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Sex differences in psychopathy and antisocial personality disorder
Abstract
Although the correlates and causes of psychopathy and antisocial personality disorder (ASPD) have been the subject of extensive investigation, researchers in this area have until recently focused almost exclusively on males. As a consequence, relatively little is known about psychopathy and ASPD in females. In this paper, we review the empirical literature on sex differences in the base rates, mean symptom levels, correlates, and factor structure of psychopathy and ASPD. In addition, we discuss the potential sex-differentiated phenotypic expressions of psychopathy and ASPD (e.g., somatization disorder [SD]) as well as sex differences in the developmental trajectories of these conditions. There is suggestive evidence that these conditions may be differentially expressed across biological sex, although further investigation of this issue is warranted. We conclude with recommendations for future research in this area, including suggestions for embedding the study of sex differences in psychopathy and ASPD within a construct validational framework.
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“Given the substantial differences in prevalence, age of onset, and severity of ASB between males and females (Cale & Lilienfeld, 2002)”
From Genome-Wide Association Studies of a Broad Spectrum of Antisocial Behavior (2017) · cites this paper as Cale & Lilienfeld, 2002
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Metadata
- Authors
- Cale, E. M., & Lilienfeld, S. O.
- Affiliations
- Emory University (US)
- Corresponding author
- Cale, Ellison M.
- ORCID
- Lilienfeld, Scott O.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2002-11
- Volume
- 22
- Issue
- 8
- Pages
- 1179-1207
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W89916465
- Cited by
- 395
- References
- 135
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 13 · 2023: 16 · 2022: 21 · 2021: 15 · 2020: 23 · 2019: 30 · 2018: 34 · 2017: 22 · 2016: 16 · 2015: 22 · 2014: 22 · 2013: 21 · 2012: 19
- FWCI
- 10.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- sex differences, psychopathy, antisocial personality disorder, female psychopathy, somatization disorder, developmental trajectories, factor structure, symptom levels, construct validity
- MeSH terms
- Antisocial Personality Disorder, Female, Humans, Male, Personality Development, Phenotype, Psychopathology, Sex Factors
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