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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

SO194

Çocukluk çağı duygusal olumsuz yaşantıları ve kırılgan narsisizm: sistematik bir derleme (Adverse emotional experiences in childhood and vulnerable narcissism: a systematic review)

CHILDHOOD EMOTIONAL ADVERSITY AND VULNERABLE NARCISSISM: A SYSTEMATIC REVIEW

Childhood maltreatment is moderately to strongly associated with vulnerable narcissism (r = 0.42), with emotional abuse and emotional neglect being the most consistent predictors.

The aim was to estimate the association between childhood maltreatment and vulnerable narcissism, compare maltreatment subtypes, and synthesize proposed mediators and clinical correlates. Guided by PRISMA, PubMed and Scopus were searched from inception to February 16, 2026; of 40 records, 18 studies involving 12,404 participants were included. Pearson correlations from studies using validated measures (e.g., CTQ, ACE, PNI, HSNS) were pooled using a random-effects model following Fisher’s z transformation, and study quality was assessed using the Newcastle–Ottawa Scale. The pooled correlation was r = 0.42 (95% confidence interval, 0.36 to 0.48; p < 0.001), and all 18 studies reported positive associations (r range, 0.28 to 0.57). Subtype estimates showed the highest coefficients for emotional abuse (0.48) and emotional neglect (0.45), with lower coefficients for physical abuse (0.32) and sexual abuse (0.29); these exploratory analyses should be interpreted cautiously because subtype reporting was incomplete. Heterogeneity was high (I² = 86%; Q = 124.6; df = 17; p < 0.001), Egger’s test was not significant (p = 0.28), and there was no statistical evidence of funnel plot asymmetry. Dissociation was the most frequently examined mediator (in 7 of the 18 studies); shame and attachment insecurity also emerged as potential pathways. The pathway linking maltreatment to vulnerable narcissism was associated with suicidal ideation, prodromal psychotic symptoms, post-traumatic stress symptoms, interpersonal violence, and behavioral dysregulation. The authors recommend trauma-informed assessment that takes dissociation, shame, and attachment insecurity into account, while noting that cross-sectional designs and retrospective self-report limit causal inference.

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