From a perspective broadly informed by Stress and Coping Theory, this review examined whether theoretically distinct and important dimensions of narcissism (grandiosity and vulnerability) associate with health-related stress-reactivity. Literature searches were conducted and articles were included if they contained a validated baseline assessment of narcissism, a stressor, and a within-person assessment of stress-reactivity (i.e., a baseline and post-stress assessment of a health-related psychological, biological, or behavioural process). Additionally, narcissism measures had to be systematically categorised as assessing grandiosity or vulnerability (see Grijalva, E., Newman, D. A., Tay, L., Donnellan, M. B., Harms, P. D., Robins, R. W., & Yan, T. (2015). Gender differences in narcissism: A meta-analytic review. Psychological Bulletin, 141(2), 261–310. doi:10.1037/a0038231), and narcissism dimensions had to be assessed independently of other constructs. Findings were narratively synthesised within three broad dimensions of stress-reactivity (psychological, biological, and behavioural). Overall, there appear to be relatively consistent patterns that grandiosity and vulnerability are related to altered stress-reactivity. Additionally, grandiosity and vulnerability may differentially influence stress-reactivity depending on the type of stressor and/or indicator of stress-reactivity (e.g., under certain conditions, grandiosity may confer some level of resilience). This review highlights important theoretical and empirical gaps in the emerging narcissism and health literature. Furthermore, this review may help inform methodological considerations for future research, and may also point to physical health outcomes that could conceivably be affected by narcissism over time (e.g., overweight/obesity, cardiovascular disease, HIV/AIDS).

从压力和应对理论广泛了解的角度来看，本次审查检查了自恋的理论上独特和重要的方面（自大和脆弱）是否与健康相关的压力反应性相关。进行了文献检索，如果文章包含经过验证的自恋基线评估，压力源和个人压力反应性评估（即与健康相关的心理，生物学，或行为过程）。此外，自恋措施必须系统地归类为评估宏伟程度或脆弱性（参见Grijalva，E.，Newman，DA，Tay，L.Donnellan，MB，Harms，PD，Robins，RW，＆Yan，T.（2015）自恋中的性别差异：荟萃分析。心理公告，141（2），261-310。doi：10.1037 / a0038231），并且必须独立于其他结构评估自恋的维度。在压力反应的三个主要方面（心理，生物学和行为方面）对发现进行了叙述性的综合。总体而言，似乎存在着相对一致的模式，即宏大程度和脆弱性与压力反应性的改变有关。另外，雄壮度和脆弱性可能会根据压力源的类型和/或应激反应性的指标而对压力反应性产生不同的影响（例如，在某些条件下，雄壮度可能会赋予一定程度的弹性）。这篇综述突出了新兴自恋和健康文献中重要的理论和经验差距。此外，这项审查可能有助于为将来的研究提供方法上的考虑，