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J Sex Med. 2021 Nov;18(11):1891-1898. doi: 10.1016/j.jsxm.2021.08.007. Epub 2021 Sep 25.

Narcissistic Personality Traits and Sexual Dysfunction in Women: The Role of Body Image Self-Consciousness.

The journal of sexual medicine

Sofia Pavanello Decaro, Marco Di Sarno, Annalisa Anzani, Rossella Di Pierro, Antonio Prunas

Affiliations

  1. Department of Psychology, University of Milano - Bicocca, Edificio U6, Piazza dell'Ateneo Nuovo 1, 20126 Milano, Italy. Electronic address: [email protected].
  2. Department of Psychology, University of Milano - Bicocca, Edificio U6, Piazza dell'Ateneo Nuovo 1, 20126 Milano, Italy.

PMID: 34580048 DOI: 10.1016/j.jsxm.2021.08.007

Abstract

BACKGROUND: Individuals with narcissistic traits, specifically vulnerable ones, are more prone to experiencing concerns related to self-worth and physical appearance and to showing heightened sensitivity to appearance evaluation. Negative body image and body image self-consciousness may, in turn, undermine sexual functioning, especially when apprehension is related to body appearance in sexual contexts.

METHODS: We aimed to evaluate the associations between self-reported pathological narcissistic traits, both grandiose and vulnerable, and sexual functioning in a large sample of nonclinical women (N = 656). Furthermore, we tested the mediating role of body image self-consciousness in these associations.

OUTCOMES: Sexual functioning was measured through the Female Sexual Function Index.

RESULTS: The results highlight that vulnerable narcissistic traits are associated with lower sexual functioning, this association being mediated by higher levels of body image self-consciousness. Conversely, grandiose narcissistic traits are linked to lower body image self-consciousness and, consequently, higher levels of sexual functioning.

CLINICAL IMPLICATIONS: Considering the link between body image self-consciousness and sexuality is of utmost importance in clinical practice with women, as well as in promoting positive body appreciation. Clinicians working with individuals presenting with pathological personality traits should consider including an assessment of their sexual functioning. S Pavanello Decaro, M Di Sarno, A Anzani, et al. Narcissistic Personality Traits and Sexual Dysfunction in Women: The Role of Body Image Self-Consciousness. J Sex Med 2021;18:1891-1898.

Copyright © 2021 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

Keywords: Body Image Self-Consciousness; Grandiose Narcissism; Sexual Dysfunction; Sexuality; Vulnerable Narcissism

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