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Grandiosity

MedGen UID:
535463
•Concept ID:
C0233681
•
Mental or Behavioral Dysfunction
Synonyms: Delusion of grandeur; Grandiose delusions
SNOMED CT: Delusion of grandeur (247667002); Grandiose delusions (247667002); Grandiosity (247783009)
 
HPO: HP:5200270

Definition

Persistently exaggerated feelings and thoughts of an inflated sense of self-importance, superiority, uniqueness, or invulnerability. The affected individual may project arrogance with a dismissive behavioral pattern towards others the individual deems inferior. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVGrandiosity

Professional guidelines

PubMed

The clinical features of mania and their representation in modern diagnostic criteria.
Kendler KS
Psychol Med 2017 Apr;47(6):1013-1029. Epub 2016 Dec 19 doi: 10.1017/S0033291716003238. PMID: 27989245
Clinical features, course and treatment of methamphetamine-induced psychosis in psychiatric inpatients.
Zarrabi H, Khalkhali M, Hamidi A, Ahmadi R, Zavarmousavi M
BMC Psychiatry 2016 Feb 25;16:44. doi: 10.1186/s12888-016-0745-5. PMID: 26911516Free PMC Article
Introduction to the special series on "Narcissistic personality disorder--new perspectives on diagnosis and treatment".
Ronningstam E
Personal Disord 2014 Oct;5(4):419-21. doi: 10.1037/per0000093. PMID: 25314230

Recent clinical studies

Etiology

Adult ADHD and pathological narcissism: A retrospective-analysis.
Duarte M, Blay M, Hasler R, Pham E, Nicastro R, Jan M, Debbané M, Perroud N
J Psychiatr Res 2024 Jun;174:245-253. Epub 2024 Apr 21 doi: 10.1016/j.jpsychires.2024.04.032. PMID: 38670059
Narcissistic grandiosity and risky health behaviors in college students.
Coleman SRM, Bernstein MJ, Benfield JA, Smyth JM
J Am Coll Health 2022 Feb-Mar;70(2):634-643. Epub 2020 May 14 doi: 10.1080/07448481.2020.1762606. PMID: 32407166
Uncovering the structure of antagonism.
Sleep CE, Crowe ML, Carter NT, Lynam DR, Miller JD
Personal Disord 2021 Jul;12(4):300-311. Epub 2020 Oct 15 doi: 10.1037/per0000416. PMID: 34323587
Psychosis in neurodegenerative disease: differential patterns of hallucination and delusion symptoms.
Naasan G, Shdo SM, Rodriguez EM, Spina S, Grinberg L, Lopez L, Karydas A, Seeley WW, Miller BL, Rankin KP
Brain 2021 Apr 12;144(3):999-1012. doi: 10.1093/brain/awaa413. PMID: 33501939Free PMC Article
Communal narcissism.
Gebauer JE, Sedikides C, Verplanken B, Maio GR
J Pers Soc Psychol 2012 Nov;103(5):854-78. Epub 2012 Aug 13 doi: 10.1037/a0029629. PMID: 22889074

Diagnosis

Traits of narcissistic vulnerability in adults with autism spectrum disorders without intellectual disabilities.
Broglia G, Nisticò V, Di Paolo B, Faggioli R, Bertani A, Gambini O, Demartini B
Autism Res 2024 Jan;17(1):138-147. Epub 2023 Nov 20 doi: 10.1002/aur.3065. PMID: 37983956
Psychosis in neurodegenerative disease: differential patterns of hallucination and delusion symptoms.
Naasan G, Shdo SM, Rodriguez EM, Spina S, Grinberg L, Lopez L, Karydas A, Seeley WW, Miller BL, Rankin KP
Brain 2021 Apr 12;144(3):999-1012. doi: 10.1093/brain/awaa413. PMID: 33501939Free PMC Article
Current conceptualizations of narcissism.
Ackerman RA, Donnellan MB, Wright AGC
Curr Opin Psychiatry 2019 Jan;32(1):32-37. doi: 10.1097/YCO.0000000000000463. PMID: 30234526
Pathological narcissism and narcissistic personality disorder.
Pincus AL, Lukowitsky MR
Annu Rev Clin Psychol 2010;6:421-46. doi: 10.1146/annurev.clinpsy.121208.131215. PMID: 20001728
Phencyclidine-induced psychosis.
Allen RM, Young SJ
Am J Psychiatry 1978 Sep;135(9):1081-4. doi: 10.1176/ajp.135.9.1081. PMID: 696930

Therapy

Rivalry and admiration-seeking in a social competition: From traits to behaviors through contextual cues.
Szücs A, Edershile EA, Wright AGC, Dombrovski AY
Personal Disord 2023 Jul;14(4):429-440. Epub 2023 Jan 2 doi: 10.1037/per0000610. PMID: 36595438Free PMC Article
Excessive sleepiness in patients with psychosis: An initial investigation.
Reeve S, Sheaves B, Freeman D
PLoS One 2021;16(1):e0245301. Epub 2021 Jan 15 doi: 10.1371/journal.pone.0245301. PMID: 33449971Free PMC Article
The Brief Core Schema Scales (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples.
Fowler D, Freeman D, Smith B, Kuipers E, Bebbington P, Bashforth H, Coker S, Hodgekins J, Gracie A, Dunn G, Garety P
Psychol Med 2006 Jun;36(6):749-59. Epub 2006 Mar 27 doi: 10.1017/S0033291706007355. PMID: 16563204
Delirious mania.
Fink M
Bipolar Disord 1999 Sep;1(1):54-60. doi: 10.1034/j.1399-5618.1999.10112.x. PMID: 11256658
Phencyclidine-induced psychosis.
Allen RM, Young SJ
Am J Psychiatry 1978 Sep;135(9):1081-4. doi: 10.1176/ajp.135.9.1081. PMID: 696930

Prognosis

Traits of narcissistic vulnerability in adults with autism spectrum disorders without intellectual disabilities.
Broglia G, Nisticò V, Di Paolo B, Faggioli R, Bertani A, Gambini O, Demartini B
Autism Res 2024 Jan;17(1):138-147. Epub 2023 Nov 20 doi: 10.1002/aur.3065. PMID: 37983956
Psychosis in neurodegenerative disease: differential patterns of hallucination and delusion symptoms.
Naasan G, Shdo SM, Rodriguez EM, Spina S, Grinberg L, Lopez L, Karydas A, Seeley WW, Miller BL, Rankin KP
Brain 2021 Apr 12;144(3):999-1012. doi: 10.1093/brain/awaa413. PMID: 33501939Free PMC Article
The Narcissistic Grandiosity Scale: A Measure to Distinguish Narcissistic Grandiosity From High Self-Esteem.
Rosenthal SA, Hooley JM, Montoya RM, van der Linden SL, Steshenko Y
Assessment 2020 Apr;27(3):487-507. Epub 2019 Jul 3 doi: 10.1177/1073191119858410. PMID: 31267782
Narcissistic rage revisited.
Krizan Z, Johar O
J Pers Soc Psychol 2015 May;108(5):784-801. Epub 2014 Dec 29 doi: 10.1037/pspp0000013. PMID: 25545840
Delirious mania.
Fink M
Bipolar Disord 1999 Sep;1(1):54-60. doi: 10.1034/j.1399-5618.1999.10112.x. PMID: 11256658

Clinical prediction guides

Traits of narcissistic vulnerability in adults with autism spectrum disorders without intellectual disabilities.
Broglia G, Nisticò V, Di Paolo B, Faggioli R, Bertani A, Gambini O, Demartini B
Autism Res 2024 Jan;17(1):138-147. Epub 2023 Nov 20 doi: 10.1002/aur.3065. PMID: 37983956
Psychosis in neurodegenerative disease: differential patterns of hallucination and delusion symptoms.
Naasan G, Shdo SM, Rodriguez EM, Spina S, Grinberg L, Lopez L, Karydas A, Seeley WW, Miller BL, Rankin KP
Brain 2021 Apr 12;144(3):999-1012. doi: 10.1093/brain/awaa413. PMID: 33501939Free PMC Article
Revision of the grandiosity dimension of the Dimensional Clinical Personality Inventory and verification of its psychometric properties.
Carvalho Lde F, Sette CP, Ferrari BL
Trends Psychiatry Psychother 2016 Jul-Sep;38(3):147-155. Epub 2016 Jun 27 doi: 10.1590/2237-6089-2015-0040. PMID: 27355893
Narcissistic rage revisited.
Krizan Z, Johar O
J Pers Soc Psychol 2015 May;108(5):784-801. Epub 2014 Dec 29 doi: 10.1037/pspp0000013. PMID: 25545840
Delirious mania.
Fink M
Bipolar Disord 1999 Sep;1(1):54-60. doi: 10.1034/j.1399-5618.1999.10112.x. PMID: 11256658

Recent systematic reviews

Assessing Violence Risk in Adolescents in the Pediatric Emergency Department: Systematic Review and Clinical Guidance.
Mroczkowski MM, Walkup JT, Appelbaum PS
West J Emerg Med 2021 May 19;22(3):533-542. doi: 10.5811/westjem.2021.1.49233. PMID: 34125023Free PMC Article
The genealogy of the clinical syndrome of mania: signs and symptoms described in psychiatric texts from 1880 to 1900.
Kendler KS
Psychol Med 2018 Jul;48(10):1573-1591. Epub 2017 Oct 11 doi: 10.1017/S0033291717002768. PMID: 29017623

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