Psychopathy and emotion dysregulation: More than meets the eye

Psychiatry Res. 2020 Aug:290:113160. doi: 10.1016/j.psychres.2020.113160. Epub 2020 Jun 1.

Abstract

Emotional dysfunctions have long been associated with psychopathy. Yet, the extent to which these dysfunctions include problems in emotion regulation (ER) has only recently become clearer. In this study, we first reviewed theoretical and empirical literature on psychopathy and ER, and then examined associations between ER and psychopathy in four diverse samples from two countries (MTurk, college, community, and offender samples from the United States and Italy; total N = 1940). We employed Structural Equation Modeling (SEM) to examine latent associations between ER and measures of psychopathy and the dark triad, respectively. Results revealed a consistent pattern of moderate associations between psychopathy and poorer ER. These patterns were replicated across samples and psychopathy assessment, and held when including Machiavellianism and narcissism in the models. Replicating and extending recent studies, these findings provide incremental evidence that the emotional dysfunctions associated with psychopathy include problems in ER. Thus, we contend that prevention efforts in the general community, as well as clinical risk assessment and treatment planning in clinical (forensic) populations should include an emphasis on ER, as it may represent an important factor explaining some of the maladaptive correlates of psychopathic personality.

MeSH terms

  • Adolescent
  • Adult
  • Affective Symptoms / diagnosis
  • Affective Symptoms / epidemiology*
  • Affective Symptoms / psychology*
  • Aged
  • Antisocial Personality Disorder / diagnosis
  • Antisocial Personality Disorder / epidemiology*
  • Antisocial Personality Disorder / psychology*
  • Criminals / psychology*
  • Emotional Regulation / physiology*
  • Female
  • Humans
  • Italy / epidemiology
  • Machiavellianism
  • Male
  • Middle Aged
  • Narcissism
  • Risk Assessment
  • United States / epidemiology
  • Young Adult