Validity of the Spanish version of the Hypersensitive Narcissism Scale (HSNS) in subjects attended at an Addiction Treatment Unit
DOI:
https://doi.org/10.20882/adicciones.212Keywords:
narcissism, covert narcissism, HSNS, personality disorders, drug abuseAbstract
Introduction. Narcissistic personality is an important component of personality disorders which are prevalent in those presenting drug abuse or dependence. Assessment instruments usually consider self-esteem, narcissism and covert narcissism, but although Spanish versions of instruments for self-esteem and narcissism are available, there is no available test for covert narcissism. Objective. To test the validity of the Spanish version of the Hypersensitive Narcissism Scale (HSNS) in individuals presenting drug abuse or dependence. Method. In a sample of 79 outpatients, we assessed reliability by means of Cronbach’s alpha and the intraclass correlation coefficient (ICC), construct validity through factor analysis, and concurrent validity by means of the correlation between the HSNS and measures of severity, disability, self-esteem, grandiose narcissism and personality disorders. Results. Reliability of the HSNS total scale score was satisfactory (Cronbach’s alpha = 0,73, ICC = 0,67), though some items would require further consideration. Factor analysis showed good construct validity with three factors compatible with the theory of covert narcissism. With regard to concurrent validity, covert narcissism (HSNS) correlated positively with open narcissism, severity and disability due to drug use, and negatively with self-esteem. Highest scores on the HSNS corresponded to borderline, narcissistic and passive-aggressive personality disorders. Conclusions. The Spanish version of the HSNS could be a valid instrument for the assessment of covert narcissism in those treated for drug abuse or dependence.References
American Psychiatric Association. (2003a). Escala de evaluación de la
actividad global (EEAG). En: Manual diagnóstico y estadístico de los trastornos mentales DSM-IV-TR (pp.40). Barcelona: Masson.
American Psychiatric Association. (2003b). Escala de evaluación de la actividad social y laboral (EEASL). En: Manual diagnóstico y estadístico de los trastornos mentales DSM-IV-TR (pp. 910-911). Barcelona: Masson.
Baumeister, R. F. (1999). The self in social psychology (pp. 220-221).
Philadelphia: Taylor & Francis.
Baumeister, R. F., Campbell, J. D., Kreuger, J. I. y Vohs, K. D. (2003).
Does high self-esteem cause better performance, interpersonal success, happiness or healthier lifestyles? Psychological Science in the Public Interest, 4(1), 1-44.
Bechini A. (1986). El diferencial semántico. Barcelona: Hispano Europea.
Bobes, J., González, M. P., Sáiz, P. A., Bousoño, M. (1996). Índice Europeo de severidad de la adicción: EuropASI. Versión española. En: Libro de Actas IV Reunión Interregional de Psiquiatría (pp.201-218).
Bobes, J., Badía, X., Luque A., García M., González M. P., Dal-Ré, R. y
Grupo de Validación en Español de Cuestionarios de la Fobia Social (1999). Validación de las versiones en español de los cuestionarios Liebowitz Social Anxiety Scale, Social Anxiety and Distress Scale y Sheehan Disability Inventory para la evaluación de la fobia social. Medicina Clínica, 112, 530-538.
Branden N. (1969). The Psychology of Self-Esteem. New York: Ban Tam.
Bricolo, F., Gomma, M., Bertani, M. y Serpelloni, G. (2002). Prevalencia
de trastornos de personalidad en una muestra de 115 clientes con trastornos por uso de drogas. Adicciones, 14, 491-496
Campbell, J. (1990). Self-esteem and clarity of the self-concept. Journal of Personality and Social Psychology, 59, 538-549.
Cervera, G., Bolinches, F. y Valderrama, J. C. (1999). Trastornos de personalidad y drogodependencias. Trastornos Adictivos, 1, 91-9.
De Weert-Van Oene, G. H., Jorg, F. y De Jong, C. A. (2006). Association
between interpersonal behaviour and helping alliance in substance dependent patients. European Addiction Research, 12, 67-73.
Dickinson , K. A. y Pincus, A. C. ( 2003). Interpersonal análisis of grandiose and vulnerable narcissism. Journal of Personality Disorders, 17,188-207
García, J. M. y Cortés, J. F. (1998). La medición empírica del narcisismo
Psicothema, 10, 725-735.
Gómez-Beneyto, M., Villar, M., Renovell, M., Pérez, F., Hernández, M., Cuquerella, M., et al. (1994). The diagnosis of Personality disorders with a modified version of the SCID-II in a spanish clinical sample. Journal of Personality Disorders, 8, 104-110.
Gunderson, J. y Ronningstam, E. (2001). Differentiating antisocial and
narcissistic personality disorder. Journal of Personality Disorders, 15, 103-109
Hathaway, S. R. y McKinley, J. C. (1940). A multiphasic personality schedule. Construction of the schedule. Journal of Psychology, 10, 249-254.
Heaven, P. (1986). Correlates of conformity in three cultures. Journal
of Personality and Social Psychology, 54, 883-887.
Hending, H. y Check, J. (1997) Assessing Hypersensitive Narcissism:
A Reexamination of Murray’s Narcissism Scale. Journal of Research in Personality, 31, 588-599.
Holdwick, D., Hilsenroth, M., Castelbury, F. D. y Blais, M. (1998). Identifying the unique and common characteristics among the DSM-IV antisocial, borderline and narcissistic personality disorder. Comprhensive Psychiatry, 39, 227-286
Hendin, H. M. y Cheek, J. M. (1997). Assessing Hypersensitive Narcissism: A Re-examination of Murray’s Narcissism Scale. Journal of Research in Personality, 31, 588-599.
Kelly, GA. (1955). The psychology of personal constructs. New York: Norton.
López Durán, A. y Becoña Iglesias, E. (2006a). Patrones y trastornos de personalidad en personas con dependencia de la cocaína en tratamiento. Psicothema, 18, 578-83.
Lopez Duran, A. y Becoña Iglesias, E. (2006b). Consumo de cocaína y
psicopatología asociada: una revisión. Adicciones, 18, 161-196.
López Torrecillas, F., De los Riscos, M., Araque, F. y de la Casa L.
(2004). Trastornos de personalidad: una comparación entre consumidores de cocaína, heroína y alcohol. Revista Española de Drogodependencias, 3-4, 224-237.
Millon T, Davis R D. (1998). Trastornos de la personalidad: más allá del
DSM-IV. Barcelona: Masson.
Murray, H. (1938). Explorations in personality. New York: Oxford University Press.
Pedrero E., Puerta, C., Lagares, A. y Sáez, A. (2003). Prevalencia en intensidad de trastornos de personalidad en adictos a sustancias en tratamiento en un centro de atención a las drogodependencias. Trastornos Adictivos, 5, 241-55.
Raskin, R. y Hall, C. S. (1981). The Narcissistic Personality Inventory:
Alternate form reliability and further evidence of construct validity. Journal of Personality Assesment, 45, 159-162.
Raskin R. y 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.
Ronningstam, E. y Gunderson, J. (1991). Differentiating borderline
personality disorder from narcissistic personality disorder. Journal of Personality Disorder, 5, 225-232
Ronningstam, E. (1996). Patological Narcissism and Narcissistic Personality Disorder in Axis I Disorders. Harvard Review of Psychiatry, 3, 326-340.
Rosenberg, M. (1973). La autoimagen del adolescente en la sociedad.
Buenos Aires: Paidós.
Rus, E., Shedler, J., Bradley, R., y Westen, D. (2008). Refining the construct of narcisistic personality disorder: diagnostic and criteria subtypes. American Journal of Psychiatry, 165, 1473-1481.
Sanchez, E., Tomás, V., Climent, A. (1999). Trastornos de personalidad
en adictos a opiáceos. Adicciones, 3, 221-227.
Streiner, D., y Norman, G. (1989). Health Measurement Scales. A practical guide to their development and use. Oxford. Oxford University Press.
Vaglum, P. (1999). The narcissistic personality disorder and addiction. In J Derksen, Maffei C & Groen (Eds). Treatment of personality disorders (pp. 241-253). New York: Kluwer Academic/Plenum.
Vázquez Morejón, A. J., Jiménez García-Bóveda, R., y Vázquez-Morejón, R. (2004). Escala de autoestima de Rosenberg: fiabilidad y validez en población clínica española. Apuntes de psicología, 22(2), 247-255.
Vega, W., Zimmerman, R., Warheit, G. y Apospori, E. (1993). Risk factors for early adolescent drug use in four ethnic and racial groups. American Journal of Public Health, 83, 185-189.
Weiss, R. D., Mirin, S. M., Griffin, M. L., Gunderson, J. G. y Hufford, C. (1993). Psychopathology in cocaine abusers. The Journal of Nervous and Mental Disease, 176, 719-725
Wink, P. (1991). Two faces of narcissism. Journal of Personality and Social Psychology, 61, 590-597.


