A new statistical review of data from more than 12,000 adults suggests that difficulties with managing emotions are moderately linked to one specific form of narcissism, while showing virtually no connection to another. The research, published in Personality and Individual Differences, indicates that people with insecure and defensive narcissistic traits tend to struggle with emotional control, whereas those with more boastful, dominant narcissistic traits generally do not report these same struggles. These findings help clarify why past studies on narcissism and emotional health have produced conflicting results, and they may point to specific emotional skills that could be targeted in therapy.
In psychology, trait narcissism refers to a persistent pattern of personality characteristics centered on interpersonal antagonism, which includes feeling entitled, manipulating others, and lacking empathy. Rather than being a single uniform trait, narcissism is generally divided into two main subtypes: grandiose and vulnerable. Grandiose narcissism matches the common stereotype of a narcissist, featuring an outgoing, dominant, attention-seeking, and aggressively self-confident style. Vulnerable narcissism, while sharing the same core of entitlement and self-centeredness, looks very different on the surface, involving introversion, fragile self-esteem, deep feelings of inadequacy, and a heightened sensitivity to rejection.
Both forms of narcissism are associated with problems in relationships, including a lack of care for a partner’s distress, relationship dissatisfaction, and even intimate partner violence; a 2024 meta-analysis found that violence was more strongly tied to vulnerable narcissism (a correlation of 0.25) than to grandiose narcissism (0.11). Because personality traits themselves are deeply ingrained and difficult to change, psychologists often look for modifiable behaviors and skills that might help improve how narcissistic individuals function in daily life. One promising target is emotion dysregulation, which refers to difficulty understanding, managing, and responding to feelings in a healthy way that aligns with a person’s goals and social norms.
“Our broader interest in this area stems from wanting to understand the psychological factors that contribute to the interpersonal difficulties experienced by people with high levels of narcissism,” senior author Megan L. Willis, an associate professor in the School of Behavioural and Health Sciences and the Healthy Brain and Mind Research Centre at Australian Catholic University, told PsyPost. “I’m particularly interested in factors that may be modifiable – that is, things that we may be able to prevent or improve through psychological intervention.”
When psychologists study emotion dysregulation, they often look at several distinct areas where a person’s emotional control can break down. These areas include refusing to accept negative feelings, lacking awareness or clarity about what emotion is actually occurring, struggling to stay focused on tasks when upset, failing to control impulsive behaviors during distress, and lacking effective strategies to calm down. Studies linking narcissism to these emotional difficulties have produced confusing results, with some finding that narcissistic people had worse emotional control and others finding no link or even better emotional control.
Psychologists began to suspect that these contradictions happened because studies were measuring different subtypes of narcissism. For instance, a 2017 study of Chinese university students found that students with vulnerable narcissistic traits reported substantial trouble managing their emotions, while those with grandiose traits actually reported fewer emotional difficulties, which the authors linked to their higher self-esteem. Similarly, a 2020 study of undergraduates indicated that the defensive, self-protective side of narcissism was tied to poor emotion recognition and messy emotional reactions, whereas the assertive, self-promoting side was linked to better emotional management.
To make sense of the growing body of research, a 2024 systematic review summarized the existing literature and observed a consistent link between vulnerable narcissism and emotional struggles, alongside a lack of evidence connecting grandiose narcissism to those same struggles. However, that earlier review only summarized the studies qualitatively rather than mathematically combining their data, and it mixed psychiatric patients with the general public, which can weaken the correlations researchers observe. Willis, lead author Ria Tziliaskopoulos, and their colleagues at Australian Catholic University set out to conduct a full meta-analysis, a statistical technique that pools data from multiple studies to estimate the strength of the relationship between narcissism and emotion dysregulation in the general adult population.
“We wanted to establish the strength of the relationship between emotion dysregulation and narcissism in general, as well as determine whether this relationship differed between grandiose and vulnerable narcissism,” Willis explained.
The researchers searched five major academic databases through January 2026 to find studies written in English that measured both trait narcissism and emotion dysregulation in adults outside clinical settings. They excluded studies focusing on children or specialized groups like psychiatric patients or prison inmates, ensuring the results would reflect everyday adult populations. This screening process yielded 26 eligible studies from 25 reports, encompassing a combined total of 12,209 participants with average ages ranging from 18.7 to 62 years across countries including the United States, Italy, Turkey, China, Iran, and Brazil.
Because each included study used questionnaires to measure personality and emotional habits, the authors categorized the narcissism questionnaires into three groups: those measuring grandiose narcissism, those measuring vulnerable narcissism, and “combined” measures that blended both traits into a single score. For instance, the widely used Narcissistic Personality Inventory counted as a grandiose measure and the Hypersensitive Narcissism Scale as a vulnerable one, while the 2020 undergraduate study’s self-promoting “admiration” scale was counted as grandiose and its defensive “rivalry” scale as vulnerable.
Twenty-two of the 26 studies measured emotional difficulties using a standard questionnaire called the Difficulties in Emotion Regulation Scale, which scores both overall dysregulation and the six specific problem areas like impulse control and emotional awareness. The researchers extracted 80 individual statistical correlations from the 26 studies and used a method called robust variance estimation to account for the fact that several studies contributed multiple data points from the same group of people.
In statistical terms, a correlation ranges from -1 to 1, where 0 means no relationship, positive values mean two traits tend to rise together, and negative values mean one tends to fall as the other rises. By common convention, values of about 0.10 to 0.29 are considered weak, 0.30 to 0.49 moderate, and 0.50 or above strong. When the researchers pooled all 80 data points together without separating the narcissism subtypes, they found a weak positive correlation of 0.15 between overall narcissism and emotion dysregulation. This meant that across the entire dataset, higher levels of narcissism were only slightly associated with greater trouble managing emotions.
When the team broke the data down by narcissism subtype, a sharp divide emerged that helps explain why the overall correlation was so small. Vulnerable narcissism showed a moderate positive correlation of 0.37 with emotion dysregulation across 11 studies. In contrast, grandiose narcissism showed a correlation of 0.04 across 21 studies, a number so close to zero that it was not statistically significant.
“The relationship with vulnerable narcissism was moderate in size, which is quite a meaningful relationship in individual differences research,” Willis noted. “Narcissism reflects a cluster of personality traits, so we wouldn’t expect any single psychological factor to explain it. The size of the relationship suggests that difficulties regulating emotions are an important part of the psychological profile of people high in vulnerable narcissism.”
Measures that combined both forms of narcissism fell right in the middle, showing a weak positive correlation of 0.25 across five studies. Follow-up statistical comparisons confirmed that the link between vulnerable narcissism and emotional difficulties was substantially stronger than the link for grandiose narcissism. The authors also checked whether a few debatable coding choices drove the results. Dropping the grandiose scale of the Pathological Narcissism Inventory, which critics say overlaps too much with vulnerable traits, left grandiose narcissism at 0.03, and dropping the one study that counted the defensive “rivalry” scale as vulnerable narcissism left vulnerable narcissism at 0.37.
“The findings may help explain some of the interpersonal difficulties experienced by people high in vulnerable narcissism,” Willis said. “They tend to be hypersensitive to rejection and criticism, and our findings suggest they are also more likely to have difficulty regulating their emotions. When they feel rejected or criticized, they may struggle to manage the emotions that arise in these situations. This could contribute to hostile or aggressive responses, which can create conflict and damage their relationships with others.”
The researchers then examined the four or five studies that reported scores for each of the six domains of emotional difficulty, pooling all types of narcissism together. They found weak but statistically reliable correlations with three specific problem areas: limited access to effective emotion regulation strategies had a correlation of 0.21, trouble controlling impulses when upset had a correlation of 0.19, and refusing to accept negative emotions had a correlation of 0.18. Meanwhile, narcissism was not statistically linked to lacking emotional awareness (which had a slight negative correlation of -0.08), lacking emotional clarity (0.13), or struggling to focus on goal-directed behaviors when distressed (0.13). The link with emotional awareness was weaker than the link with every other domain.
The authors suggest this pattern means the emotional struggles tied to narcissism may be less about failing to notice feelings and more about how a person reacts once an unpleasant emotion arrives, such as struggling to accept the feeling, acting impulsively, or feeling there is no healthy way to calm down. Because these analyses drew on only a handful of studies and combined all forms of narcissism, they cannot show whether the pattern differs between grandiose and vulnerable traits. The authors note that these specific breakdowns could help explain why people high in narcissism may lash out, blame others, or withdraw during relationship conflicts.
These results align with a study covered by PsyPost in 2024, which also found that emotion dysregulation was tied to vulnerable rather than grandiose narcissism, although that earlier study tested psychiatric outpatients rather than the general adult samples analyzed in the new review.
The findings sit in partial tension with the 2020 study of undergraduates described earlier, which PsyPost covered in 2019, where the self-promoting side of grandiose narcissism was linked to fewer emotional difficulties and better emotional awareness. The meta-analysis included that study but counted its defensive rivalry scale as vulnerable narcissism, and across all the grandiose questionnaires combined, it found no link either way rather than a protective one.
The absence of a link for grandiose narcissism also contrasts with research covered by PsyPost earlier in 2026, which tied both grandiose and vulnerable traits to brain differences connected to hiding one’s feelings. That difference may reflect what was measured: the brain study looked at the specific habit of suppressing outward emotional expressions, while the meta-analysis assessed broader difficulties managing emotions.
As with all research, there are some caveats to keep in mind when interpreting these findings. Every study included in the meta-analysis relied on self-report questionnaires, which depend on participants being both honest and self-aware about their flaws. The authors point to a 2023 study that recorded facial muscle activity and found amplified emotional reactions to negative social evaluation among people with grandiose traits, suggesting questionnaires may miss some of their emotional responses.
“I also wouldn’t interpret the lack of a relationship with grandiose narcissism as definitive evidence that people high in grandiose narcissism don’t experience difficulties regulating their emotions,” Willis cautioned. “All of the studies relied on self-report measures, and people high in grandiose narcissism may be less likely to perceive or report difficulties with emotion regulation.”
All 26 studies also used cross-sectional designs, measuring personality and emotional habits at a single point in time. In addition, half of the studies (13 of 26) recruited only university students, and most were conducted in Western nations, meaning the findings may not apply equally to older adults or different cultural contexts.
“The main caveat is that all of the studies included in our meta-analysis were cross-sectional, so we can’t determine the direction of the relationship,” Willis said. “Difficulties regulating emotions may contribute to the development or maintenance of vulnerable narcissism, vulnerable narcissism may contribute to difficulties regulating emotions, or other factors may explain this relationship.”
One such shared factor the authors raise is early experience: vulnerable narcissism has been theorized to arise partly from childhood trauma or inconsistent parenting, which may also hinder the development of emotional skills. Results also varied widely from study to study, so the pooled correlations are best read as averages rather than as figures that apply equally to every group or questionnaire. Several statistical checks did suggest the findings were unlikely to be skewed by publication bias, the tendency for studies with positive results to be published more often.
Another limitation is that too few studies reported detailed breakdowns of the six emotional problem areas to allow the authors to test grandiose and vulnerable narcissism separately for each specific skill. The authors recommend that future studies routinely report data for all individual emotion regulation subscales alongside total scores, use longitudinal designs that follow people over time, and recruit more diverse samples across cultures and age groups. Even with these limitations, the authors suggest that therapies focused on emotion regulation, such as dialectical behavior therapy or schema therapy, may be worth testing for people high in vulnerable narcissism, though studies have yet to show whether such treatment improves their well-being or relationships.
Looking ahead, the research team is now examining the roots of these traits and how emotional habits take shape over time. In psychology, insecure attachment refers to relationship patterns characterized by anxiety or avoidance that often stem from inconsistent caregiving early in life.
“One of the things I’m particularly interested in now is understanding how vulnerable narcissism may develop,” Willis told PsyPost. “We’re currently testing models looking at the potential role of insecure attachment and difficulties identifying, understanding and regulating emotions. Ultimately, we want to identify potentially modifiable factors that could be targeted through prevention or intervention strategies.”
The study, “The relationship between narcissism and emotion dysregulation: A systematic review and meta-analysis,” was authored by Ria Tziliaskopoulos, Rose Ferguson, Wendy Song, and Megan L. Willis.