Are all features of psychopathy associated with decreased health? Psychopathy, dysfunctional family characteristics, and health problems in convicts

Abstract

Previous research suggested that psychopathy is related to diminished physical and mental health. However, this link could be specific to psychopathic lifestyle and antisocial behavior, while manipulative characteristics and emotional superficiality could be unrelated or even positively related to physical and mental health. Furthermore, psychopathic features could mediate the link between detrimental family characteristics and health problems. We tested these hypotheses in a sample of male convicts (N = 224). Psychopathy was explored via a rating method (PCL?R). Dysfunctional family characteristics were extracted from participants? prison files. Finally, self-reported biographical data was used to estimate problems in physical and mental health. Behavioral psychopathy tendencies and especially impulsive and erratic behavior turned out to be positively related both to physical and mental health problems. On the other hand, Interpersonal and Affective psychopathy features were mostly unrelated or negatively related to health problems. Finally, Antisocial and especially Lifestyle characteristics turned out to be significant mediators of the link between dysfunctional family characteristics and health problems. Research results showed that narrow psychopathy facets are differentially related to health status. Psychopathic lifestyle and criminal behavior are positively related with problems in physical and mental health, while manipulative characteristics and affective shallowness are associated with better health. The results are in accordance with the concept of successful psychopathy and evolutionary accounts on psychopathy.