Cited by 127Psychopathy, Forensic Psychiatry, Sexual OffendingNeural and Behavioral Psychology StudiesNeurotransmitter Receptor Influence on Behavior

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Low cortisol levels and the balance between punishment sensitivity and reward dependency

Honk, Jack van, Schutter, Dennis J. L. G., Hermans, Erno J., Putman, Peter·2003·NeuroReport

DOI 10.1097/00001756-200310270-00023

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Abstract

The neuro-endocrinological basis of psychopathy, a disorder characterized by lack of fear, is relatively unknown. However, low levels of cortisol may result in fearlessness and have been observed in individuals with psychopathic tendencies. Low fear models state that psychopaths are not motivated to avoid punishment, especially when reward is pending. In agreement, disadvantageous decision making on the IOWA gambling task in psychopaths and psychopathic analogous, indicates low punishment sensitivity and high reward dependency. Here, it was investigated whether low basal cortisol levels predicted the balance between punishment sensitivity and reward dependency in the same manner. As hypothesized, the most disadvantageous pattern of decision making was found in the subjects with the lowest cortisol levels. These findings suggest that low levels of cortisol may set the balance between the sensitivity for punishment and reward dependency towards a pre-disposition for psychopathy.

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Authors: Honk, J. V., Schutter, D. J. L. G., Hermans, E. J., & Putman, P.
Affiliations: Utrecht University (NL)
ORCID: Honk, Jack van
Schutter, Dennis J. L. G.
Hermans, Erno J.
Putman, Peter
Venue: NeuroReport
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2003-10
Volume: 14
Issue: 15
Pages: 1993-1996
ISSN: 0959-4965 (ISSN-L)
DOI: 10.1097/00001756-200310270-00023
OpenAlex: W2093934127
Cited by: 127
References: 33
Citations by year: 2026: 4 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 8 · 2017: 9 · 2016: 5 · 2015: 7 · 2014: 9 · 2013: 7 · 2012: 12
FWCI: 6.20
Type: journal article
Language: en
Open access: closed
Locations: Neuroreport (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords: cortisol, psychopathy, punishment sensitivity, fearlessness, Iowa Gambling Task, risk aversion, decision-making, neuroendocrinology
MeSH terms: Adult, Circadian Rhythm, Conditioning, Operant, Decision Making, Female, Gambling, Humans, Hydrocortisone, Male, Motivation, Psychopathology, Punishment, Reward

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Low cortisol levels and the balance between punishment sensitivity and reward dependency

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