","volume":"26","author":"Smith D.","year":"2024","journal-title":"Primary Care Companion for CNS Disorders"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1645"},{"issue":"1","key":"e_1_2_9_62_1","article-title":"The Relationship Between Continuous Identity Disturbances, Negative Mood, and Suicidal Ideation","volume":"18","author":"Sokol Y.","year":"2016","journal-title":"Primary Care Companion to the Journal of Clinical Psychiatry"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.4.601"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v69n0701"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-020-01088-2"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2021.110901"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.09.010"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.3598"},{"key":"e_1_2_9_69_1","first-page":"44","volume-title":"Shining Light on the Dark Side of Personality: Measurement Properties and Theoretical Advances","author":"Zajenkowski M.","year":"2023"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6494.2008.00503.x"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajsp.12191"}],"container-title":["Personality and Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.70104","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmh.70104","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.70104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T07:46:15Z","timestamp":1789803975000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmh.70104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,19]]},"references-count":70,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/pmh.70104"],"URL":"https:\/\/doi.org\/10.1002\/pmh.70104","archive":["Portico"],"relation":{},"ISSN":["1932-8621","1932-863X"],"issn-type":[{"value":"1932-8621","type":"print"},{"value":"1932-863X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,19]]},"assertion":[{"value":"2025-08-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70104"}}