Adverse childhood experiences and grandiose narcissism – Findings from a population-representative sample
Abstract
Background In the development of narcissism, besides genetic factors, hostile educational conditions, including adverse childhood experiences (ACEs), are discussed as causal factors. ACE may play a causal role in the development of antagonistic behavior due to negative interpersonal experiences. However, studies assessing the role of ACEs in the etiology of narcissism are still inconsistent, particularly regarding grandiose narcissism. This may be due to the complexity of grandiose narcissism, which can be distinguished into agentic (admiration) and antagonistic (rivalry) facets. Understanding the role of early traumatic events in the etiology of grandiose narcissism may be important for psychotherapeutic treatment in both, patients with trauma history and narcissistic patients.Objective We aimed to specify the role of ACEs in grandiose narcissism by differentiating between admiration and rivalry.Participants and setting In a cross-sectional survey conducted from November 2017 to February 2018, a representative sample of the German population above the age of 14 (N = 2531) was selected in a random route approach.Results Increased numbers of ACEs were associated with higher mean scores for rivalry in females (B = 0.04, p = 0.02) and males (B = 0.08, p < 0.01), while no significant associations were seen for admiration. Focusing on individual ACEs, in males, all maltreatment experiences were associated with narcissistic rivalry, with the exception of physical neglect, while in women only emotional maltreatment and emotional neglect were significant. Associations with household dysfunction were shown only in men. There were no significant associations between individual ACEs and admiration.Conclusions Our results suggest emotional coldness and negative relationship experiences play a role in the development of, in particular, antagonistic and unfavorable narcissistic traits, such as admiration. Therapy with individuals who have experienced ACEs should take into account possible narcissistic personality traits related to ACEs to facilitate successful treatment. Thus, our findings may help building a therapeutic alliance though a better understanding of the development of current behavioral problems for both patient and psychotherapist.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Third-generation studies have documented differential etiologies for vulnerable versus grandiose narcissism and a multifactorial etiology of NPD.
“Those studies have documented differential etiologies for vulnerable versus grandiose narcissism and a multifactorial etiology of NPD.”
From Narcissistic Personality Disorder: Progress in Understanding and Treatment (2022) · cites this paper as [54]
Cites
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
The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction
Dong, M., Anda, R. F., Felitti, V. J., Dube, S. R., Williamson, D. F., Thompson, T. J., Loo, C. M., & Giles, W. H. (2004) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2004.01.008 · Cited by 1,679 · 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
(1971) · Medical Entomology and Zoology · Cited by 1,270 · see citing works
Narcissistic admiration and rivalry: disentangling the bright and dark sides of narcissism.
Back, M. D., Küfner, A. C. P., Dufner, M., Gerlach, T. M., Rauthmann, J. F., & Denissen, J. J. A. (2013) · Journal of Personality and Social Psychology · doi:10.1037/a0034431 · Cited by 1,255 · see citing works
Cain, N. M., Pincus, A. L., & Ansell, E. B. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.09.006 · Cited by 876 · 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
Gender differences in narcissism: A meta-analytic review.
Grijalva, E., Newman, D. A., Tay, L., Donnellan, M. B., Harms, P. D., Robins, R. W., & Yan, T. (2015) · Psychological Bulletin · doi:10.1037/a0038231 · Cited by 654 · see citing works
Comparing Clinical and Social‐Personality Conceptualizations of Narcissism
Miller, J. D., & Campbell, W. K. (2008) · Journal of Personality · doi:10.1111/j.1467-6494.2008.00492.x · Cited by 648 · see citing works
Sticks, stones, and hurtful words: relative effects of various forms of childhood maltreatment
Teicher, M. H., Samson, J. A., Polcari, A., & McGreenery, C. E. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.6.993 · Cited by 634 · see citing works
Individual differences in narcissism: Inflated self-views across the lifespan and around the world
Foster, J. D., Keith Campbell, W., & Twenge, J. M. (2003) · Journal of Research in Personality · doi:10.1016/s0092-6566(03)00026-6 · Cited by 625 · see citing works
Miller, J. D., Lynam, D. R., Hyatt, C. S., & Campbell, W. K. (2017) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032816-045244 · Cited by 572 · see citing works
Miller, J. D., Dir, A., Gentile, B., Wilson, L., Pryor, L. R., & Campbell, W. K. (2010) · Journal of Personality · doi:10.1111/j.1467-6494.2010.00660.x · Cited by 530 · see citing works
Afifi, T. O., Mather, A., Boman, J., Fleisher, W., Enns, M. W., MacMillan, H., & Sareen, J. (2011) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2010.11.008 · Cited by 410 · see citing works
Behavioral processes underlying the decline of narcissists’ popularity over time.
Leckelt, M., Küfner, A. C. P., Nestler, S., & Back, M. D. (2015) · Journal of Personality and Social Psychology · doi:10.1037/pspp0000057 · Cited by 302 · see citing works
Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood
Johnson, J. G., Cohen, P., Smailes, E. M., Skodol, A. E., Brown, J., & Oldham, J. M. (2001) · Comprehensive Psychiatry · doi:10.1053/comp.2001.19755 · Cited by 267 · see citing works
Origins of narcissism in children
Brummelman, E., Thomaes, S., Nelemans, S. A., Orobio de Castro, B., Overbeek, G., & Bushman, B. J. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1420870112 · Cited by 260 · 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
Wingenfeld, K., Schäfer, I., Terfehr, K., Grabski, H., Drießen, M., Grabe, H. J., Löwe, B., & Spitzer, C. (2010) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0030-1263161 · Cited by 208 · see citing works
The Narcissistic Admiration and Rivalry Concept
Back, M. D. (2018) · Handbook of Trait Narcissism · doi:10.1007/978-3-319-92171-6_6 · Cited by 201 · see citing works
Leckelt, M., Wetzel, E., Gerlach, T. M., Ackerman, R. A., Miller, J. D., Chopik, W. J., Penke, L., Geukes, K., Küfner, A. C. P., Hutteman, R., et al. (2017) · GRO · doi:10.1037/pas0000433 · Cited by 187 · see citing works
Self-citationQuestioning the use of adverse childhood experiences (ACEs) questionnaires
McLennan, J. D., MacMillan, H. L., & Afifi, T. O. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104331 · Cited by 187 · see citing works
The Prevalence and Consequences of Adverse Childhood Experiences in the German Population
Witt, A., Sachser, C., Plener, P. L., Brähler, E., & Fegert, J. M. (2019) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2019.0635 · Cited by 134 · see citing works
Self-citationCohen, L. J., Tanis, T., Bhattacharjee, R., Nesci, C., Halmi, W., & Galynker, I. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2013.10.036 · Cited by 105 · see citing works
Weiss, B., & Miller, J. D. (2018) · Springer eBooks · doi:10.1007/978-3-319-92171-6_1 · Cited by 100 · 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
Waxman, R., Fenton, M. C., Skodol, A. E., Grant, B. F., & Hasin, D. (2014) · Personality and Mental Health · doi:10.1002/pmh.1239 · Cited by 98 · see citing works
Cramer, P. (2011) · Journal of Research in Personality · doi:10.1016/j.jrp.2010.11.004 · Cited by 97 · see citing works
Prevalence and treatment of narcissistic personality disorder in the community: a systematic review
Dhawan, N., Kunik, M. E., Oldham, J., & Coverdale, J. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2009.09.003 · Cited by 95 · see citing works
Gibb, B. E., Wheeler, R., Alloy, L. B., & Abramson, L. Y. (2001) · Journal of Personality Disorders · doi:10.1521/pedi.15.6.505.19194 · Cited by 77 · see citing works
You’re still so vain: Changes in narcissism from young adulthood to middle age.
Wetzel, E., Grijalva, E. J., Robins, R. W., & Roberts, B. W. (2019) · Journal of Personality and Social Psychology · doi:10.1037/pspp0000266 · Cited by 75 · see citing works
Childhood physical abuse and aggression: Shame and narcissistic vulnerability
Keene, A. C., & Epps, J. (2016) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.09.012 · Cited by 74 · see citing works
Narcissism, Well-Being, and Observer-Rated Personality Across the Lifespan
Hill, P. L., & Roberts, B. W. (2012) · Social Psychological and Personality Science · doi:10.1177/1948550611415867 · Cited by 61 · 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
Clarifying the Links Between Grandiose Narcissism and Parenting
Horton, R. S., & Tritch, T. (2014) · The Journal of Psychology · doi:10.1080/00223980.2012.752337 · Cited by 40 · see citing works
Duval, J., Ensink, K., Normandin, L., & Fonagy, P. (2018) · Adolescent Psychiatry · doi:10.2174/2210676608666180829095455 · Cited by 35 · see citing works
Talmon, A., & Ginzburg, K. (2018) · Journal of Interpersonal Violence · doi:10.1177/0886260518799450 · Cited by 24 · see citing works
The Etiology of Narcissism: A Review of Behavioral Genetic Studies
Luo, Y. L. L., & Cai, H. (2018) · Handbook of Trait Narcissism · doi:10.1007/978-3-319-92171-6_16 · Cited by 20 · see citing works
Ensink, K., Chrétien, S., Normandin, L., Bégin, M., Daigle, D., & Fonagy, P. (2018) · Adolescent Psychiatry · doi:10.2174/2210676608666180119165731 · Cited by 16 · see citing works
„Narcissistic admiration and rivalry“ im psychotherapeutischen Kontext
Mota, S., Schaber, S., Allroggen, M., Buhlmann, U., & Back, M. D. (2019) · Psychotherapeut · doi:10.1007/s00278-019-00381-1 · Cited by 8 · see citing works
Self-citationInterpersonal Functioning of Narcissistic Individuals and Implications for Treatment Engagement
Lamkin, J. (2018) · Springer eBooks · doi:10.1007/978-3-319-92171-6_50 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Narcissistic Personality Disorder: Progress in Understanding and Treatment
Weinberg, I., & Ronningstam, E. (2022) · Focus · doi:10.1176/appi.focus.20220052 · Cited by 59 · see citing works
Adverse childhood experiences leading to narcissistic personality disorder: a case report
Ross, A. G., Giri, S., Anyasodor, A. E., Mahmood, S., Astawesegn, F. H., Huda, M. M., Ahmed, K. Y., Mondal, U. K., & Thapa, S. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06307-9 · Cited by 7 · see citing works
The relationship between narcissism and prosocial behavior: a three-level meta-analysis
Gao, M., Qiu, X. Y., Zhu, H., & Zhang, K. (2024) · Current Psychology · doi:10.1007/s12144-024-07082-2 · Cited by 7 · see citing works
Toxic cultures: how narcissistic leaders undermine psychological safety
O’Reilly, C. A., Doerr, B., & Hua, A. (2024) · Current Psychology · doi:10.1007/s12144-024-06929-y · Cited by 6 · see citing works
Zeigler‐Hill, V., Vonk, J. M., Barlow, C., Brosch, N., & Coon, E. (2024) · Personality and Individual Differences · doi:10.1016/j.paid.2024.112571 · Cited by 4 · see citing works
Association between pathogenic beliefs and personality disorders
Jintanachote, V., Wongpakaran, T., & Wongpakaran, N. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e37183 · Cited by 4 · 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
Narcissistic Personality Disorder through psycholinguistic analysis and neuroscientific correlates
Elleuch, D. (2024) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2024.1354258 · Cited by 3 · see citing works
Knight, E. L. (2022) · Adaptive Human Behavior and Physiology · doi:10.1007/s40750-022-00199-3 · Cited by 2 · see citing works
López-González, M. A., & Topa, G. (2024) · Psychology Research and Behavior Management · doi:10.2147/prbm.s472044 · 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
Grandiose Narcissism: Traits, Origins, and Implications
Lazarević, L. B. (2025) · IntechOpen eBooks · doi:10.5772/intechopen.1011801 · Cited by 2 · see citing works
Stringer, R. J., & Gatipon, N. (2025) · International journal of law, crime and justice · doi:10.1016/j.ijlcj.2025.100775 · Cited by 1 · see citing works
Insufficient quality of mental health information on German-speaking TikTok: A content analysis
Mross, A. L., Takahashi, H., Koelkebeck, K., & Langenbach, B. P. (2026) · Clinical Psychology in Europe · doi:10.32872/cpe.17279 · Cited by 1 · see citing works
Ratzsch, J., Rafflenbeul, E., Meinert, S., Flinkenflügel, K., Goltermann, J., Kraus, A., Kircher, T., Nenadić, I., Straube, B., Alexander, N., et al. (2026) · International Journal of Child Abuse & Neglect · doi:10.1016/j.chiabu.2026.108227 · Cited by 1 · see citing works
الحميد, ه. ج. ع., & دنقل, ع. أ. أ. ا. (2023) · Journal of Educational Sciences - Qena Faculty of Education · doi:10.21608/maeq.2023.292435
Elleuch, D. (2024) · Research Square · doi:10.21203/rs.3.rs-3895684/v1
Emergence of an Abnormal Personality
Bennett, M. R. (2024) · Springer eBooks · doi:10.1007/978-981-97-2803-9_4
PSYCHOLOGICAL ISSUES OF DEPENDENCE OF NARCISSISM ON PERSONALITY TYPE
Alguliyev, V. (2024) · Health and Society · doi:10.51249/hs.v4i06.2317
THE NARCISSIST PERSONALITY TYPE AND RELATIONSHIPS: ANALYSIS FROM MALE AND FEMALE PERSPECTIVES
Alquliyev, V. (2024) · Revista Gênero e Interdisciplinaridade · doi:10.51249/gei.v5i06.2326
Personality Traits and Smartphone Addiction
Pauline, I., Daniel, T., Nabawanuka, B., Herbert, M., & Katsomyo, E. (2025) · Advances in human and social aspects of technology book series · doi:10.4018/979-8-3693-8804-4.ch010
Hart, W. E., Hall, B. T., Castagna, P. J., & Cribbet, M. R. (2025) · Personality and Individual Differences · doi:10.1016/j.paid.2025.113554
Syed, M., Shahzad, Z., Rajis, C., Lodhi, U. F., & Zulfiqar, S. (2026) · Pakistan BioMedical Journal · doi:10.54393/pbmj.v9i1.1321
Carraturo, F., Abdoli, M., Afzaal, D. F., Cotrufo, P., & Cella, S. (2026) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-026-00958-4
Influence of Childhood Maltreatment on Narcissism
Bedrossian, E. N., Barbera, E. R., & Yalch, M. M. (2026) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2026.2734397
- Authors
- Clemens, V., Fegert, J. M., & Allroggen, M.
- Affiliations
- Universität Ulm (DE)
- Corresponding author
- Clemens, Vera
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2022-05
- Volume
- 127
- Pages
- 105545
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W4214682735
- Cited by
- 25
- References
- 41
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 11 · 2023: 1 · 2022: 2
- FWCI
- 4.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- adverse childhood experiences, grandiose narcissism, narcissistic admiration, narcissistic rivalry, psychological maltreatment, emotional neglect, physical neglect, household dysfunction, gender differences, psychotherapy
- MeSH terms
- Adverse Childhood Experiences, Cross-Sectional Studies, Female, Hostility, Humans, Male, Narcissism, Mood Disorders
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