Narcissistic Personality Disorder in People living with Chronic pain

Key things to know What the evidence shows
How common is it? Not established reliable population estimate
Is it more common among people living with chronic pain? Some clinical literature links NPD/personality pathology with chronic-pain treatment populations
Are people living with chronic pain at higher risk? Insufficient population evidence
How much higher is the risk? NE
How often can it be missed? High
Does it show up differently among people living with chronic pain? Contextually
How might it look different? Pain/disability can threaten autonomy and identity; clinician conflict does not itself indicate NPD
What commonly occurs alongside it? Depression; anxiety; other PDs
What can it be confused with? Depression; somatic symptom disorder; BPD
Common screening tool NPI - Narcissistic Personality Inventory
Separate screening tool for people living with chronic pain None
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