Retrospective reports of attachment disruptions, parental abuse and neglect mediate the relationship between pathological narcissism and self-esteem
Abstract
Studies have shown a direct relationship between pathological narcissism and self-esteem; however, there have not been many studies that have empirically tested which theoretically relevant variables mediate this relationship. In the present study, we evaluated how self-reported, early negative childhood experiences with parental figures mediate the relationship between pathological narcissism and self-esteem. Four-hundred eight-five undergraduates from a Midwestern university retrospectively assessed their experiences of parental attachment and bonding, as well as their levels of pathological narcissism and current self-esteem. There was a significant correlation among all pathological narcissism subscales and self-esteem, except for the Exploitativeness subscale. Self-esteem was negatively correlated with all negative childhood experiences on the Childhood Trauma Questionnaire (CTQ) and was positively correlated with positive childhood experiences on the Parental Attachment Questionnaire (PAQ). The parental relationship quality was negatively associated with all but one Pathological Narcissism Inventory subscale, as was the PAQ total score. Lastly, emotional neglect on the CTQ significantly mediated the relationship between several pathological narcissism subscales and self-esteem. When investigating parental attachment and parental bonding, the quality of the relationship with the parent was a significant mediator between pathological narcissism and self-esteem. These findings demonstrate the importance of understanding the adverse effects of parental abuse and neglect on healthy development of the self and self-esteem. Clinical implications of these findings are discussed.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126 · see citing works
SPSS and SAS procedures for estimating indirect effects in simple mediation models
Preacher, K. J., & Hayes, A. F. (2004) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03206553 · Cited by 17,383 · see citing works
(1978) · Medical Entomology and Zoology · Cited by 12,570 · see citing works
Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences
Kemp, F. (2003) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.1046/j.1467-9884.2003.t01-2-00383_4.x · Cited by 9,294 · see citing works
Baumeister, R. F., Campbell, J. D., Krueger, J. I., & Vohs, K. D. (2003) · Psychological Science in the Public Interest · doi:10.1111/1529-1006.01431 · Cited by 3,893 · see citing works
Initial reliability and validity of a new retrospective measure of child abuse and neglect
(1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.8.1132 · Cited by 3,577 · see citing works
Robins, R. W., Hendin, H. M., & Trzesniewski, K. H. (2001) · Personality and Social Psychology Bulletin · doi:10.1177/0146167201272002 · Cited by 3,041 · see citing works
Borderline Conditions and Pathological Narcissism
Adler, G. (1976) · American Journal of Psychiatry · doi:10.1176/ajp.133.3.353-a · Cited by 2,540 · see citing works
Raskin, R. N., & Terry, H. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.5.890 · Cited by 2,509 · see citing works
Raskin, R., & Terry, H. (1988) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.54.5.890 · Cited by 2,267 · see citing works
Unraveling the Paradoxes of Narcissism: A Dynamic Self-Regulatory Processing Model
Morf, C. C., & Rhodewalt, F. (2001) · Psychological Inquiry · doi:10.1207/s15327965pli1204_1 · Cited by 2,215 · see citing works
Blascovich, J., & Tomaka, J. (1991) · Measures of Personality and Social Psychological Attitudes · doi:10.1016/b978-0-12-590241-0.50008-3 · Cited by 1,833 · see citing works
Schmitt, D. P., & Allik, J. (2005) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.89.4.623 · Cited by 1,665 · see citing works
Initial construction and validation of the Pathological Narcissism Inventory.
Pincus, A. L., Ansell, E. B., Pimentel, C. A., Cain, N. M., Wright, A. G. C., & Levy, K. N. (2009) · Psychological Assessment · doi:10.1037/a0016530 · Cited by 1,334 · see citing works
Thoughts on Narcissism and Narcissistic Rage
Kohut, H. (1972) · The Psychoanalytic Study of the Child · doi:10.1080/00797308.1972.11822721 · Cited by 955 · see citing works
Adult attachment in a nationally representative sample.
Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.73.5.1092 · Cited by 843 · see citing works
Childhood Maltreatment Increases Risk for Personality Disorders During Early Adulthood
Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.7.600 · Cited by 839 · see citing works
From self-conceptions to self-worth: On the sources and structure of global self-esteem.
Pelham, B. W., & Swann, W. B. (1989) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.57.4.672 · Cited by 803 · see citing works
Developmental psychopathology, Vol. 1: Theory and methods.
Cicchetti, D., & Cohen, D. J. (1995) · Cited by 645 · see citing works
Adult attachment in a nationally representative sample.
Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.73.5.1092 · Cited by 632 · see citing works
From self-conceptions to self-worth: On the sources and structure of global self-esteem.
Pelham, B. W., & Swann, W. B. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.57.4.672 · Cited by 558 · see citing works
How can we learn about developmental processes from cross-sectional studies, or can we?
Kraemer, H. C., Yesavage, J. A., Taylor, J. L., & Kupfer, D. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.2.163 · Cited by 548 · see citing works
Briere, J., & Runtz, M. (1993) · Journal of Interpersonal Violence · doi:10.1177/088626093008003002 · Cited by 483 · see citing works
The extent and function of parental attachment among first-year college students
Kenny, M. E. (1987) · Journal of Youth and Adolescence · doi:10.1007/bf02141544 · Cited by 417 · see citing works
Zeigler‐Hill, V. (2006) · Journal of Personality · doi:10.1111/j.1467-6494.2005.00371.x · Cited by 350 · see citing works
Narcissism, Self‐Esteem, and Defensive Self‐Enhancement
Raskin, R. N., Novacek, J., & Hogan, R. T. (1991) · Journal of Personality · doi:10.1111/j.1467-6494.1991.tb00766.x · Cited by 331 · see citing works
Untangling the Links between Narcissism and Self‐esteem: A Theoretical and Empirical Review
Bosson, J. K., Lakey, C. E., Campbell, W. K., Zeigler‐Hill, V., Jordan, C. H., & Kernis, M. H. (2008) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2008.00089.x · Cited by 314 · see citing works
The Higher Order Factor Structure and Gender Invariance of the Pathological Narcissism Inventory
Wright, A. G. C., Lukowitsky, M. R., Pincus, A. L., & Conroy, D. E. (2010) · Assessment · doi:10.1177/1073191110373227 · Cited by 264 · see citing works
Identifying and Understanding the Narcissistic Personality
Ronningstam, E. (2005) · doi:10.1093/oso/9780195148732.001.0001 · Cited by 256 · see citing works
Narcissism and Childhood Recollections: A Quantitative Test of Psychoanalytic Predictions
Otway, L. J., & Vignoles, V. L. (2006) · Personality and Social Psychology Bulletin · doi:10.1177/0146167205279907 · Cited by 226 · see citing works
Parenting Narcissus: What Are the Links Between Parenting and Narcissism?
Horton, R. S., Bleau, G., & Drwecki, B. (2006) · Journal of Personality · doi:10.1111/j.1467-6494.2005.00378.x · Cited by 200 · see citing works
The importance of retrospective findings in child maltreatment research
Kendall-Tackett, K. A., & Becker‐Blease, K. A. (2004) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2004.02.002 · Cited by 188 · see citing works
Arbona, C., & Power, T. G. (2003) · Journal of Counseling Psychology · doi:10.1037/0022-0167.50.1.40 · Cited by 174 · see citing works
A Comparison of the Cross-Sectional and Sequential Designs when Assessing Longitudinal Mediation
Mitchell, M. A., & Maxwell, S. E. (2013) · Multivariate Behavioral Research · doi:10.1080/00273171.2013.784696 · Cited by 146 · see citing works
Maxwell, K., Donnellan, M. B., Hopwood, C. J., & Ackerman, R. A. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.11.031 · Cited by 139 · see citing works
Self-citationEffects of parental verbal aggression on children’s self-esteem and school marks
Solomon, C. R., & Serres, F. (1999) · Child Abuse & Neglect · doi:10.1016/s0145-2134(99)00006-x · Cited by 119 · see citing works
The Relationship Between Childhood Abuse and Adult Personality Disorder Symptoms
Grover, K. E., Carpenter, L. L., Price, L. H., Gagné, G. G., Mello, A. F., Mello, M. F., & Tyrka, A. R. (2007) · Journal of Personality Disorders · doi:10.1521/pedi.2007.21.4.442 · Cited by 114 · see citing works
Evidence for the Criterion Validity and Clinical Utility of the Pathological Narcissism Inventory
Thomas, K. M., Wright, A. G. C., Lukowitsky, M. R., Donnellan, M. B., & Hopwood, C. J. (2012) · Assessment · doi:10.1177/1073191112436664 · Cited by 113 · see citing works
Narcissism and self-esteem reactivity: The role of negative achievement events
Zeigler‐Hill, V., Myers, E. M., & Clark, C. B. (2010) · Journal of Research in Personality · doi:10.1016/j.jrp.2010.02.005 · Cited by 113 · see citing works
Personality and Its Disorders: A Biosocial Learning Approach
Millon, T., & Everly, G. S. (1985) · Medical Entomology and Zoology · Cited by 99 · see citing works
Trumpeter, N. N., Watson, P. J., O'Leary, B. J., & Weathington, B. L. (2008) · The Journal of Genetic Psychology · doi:10.3200/gntp.169.1.51-71 · Cited by 86 · see citing works
Forde, D. R., Baron, S. W., Scher, C. D., & Stein, M. B. (2011) · Journal of Interpersonal Violence · doi:10.1177/0886260511416461 · Cited by 71 · see citing works
Gabbard, G. O. (2009) · Psychiatric Annals · doi:10.3928/00485713-20090301-03 · Cited by 62 · see citing works
Childhood predictors of adult substance abuse
Arteaga, I. A., Chen, C., & Reynolds, A. J. (2010) · Children and Youth Services Review · doi:10.1016/j.childyouth.2010.04.025 · Cited by 62 · see citing works
Narcissistic Personality Disorder in Childhood
Kernberg, P. F. (1989) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(18)30421-0 · Cited by 47 · see citing works
Attachment and Psychopathology Among Formerly Maltreated Adults
Muller, R. T., Lemieux, K. E., & Sicoli, L. A. (2001) · Journal of Family Violence · doi:10.1023/a:1011158919303 · Cited by 46 · see citing works
This Issue: Narcissistic Personality Disorders: Part 1
Kernberg, O. F. (2009) · Psychiatric Annals · doi:10.3928/00485713-20090301-04 · Cited by 40 · see citing works
Narcissism and recollections of early life experiences
Cater, T. E., Zeigler‐Hill, V., & Vonk, J. M. (2011) · Personality and Individual Differences · doi:10.1016/j.paid.2011.07.023 · Cited by 39 · see citing works
Zeigler‐Hill, V., Clark, C. B., & Beckman, T. (2010) · Self and Identity · doi:10.1080/15298868.2010.497376 · Cited by 37 · see citing works
Millon, T. (1999) · Journal of Personality Assessment · doi:10.1207/s15327752jp720308 · Cited by 36 · see citing works
Zeigler‐Hill, V., & Jordan, C. H. (2011) · doi:10.1002/9781118093108.ch9 · Cited by 33 · see citing works
Perceived Parental Attachment and Achievement Motivation
Bal, M., & Barušs, I. (2011) · Psychological Reports · doi:10.2466/09.10.21.pr0.109.6.940-948 · Cited by 17 · see citing works
On environmental sources of child narcissism: Are parents really to blame?
Horton, R. S. (2010) · American Psychological Association eBooks · doi:10.1037/12352-007 · Cited by 11 · see citing works
Attachment and Personality Disorders
Sinha, P., & Sharan, P. (2007) · Journal of Indian Association for Child and Adolescent Mental Health · doi:10.1177/0973134220070404 · Cited by 10 · see citing works
‘Chronic Rage from Underground’: The Treatment of a Patient with a Severe Narcissistic Disorder
Ornstein, P. H. (2009) · Psychiatric Annals · doi:10.3928/00485713-20090301-07 · Cited by 4 · see citing works
The Limitations of a Prospective Study of Memories for Child Sexual Abuse
Cheit, R. E. (2003) · Journal of Child Sexual Abuse · doi:10.1300/j070v12n02_06 · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Ban, J., & Oh, I. (2016) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2016.09.010 · Cited by 60 · see citing works
Positive Childhood Experiences and Adult Outcomes: A Systematic Review
Cunha, O. S., Sousa, M., Pereira, B., Pinheiro, M. L., Machado, A. B., Caridade, S., & Almeida, T. C. (2024) · Trauma Violence & Abuse · doi:10.1177/15248380241299434 · Cited by 56 · see citing works
Gao, S., Yu, D., Assink, M., Chan, K. L., Zhang, L., & Meng, X. (2024) · Trauma, Violence, & Abuse · doi:10.1177/15248380221147559 · Cited by 54 · see citing works
Narcissistic traits in young people: understanding the role of parenting and maltreatment
van Schie, C. C., Jarman, H. L., Huxley, E., & Grenyer, B. F. S. (2020) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-020-00125-7 · Cited by 42 · see citing works
Roberts, A. L., ZAFONTE, R. D., Chibnik, L. B., Baggish, A. L., Taylor, H. A., Baker, J. S., Whittington, A. J., & Weisskopf, M. G. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.3299 · Cited by 36 · see citing works
Recollections of parenting styles in the development of narcissism: The role of gender
Green, A., MacLean, R., & Charles, K. E. (2020) · Personality and Individual Differences · doi:10.1016/j.paid.2020.110246 · Cited by 35 · see citing works
A Scoping Review of Positive Childhood Experiences: Measurement and Evidence
Raghunathan, R. S., Sosnowski, D. W., Musci, R. J., & Johnson, S. B. (2024) · Adversity and Resilience Science · doi:10.1007/s42844-023-00125-w · Cited by 22 · see citing works
Pathological Narcissism and Emotional Responses to Rejection: The Impact of Adult Attachment
Reis, S., Huxley, E., Eng Yong Feng, B., & Grenyer, B. F. S. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.679168 · Cited by 20 · see citing works
Hammad, M. A., Al-Otaibi, M. N., & Awed, H. S. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1287741 · Cited by 18 · see citing works
Ong, K. I. C., Yi, S., Tuot, S., Chhoun, P., Shibanuma, A., Yasuoka, J., & Jimba, M. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0576-9 · Cited by 18 · see citing works
Biberdzic, M., Tan, J., & Day, N. J. S. (2023) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-022-00209-6 · Cited by 12 · see citing works
“Insecure attachment has been associated with patterns of maladaptive personality functioning [11, 83], and has been identified as a risk factor for the development of narcissistic and borderline personality disorders [6, 57, 59].”
Tortoriello, G. K., & Hart, W. (2017) · Self and Identity · doi:10.1080/15298868.2017.1382385 · Cited by 12 · see citing works
Jiang, Z., Xu, X., Zhao, Y., Lv, C., & Liu, J. (2021) · Personality and Individual Differences · doi:10.1016/j.paid.2021.110793 · Cited by 12 · see citing works
Akhtar, N., Francis, L. J., McKenna, U., & Hasan, S. S. (2023) · Mental Health Religion & Culture · doi:10.1080/13674676.2022.2162030 · Cited by 5 · see citing works
Gendering Narcissism: Different Roots and Different Routes to Intimate Partner Violence
Green, A., Hart, C. M., Day, N. J. S., MacLean, R., & Charles, K. E. (2024) · Sex Roles · doi:10.1007/s11199-024-01471-4 · Cited by 5 · see citing works
The Role of Parenting Styles in Narcissism Development: A Systematic Review and Meta-Analysis
dos Reis, A., Martins, J. P., & Santos, R. (2025) · AppliedMath · doi:10.3390/appliedmath5010023 · Cited by 3 · see citing works
McGinley, M. M., Muzzy, B., Hermann, M., & Thompson, R. A. (2022) · Social Development · doi:10.1111/sode.12624 · Cited by 2 · see citing works
Truhan, T. E., Welsh, C. A., Mastrotheodoros, S., & Papageorgiou, K. Α. (2025) · Personality and Individual Differences · doi:10.1016/j.paid.2025.113046 · Cited by 2 · see citing works
EMOTIONAL DEPENDENCE AND NARCISSISM
da Silva, D. A. (2024) · Health and Society · doi:10.51249/hs.v4i06.2325
Biberdzic, M., Tan, J., & Day, N. J. S. (2024) · Figshare · doi:10.6084/m9.figshare.26565240
van Schie, C. C., Jarman, H. L., Huxley, E., & Grenyer, B. F. S. (2020) · Figshare · doi:10.6084/m9.figshare.12284498
- Authors
- Maxwell, K., & Huprich, S.
- Affiliations
- University of North Texas (US)
- Wichita State University (US)
- Corresponding author
- Maxwell, Kendal
- ORCID
- Huprich, Steven
- Venue
- Personality and Mental Health
- Publisher
- Wiley
- Published
- 2014-10
- Volume
- 8
- Issue
- 4
- Pages
- 290-305
- ISSN
- 1932-8621 (ISSN-L)
- OpenAlex
- W2129959132
- Cited by
- 21
- References
- 54
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 3 · 2017: 1 · 2016: 1 · 2015: 1
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Personality and Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Holmes Museum Of Anthropology (Wichita State University) (submittedVersion)
- Funders
- Midwestern University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- pathological narcissism, self-esteem, parental attachment, parental bonding, childhood abuse, child neglect, emotional neglect, childhood trauma, parental relationship quality, mediation, attachment disruption
- MeSH terms
- Adolescent, Adult, Child, Child Abuse, Female, Humans, Male, Middle Aged, Object Attachment, Personality Disorders, Surveys and Questionnaires, Retrospective Studies, Self Concept, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review