The Dark Side of Medical Staff: How Dark Traits Lead to Work Burnout
Abstract
The dark side of personality has begun to be studied extensively in the fields of social, personality, and organizational psychology in recent years but little is known about which of the Dark Triad traits is more malevolent in organizational context. Therefore, the present study aims to investigate the effects of dark triad traits on counterproductive work behavior along with the mediating role of burnout. A cross-sectional survey was used to collect data from 208 permanent employees of medical hospitals. A personality-based research model was proposed to test the hypothesis. The questionnaire consisted of a dark triad scale, a counterproductive work behavior scale, and a burnout scale. Different statistical techniques, i.e., correlation, and regression were applied to test the direct effects, and the PROCESS-macro method was applied to test indirect effects (mediation). The findings of the study revealed that dark triad traits and counterproductive work behaviors are significantly correlated (p<0.05). Narcissism is a significant predictor of counterproductive work behavior as compared to Machiavellianism and psychopaths (R2= 0.23). Furthermore, findings reveal that emotional exhaustion significantly mediates the relationship between dark triad and counterproductive work behavior (R2 = 0.66). Policymakers and higher management of public sector institutions especially focus on psychological health and organizational climate to reduce the workplace’s harmful behaviors. Finally, this study theoretically enhances knowledge of personality psychology literature by explaining the negative consequences of negative personalities in the workplace.
Full text article
References
1. Palmer, J. C., Holmes, R. M., & Perrewé, P. L. The Cascading Effects of CEO Dark Triad Personality on Subordinate Behavior and Firm Performance: A Multilevel Theoretical Model. Group & Organization Management. 2020;45(2):143–180. https://doi.org/10.1177/1059601120905728
2. Serenko, A. & Choo, C. W. Knowledge Sabotage as an Extreme Form of Counterproductive Knowledge Behavior: The Role of Narcissism, Machiavellianism, Psychopathy, and Competitiveness. Journal of Knowledge Management. 2020;24(9): 2299–2325.
https://doi.org/10.1108/JKM-06-2020-0416
3. Muris, P., Merckelbach, H., Otgaar, H., & Meijer, E. The Malevolent Side of Human Nature: A Meta-Analysis and Critical Review of the Literature on the Dark Triad (Narcissism, Machiavellianism, and Psychopathy). Perspectives on Psychological Science. 2017; 12(2):183–204. https://doi.org/10.1177/1745691616666070
4. Weiss, J. W. Business Ethics: A Stakeholder and Issues Management Approach (7th ed.). San Francisco: Berrett-Koehler Publishers; 2021.
5. Dalal, R. S., Lam, H., Weiss, H. M., Welch, E. R., & Hulin, C. L. A Within-Person Approach to Work Behavior and Performance: Concurrent and Lagged Citizenship-Counterproductivity Associations, and Dynamic Relationships with Affect and Overall Job Performance. Academy of Management Journal. 2009;52(5):1051–1066. https://doi.org/10.5465/amj.2009.44636148
6. Tett, R. P., Simonet, D. V., Walser, B., & Brown, C. (2013). Trait Activation Theory: Applications, Developments, and Implications for Person-Workplace Fit. In N. Chris-tiansen & R. Tett (Eds.), Handbook of Personality at Work. Routledge; 2013.
7. Braun, S., Aydin, N., Frey, D., & Peus, C. Leader Narcissism Predicts Malicious Envy and Supervisor-Targeted Counterproductive Work Behavior: Evidence from Field and Experimental Research. Journal of Business Ethics. 2018;151(3), 725–741. https://doi.org/10.1007/s10551-016-3224-5
8. Baloch, M.A., Meng, F., Xu, Z., Cepeda-Carrion, I., Danish, & Bari, M.W. Dark Triad, Perceptions of Organizational Politics and Counterproductive Work Behaviors: The Moderating Effect of Political Skills. Frontiers in Psychology. 2017;8: 1972.
https://doi.org/10.3389/fpsyg.2017.01972
9. Paulhus, D. L., & Williams, K. M. The Dark Triad of Personality: Narcissism, Machiavellianism, and Psychopathy. Journal of Research in Personality. 2002;36(6):556–563. https://doi.org/10.1016/S0092-6566(02)00505-6
10. Michel, J. S., & Bowling, N. A. Does Dispositional Aggression Feed the Narcissistic Response? The Role of Narcissism and Aggression in the Prediction of Job Attitudes and Counterproductive Work Behaviors. Journal of Business and Psychology. 2013; 28(1):93–105. https://doi.org/10.1007/s10869-012-9265-6
11. Persson, B. N. Searching for Machiavelli but Finding Psychopathy and Narcissism. Personality Disorders: Theory, Research, and Treatment. 2019;10(3):235–245. https://doi.org/10.1037/per0000323
12. Ersoy-Kart, M., Arslan, M., Pişkin, M., Gü-ldü, Ö., & Savcı, İ. Primary Psychopathy and Counterproductive Work Behaviors: The Moderating Role of Helplessness as a Cognitive Distortion Form. Asian Journal of Social Sciences & Humanities. 2018;7(3):1–11. http://www.ajssh.leena-lu-na.co.jp/AJSSHPDFs/Vol.7(3)/AJSSH2018(7.3-01).pdf
13. O’Boyle Jr, E. H., Humphrey, R. H., Pollack, J. M., Hawver, T. H., & Story, P. A. The Relation Between Emotional Intelligence and Job Performance: A Meta-Analysis. Journal of Organizational Behavior. 2011;32(5):788–818. https://doi.org/10.1002/job.714
14. Grijalva, E., & Newman, D. A. Narcissism and Counterproductive Work Behavior: Meta‐Analysis and Consideration of Collectivist Culture, Big Five Personality, and Narcissism’s Facet Structure. Applied Psychology. 2015;64(1):93–126. https://doi.org/10.1111/apps.12025
15. Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. The Job Demands-Resources Model of Burnout. Journal of Applied Psychology. 2001;86(3):499–512. https://doi.org/10.1037//0021-9010.86.3.499
16. Lubbadeh, T. Job Burnout: A General Literature Review. International Review of Management and Marketing. 2020;10(3):7–15. https://doi.org/10.32479/irmm.9398
17. Richardson, E. N., & Boag, S. Offensive Defenses: The Mind Beneath the Mask of the Dark Triad Traits. Personality and Individual Differences. 2016;92:148–152. https://doi.org/10.1016/j.paid.2015.12.039
18. Jonason, P. K., Wee, S., & Li, N. P. Competition, Autonomy, and Prestige: Mechanisms Through Which the Dark Triad Predict Job Satisfaction. Personality and Individual Differences. 2015;72:112–116. https://doi.org/10.1016/j.paid.2014.08.026
19. Schwarzkopf, K., Straus, D., Porschke, H., Znoj, H., Conrad, N., Schmidt-Trucksäss, A., & von Känel, R. Empirical Evidence for a Relationship Between Narcissistic Personality Traits and Job Burnout. Burnout Re-search. 2016;3(2):25–33. https://doi.org/10.1016/j.burn.2015.12.001
20. De Clercq, D., Haq, I. U., & Azeem, M. U. Time-Related Work Stress and Counter-productive Work Behavior: Invigorating Roles of Deviant Personality Traits. Personnel Review. 2019;48(7):1756–1781. https://doi.org/10.1108/PR-07-2018-0241
21. Spector, P. E., & Fox, S. The Stressor-Emotion Model of Counterproductive Work Behavior. In S. Fox & P. E. Spector (Eds.). Counterproductive Work Behavior: Investigations of Actors and Targets. 2005:151–174. https://psycnet.apa.org/doi/10.1037/10893-007
22. Mulki, J. P., Jaramillo, F., & Locander, W. B. Emotional Exhaustion and Organizational Deviance: Can the Right Job and a Leader’s Style Make a Difference? Journal of Business Research. 2006;59(12):1222–1230. https://doi.org/10.1016/j.jbusres.2006.09.001
23. Liang, S.-C., & Hsieh, A.-T. Burnout and Workplace Deviance among Flight Attend-ants in Taiwan. Psychological Reports. 2007;101(2):457–468. https://doi.org/10.2466/pr0.101.2.457-468
24. Bolton, L. R., Harvey, R. D., Grawitch, M. J., & Barber, L. K. Counterproductive Work Behaviours in Response to Emotional Exhaustion: A Moderated Mediational Approach. Stress and Health. 2012;28(3):222–233. https://doi.org/10.1002/smi.1425
25. Tett, R. P., & Burnett, D. D. A Personality Trait-Based Interactionist Model of Job Performance. Journal of Applied Psychology. 2003;88(3):500–517. https://doi.org/10.1037/0021-9010.88.3.500
26. Jonason, P. K., & Webster, G. D. The Dirty Dozen: A Concise Measure of The Dark Triad. Psychological Assessment. 2010; 22(2):420–432. https://doi.org/10.1037/a0019265
27. Duradoni, M., Gursesli, M. C., Fiorenza, M., Donati, A., & Guazzini, A. Cognitive Empathy and The Dark Triad: A Literature Review. European Journal of Investigation in Health, Psychology and Education. 2023;13(11): 2642–2680.
https://doi.org/10.3390/ejihpe13110184
28. Spector, P. E., Bauer, J. A., & Fox, S. Measurement Artifacts in the Assessment of Counterproductive Work Behavior and Organizational Citizenship Behavior: Do We Know What We Think We Know?. Journal of Applied Psychology. 2010;95(4):781–790. https://doi.org/10.1037/a0019477
29. Attaullah, M. & Afsar, B. Workplace Ostracism and Counterproductive Work Behaviors in The Healthcare Sector: A Moderated Mediation Analysis of Job Stress and Emotional Intelligence. Dynamic Relationships Management Journal. 2021;10(1):73–92. http://sam-d.si/wp-content/uploads/2021/05/DRMJ-vol10-no01-2021-Clanek-5.pdf
30. Miao, Y., Wang, J., Shen, R., & Wang, D. Effects of Big Five, HEXACO, and Dark Triad on Counterproductive Work Behaviors: A Meta-Analysis. International Journal of Mental Health Promotion. 2023;25(3):357-374. https://doi.org/10.32604/ijmhp.2023.027950
31. Maslach, C., Jackson, S., & Leiter, M. Maslach Burnout Inventory Manual (3rd ed.). Consulting Psycologists Press; 1996.
32. Poghosyan, L., Aiken, L. H., & Sloane, D. M. Factor Structure of the Maslach Burnout Inventory: An Analysis of Data from Large Scale Cross-Sectional Surveys of Nurses from Eight Countries. International Journal of Nursing Studies. 2009;46(7):894–902. https://doi.org/10.1016/j.ijnurstu.2009.03.004
33. Shanafelt, T. D., West, C. P., Dyrbye, L. N., Trockel, M., Tutty, M., Wang, H., Carlasare, L. E., & Sinsky, C. Changes in Burnout and Satisfaction with Work-Life Integration in Physicians During the First 2 Years of the COVID-19 Pandemic. Mayo Clinic Proceedings. 2022;97(12):2248–2258. https://doi.org/10.1016/j.mayocp.2022.09.002
34. Barnett, M. D. & Flores, J. Narcissus, Exhausted: Self-Compassion Mediates the Relationship Between Narcissism and School Burnout. Personality and Individual Differences. 2016;97: 102–108. https://doi.org/10.1016/j.paid.2016.03.026
35. Ying, L., & Cohen, A. Dark Triad Personalities and Counterproductive Work Behaviors Among Physicians in China. The International Journal of Health Planning and Management. 2018;33(4):985-998. https://doi.org/10.1002/hpm.2577
36. Prusik, M., & Szulawski, M. The Relationship Between the Dark Triad Personality Traits, Motivation at Work, and Burnout Among HR Recruitment Workers. Frontiers in Psychology. 2019;10:1290. https://doi.org/10.3389/fpsyg.2019.01290
37. Kessler, S. R., Bandelli, A. C., Spector, P. E., Borman, W. C., Nelson, C. E., & Penney, L. M. Re‐Examining Machiavelli: A Three‐Dimensional Model of Machiavellianism in the Workplace. Journal of Applied Social Psychology. 2010;40(8):1868–1896.
https://doi.org/10.1111/j.1559-1816.2010.00643.x
38. Palmer, J. C., Komarraju, M., Carter, M. Z., & Karau, S. J. Angel on One Shoulder: Can Perceived Organizational Support Moderate the Relationship Between the Dark Triad Traits and Counterproductive Work Behavior? Personality and Individual Differences. 2017;110:31–37. https://doi.org/10.1016/j.paid.2017.01.018
39. Hobfoll, S. E. (2011). Conservation of Resources Theory: Its Implication for Stress, Health, and Resilience. In S. Folkman (Ed.), The Oxford Handbook of Stress, Health, and Coping. New York: Oxford University Press; 2011:127–147.
Authors
Copyright (c) 2025 by author

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Copyright encompasses rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc.
All articles published Open Access are free for everyone to read and download. Under the CC-BY-NC-SA license, authors retain ownership of the copyright for their article, but authors grant others permission to use the content of publications in Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin in whole or in part provided that the original work is properly cited. Users (redistributors) of Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin are required to cite the original source, including the author's names, Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin as the initial source of publication, year of publication, and volume number.
Media Kesehatan Masyarakat Indonesia Universitas Hasanuddin is licensed under Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.
