Narcissistic Personality Traits and Sexual Dysfunction in Women: The Role of Body Image Self-Consciousness |
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| Institution: | 1. Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan;2. Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Chung Shan Medical University, Taichung, Taiwan;3. School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan;4. Research Center of Geriatric Nutrition, College of Nutrition, Taipei Medical University, Taipei, Taiwan;5. Nutrition Research Center, Taipei Medical University Hospital, Taipei, Taiwan;6. Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan;7. Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;8. Department of Obstetrics and Gynecology, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan;1. CH ST Joseph ST LUC - Gastroenterologie, Lyon, Auvergne-Rhône-Alpes, France;2. Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l''Information Médicale, ISSPAM, Marseille, France;3. Public Health France (SPF), Paris, France, Paris, France;4. Hepato-Gastroenterology Department, Beausoleil, Beausoleil, France;5. Gastroenterology department, Infirmerie Prostante, Caluire, Caluire, France;6. Hepato-Gastroenterology and Proctology Department, Bichat University Hospital, Paris, France;1. Department of Urology, University of North Carolina, Chapel Hill, NC, USA;2. The Smith Institute for Urology, New Hyde Park, NY, USA;3. Division of Urology, University of Utah, Salt Lake City, UT, USA;1. Department of Urology, Glickman Urological & Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH, USA;2. Center for Bioethics, Cleveland Clinic Foundation, Cleveland, OH, USA |
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| Abstract: | BackgroundIndividuals 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.MethodsWe 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.OutcomesSexual functioning was measured through the Female Sexual Function Index.ResultsThe 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 ImplicationsConsidering 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. |
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