Original ArticlesEating Pathology Among Patients With Anorexia Nervosa and Bulimia Nervosa The Role of Narcissism and Self-EsteemBoucher, Katrine PhD*; Côté, Marilou PhD*; Gagnon-Girouard, Marie-Pierre PhD†; Ratté, Carole MD, FRCPC‡; Bégin, Catherine PhD*Author Information *Université Laval, Quebec City; †Université du Québec à Trois-Rivières, Trois-Rivières; and ‡Eating Disorders Unit at Centre Hospitalier de l'Université Laval, Quebec City, Québec, Canada. Send reprint requests to Catherine Bégin, PhD, Laboratoire de Recherche et d'Évaluation des Problématiques Liées au Poids, Pavillon Félix-Antoine-Savard, 2325, Rue des Bibliothèques, Université Laval, Québec, Québec G1V 0A6, Canada. E-mail: [email protected]. The Journal of Nervous and Mental Disease: October 2018 - Volume 206 - Issue 10 - p 776-782 doi: 10.1097/NMD.0000000000000890 Buy Metrics Abstract We sought to deepen our understanding of the relationship between pathological narcissism and eating disorders (ED) by examining specific facets that composed grandiose and vulnerable narcissism while taking into account self-esteem, a well-known and consistent risk factor for ED. Twenty-seven women diagnosed with anorexia nervosa (AN) and 23 women diagnosed with bulimia nervosa (BN) completed standardized measures of pathological narcissism, self-esteem, and dysfunctional eating attitudes and behaviors. Different patterns of associations between the facets of pathological narcissism and eating pathology arose between AN and BN diagnoses. Closer examination of the facets of pathological narcissism revealed that hiding the self, a vulnerable narcissistic facet, contributed significantly to dysfunctional eating attitudes and behaviors over and above self-esteem for women with AN. Hiding the self should continue to be explored in regard to treatment of ED. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.