Uniwersyteckie Czasopisma NaukoweThe frequency of narcissistic traits in medical and psychology students in Poland and France
Słowa kluczowe:
narcissism, NPI-40, medical students, psychology studentsAbstrakt
Background:
Research indicates that narcissistic traits negatively correlate with empathy and may significantly predict interpersonal behaviors. Narcissism is also associated with a higher risk of addiction and mental health issues, making its analysis among future healthcare workers particularly important.
Participants and procedure:
A cross-sectional study was conducted using a quantitative method with the computer-assisted web interview (CAWI) technique on a group of 1,092 medical and psychology students in Poland and France. The NPI-40 test was used to analyze narcissism. The study was fully anonymous and voluntary. Students were invited to participate through university mailing systems and information posted on social media platforms.
Results:
Our study found differences in NPI-40 scores based on gender, country, and field of study. Men scored higher than women in both France (M = 10.60, SD = 6.00) and Poland (M = 12.90, SD = 6.60), with a statistically significant gender effect. While medical students had slightly higher scores than psychology students, the difference was not significant. However, gender–field interactions varied by country: in France, male medical students scored higher than male psychology students, whereas in Poland, psychology students had higher scores than medical students. Despite these findings, the models explained only 5% of the variance in France and 3% in Poland, suggesting that other factors contribute to narcissism levels in this studied population.
Conclusions:
These results may prove important in designing programs that support students’ mental health and interventions aimed at improving interpersonal relationships, especially in the case of Polish medical students.
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Bibliografia
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. APA Publishing.
Baron-Cohen, S. (2015). Zero degrees of empathy. Smak Slowa.
Batt-Rawden, S. A., Chisolm, M. S., Anton, B., & Flickinger, T. E. (2013). Teaching empathy to medical students: an updated, systematic review. Academic Medicine, 88, 1171–1177. https://doi.org/10.1097/ACM.0b013e318299f3e3
Bazinska, R., & Drat-Ruszczak, K. (2000). Struktura narcyzmu w polskiej adaptacji kwestionariusza NPI Ruskina i Halla [Structure of narcissism in the Polish adaptation of the Narcissistic Personality Inventory]. Czasopismo Psychologiczne, 6, 171–188.
Braun, S., Kempenaers, C., Linkowski, P., & Loas, G. (2016). French adaptation of the Narcissistic Personality Inventory in a Belgian French-speaking sample. Frontiers in Psychology, 7, 1980. https://doi.org/10.3389/fpsyg.2016.01980
Bucknall, V., Burwaiss, S., MacDonald, D., Charles, K., & Clement, R. (2015). Mirror mirror on the ward, who’s the most narcissistic of them all? Pathologic personality traits in health care. CMAJ, 187, 1359–1363. https://doi.org/10.1503/cmaj.151135
Bujok, J., Witte-Humperdinck, V., Schulze, J., & Ohlendorf, D. (2024). Dark triad traits, study and power motives among medical students – a cross-sectional study at a German medical faculty. Heliyon, 10, e32842. https://doi.org/10.1016/j.heliyon.2024.e32842
Burgmer, P., Weiss, A., & Ohmann, K. (2021). I don’t feel ya: How narcissism shapes empathy. Self and Identity, 20, 199–215. https://doi.org/10.1080/15298868.2019.1645730
Chan, C. Y., & Cheung, K. L. (2022). Exploring the gender difference in relationships between narcissism, competitiveness, and mental health problems among college students. Journal of American College Health, 70, 1169–1178. https://doi.org/10.1080/07448481.2020.1788565
Chen, P. J., Huang, C. D., & Yeh, S. J. (2017). Impact of a narrative medicine programme on healthcare providers’ empathy scores over time. BMC Medical Education, 17, 108. https://doi.org/10.1186/s12909-017-0952-x
di Giacomo, E., Andreini, E., Lorusso, O., & Clerici, M. (2023). The dark side of empathy in narcissistic personality disorder. Frontiers in Psychiatry, 14, 1074558. https://doi.org/10.3389/fpsyt.2023.1074558
Durrani, S. (2023). Narcissism in medical students – a matter of concern. Journal of Bahria University Medical and Dental College, 13, 153–154. https://doi.org/10.51985/JBUMDC2022162
Eddy, C. M. (2023). Self-serving social strategies: a systematic review of social cognition in narcissism. Current Psychology, 42, 4362–4380. https://doi.org/10.1007/s12144-021-01661-3
Elsabbagh, M., Divan, G., Koh, Y. J., Kim, Y. S., Kauchali, S., Marcin, C., Montiel-Nava, C., Patel, V., Paula, C. S., Wang, C., Yasamy, M. T., & Fombonne, E. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism Research, 5, 160–179. https://doi.org/10.1002/aur.239
Fox, J., & Weisberg, S. (2011). An R companion to applied regression (2nd ed.). Sage.
Gawda, B. (2018). Discussion of the thesis about the growth of narcissism in modern societies. Człowiek i Społeczeństwo, 45, 67–85. https://doi.org/10.14746/cis.2018.45.4
Gebauer, J. E., Sedikides, C., Verplanken, B., & Maio, G. R. (2012). Communal narcissism. Journal of Personality and Social Psychology, 103, 854–878. https://doi.org/10.1037/a0029629
Giusti, L., Mammarella, S., Salza, A., Ussorio, D., Bianco, D., Casacchia, M., & Roncone, R. (2021). Heart and head: Profiles and predictors of self-assessed cognitive and affective empathy in a sample of medical and health professional students. Frontiers in Psychology, 12, 632996. https://doi.org/10.3389/fpsyg.2021.632996
Gruda, D., Hanges, P., & McCleskey, J. (2024). Mirror, mirror on the wall, who’s the healthiest of tchem all – the surprising role of narcissism in state-level health outcomes. Journal of Research in Personality, 109, 104465. https://doi.org/10.1016/j.jrp.2024.104465
Hepper, E. G., Hart, C. M., Meek, R., Cisek, S., & Sedikides, C. (2014). Narcissism and empathy in young offenders and non-offenders. European Journal of Personality, 28, 201–210. https://doi.org/10.1002/per.1939
Hudson, E. J. (2012). Understanding and exploring narcissism: Impact on students and college campuses [Senior thesis]. Retrived from http://scholarship.claremont.edu/cmc_theses/381
IDRlabs (2024). Test na narcyzm (NPI) [Narcissism inventory (NPI)]. IDRlabs.com – Individual Differences Research. Retrieved from https://www.idrlabs.com/pl/narcyzm/test.php
Ingram, L. (2018). Narcissism and empathy in healthcare professionals [Doctoral thesis]. University of Southampton.
Konrath, S. H., O’Brien, E. H., & Hsing, C. (2011). Changes in dispositional empathy in American college students over time: a meta-analysis. Personality and Social Psychology Review, 15, 180–198. https://doi.org/10.1177/1088868310377395
Latif, A. H., & Williams, W. R. (2007). Diagnostic trends in autistic spectrum disorders in the South Wales valleys. Autism, 11, 479–487. https://doi.org/10.1177/1362361307083256
Lee, J. P. (2024). Social anxiety and social networking service addiction proneness among University students: a moderated mediation model of narcissism and gender. PLoS One, 19, e0304741. https://doi.org/10.1371/journal.pone.0304741
Lenth, R. V., Bolker, B., Buerkner, P., Giné-Vázquez, I., Herve, M., Jung, M., Love, J., Miguez, F., Piaskowski, J., Riebl, H., & Singmann, H. (2024). emmeans: Estimated marginal means, aka least-squares means. Retrieved from https://rvlenth.github.io/emmeans/
Li, Z., & Benson, A. J. (2022). Culture and narcissism: The roles of fundamental social motives. Current Research in Behavioral Sciences, 3, 100072. https://doi.org/10.1016/j.crbeha.2022.100072
McGrath, J. L., & Reynolds, M. S. (2024). Recognizing and responding to patients with personality disorders. Emergency Medicine Clinics, 42, 125–134. https://doi.org/10.1016/j.emc.2023.06.015
McManus, K. C., Pillow, D. R., & Coyle, T. R. (2022). Narcissism and academic performance: a case of suppression. Personality and Individual Differences, 199, 111820. https://doi.org/10.1016/j.paid.2022.111820
Milligan, M., Mankelwicz, J., & See, H. P. (2022). Narcissism as a global barrier to education for sustainable development. Perspectives in Education, 40, 29–46. https://doi.org/10.18820/2519593X/pie.v40.i3.3
Mohmand, S., Monteiro, S., & Solomonian, L. (2022). How are medical institutions supporting the wellbeing of undergraduate students? A scoping review. Medical Education Online, 27, 2133986. https://doi.org/10.1080/10872981.2022.2133986
Moraes, M. C. L., Russo, G. C., Prado, J. S., Lima-Costa, A. R., Bonfá-Araujo, B., & Schermer, J. A. (2023). Exploring substance abuse and the dark tetrad in health sciences and non-health sciences students. Behavioral Sciences, 13, 778. https://doi.org/10.3390/bs13090778
Morf, C. C., & Rhodewalt, F. (2001). Unraveling the paradoxes of narcissism: a dynamic self-regulatory processing model. Psychological Inquiry, 12, 177–196. https://doi.org/10.1207/S15327965PLI1204_1
Omid, A., Haghani, F., & Adibi, P. (2018). Emotional intelligence: an old issue and a new look in clinical teaching. Advanced Biomedical Research, 7, 32. https://doi.org/10.4103/2277-9175.225926
Paulhus, D. L., Gupta, R., & Jones, D. N. (2021). Dark or disturbed? Predicting aggression from the Dark Tetrad and schizotypy. Aggressive Behavior, 47, 635–645. https://doi.org/10.1002/ab.21990
Paulhus, D. L., & Williams, K. M. (2002). The dark triad of personality: Narcissism, Machiavellianism, and psychopathy. Journal of Research in Personality, 36, 556–563. https://doi.org/10.1016/S0092-6566(02)00505-6
Pickering, A. (2023). Narcissistic personality disorder statistics. The Recovery Village. Retrieved from https://www.therecoveryvillage.com/mentalhealth/narcissistic-personality-disorder/npd-statistics/ [accessed September 24, 2024]
Podzimek, M. (2019). Problems of narcissism in education: The culture of narcissism as a dangerous global phenomenon for the future. Problems of Education in the 21st Century, 77, 489–501. https://doi.org/10.33225/pec/19.77.489
R Core Team (2024). R: a language and environment for statistical computing. R Foundation for Statistical Computing. Retrieved from https://www.Rproject.org
Raskin, R., & Terry, H. (1988). A principal-components analysis of the Narcissistic Personality Inventory and further evidence of its construct validity. Journal of Personality and Social Psychology, 54, 890–902. https://doi.org/10.1037//0022-3514.54.5.890
Raskin, R. N., & Hall, C. S. (1979). A Narcissistic Personality Inventory. Psychological Reports, 45, 590–590. https://doi.org/10.2466/pr0.1979.45.2.590
Raskin, R., & Hall, C. S. (1981). The Narcissistic Personality Inventory: Alternate form reliability and further evidence of construct validity. Journal of Personality Assessment, 45, 159–162. https://doi.org/10.1207/s15327752jpa4502_10
Ronningstam, E., & Weinberg, I. (2023). Narcissistic personality disorder: Patterns, processes, and indicators of change in long-term psychotherapy. Journal of Personality Disorders, 37, 337–357. https://doi.org/10.1521/pedi.2023.37.3.337
Sobczak, K., Zdun-Ryżewska, A., & Rudnik, A. (2021). Intensity, dynamics and deficiencies of empathy in medical and non-medical students. BMC Medical Education, 21, 487. https://doi.org/10.1186/s12909-021-02927-x
Steiner-Hofbauer, V., & Holzinger, A. (2020). How to cope with the challenges of medical education? Stress, depression, and coping in undergraduate medical students. Academic Psychiatry, 44, 380–387. https://doi.org/10.1007/s40596-020-01193-1
Stinson, F. S., Dawson, D. A., Goldstein, R. B., Chou, S. P., Huang, B., Smith, S. M., Ruan, W. J., Pulay, A. J., Saha, T. D., Pickering, R. P., & Grant, B. F. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV narcissistic personality disorder: Results from the wave 2 national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 69, 1033–1045. https://doi.org/10.4088/jcp.v69n0701
Twenge, J. M., Konrath, S., Foster, J. D., Campbell, W. K., & Bushman, B. J. (2008). Further evidence of an increase in narcissism among college students. Journal of Personality, 76, 919–928. https://doi.org/10.1111/j.1467-6494.2008.00509.x
Tyrer, P., Reed, G. M., & Crawford, M. J. (2015). Classification, assessment, prevalence, and effect of personality disorder. The Lancet, 385, 717–726. https://doi.org/10.1016/S0140-6736(14)61995-4
Urbonaviciute, G., & Hepper, E. G. (2020). When is narcissism associated with low empathy? A meta-analytic review. Journal of Research in Personality, 89, 104036. https://doi.org/10.1016/j.jrp.2020.104036
Wallace, H. M. (2011). Narcissistic self‐enhancement. In W. K. Campbell & J. D. Miller (Eds.), The handbook of narcissism and narcissistic personality disorder: Theoretical approaches, empirical findings, and treatments (pp. 309–318). John Wiley & Sons.
Weidmann, R., Chopik, W. J., Ackerman, R. A., Allroggen, M., Bianchi, E. C., Brecheen, C., Campbell, W. K., Gerlach, T. M., Geukes, K., Grijalva, E., Grossmann, I., Hopwood, C. J., Hutteman, R., Konrath, S., Kufner, A. C. P., Leckelt, M., Miller, J. D., Penke, L., Pincus, A. L., … Back, M. D. (2023). Age and gender differences in narcissism: a comprehensive study across eight measures and over 250,000 participants. Journal of Personality and Social Psychology, 124, 1277–1298. https://doi.org/10.1037/pspp0000463
Wickham, H., Averick, M., Bryan, J., Chang, W., Mc-Gowan, L., François, R., Grolemund, G., Hayes, A., Henry, L., Hester, J., Kuhn, M., Pedersen, T., Miller, E., Bache, S., Müller, K., Ooms, J., Robinson, D., Seidel, D., Spinu, V., & Yutani, H. (2019). Welcome to the Tidyverse. Journal of Open Source Software, 4, 1686. https://doi.org/10.21105/joss.01686
Wielewska, M. K., Godzwon, J. M., Gargul, K., Nawrocka, E., Konopka, K., Sobczak, K., Rudnik, A., & Zdun-Ryzewska, A. (2022). Comparing students of medical and social sciences in terms of self-assessment of perceived stress, quality of life, and personal characteristics. Frontiers in Psychology, 13, 815369. https://doi.org/10.3389/fpsyg.2022.815369
Williams, B., Brown, T., McKenna, L., Palermo, C., Morgan, P., Nestel, D., Brightwell, R., Gilbert-Hunt, S., Stagnitti, K., Olaussen, A., & Wright, C. (2015). Student empathy levels across 12 medical and health professions: an interventional study. Journal of Compassionate Health Care, 2, 4. https://doi.org/10.1186/s40639-015-0013-4
Womick, J., Atherton, B., & King, L. A. (2020). Lives of significance (and purpose and coherence): Subclinical narcissism, meaning in life, and subjective well-being. Heliyon, 6, e03982. https://doi.org/10.1016/j.heliyon.2020.e03982
World Health Organization (2019). International Classification of Diseases: ICD-11. Retrieved from https://www.who.int/standards/classifications/classification-of-diseases
Yu, J. H., Chae, S. J., & Chang, K. H. (2016). The relationship among self-efficacy, perfectionism and academic burnout in medical school students. Korean Journal of Medical Education, 28, 49–55. https://doi.org/10.3946/kjme.2016.9
