Narcissistic Personality Features and Ageism: The Mediating Role of Dangerous and Competitive Social Worldviews

Research Article | DOI: https://doi.org/10.31579/jagr.2026/005

Narcissistic Personality Features and Ageism: The Mediating Role of Dangerous and Competitive Social Worldviews

  • Ali Mohammad Beigi 1*
  • Zahra Saberi 2

1Shahid Behesti University of Medical Sciences, Tehran, Iran.

2Ministry of Education of the Islamic Republic of Iran, Isfahan.

*Corresponding Author: Ali Mohammad Beigi, Shahid Behesti University of Medical Sciences, Tehran, Iran.

Citation: Ali M. Beigi, Zahra Saberi, (2025), Narcissistic Personality Features and Ageism: The Mediating Role of Dangerous and Competitive Social Worldviews, Aging and Geriatric Research, 3(1); DOI:10.31579/jagr.2026/005

Copyright: © 2025, Ali Mohammad Beigi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 08 November 2025 | Accepted: 28 November 2025 | Published: 10 December 2025

Keywords: elderly; narcissism; dangerous and competitive social worldview; intergenerational tension; ageism

Abstract

The associations between narcissistic personality features and intergenerational tension ageism were examined, also, whether these associations were mediated by the dangerous and competitive social worldviews believed to accompany these behaviors. The participants were 818 people from Iran, of whom 382 were male (46.7%) and 436 were female (53.3%). The age range of the participants was from 17 to 66 years, with an average of 30.38 and a standard deviation of 9.58. We used three questionnaires: the short form of the Five-Factor Narcissism Inventory, the Social Worldviews Scale-Revised, and the prescriptive intergenerational-tension ageism scale. The results showed that there was a significant relationship between aspects of narcissism (extraverted narcissism, antagonistic narcissism, and neurotic narcissism) and a dangerous and competitive social worldview and prescriptive intergenerational-tension ageism and its dimensions. Also, the results showed that aspects of narcissism have strong indirect associations with prescriptive intergenerational-tension ageism through competitive social worldviews. Based on these results, it can be said that narcissists tend to use social worldviews (dangerous and competitive) to satisfy their needs. Therefore, they choose behaviors that cause tension with the elderly in dealing.

Introduction

Narcissism

Narcissism is a multidimensional personality construct characterized by excessive self-love, a strong sense of entitlement, and a need for attention and approval (Miller et al., 2011). Trait theory suggests that personality traits are stable (Cervone & Pervin, 2015). Narcissism negatively impacts relationships (Skodal et al., 2014). Even narcissism is linked to a desire for power in couples. (Mohammad Beigi & Zeigler-Hill, 2024; Zeigler-Hill & Mohammad Beigi, 2023). Other characteristics of narcissism include arrogance, dominance, aggression, and cruelty toward others. Narcissism is a set of maladaptive personality traits associated with dysfunctional outcomes (Miller et al., 2021). Dissociation between unconscious feelings of inadequacy and conscious feelings of superiority is a core characteristic of narcissism (Kernberg, 1975). Narcissists are more motivated than others to seek out situations in which they feel proud and to avoid situations in which they might experience humiliation or shame (Robins et al., 2001). Understanding changes and stability in narcissism is important because narcissism has both positive and negative consequences (Orth et al., 2024). Researchers in nonclinical psychology typically view narcissism as a personality trait that everyone possesses to some degree (Junge et al., 2024). According to the triad model of narcissism, the dimensions of narcissism include extraverted, antagonistic, and neurotic narcissism (Miller et al., 2017). Extraverted narcissism leads to fewer interpersonal problems than other narcissistic factors. Antagonistic narcissism includes aspects such as self-importance, exploitation, deceitfulness, entitlement, callousness, and low empathy. This factor encompasses the unpleasant and antisocial aspects of narcissism. Neurotic narcissism is characterized by impaired emotional regulation, hypersensitivity, and a tendency toward shame (Miller et al., 2021).

Prescriptive intergenerational-tension ageism

Ageism was first conceptualized and addressed by Butler (1969). Ageism refers to prejudice or discrimination against older people (Butler, 1969). In many countries and cultures around the world, there are negative associations with aging (Ayalon & Tesch-Römer, 2018). Ageism in the modern era takes many forms, such as negative stereotypes, derogatory language, and exclusionary practices and policies that expose older people to harm (Hovey et al,. 2017). Perceived ageism negatively impacts the mental and physical health of older people, leading to reduced life satisfaction and impaired cognitive and physical functioning (Hovey et al., 2017; Barber et al., 2024; Butler, 1969). According to Butler (1980), there are two types of ageism: benign ageism (“as discomfort, anxiety, or fear of aging”) and malignant ageism (“a more destructive form of stereotyping in which older people are described as worthless”). Ageism, like sexism, is a multifaceted prejudice; it includes both benevolent and hostile attitudes toward older people (Cary et al., 2017). The Stereotype Content Model (Fiske et al., 2002) proposes two types of stereotypes and perceptions about older people. According to this model, older people are seen as both warm-hearted (a positive trait) and incompetent (a negative trait) (Cary et al., 2017). Ageism is disproportionately prevalent among different age groups, such as young adults who face negative stereotypes (entitled, inconsiderate, spoiled, incompetent, unreliable, and unstable) and discrimination in employment, housing, and everyday life (Bratt et al., 2018; Chasteen et al., 2020; Francioli & North, 2021). According to the prescriptive intergenerational-tension ageism theory of North and Fisk (2012), older people have great power and influence, and they consume and exhaust shared resources. They also have political power and influence, and they participate in youth-specific activities. This creates intergenerational tension between young people and older people because younger people feel that older people have taken their place. Intergenerational tension theory focuses on the role of authoritarian, coercive, conventional, and more controlling beliefs based on “shoulds.” This approach proposes three dimensions of coercion that younger generations are particularly likely to endorse and expect from older people: these dimensions include envy of the position and influence of older people and effectively and actively replacing them, minimizing wasteful consumption of shared resources, and maintaining a symbolic identity appropriate to age (North & Fiske, 2013a). According to the prescriptive intergenerational-tension ageism theory, from the perspective of young people, older people should forgo employment, political influence, or the use of certain facilities in favor of younger people and should not participate in activities reserved for younger people (North & Fiske, 2012, 2013b). This conflict of positive and negative stereotypes and views towards older people has been reflected in the emergence of multifaceted definitions of ageism (Levy et al., 2022).

Social Worldview:

Social worldviews are perceptions and beliefs about the world and other people (Goldberg, 2009; Perry et al., 2013). Worldviews are formed through everyday interactions. Factors such as religious and cultural values, early socialization, and personality predict the worldviews that develop (Duckitt & Sibley, 2010). The formation of worldviews involves cognitive processes as well as the use of cognitive models. (Goldberg, 2009). Social worldviews play a crucial role in the formation of ideological attitudes because they serve as important principles that help individuals interpret their experiences in a way that is consistent with their worldview (Duckitt, 2001; Duckitt & Sibley, 2010; Perry et al., 2013). This type of thinking was the basis for a model developed by Duckitt (2001) called the dual process model. Individuals make dual judgments about the “competitiveness” (competitive worldview) and the “dangerousness” (dangerous worldview) of the world around them (Perry et al., 2013). There are two sociopolitical attitudes in the social psychology literature: right-wing authoritarianism (RWA; Altemeyer, 1998) and social dominance orientation (SDO; Pratto et al., 1994). According to the dual-process motivational model, right-wing authoritarianism and social dominance orientation refer to different social worldviews and have distinct motivational patterns and even different social constructs (Duckitt & Sibley, 2010; Duckitt et al,. 2002; Perry et al,. 2013). Individuals with a competitive social worldview tend to develop higher levels of social dominance orientation (SDO), while individuals with a risky social worldview tend to develop higher levels of right-wing authoritarianism (RWA). (Duckitt, 2001; Duckitt & Sibley, 2010). In other words, different perspectives suggest that a competitive worldview predicts SDO and a risky social worldview predicts RWA (Khan et al., 2017).

Personality traits also play an important role in shaping social worldviews. Numerous studies have shown that social worldviews mediate between personality traits and SDO and RWA (Duckitt, 2001; Duckitt et al., 2002; Duckitt & Sibley, 2010; Perry et al., 2013).

Overview and predictions:

The aim of the present study was to examine the possibility that narcissism is associated with prescriptive intergenerational-tension ageism. On the other hand, the aim was to examine the role of social worldview as a mediating variable because social worldviews may play a critical role in understanding many narcissistic attitudes and behaviors. We focused our current efforts on examining whether social worldviews as a moderating variable play a role in the association of narcissism with prescriptive intergenerational-tension ageism. More specifically, we were interested in the possibility that individuals with narcissistic personality traits may have greater prescriptive ageism-intergenerational tension—due to their tendency to perceive the world as a highly competitive and dangerous environment. The logic behind this prediction was that when we considered the characteristics of narcissists mentioned above and, on the other hand, we considered the relationship between narcissism and social worldviews that have been found in various studies (Beigi & Zeigler-Hill, 2021; Zeigler-Hill et al., 2021; and Mohammad Beigi & Zeigler-Hill, 2021). The idea and hypothesis were put forward that, given the characteristics of narcissists, they are more likely to adopt dangerous and competitive social worldviews because the goals of these two worldviews can be aligned with the goals of narcissists. In principle, we expected that individuals with narcissistic personality traits would be sensitive to signals of dangerous and competitive social worldviews, thereby leading them to pursue their own selfish goals with relatively little concern for using or abusing the resources and assets of the elderly, increasing intergenerational tension.

We formulated the following hypotheses for the present study: 

We expected antagonistic narcissism to be associated with prescriptive intergenerational tension ageism, and its dimensions. Moreover, we expected the associations between antagonistic narcissism and prescriptive intergenerational tension ageism, to be mediated by a highly competitive social worldview and by a highly dangerous social worldview. 

We expected extraverted narcissism to be associated with prescriptive intergenerational tension ageism and its dimensions. Moreover, we expected the associations between extraverted narcissism and prescriptive intergenerational tension ageism, to be mediated by a highly competitive social worldview and by a highly dangerous social worldview.

We expected neurotic narcissism to be associated with prescriptive intergenerational tension ageism, and its dimensions. Moreover, we expected the associations between neurotic narcissism and prescriptive intergenerational tension ageism, to be mediated by a highly competitive social worldview and by a highly dangerous social worldview.

Method

Participants and procedure:

The participants were 818 people from Iran, of whom 382 were male (46.7%) and 436 were female (53.3%). The age range of the participants was from 17 to 66 years, with an average of 30.38 and a standard deviation of 9.58.  The data collection was done online through social media. Participants were contacted, mostly via WhatsApp and Telegram, and the objectives of the research were explained to them. After expressing their consent, a link to the questionnaires (for narcissism, prescriptive intergenerational-tension ageism, and social worldviews) designed in Google Forms software was sent to them. The three online self-report questionnaires were carefully translated from the original English version under the supervision of linguists.

Measures

Narcissism scale

The short form of the Five-Factor Narcissism Inventory (Glover et al., 2012; Sherman et al., 2015) was used to assess extraverted narcissism (16 items; e.g., “I get lots of enjoyment from entertaining others” [α = .78]),), antagonistic narcissism (32 items; e.g., “I’m pretty good at manipulating people” [α = .77]), and neurotic narcissism (12 items; e.g., “I feel awful when I get put down in front of others” [α = .71]). Participants were asked to rate their level of agreement with each statement using a scale that ranged from 1 (disagree strongly) to 5 (agree strongly). Based on the present research, Cronbach’s alphas were α = .83 for extraverted narcissism, α = .80 for antagonistic narcissism, and α = .76 for neurotic narcissism.

Dangerous and competitive social worldview

The Social Worldviews Scale-Revised (Perry et al., 2013) was used, a scale with two dimensions: (1) dangerous social worldview (10 items; e.g., “Any day now chaos and anarchy could erupt around us. All the signs are pointing to it” [α = .53]), and (2) competitive social worldview (10 items; e.g., “My knowledge and experience tells me that the social world we live in is basically a competitive ‘jungle’ in which the fittest survive and succeed, in which power, wealth, and winning are everything, and might is right” [α = .54]). Participants were asked to indicate their level of agreement with each item using scales that ranged from 1 (strongly disagree) to 7 (strongly agree). The Cronbach’s alphas based on the present results were α = .66 for the dangerous social worldview, and α = .63 for the competitive social worldview.

The Prescriptive intergenerational-tension ageism (North & Fiske, 2013a) scale for measuring prescriptive intergenerational-tension (20 items; e.g., “Doctors spend too much time treating sickly older people” [α = .91]) consists of three subscales: succession, identity, and consumption. This scale focuses on the role of more controlling, “should”-based prescriptive beliefs. Participants were asked to rate their level of agreement with each statement using a scale that ranged from 1 (disagree strongly) to 6 (agree strongly). Items on the scale are averaged to give an overall score of prescriptive stereotype endorsement. In the present research, Cronbach’s alphas for the total prescriptive intergenerational-tension ageism scale were (20 items; α = .77).

Data analysis

Our hypotheses were consistent with an indirect effects model, such that the associations that antagonistic, extraverted, and neurotic narcissism had with prescriptive intergenerational-tension ageism were believed to be explained, at least in part, by social worldviews. This led us to conduct a series of parallel multiple mediation analyses using model 4 of the PROCESS macro developed by Hayes (2022), which uses a bootstrap resampling process that was repeated 10,000 times to generate a 95% percentile bootstrap confidence interval (CI) for each direct and indirect asso¬ciation. More specifically, each aspect of narcissism was entered separately as a predictor of prescriptive ageism-intergenerational tension with risky and competitive worldviews. More specifically, each aspect of narcissism was entered separately as a predictor of prescriptive intergenerational-tension ageism in its own parallel multiple mediation analysis with both the dangerous and the competitive worldviews as potential me-diators. This approach allowed us to examine the unique direct and indirect associations that each aspect of narcissism had with prescriptive intergenerational-tension ageism. 

Results

Descriptive statistics and zero-order correlations:

The descriptive statistics and zero-order correlations are presented in Table 1.

As shown in the M-column (table 1), the mean total score of the SCI scale was M = 62.04, SD = 11.37. The means of the subscales "Consumption" (M = 20.67, SD = 4.84), "Succession" (M = 30.40, SD = 6.00), and "Identity" (M = 10.96, SD = 4.97) are given. According to M-column (table 1), the mean scores of intergenerational tensions in women were lower than the mean scores of men in both the total test score and the subscales. Moreover, the means of men and women are given separately for the subscales in Table 1. The correlation coefficient of competitive and dangerous social worldviews with antagonistic narcissism, extraverted narcissism, neurotic narcissism, and prescriptive intergenerational-tension ageism and its dimensions was calculated separately for women and men. The results are given in Table 1

 variablesGenderMsd123456789 
1Antagonistic T88.8814.32          
M90.8013.73          
W86.5814.56          
2Extraverted T51.5910.26.51 **         
M51.989.67.52 **         
W51.2410.75.50 **         
3Neurotic T36.67.45.13 **. 14**        
M36.06.82.15 **.13 **        
W37.107.94.13 **.15 **        
4Competitive T38.187.97. 49**.32 **.20 **       
M39.137.90.45 **.32 **.16 **       
W37.367.94.51 **.32 **.24 **       
5Dangerous T45.857.67-.07 *.26 **.02.12 **      
M45.478.05-.09 .26 **-. 03. 17**      
W46.187.32-.04 .26 **. 06.09       
6ConsumptionT20.674.84.28 **.02 -.01 .20 **-.13 **     
M21.374.99.26 **. 02. 05. 21**-.07      
W20.064.62.26 **. 01-.04 .17 **-. 18**     
7SuccessionT30.406.00.27 **.25 **.10 **.27 **.01 **.35 **    
M31.066.28.26 **.26 **.13 *.30 **. 21**. 32**    
W29.835.69.26 **.24 **.09 .24 **-. 01.37 **    
8IdentityT10.964.97.28 **-.12 **-.02 .13 **-.32 **.39 **.10 **   
M11.935.16.28 **-.14 **.05 .05 -.32 **.30 **-. 00   
W10.114.64.24 **-.13 **-. 06.16 **-.30 **.46 **. 17**   
9prescriptive intergenerational-tension ageism T62.0411.37.38 **.09 *.04 .29 **-.14 **.78 **.72 **.66 **  
M64.3611.23.39 **.09 . 12*.28 **-. 06. 76**.70 **. 59**  
W60.0011.12.34 **.08 .01 .26 **-.20 **.80 **.74 **.70 **  
Note: *p < .05; **p < .01. T= Total (men and women, N= 818), M= men,N= 382 W= women, N= 436

Table 1: Intercorrelations and descriptive statistics of study variables

Parallel multiple mediation analyses

The results of the parallel multiple mediation analyses are presented here.

Antagonist narcissism

These analyses revealed that antagonistic narcissism (a1 = 0.27, SE = .02, t = 16.04, p = .00, 95% CI [.24, .31]) had positive significant associations with competitive social worldview. Also, antagonistic narcissism (a2 = -.04, SE = .02, t = -1.98, p = .04, 95% CI [-.07, -.00]) had negative significant associations with dangerous social worldviews. Competitive social worldview (b1 = 0.23, SE = .05, t = 4.31, p = .00, 95% CI [.12, .33]) associations with prescriptive intergenerational-tension ageism. The dangerous social worldview (b2 = -0.21, SE = .05, t = -4.30, p = .00, 95% CI [-.30, .11]) is associated with prescriptive intergenerational-tension ageism. Antagonistic narcissism (c1 = 0.23, SE = .03, t = 7.96, p = .00, 95% CI [.18, .29]) had direct positive significant associations with prescriptive intergenerational-tension ageism.  Antagonistic narcissism (c1 = 0.30, SE = .03, t = 11.78, p = .00, 95% CI [.25, .35]) had total positive significant associations with prescriptive intergenerational-tension ageism.  Antagonistic narcissism (b = 0.06, CI [.03, .09]) had positive indirect significant associations with prescriptive intergenerational-tension ageism through the competitive social worldview. Because this indirect effect is statistically different from zero, as revealed by a 95% bootstrap confidence interval that is entirely above zero. Antagonistic narcissism (b = .01, CI [.00, .02]) was not indirectly associated with prescriptive intergenerational-tension ageism through the dangerous social worldview. Because this path of influence cannot be claimed as definitively different from zero because the bootstrap confidence interval straddles zero

Extraverted narcissism

These analyses revealed that extraverted narcissism (a1 = 0.25, SE = .03, t = 9.67, p = .00, 95% CI [.20, .30]) had positive significant associations with the competitive social worldview. Extraverted narcissism (a2 = 0.19, SE = .03, t = 7.56, p = .00, 95% CI [.14, .24]) had positive significant associations with dangerous social worldviews. The competitive social worldview (b1 = 0.42, SE = .05, t = 8.51, p = .00, 95% CI [.33, .52]) is associated with prescriptive intergenerational-tension ageism. Dangerous social worldview (b2 = -0.28, SE = .05, t = -5.46, p = .00, 95% CI [-.38, - .18]) associations with prescriptive intergenerational-tension ageism.

Extraverted narcissism (c1 = -0.04, SE = .04, t = 1.11, p = .26, 95% CI [-.03, .12]), was not direct significant associations with prescriptive intergenerational-tension ageism. Extraverted narcissism (b = -0.10, SE = .04, t = 2.50, p = .01, 95% CI [-.02, .17]) had a total negative significant association with prescriptive intergenerational-tension ageism. Extraverted narcissism (b = .11, CI [.07, .14]) had positive indirect significant associations with prescriptive intergenerational-tension ageism through the competitive social worldview. Because this indirect effect is statistically different from zero, as revealed by a 95% bootstrap confidence interval that is entirely above zero. Extraverted narcissism (b = -.05, CI [-.08, -.03]) was not indirectly associated with prescriptive intergenerational-tension ageism through the dangerous social worldview. Because this path of influence cannot be claimed as definitively different from zero because the bootstrap confidence interval straddles zero.

Neurotic narcissism

These analyses revealed that neurotic narcissism (a1 = 0.21, SE = .04, t = 5.75, p = .00, 95% CI [.14, .28]) had positive significant associations with the competitive social worldview. Neurotic narcissism (a2 = 0.03, SE = .04, t = .72, p = .47, 95% CI [-.04, .10]) was not significantly associated with dangerous social worldviews. The competitive social worldview (b1 = 0.44, SE = .05, t = 9.19, p = .00, 95% CI [.35, .54]) is associated with prescriptive intergenerational-tension ageism. The dangerous social worldview (b2 = -.26, SE = .05, t = 5.34, p = .00, 95% CI [-.36, -.17]) is associated with prescriptive intergenerational-tension ageism. Neurotic narcissism (c3 = -0.03, SE = .05, t = -.52, p = .60, 95% CI [-.13, .07]) was not directly significantly associated with prescriptive intergenerational-tension ageism. Neurotic narcissism (c3 = -0.06, SE = .05, t = 1.13, p = .26, 95% CI [-.04, .17]) was not total significant association with prescriptive intergenerational-tension ageism. Neurotic narcissism (b = .09, CI [.05, .14]) had positive indirect significant associations with prescriptive intergenerational-tension ageism through the competitive social worldview. Because this indirect effect is statistically different from zero, as revealed by a 95% bootstrap confidence interval that is entirely above zero. Neurotic narcissism (c3 = -.01, CI [-.03, .01]) was not indirectly associated with prescriptive intergenerational-tension ageism through the dangerous social worldview. Because this path of influence cannot be claimed as definitively different from zero because the bootstrap confidence interval straddles zero.

Discussion

We found antagonistic narcissism, extraverted narcissism, and neurotic narcissism would be positively associated with a competitive social worldview. We found antagonistic narcissism would be negatively associated with a dangerous social worldview. Furthermore, we found extraverted narcissism would be positively associated with a dangerous social worldview. This pattern is consistent with previous results showing positive associations between grandiose narcissism and social worldviews (Mohammad Beigi & Zeigler-Hill, 2021; Beigi & Zeigler-Hill, 2021; Zeigler-Hill et al., 2021; Mohammad Beigi, 2025).

Antagonistic narcissism

We found antagonistic narcissism was positive significant associations with competitive social worldview.  Also, antagonistic narcissism was negative significant associations with dangerous social worldviews. Antagonistic narcissism was direct positive significant associations with prescriptive intergenerational-tension ageism. Antagonistic narcissism was total positive significant associations with prescriptive intergenerational-tension ageism. Antagonistic narcissism was positive indirect significant associations with prescriptive intergenerational-tension ageism through the competitive social worldview. competitive social worldview partially mediated the relationship between antagonistic narcissism and prescriptive intergenerational-tension ageism.

If we consider the theory of personal importance, according to Webber et al. (2018), they believe the loss of personal importance strengthens extremism. Since young people seek to meet their basic needs, according to the intergenerational tension theory (North & Fiske, 2013a), older people should minimize the consumption of shared resources that are of no benefit to young people. Because imposed and conventional stereotypes are based on consumption based on the principle that older people consume resources passively without any effect or benefit and take the place of young people, and it is not the turn of young people until they are older. Considering the characteristics of narcissistic people and their motivation and goals, since younger people with higher narcissistic characteristics consider older people as an obstacle to satisfying their needs, therefore, in order to compensate for their lost status, these people tend to engage in more tension with older people in competition with them and react to them by choosing stressful and sometimes aggressive behaviors. This intergenerational tension among individuals with narcissistic traits is exacerbated when the attitudes and behaviors of narcissists are influenced by dangerous and competitive social worldviews, given the motivations and goals that these worldviews have.

Extraverted narcissism: 

We found extraverted narcissism was positive significant associations with the competitive social worldview. Extraverted narcissism was positive significant associations with dangerous social worldviews. Extraverted narcissism was total negative significant associations with prescriptive intergenerational-tension ageism. Extraverted narcissism was positive indirect significant associations with prescriptive intergenerational-tension ageism through the competitive social worldview. competitive social worldview partially mediated the relationship between extraverted narcissism and prescriptive intergenerational-tension ageism. Given that young narcissists, especially those who score high in competitive and dangerous social worldviews, due to ideological extremism and the goals fostered by this worldview (e.g., the goals of power and dominance that are raised in a competitive worldview), and due to the satisfaction of their narcissistic traits, such as displaying themselves at high levels of self-importance and superiority over others, in all their interactions they seek to advance, promote, and demonstrate their own status and to reduce the status of others, or in some way seek their own exalted status. This has been investigated and proven in various studies, for example (Grapsas et al., 2020; Mohammad Beigi & Zeigler-Hill, 2021). Young people also try to connect more with their peer group and compete and have tension with the elderly in order to benefit from the psychological benefits of group identity, prevent identity threats, protect self-esteem, and stay away from the negative aspects of aging. Naturally, intergenerational tension between young narcissists and the elderly increases with the help of the motivations and goals that competitive and dangerous social worldviews give them. Because in these tensions and conflicts, narcissists try to achieve their desires in any way possible by taking advantage of their own personality traits and by pushing the elderly away from their position and taking their position, status, and prestige for themselves, they achieve the feeling of superiority that is in line with their narcissistic desires and that their competitive and dangerous social worldviews strengthen.

Neurotic narcissism

We found neurotic narcissism neurotic narcissism was positive significant associations with the competitive social worldview.  neurotic narcissism was positive indirect significant associations with prescriptive intergenerational-tension ageism through the competitive social worldview. competitive social worldview partially mediated the relationship between neurotic narcissism and prescriptive intergenerational-tension ageism. At the core of grandiose narcissism lies the hierarchical and comparative perspective that characterizes status hierarchies: to see oneself as superior means to see others as inferior; to have special privileges for oneself means to see others as unprofitable (Grapsas et al., 2020). Therefore, according to Integrated Threat Theory and Intergenerational Tension Theory (North & Fiske, 2013a), which state that envy of the position and influence of the elderly and their replacement effectively and actively cause intergenerational tension. It can be said that the problems of youth with the elderly over replacement arise from expectations about enviable resources and social positions. Although middle-aged and elderly people generally have the most social influence, the opportunities of youth more realistically depend on the departure of the elderly. Older people are a threat to the youth group, and this causes tension between them. On the one hand, this tension is certainly greater among narcissists due to their characteristics and sensitivities (due to their status and interests). On the other hand, given the connection between narcissism and dangerous social worldviews and the motivations and goals that these worldviews have, which cause feelings of jealousy and more tension among narcissists, this connection can naturally create and increase intergenerational tension.

Conclusion

The results of this study showed that there is a relationship between aspects of narcissism (extraverted narcissism, antagonistic narcissism, and neurotic narcissism) and a dangerous and competitive social worldview and prescriptive intergenerational-tension ageism and its dimensions (succession, identity, and consumption). Also, the results showed that aspects of narcissism have a strong indirect relationship with prescriptive intergenerational-tension ageism through competitive social worldviews. Based on these results, it can be said that narcissists tend to use social worldviews (dangerous and competitive) to satisfy their needs. Therefore, they choose behaviors that cause tension with the elderly in dealing with them. Narcissists may consider the elderly as potential competitors in obtaining their own interests and status. As a result, they have more discrimination and prejudice against the elderly in society and even in their own family, and as a result, they have more intergenerational tension with them. Also, considering the characteristics of narcissistic people, it can be speculated that these people are particularly sensitive to signals of competition in their social environments, which in turn leads them to pursue their own selfish and self-interested goals with relatively little concern for the interests or desires of the elderly, and considering their status, this leads them to have more intergenerational tension to gain benefits and satisfy their own selfish desires. 

One limitation of this study was the limited focus on prescriptive intergenerational-tension ageism. It is important that other related issues (such as religious, cultural, social, ethnic, and economic factors) be examined more carefully in future studies. Another limitation of this study was that, due to the design of this study, it was not possible to examine causality between the variables studied. Future studies may provide a better understanding of the causal links between these variables by using experimental manipulations or longitudinal approaches. A third limitation of this study was that we focused exclusively on data collected from self-report questionnaires, which may have biased the responses of participants, which could have affected the results of the study. This study did not receive any specific funding from funding agencies in the government, commercial, or non-profit sectors.

Acknowledgements

I would like to thank Professor Virgil Zeigler-Hill for his guidance, assistance, and encouragement in writing this article. I also thank Dr. Michael North for using his resources and encouraging the use of the intergenerational tension approach in this article.

References

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Mina Sherif Soliman Georgy

We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.

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Layla Shojaie

The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.

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Sing-yung Wu

Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.

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Orlando Villarreal

Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.

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Katarzyna Byczkowska

Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.

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Anthony Kodzo-Grey Venyo

Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.

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Pedro Marques Gomes

Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

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Bernard Terkimbi Utoo

This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.

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Prof Sherif W Mansour

Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

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Hao Jiang

As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

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Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

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Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

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Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

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Dr Suramya Dhamija

Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

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Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

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Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

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Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

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Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

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Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

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Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

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Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

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S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

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Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

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George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

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Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

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Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

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Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

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Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

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Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

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Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

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Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

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Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

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Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

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Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

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Dr Oleg Golyanovski

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.

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Dr Farahnaz Fallahian

Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.

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Dr Victor Olagundoye

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD

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Dr Eric S Nussbaum

Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.

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Hala Al Shaikh

Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.

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Dr Rakhi Mishra

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.

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Dr Walter F Riesen

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.

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Dr Jelle Lettinga

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora

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Dariusz Ziora

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.

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Dr Ravi Shrivastava

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.

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Dr Aline Tollet

Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.

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Dr Chiara Giuseppina Beccaluva

Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti

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Dr Claudio Ligresti

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.

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Dr Matteo Bonori

I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.

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Edouard Kujawski

Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell

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Dr Andriy Sinelnyk

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.

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Dr Meng-JouLe

Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed

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Mahmoud Kamal Moustafa Ahmed

Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.

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Dr Elena Salvatore

Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal

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Christoph Maurer

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.

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Baciulescu Laura

Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.

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Dr Mamoun Magzoub

International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.

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Joel Yat Seng Wong

Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.

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Dr Perlat Kapisyzi

Dear Grace Pierce, International Journal of Clinical Case Reports and Reviews I appreciate the opportunity to review for Auctore Journal, as the overall editorial process was smooth, transparent and professionally managed. This journal maintains high scientific standards and ensures timely communications with authors, which is truly commendable. I would like to express my special thanks to editor Grace Pierce for his constant guidance, promt responses, and supportive coordination throughout the review process. I am also greatful to Eleanor Bailey from the finance department for her clear communication and efficient handling of all administrative matters. Overall, my experience with Auctore Journal has been highly positive and rewarding. Best regards, Sabita sinha

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Sabita sinha

Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.

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Dr Ted Christopher