Men with an inflated view of their own brilliance might look like they breeze through life in a bubble of confidence. But in reality, they're likely to be so plagued by worry they put their health at risk, according to a study.
It found narcissism, or self-love, is on the rise in men and is causing them to suffer stress-related illnesses like high blood pressure, which can lead to heart disease.
Psychologists asked 106 men and women to take personality questionnaires and took two saliva samples from them to measure levels of cortisol, a stress-related hormone.
Men who showed "unhealthy" levels of narcissism in the survey also had high levels of cortisol, even in a relaxed situation. In women, this was not the case.
The study's authors say the reasons are unclear, but suggest the pressure to fulfil traditional male traits, like strength and dominance, may be taking its toll.
"Even though narcissists have grandiose self-perceptions, they also have fragile views of themselves, and often resort to defensive strategies like aggression when their sense of superiority is threatened," says co-author David Reinhard of the University of Michigan.