Grandiose Narcissism and Trait Anxiety among Adolescents:The Mediating Role of Perfectionism when Self-esteem is controlled / Narcisismo grandioso y ansiedad rasgo entre adolescentes: el papel mediador del perfeccionismo cuando se controla la autoestima

It seems quite interesting that during adolescence anxiety levels can spiral out of control. This is due to several factors; one of the possible determinants is personality traits such as narcissism. Contrary to high self-esteem being a predictive factor of mental health, narcissism needs self-esteem in order to be beneficial for a person. Therefore, as two factors of personality traits, self-esteem and narcissism need to be distinguished from each other. Narcissistic individuals try to meet their affirmation needs by setting perfectionistic goals and significant relationships between perfec-tionism dimensions and anxiety has been revealed in the related literature. Using a structural equation modeling, this study investigated the mediation role of perfectionism dimensions in the relationships between grandiose narcissistic personality trait and trait anxiety when self-esteem was con-trolled. A sample of 338 adolescents (192 females, 146 males, mean age = 15.84 years, SD= 1.01) from five high schools participated in the study. The participants completed the instruments including the Demographic Information Form aimed to gather personal information, the Rosenberg Self Esteem Scale, the trait anxiety dimension of the State-Trait Anxiety Inventory, the Child and Adolescents Perfectionism Scale, and the Narcis-sistic Personality Inventory. Findings revealed that adaptive perfectionism mediated the relationship between grandiose narcissism and trait anxiety when self-esteem was controlled. This study indicates that practitioners working with adolescents should focus on interventions, which aimed to decrease perfectionistic tendencies of adolescents.(AU)

Parece bastante interesante que durante la adolescencia los ni-veles de ansiedad pueden salirse de control. Esto se debe a varios factores; uno de los posibles determinantes son los rasgos de personalidad como el narcisismo. Contrariamente a que la autoestima alta es un factor predictivo de la salud mental, el narcisismo necesita autoestima para ser beneficioso para una persona. Por lo tanto, como dos factores de rasgos de personali-dad, la autoestima y el narcisismo deben distinguirse entre sí. Los indivi-duos narcisistas intentan satisfacer sus necesidades de afirmación estable-ciendo objetivos perfeccionistas y se han revelado relaciones significativas entre las dimensiones del perfeccionismo y la ansiedad en la literatura rela-cionada. Usando un modelo de ecuación estructural, este estudio investigó el papel de mediación de las dimensiones del perfeccionismo en las relacio-nes entre el rasgo de personalidad narcisista grandioso y el rasgo de ansie-dad cuando se controló la autoestima. Participaron en el estudio una mues-tra de 338 adolescentes (192 mujeres, 146 hombres, edad media = 15.84 años, DE= 1.01) de cinco colegios de secundaria. Los participantes com-pletaron los instrumentos, entre ellos el Formulario de Información De-mográfica destinado a recopilar información personal, la Escala de Autoes-tima de Rosenberg, la dimensión de ansiedad rasgo del Inventario de An-siedad Estado-Rasgo, la Escala de Perfeccionismo del Niño y el Adolescen-te y el Inventario de Personalidad Narcisista. Los hallazgos revelaron que el perfeccionismo adaptativo medió en la relación entre el narcisismo gran-dioso y el rasgo de ansiedad cuando se controló la autoestima. Este estudio indica que los profesionales que trabajan con adolescentes deben centrarse en las intervenciones cuyo objetivo sea disminuir las tendencias perfeccio-nistas de los adolescentes.(AU)

[Social skills training in psychosocial therapy of schizophrenia: a multicenter study for symptom management and medication management modules]. / Sizofreninin ruhsal-toplumsal tedavisinde sosyal beceri egitimi. Belirtilerle basetme ve ilaç tedavisi yaklasiminin türkiye'de cok merkezli bir uygulamasi.

OBJECTIVE: It is known that psychosocial skills training programs increase the efficacy of schizophrenia treatment. The aim of this study was to carry out the Turkish version of two modules of a commonly used program, Social Skills Training (Medication Management and Symptom Management Modules), and to determine its possible benefits. METHOD: The study was carried out at three sites. Fifty schizophrenic patients who were at least literate and who did not have language problems or organic mental diseases, aged 18-60, using antipsychotic agents in a standard dose and in a stable phase were included in the study. Eight training groups were formed. Each group consisted of 5-7 individuals and the study took approximately eight months. The Brief Psychiatric Rating Scale, the Quality of Life Scale: an instrument for rating the schizophrenic deficit syndrome, the Drug Treatment Compliance Scale and Pre- and Post-Tests of Social Skills Training were applied to the patients before and after the group education The scores of the rating scales were compared. RESULTS: Thirty-eight (76%) patients completed the study. The mean age of the patients was 32 +/- 7, 84% were men, 58% had received less than 11 years, of education 84% had never married, and 97% were living with their families. The mean age of illness onset was 20 +/- 5 years, and the mean duration of the illness was 12 +/- 7 years. At the end of the study, the Brief Psychiatric Rating Scale scores (baseline 42.0, after the training 37.1, p<0.02), and the Quality of Life Scale scores (baseline 67.5, after the training 75.3, p<0.01) were significantly changed. The level of knowledge of the patients about the medication and symptoms of schizophrenia increased 20.6%. Drug treatment compliance had also increased by the end of the study. CONCLUSION: The results show that this program contributed to the treatment compliance and treatment efficacy in schizophrenia. Increased treatment efficacy might have played a role in increasing of the quality of life a long with the group milieu. It may be concluded that this social skills training program, which did not encounter any problems in application, may contribute significantly to the treatment of schizophrenia.