The detrimental effects of pathological narcissism on individual development and intimate relationships have been widely studied. Although the exact origins of this phenomenon are still debated, the important role that family dynamics play in its emergence is increasingly being recognized. Previous researchers have pointed out that insecure attachment is associated with pathological narcissism; however, empirical findings are inconsistent. Hence, this study conducted a three‐level random‐effects meta‐analysis based on 183 effect sizes from 29 articles (N = 8247 participants). Our findings have demonstrated the significant and positive link between insecure attachment and pathological narcissism (r = .18; 95% CI: 0.14, 0.22; p < .001). In addition, a moderator analysis was carried out to explore factors that may weaken or strengthen the primary association of interest. In total, there are five significant moderators, including insecure attachment style (F(3,176) = 13.72; p < .001), measurement tool of attachment insecurity (F(8,171) = 4.59; p < .001), measurement tool of pathological narcissism (F(6,173) = 5.21; p < .001), percentage of participants identifying as male (F(1,174) = 4.04; p = .046), and age (F(1,178) = 19.94; p < .001). This research highlights the positive correlation between attachment insecurity and pathological narcissism, providing family theorists with insights into how early family experiences influence personality formation and guiding family therapists in interventions for narcissistic pathology.

中文翻译：

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依恋不安全感与病态自恋之间的关系：三级荟萃分析


病态自恋对个人发展和亲密关系的有害影响已被广泛研究。尽管这种现象的确切起源仍然存在争议，但家庭动态在其出现中发挥的重要作用正日益得到认可。以前的研究人员指出，不安全的依恋与病态的自恋有关;然而，实证研究结果并不一致。因此，本研究根据 29 篇文章 （N = 8247 名参与者） 的 183 个效应量进行了三级随机效应荟萃分析。我们的研究结果表明，不安全依恋和病态自恋之间存在显着而积极的联系 （r = .18;95% CI： 0.14， 0.22;p < .001）。此外，还进行了调节因子分析，以探讨可能削弱或加强主要兴趣关联的因素。总共有五个重要的调节因素，包括不安全的依恋风格（F（3,176） = 13.72;p < .001），依恋不安全的测量工具（F（8,171） = 4.59;p < .001），病态自恋的测量工具（F（6,173） = 5.21;p < .001），被认定为男性的参与者百分比（F（1,174） = 4.04;p = .046）和年龄（F（1,178） = 19.94;p < .001）。这项研究强调了依恋不安全感和病态自恋之间的正相关关系，为家庭理论家提供了关于早期家庭经历如何影响人格形成的见解，并指导家庭治疗师对自恋病理学进行干预。