Evidence map›Paper›PMID 41431170›Full record

SynthesisJournal of personality2026

Weapon or Armor? Unpacking the Paradox of Narcissism and Self-Reported Mental Health Through a Three-Level Meta-Analysis.

Rongxia Hou, Shuqin Li, Joshua D Miller, Donald R Lynam, Yanhui Xiang

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of personality, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rongxia HouDepartment of Psychology, Hunan Normal University, Changsha, China.
Shuqin LiDepartment of Psychology, Hunan Normal University, Changsha, China.
Joshua D MillerDepartment of Psychology, Franklin College of Arts and Sciences, University of Georgia, Athens, Georgia, USA.
Donald R LynamDepartment of Psychological Sciences, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.ORCID https://orcid.org/0000-0001-8306-498X
Yanhui XiangDepartment of Psychology, Hunan Normal University, Changsha, China.ORCID https://orcid.org/0000-0002-5317-9708

Funding

Hunan Provincial Natural Science Foundation 2024JJ5259National Social Science Fund of China 23BSH144Technology Department of Hunan Province 2023SK2028
6 · The paper itself

Abstract

objectiveThis meta-analysis examined the relationships between different dimensions of narcissism and mental health, with a specific focus on internalizing forms of psychopathology.

methodA systematic search identified 229 empirical studies (N = 185,137; k = 735 effect sizes) from four international databases (Web of Science, PubMed, Scopus, OATD) and two Chinese databases (CNKI, Wanfang Data). Because most studies relied on self-report measures, the findings primarily reflect self-reported associations. Random-effects models were used to estimate overall effects, and moderation analyses tested the roles of demographic, methodological, and construct-related variables.

resultsGrandiose narcissism was positively associated with positive mental health (r = 0.19, p < 0.001) and showed no significant association with negative mental health (r = 0.02, p = 0.26). Vulnerable narcissism was negatively associated with positive mental health (r = -0.25, p < 0.001) and positively associated with negative mental health (r = 0.39, p < 0.001). Findings based on the Admiration-Rivalry model and the three-factor model provided additional clarity regarding these associations. Significant moderators included age, measurement instruments, and construct specificity.

conclusionsThese results clarify dimension-specific links between narcissism and mental health and provide a more nuanced understanding of narcissism's psychological correlates.

trial registrationPROSPERO: Registration No. CRD420251016464.

Indexed as

Mental HealthNarcissismHumansSelf Reportgrandiose narcissismmental healthmoderator analysisthree‐level meta‐analysisvulnerable narcissism

Identifiers

PMID41431170
PMCPMC13540336

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.