Brief ReportsPathological Narcissism and Symptoms of Major Depressive Disorder Among Psychiatric Outpatients The Mediating Role of Impaired Emotional ProcessingKealy, David PhD*; Laverdière, Olivier PhD†; Pincus, Aaron L. PhD‡Author Information *Department of Psychiatry, University of British Columbia, Vancouver, BC †Département de Psychologie, Université de Sherbrooke, Sherbrooke, QC, Canada ‡Department of Psychology, Penn State University, University Park, Pennsylvania. Send reprint requests to David Kealy, PhD, Department of Psychiatry, University of British Columbia, #420 – 5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3. E-mail: email@example.com. The Journal of Nervous and Mental Disease: February 2020 - Volume 208 - Issue 2 - p 161-164 doi: 10.1097/NMD.0000000000001114 Buy Metrics Abstract Research is scarce regarding the mechanisms by which pathological narcissism––consisting of narcissistic grandiosity and vulnerability––is linked with depression. The present study examined whether impaired emotional processing would mediate relations between pathological narcissism domains and depressive symptoms in a sample of 99 psychiatric outpatients. A significant indirect effect was found for narcissistic vulnerability on depressive symptoms, through unprocessed emotion as a mediator. Findings suggest that narcissistic vulnerability contributes to persistent and intrusive negative feelings, which in turn contribute to depressive symptom severity. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.