# Dark Triad, Depression, Anhedonia and Alexithymia: The Role of Sex Differences

**Authors:** Daniel French, Gwenolé Loas, Matthieu Hein

PMC · DOI: 10.3390/bs15101369 · Behavioral Sciences · 2025-10-07

## TL;DR

The study finds that traits like Machiavellianism and psychopathy are linked to emotional issues like depression and anhedonia, especially in women.

## Contribution

The study reveals sex-specific emotional correlates of the Dark Triad traits, particularly in females.

## Key findings

- High Dark Triad scores correlate with depression, alexithymia, and anhedonia in the general population.
- Sex differences show stronger emotional dysfunction in females with high Dark Triad traits.
- Machiavellianism and psychopathy are linked to emotional distress in women.

## Abstract

The Dark Triad (Machiavellianism, narcissism, and psychopathy) has been traditionally associated with externalizing behaviors and a lack of empathy. However, emerging evidence suggests that these traits also relate to internal emotional vulnerabilities (such as depression, alexithymia, and anhedonia). This study aimed to examine the association between Dark Triad traits and emotional variabilities (alexithymia and anhedonia) in the general population, with a particular focus on sex differences. A total of 492 French-speaking adults completed a battery of validated self-report measures online, including the SD3fr, BDI-II, TAS-20, and PAS. Comparative and multivariate analyses were conducted separately for males and females. High SD3 scores were associated with greater depression, alexithymia (especially difficulty in identifying feelings), and anhedonia in the overall sample. These associations remained significant after adjusting for depression severity. Sex differences emerged: in females, high Dark Triad traits were strongly linked to emotional dysfunction, while no such associations were observed in males. These findings support the presence of sex-specific emotional correlates of the Dark Triad, particularly in females, where Machiavellianism and psychopathy were linked to emotional distress. Clinical implications are discussed in light of hormonal, sociocultural, and emotional regulation differences.

## Linked entities

- **Diseases:** depression (MONDO:0002050)

## Full-text entities

- **Genes:** THAS (thoracoabdominal syndrome) [NCBI Gene 7055] {aka TAS}
- **Diseases:** externalizing behaviors (MESH:D017577), emotional dysfunction (MESH:D003072), Anhedonia (MESH:D059445), Depression (MESH:D003866)

## Full text

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## References

65 references — full list in the complete paper: https://tomesphere.com/paper/PMC12561530/full.md

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Source: https://tomesphere.com/paper/PMC12561530