Grandiose narcissistic traits are associated with self-enhancement biases; they perceive lower susceptibility to SARS-CoV-2 infection

Perceived susceptibility to COVID-19 infection and narcissistic traits. Tina A.G. Venema, Stefan Pfattheicher. Personality and Individual Differences, Volume 175, June 2021, 110696. https://doi.org/10.1016/j.paid.2021.110696

Highlights

• Prevention policies benefit from knowing who feels invulnerable to infection.

• Self-enhancing biases prevent accurate susceptibility perceptions.

• Grandiose narcissistic traits are associated with self-enhancement biases.

• High scores on the NPI-16 predict low perceived susceptibility.

• High scores on the NARQ Admiration subscale predict high perceived susceptibility.

Abstract: People's perceived susceptibility to illnesses plays a key role in determining whether or not to take protective measures. However, self-enhancing biases hinder accurate susceptibility perceptions, leaving some individuals to feel invulnerable in the face of acute health risks. Since such biases are prominent characteristics of individuals with narcissistic personality traits, this article empirically examined whether low perceived susceptibility of infection with COVID-19 is related to subclinical narcissism, as measured with the Narcissistic Personality Inventory (NPI-16) and the Narcissism Admiration and Rivalry Questionnaire (NARQ). We report the findings from a worldwide sample (N = 244), a UK sample before governmental pandemic restrictions (N = 261), a UK sample after restrictions (N = 261) and a pooled data analysis (N = 766). Overall, grandiose narcissism as measured with the NPI-16 predicted lower perceived susceptibility of infection, also after controlling for age and gender, whereas the NARQ Admiration subscale predicted higher perceived susceptibility. The findings are discussed in the light of theoretical and policy implications.

Keywords: Perceived susceptibilityRiskGrandiose narcissismNPI-16NARQCOVID-19

6. General discussion

The aim of the present work was to investigate whether low perceived susceptibility to infection with the coronavirus COVID-19 is related to narcissistic personality traits because the same cognitive biases known to influence perceived susceptibility are commonly found as self-enhancement strategies in narcissistic individuals. Across all studies, we found that higher scores of grandiose narcissism, as measured with the NPI-16, predicted lower perceived susceptibility or risk of infection with COVID-19. One unanticipated finding was that people with higher scores on Admiration (NARC, Back et al., 2013) perceived themselves as more susceptible to infection. Moreover, these studies demonstrate that narcissistic traits are related to perceived susceptibility to infection also after controlling for the effects of age and gender.

In general, people are more likely to display an optimism bias for problems that they believe they can control (Klein & Helweg-Larsen, 2002). The results of the current studies connect this finding to narcissism, as narcissistic individuals are characterized by overconfidence in their skills and knowledge, and therefore have a high sense of control over their surroundings and outcomes (Macenczak, Campbell, Henley, & Campbell, 2016; Mathieu & St-Jean, 2013). The idea that more personal control lessens a threat is not per se illogical (e.g., De Neys, 2012); knowing how to navigate in risky situations will lower the chances of a bad outcome. The problem for narcissistic individuals is that their perception of control is not objectively supported by their skills (i.e., they only think they are good; Farwell & Wohlwend-Lloyd, 1998). A systematic overview of the relation between health and narcissism suggested that narcissistic individuals consistently inflate their self-reported health and fitness levels, even though their engagement in behaviours that contribute to good health are equal, or even lower, compared to non-narcissistic individuals (Konrath & Bonadonna, 2014). To illustrate, narcissism predicted both strong self-reported oral health and a low frequency of tooth brushing (once per day or less) in medical students (Dumitrescu, Zetu, Zetu, & Păcurar, 2013). Prevention policy makers are advised to take this invulnerability fallacy into account when designing campaigns to target groups with high prevalence of narcissistic traits — men and young adults.

Surveying a worldwide sample, Dryhurst et al. (2020) found that men consistently reported a lower perceived risk of infection than women, despite the fact that their objective risk of dying of COVID-19 is almost two and a half times higher (Jin et al., 2020). The present work corresponds with this finding, and contributes by showing that the effect of gender on perceived susceptibility disappeared when accounting for grandiose narcissism. This suggests that the factors that cause men to report lower perceived susceptibility are covered by grandiose narcissism measures. A meta-analysis has shown robust evidence that men show stronger narcissistic traits than women (Grijalva et al., 2015), especially the facets exploitation and leadership are more prominent among men than women. Even though the grandiose narcissism measures in the current studies (NPI-16 and the NARQ) do not account for these facets, a gender difference was found across all samples. Age remained a significant predictor of perceived susceptibility when including the narcissism measures, signalling that there are other factors besides overconfidence and self-absorption (Ames et al., 2006) that contribute to lower perceived susceptibility of young adults.

The unexpected finding that high scores on the NARQ Admiration subscale coincide with higher perceived susceptibility corresponds with a recent study with a Polish sample (Nowak et al., 2020). Using a different narcissism measure (the Dark Triad Dirty Dozen scale), the authors found that the Dark Triad traits (that includes narcissism, as well as, psychopathy and Machiavellianism) were related to higher perceived susceptibility to infection with COVID-19 (Nowak et al., 2020). It is possible that becoming infected with COVID-19 has a certain dramatic appeal to individuals with strong needs for admiration; infection would result in a special status in society, and receiving a lot of attention (e.g., Albarracin, 2015). Rivalry traits (but not Admiration) have been shown to be a predictor of ignoring governmental restrictions in relation to the coronavirus (Zajenkowski, Jonason, Leniarska, & Kozakiewicz, 2020). The authors suggested that individuals with strong rivalry scores might view the situation as less risky; however, in the current studies we found no evidence that Rivalry was related to lower perceived susceptibility. Lockdown restrictions possibility threaten the individuals' autonomy, invoking antagonistic tendencies (captured by the NARQ Rivalry subscale), whereas the threat of a non-human virus might not elicit this tendency.

It should be noted that the findings in this article are inconclusive and further research needs to be done to test the relation between perceived susceptibility and grandiose narcissism traits. Next, we want to point to potential suppression effects in the regression analyses (e.g., Lynam, Hoyle, & Newman, 2006). While the NPI-16 and the NARQ Admiration subscale share considerable statistical and conceptual overlap, the current studies contribute to the literature that suggests that it is their distinction after controlling for their overlap that holds unique predictive properties for behaviour and attitudes (Hart, Richardson, Tortoriello, & Breeden, 2019; Sedikides, 2020).

In discussing the findings, we also want to acknowledge the limitations of the present research and point to future directions. First, there is no standardized way to measure perceived susceptibility to illnesses in general (Ranby, Aiken, Gerend, & Erchull, 2010), let alone specifically to infection with the coronavirus COVID-19 (e.g., Dryhurst et al., 2020). We took caution to compose our perceived susceptibility measure of an absolute risk estimation and direct comparisons to others close in social distance (i.e., peers of the same age and neighbours) in all studies. In uncertain situations people tend to incorporate information about other people's choices and (health) risks in order derive a better sense of their own perceived risk (Buunk & Gibbons, 2007), which in turn helps them decide whether preventive action is necessary (Klein & Weinstein, 1997). Usually information about others in close social distance is therefore more informative and influential than information about distant others (e.g., Guo, Song, Liu, Xu, & Shen, 2019). Future research should investigate whether the social proximity of “the other” makes a difference for narcissistic individuals in updating their perceived susceptibility or estimated risk. Moreover, perceived susceptibility also seems to impact general risk updates, as new information is less likely to be deemed relevant (e.g., Ahn et al., 2014; Jaccard et al., 2005), which might exacerbate the problem. Longitudinal studies could be conducted to investigate the interplay of perceived susceptibility and updated beliefs after exposure to disease related information in individuals with strong narcissistic traits.

We furthermore want to acknowledge that the participants in the current studies were primarily from Western countries, and that the samples were not representative of the entire population in these countries. Moreover, we did not set out to study observable behavioral consequences of narcissists' altered risk perception.4 As such, it might be useful to replicate the findings of the present studies using representative samples, to conduct the studies in other (non-)Western countries, and to include objectively observable behavioral outcomes in the analysis (such as hand disinfection upon entering a building). Furthermore, the observed effect sizes are small. However, in the context of the pandemic also small effect sizes matter, since an individuals' perceived susceptibility does not only bear consequences for this specific individual, but also for the people around them (e.g., Funder & Ozer, 2019). Lastly, we would like to emphasize that perceived susceptibility is not only influenced by biases (e.g., Van Der Pligt, 1998), but also by other factors, such as, awareness of local prevalence rates, and knowledge about effective protection measures, which were not accounted for in the current studies.

The insight from the present work that perceived susceptibility seems to be related to narcissistic personality traits, might help policy makers in effectively targeting individuals who perceive themselves at low risk of infection to COVID-19. While campaigns that invoke empathy for other people have good potential to increase wearing face masks and keeping distance for the population at large (e.g., Pfattheicher, Nockur, Böhm, Sassenrath, & Petersen, 2020), they might be less effective for narcissistic individuals(e.g., Hepper, Hart, & Sedikides, 2014). Instead, policy makers could appeal to aspects that are important to narcissists (e.g., Hill, 2017). Narcissistic individuals have been shown to knowingly take risks because potential rewards or benefits have a stronger appeal to them compared to individuals with lower narcissistic traits (Buelow & Brunell, 2014; Foster, Shenesey, & Goff, 2009). Because individuals with grandiose narcissistic traits are known to prefer settings in which there is a higher chance of receiving praise and attention (Grapsas et al., 2020), it might be especially appealing to ignore rules and recommendations about limiting contact with other people. This insight could be translated into adequate policies in this current corona setting, and suggests that initiatives that downplay the potential appealing benefits, such as closing down bars at 10 PM, might be more effective in reaching this target group.