Abstract
Background: Being older could be stressful, especially among people with narcissistic personality disorders. Nevertheless, the tool is yet to be available among older Thai individuals. The study aimed to develop a tool to detect symptoms of narcissistic personality, and to validate its psychometric properties among older Thai adults. Methods: The Narcissistic Personality Scale (NPS) was developed based on nine domain symptoms of narcissistic personality disorder from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), consisting of 80 items. The original scale was field-tested using Rasch analysis for item reduction, rendering a final 43 items. NPS was further investigated among 296 seniors aged 60 years old. Rasch analysis was used to assess its construct validity. Result: Of 43 items, 17 were further removed as infit or outfit mean square >1.5. The final 26-item NPS met all necessary criteria of unidimensionality and local independence without differential item functioning due to age and sex, and good targeting with subjects. Person and item reliability were 0.88 and 0.95, respectively. No disordered threshold or category was found. Conclusions: The NPS is a promising tool with a proven construct validity based on the Rasch measurement model among Thai seniors. This new questionnaire can be used as outcome measures in clinical practice.
Highlights
People suffering from narcissistic personality disorder (NPD), according to DSM
The objectives of this study were to develop a culturally adapted tool called Narcissistic Personality Scale (NPS) based on DSM-5 criteria to detect the severity of symptoms of narcissistic personality, and to examine the NPS’s construct validity among Thai older adults
The NPS was developed through a rigorous process using both qualitative and quantitative methods
Summary
People suffering from narcissistic personality disorder (NPD), according to DSM-. 5 diagnostic criteria for PDs, have a grandiose sense of self-importance (in fantasy or behavior), need for admiration, and lack of empathy [1] This personality trait increases as individuals become older [2]. The study aimed to develop a tool to detect symptoms of narcissistic personality, and to validate its psychometric properties among older Thai adults. Conclusions: The NPS is a promising tool with a proven construct validity based on the Rasch measurement model among Thai seniors. This new questionnaire can be used as outcome measures in clinical practice
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