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Table 1 Correspondence between DSM-IV diagnostic criteria for narcissistic personality disorder (NPD) in PDQ-4+ and SCID-II

From: Frequency of narcissistic personality disorder in a counseling center population in China

Diagnostic Criteria
(DSM-IV, NPD)
Screen Interview
PDQ4+(NPD) SCID-II (NPD)
A long-term pattern of abnormal behavior characterized by exaggerated feelings of self-importance, an excessive need for admiration, and a lack of empathy. The disorder begins by early adulthood and is indicated by at least five of the following:
(1) An exaggerated sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements) I have achieved much more than others think. (Item-5) Most people do not appreciate your extraordinary talents or achievements. (Item-73).
Some people say that you have too high self-evaluation. (Item-74).
(2) Preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love I often find myself thinking about what an important person I am or how I am going to be. (Item-18) You say you often think that 1 day you will gain power, reputation or praise. (Item-75).
You say you often think that 1 day you will have a perfect love story. (Item-76).
(3) Believes he is “special” and can only be understood by, or should associate with, other special or high-status people (or institutions) Only some special person can really appreciate and understand me. (Item-31). When you encounter problems, you almost always insist on meeting senior leaders. (Item-77).
You think it’s only worth spending time with special or important people. (Item-78).
(4) Requires excessive admiration I need people to pay attention to me or to praise me. (Item-44). People pay attention to or envy you in some way, which is very important to you. (Item-79).
(5) Has a sense of entitlement When a salesperson makes me wait in front of the counter or wait for a long time, I tend to feel indignant and angry. (Item-57) When certain rules or social conventions interfere with you, you do not think it is necessary to comply with them. (Item-80).
You often feel that others are giving you special treatment. (Item-81)
(6) Selfishly takes advantage of others to achieve his own ends Some people think I use others. (Item-68). You often feel that it is necessary to offend some people in order to get what you want. (Item-82).
You often have to put your needs above others. (Item-83).
You often want others to look at your face and do what you want without doubt. (Item-84).
(7) Lacks empathy People often blame me for not realizing that they are in a bad mood. (Item-73). You often think that it doesn’t matter how to treat others’ thoughts or feelings. (Item-85).
(8) Is often envious of others or believes that others are envious of him Some people are jealous of me. (Item-79). When others do well, you will be angry. (Item-86).
You feel that people are often jealous of you. (Item-87).
(9) Shows arrogant, haughty, patronizing, or contemptuous behaviors or attitudes Others think I’m arrogant. (Item-92). You think that few people are worth your time or attention. (Item-88).
  1. Note: PDQ-4+: The Personality Diagnostic Questionnaire Version 4 plus. SCID-II: Structured Clinical Interview for DSM-IV Axis II