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Psychopathic Personality Traits and Somatization: Sex Differences and the Mediating Role of Negative Emotionality

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Abstract

Although a number of investigations have provided evidence for an association between antisocial personality disorder and somatization disorder, the variables underlying this association remain unknown. We examined the relations among measures of primary and secondary psychopathy, somatization, and negative emotionality (NE) in 150 undergraduates. Somatization was positively and significantly correlated with measures of secondary, but not primary, psychopathy, and the relations between secondary psychopathy indices and somatization tended to be significantly stronger in females than in males. Some support was found for the hypothesis that the association between secondary psychopathy and somatization is mediated by NE, but not for the hypothesis that low levels of behavioral inhibition lead to somatization. Although the present findings are consistent with the possibility that somatization is a sex-differentiated manifestation of secondary psychopathic traits, replication of these findings in clinical samples will be necessary.

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REFERENCES

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Amsel, A. (1958). The role of frustrative nonreward in noncontinuous reward situations. Psychological Bulletin, 55, 102–119.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator- mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Google Scholar 

  • Bell, I. R., Schwartz, G. E., Hardin, E. E., Baldwin, C. M., & Kline, J. P. (1998). Differential resting quantitative electroencephalographic alpha patterns inwomen with environmental chemical intolerance, depressives, and normals. Biological Psychiatry, 43, 376–388.

    Google Scholar 

  • Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162.

    Google Scholar 

  • Boyd, J. H., Burke, J. D., Gruenberg, E., Holzer, C. E., Rae, D. S., George, L. K., Karno, M., Stolzman, R., McEvoy, L., & Nestadt, G. (1984). Exclusion criteria of DSM-III: A study of co-occurrence of hierarchy-free syndromes. Archives of General Psychiatry, 41, 983–989.

    Google Scholar 

  • Buckelew, S., Burk, J. P., Brownlee-Duffeck, M., & Frank, R. G. (1988). Cognitive and somatic aspects of depression among a rehabilitation sample: Reliability and validity of SCL90-R research subscales. Rehabilitation Psychology, 33, 67–75.

    Google Scholar 

  • Caron, C., & Rutter, M. (1991). Comorbidity in child psychopathology: Concepts, issues, and research strategies. Journal of Child Psychology and Psychiatry, 32, 1063–1080.

    Google Scholar 

  • Carothers, J. C. (1975). Hysteria, psychopathy, and the magic word. The Mankind Quarterly, 16, 93–103.

    Google Scholar 

  • Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BASscales. Journal of Personality and Social Psychology, 67, 319–333.

    Google Scholar 

  • Cleckley, H. (1941/1988). The mask of sanity. Augusta, GA: Emily Cleckley Publishers.

    Google Scholar 

  • Cloninger, C. R. (1978). The link between hysteria and sociopathy: An integrative model of pathogenesis based on clinical, genetic, and neurophysiological observations. In H. S. Akiskal & W. L. Webb (Eds.), Psychiatric diagnosis: Exploration of biological predictors (pp. 189–218). New York: Spectrum.

    Google Scholar 

  • Cloninger, C. R., & Guze, S. B. (1975). Hysteria and parental psychiatric illness. Psychological Medicine, 5, 27–31.

    Google Scholar 

  • Cloninger, C. R., Reich, T., & Guze, S. B. (1975). The multifactorial model of disease transmission: III. Familial relationship between sociopathy and hysteria (Briquet's syndrome), British Journal of Psychiatry, 127, 23–32.

    Google Scholar 

  • Cloninger, C. R., Sigvardsson, S., von-Knorring, A-L., & Bohman, M. (1984). An adoption study of somatoform disorders: II. Identification of two discrete somatoform disorders. Archives of General Psychiatry, 41, 863–871.

    Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.) Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Cohen, J., & Cohen, P. (1975). Applied multiple regressional correlation analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Crowne, D. P., & Marlowe, D. (1964). The approval motive: Studies in evaluation dependence. New York: Wiley.

    Google Scholar 

  • Dabbs, J. M., & Morris, R. (1990). Testosterone, social class, and antisocial behavior in a sample of 4,462 men. Psychological Science, 1, 209–211.

    Google Scholar 

  • Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1–15.

    Google Scholar 

  • Eagly, A. H., & Steffen, V. J. (1985). Gender and aggressive behavior: A meta-analytic review of the social psychological literature. Psychological Bulletin, 100, 309–330.

    Google Scholar 

  • Eysenck, S. B. G., Eysenck, H. J., & Barratt, P. (1985). A revised version of the Psychoticism scale. Personality and Individual Differences, 6, 21–29.

    Google Scholar 

  • Fienberg, S. E. (1980). The analysis of cross-classified data (2nd ed.). Cambridge, MA: MIT Press.

    Google Scholar 

  • Forth, A. E., Brown, S. L., Hart, S. D., & Hare, R. D. (1996). The assessment of psychopathy in male and female noncriminals: Reliability and validity. Personality and Individual Differences, 20, 531–543.

    Google Scholar 

  • Fowles, D. C. (1980). The three arousal model: Implications for Gray's two-factor learning theory for heart rate, electrodermal activity, and psychopathy. Psychophysiology, 17, 87–104.

    Google Scholar 

  • Fowles, D. C. (1987). Application of a behavioral theory of motivation to the concepts of anxiety and impulsivity. Journal of Research in Personality, 21, 417–435.

    Google Scholar 

  • Frances, A., Manning, D., Marin, D., Kocsis, J., McKinney, K., Hall, W., & Kline, M. (1992). Relationship of anxiety and depression. Psychopharmacology, 106, S82 NS86.

    Google Scholar 

  • Franks, C. M. (1956). Conditioning and personality: A study of normal and neurotic subjects. Journal of Abnormal and Social Psychology, 52, 143–150.

    Google Scholar 

  • Frick, P. J., Kuper, K., Silverthorn, P., & Cotter, M. (1995). Antisocial behavior, somatization, and sensation seeking behavior in mothers of clinic-referred children. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 805–812.

    Google Scholar 

  • Goodwin, D.W., & Guze, S. B. (1996). Psychiatric diagnosis. NewYork: Oxford University Press.

    Google Scholar 

  • Gorenstein, E. E., & Newman, J. P. (1980). Disinhibitory psychopathology: A new perspective and a model for research. Psychological Review, 87, 301–315.

    Google Scholar 

  • Gray, J. A. (1982). The neuropsychology of anxiety: An enquiry into the functions of the septo-hippocampal system. Oxford: Clarendon.

    Google Scholar 

  • Grove, W. M., & Tellegen, A. (1991). Problems in the classification of personality disorders. Journal of Personality Disorders, 5, 31–42.

    Google Scholar 

  • Guze, S. B., Woodruff, R. A., & Clayton, P. J. (1971). Hysteria and antisocial behavior: Further evidence of an association. American Journal of Psychiatry, 128, 957–960.

    Google Scholar 

  • Hamburger, M. E., Lilienfeld, S. O., & Hogben, M. (1996). Psychopathy, gender, and gender roles: Implications for antisocial and histrionic personality disorders. Journal of Personality Disorders, 10, 41–55.

    Google Scholar 

  • Hare, R. D. (1965). Acquisition and generalization of a conditioned-fear response in psychopathic and nonpsychopathic criminals. Journal of Psychology, 59, 367–370.

    Google Scholar 

  • Hare, R. D. (1978). Electrodermal and cardiovascular correlates of psychopathy. In R. D. Hare & D. Schalling (Eds.), Psychopathic behaviour: Approaches to research (pp. 111–119). Chichester, England: Wiley.

    Google Scholar 

  • Hare, R. D. (1985). Comparison of procedures for the assessment of psychopathy. Journal of Consulting and Clinical Psychology, 53, 7–16.

    Google Scholar 

  • Hare, R. D. (1991). Manual for the Revised Psychopathy Checklist. Toronto, Canada: Multi-Health Systems.

    Google Scholar 

  • Hare, R. D., Hart, S. D., & Harpur, T. J. (1991). Psychopathy and the DSM-IV criteria for antisocial personality disorder. Journal of Abnormal Psychology, 100, 391–398.

    Google Scholar 

  • Harpur, T. J., Hare, R. D., & Hakstian, A. R. (1989). Two-factor conceptualization of psychopathy: Construct validity and assessment implications. Psychological Assessment, 1, 6–17.

    Google Scholar 

  • Harris, G. T., Rice, M. E., & Quinsey, V. L. (1994). Psychopathy as a taxon: Evidence that psychopaths are a discrete class. Journal of Consulting and Clinical Psychology, 62, 387–397.

    Google Scholar 

  • Hart, S. D., Cox, D. N., & Hare, R. D. (1995). Manual for the Psychopathy Checklist: Screening Version (PCL:SV). Toronto: Multihealth Systems.

    Google Scholar 

  • Huebeck, B. G., Wilkinson, R. B., & Cologon, J. (1998). A second look at Carver and White's (1994) BIS/BAS scales. Personality and Individual Differences, 25, 785–800.

    Google Scholar 

  • Jaccard, J., Turrisi, R., & Wan, C. K. (1990). Interaction effects in multiple regression. Newbury, Park, CA: Sage Publications.

    Google Scholar 

  • Jorm, A. F., Christensen, H., Henderson, A. S., Jacomb, P. A., Korten, A. E., & Rodgers, B. (1999). Using the BIS/BAS scales to measure behavioural inhibition and behavioural activation: Factor structure, validity and norms in a large community sample. Personality and Individual Differences, 26, 49–58.

    Google Scholar 

  • Katkin, E. S., & Hastrup, J. L. (1982). Psychophysiological methods in clinical research. In P. C. Kendall & J. M. Butcher (Eds.), Handbook of research methods in clinical psychology (pp. 387–424). New York: Guilford.

    Google Scholar 

  • Kirmayer, L. J., Robbins, J. M., & Paris, J. (1994). Somatoform disorders: Personality and the social matrix of somatic distress. Journal of Abnormal Psychology, 103, 125–136.

    Google Scholar 

  • Levenson, M. R., Kiehl, K. A., & Fitzpatrick, C. M. (1995). Assessing psychopathic attributes in a noninstitutionalized population. Journal of Personality and Social Psychology, 68, 151–158.

    Google Scholar 

  • Lilienfeld, S. O. (1990). Development and preliminary validation of a self-report measure of psychopathic personality (Doctoral dissertation, University of Minnesota, Minneapolis).

    Google Scholar 

  • Lilienfeld, S. O. (1992). The association between antisocial personality and somatization disorders: A review and integration of theoretical models. Clinical Psychology Review, 12, 641–662.

    Google Scholar 

  • Lilienfeld, S. O. (1994). Conceptual problems in the assessment of psychopathy. Clinical Psychology Review, 14, 17–38.

    Google Scholar 

  • Lilienfeld, S. O. (1996). The MMPI-2 antisocial practices content scale: Construct validity and comparison with the psychopathic deviate scale. Psychological Assessment, 8, 281–293.

    Google Scholar 

  • Lilienfeld, S. O. (1998). Methodological advances and developments in the assessment of psychopathy. Behaviour Research and Therapy, 36, 99–125.

    Google Scholar 

  • Lilienfeld, S. O., & Andrews, B. P. (1996). Development and preliminary validation of a self-report measure of psychopathic personality traits in noncriminal populations. Journal of Personality Assessment, 66, 488–524.

    Google Scholar 

  • Lilienfeld, S. O., Hess, T., Penna, S., Morgan, Y., Cale, E., Zolondek, S., & Asmundson, G. (1998, November 6). Psychopathy and undersensitivity to threat cues: A test of Gray's model. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Washington

  • Lilienfeld, S. O., Van Valkenberg, C., Larntz, K., & Akiskal, H. S. (1986). The relationship of histrionic personality disorder to antisocial personality and somatization disorders. American Journal of Psychiatry, 143, 718–721.

    Google Scholar 

  • Lilienfeld, S. O., Waldman, I. D., & Israel, A. C. (1994). A critical examination of the use of the term and concept of “comorbidity” in psychopathology research. Clinical Psychology: Science and Practice, 1, 71–83.

    Google Scholar 

  • Liskow, B., Othmer, E., Penick, E. C., DeSouza, C., & Gabrielli, W. (1986). Is Briquet's syndrome a heterogeneous disorder? American Journal of Psychiatry, 143, 626–629.

    Google Scholar 

  • Loranger, A. W., Lenzenweger, M. F., Gartner, A. F., Susman, V. L., Herzig, J., Zammit, G. K., Gartner, J. D., Abrams, R. C., & Young, R. C. (1991). Trait-state artifacts and the diagnosis of personality disorders. Archives of General Psychiatry, 48, 720–728.

    Google Scholar 

  • Lykken, D. T. (1957). A study of anxiety in the sociopathic personality. Journal of Abnormal and Social Psychology, 55, 6–10.

    Google Scholar 

  • Lykken, D. T. (1968). Statistical significance in psychological research. Psychological Bulletin, 70, 151–159.

    Google Scholar 

  • Lykken, D. T. (1995). The antisocial personalities. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Maccoby, E. E., & Jacklin, C. N. (1974). The psychology of sex differences. Stanford: Stanford University Press.

    Google Scholar 

  • Maser, J. D., & Cloninger, C. R. (1990). Comorbidity of mood and anxiety disorders. Washington, DC: American Psychiatric Association Press.

    Google Scholar 

  • McCord, W., & McCord, J. (1964). The psychopath: An essay on the criminal mind. Princeton: Van Nostrand.

    Google Scholar 

  • Meehl, P. E., & Golden, R. R. (1982). Taxometric methods. In P. C. Kendall & J. N. Butcher (Eds.), Handbook of research methods in clinical psychology (pp. 127–181). New York: Guilford.

    Google Scholar 

  • Nicholls, J. G., Licht, B. G., & Pearl, R. A. (1982). Some dangers of using personality questionnaires to study personality. Psychological Bulletin, 92, 572–580.

    Google Scholar 

  • Patrick, C. J., Bradley, M. M., & Lang, P. J. (1993). Emotion in the criminal psychopath: Startle reflex modulation. Journal of Abnormal Psychology, 102, 82–92.

    Google Scholar 

  • Paulhus, D. L. (1984). Two-component models of socially desirable responding. Journal of Personality and Social Psychology, 46, 598–609.

    Google Scholar 

  • Paulhus, D. L. (1991). Measurement and control of response bias. In J. P. Robinson & P. R. Shaver (Eds.), Measures of personality and social psychological attitudes (pp. 17–59). San Diego, CA: Academic Press.

    Google Scholar 

  • Poythress, N. G., Edens, J. F., & Lilienfeld, S. O. (1998). Criterionrelated validity of the Psychopathic Personality Inventory in a prison sample. Psychological Assessment, 4, 426–430.

    Google Scholar 

  • Reise, S. P., & Oliver, C. J. (1994). Development of a California Q-set indicator of primary psychopathy. Journal of Personality Assessment, 62, 130–144.

    Google Scholar 

  • Robins, L. N. (1966). Deviant children grown up. Baltimore: Williams & Wilkins.

    Google Scholar 

  • Russo, M. F., & Beidel, D. C. (1993). Comorbidity of childhood anxiety and externalizating disorders: Prevalence, associated characteristics, and validation issues. Clinical Psychology Review, 14, 199–221.

    Google Scholar 

  • Sapolsky, R. M. (1997). The trouble with testosterone: And other essays on the biology of the human predicament. New York, NY: Scribner.

    Google Scholar 

  • Shavelson, R. J. (1996). Statistical reasoning for the behavioral sciences (3rd ed.). Boston: Allyn and Bacon.

    Google Scholar 

  • Spalt, L. (1980). Hysteria and antisocial personality: A single disorder? Journal of Nervous and Mental Disease, 168, 456–464.

    Google Scholar 

  • Spitzer, R. L. (1994). Psychiatric “co-occurrence?” I'll stick with “comorbidity.” Clinical Psychology: Science and Practice, 1, 88–92.

    Google Scholar 

  • Steiner, M., Lepage, P., & Dunn, E. J. (1997). Serotonin and genderspecific psychiatric disorders. International Journal of Psychiatry in Clinical Practice, 1, 3–13.

    Google Scholar 

  • Stone, E. F. (1988). Moderator variables in research:Areviewand analysis of conceptual and methodological issues. Research in Personnel and Human Resources Management, 6, 191–229.

    Google Scholar 

  • Tellegen, A. (1978/1982). Manual for the Multidimensional Personality Questionnaire. Unpublished manuscript, University of Minnesota.

  • Tellegen, A. (1985). Structure of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Tuma & J. D. Maser (Eds.), Anxiety and the anxiety disorders (pp. 681–706). Hillsdale, N.J.: Erlbaum.

    Google Scholar 

  • Tellegen, A., & Waller, N. G. (1994). Exploring personality through test construction: Development of the Multidimensional Personality Questionnaire. In S. R. Briggs & J. C. Cheek (Eds.), Personality measures: Development and evaluation (Vol. 1, pp. 133–161). Greenwich, CN: JAI Press.

    Google Scholar 

  • Wahler, H. J. (1973). Wahler Physical Symptom Inventory. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Waller, N. G., Tellegen, A., McDonald, R. P., & Lykken, D. T. (1996). Exploring nonlinear models in personality assessment: Development and preliminary validation of a negative emotionality scale. Journal of Personality, 64, 545–576.

    Google Scholar 

  • Waters, W. F., Rubman, S., & Hurry, M. J. (1993). The prediction of somatic complaints using the Autonomic Nervous System Response Inventory (ANSRI) and the Daily Stress Inventory (DSI). Journal of Psychosomatic Research, 37, 117–126.

    Google Scholar 

  • Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional affects. Psychological Bulletin, 55, 465–490.

    Google Scholar 

  • Watson, D., & Clark, L. A. (1992). Affects separable and inseparable: On the hierarchical arrangement of the negative affects. Journal of Personality and Social Psychology, 62, 489–505.

    Google Scholar 

  • Watson, D., Clark, L. A., & Harkness, A. R. (1994). Structures of personality and their relevance to psychopathology. Journal of Abnormal Psychology, 103, 18–31.

    Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.

    Google Scholar 

  • Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review, 96, 234–254.

    Google Scholar 

  • Werner, N. E., & Crick, N. R. (1999). Relational aggression and social- psychological adjustment in a college sample. Journal of Abnormal Psychology, 108, 615–623.

    Google Scholar 

  • Wilson, D. L., Frick, P. J., & Clements, C. B. (1999). Gender, somatization, and psychopathic traits in a college sample. Journal of Psychopathology and Behavioral Assessment, 21, 221–235.

    Google Scholar 

  • Zagon, I. K., & Jackson, H. J. (1994). Construct validity of a psychopathy measure. Personality and Individual Differences, 17, 125–135.

    Google Scholar 

  • Zoccolillo, M., & Cloninger, C. R. (1986). Somatization disorder: Psychological symptoms, social disability, and diagnosis. Comprehensive Psychiatry, 27, 65–73.

    Google Scholar 

  • Zuckerman, M. (1983). Biological bases of sensation seeking, impulsivity, and anxiety. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Zuckerman, M. (1989). Personality in the third dimension: A psychobiological approach. Personality and Individual Differences, 10, 391–418.

    Google Scholar 

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    Scott O. Lilienfeld & Tanya H. Hess

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Lilienfeld, S.O., Hess, T.H. Psychopathic Personality Traits and Somatization: Sex Differences and the Mediating Role of Negative Emotionality. Journal of Psychopathology and Behavioral Assessment 23, 11–24 (2001). https://doi.org/10.1023/A:1011035306061

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