Relational Aggression in Adolescents with Conduct Disorder: Sex Differences and Behavioral Correlates

Katharina Ackermann, Marietta Kirchner, Anka Bernhard, Anne Martinelli, Chrysanthi Anomitri, Rosalind Baker, Sarah Baumann, Roberta Dochnal, Aranzazu Fernandez-Rivas, Karen Gonzalez-Madruga, Beate Herpertz-Dahlmann, Amaia Hervas, Lucres Jansen, Kristina Kapornai, Linda Kersten, Gregor Kohls, Ronald Limprecht, Helen Lazaratou, Ana McLaughlin, Helena OldenhofJack C. Rogers, Réka Siklósi, Areti Smaragdi, Esther Vivanco-Gonzalez, Christina Stadler, Graeme Fairchild, Arne Popma, Stephane A. De Brito, Kerstin Konrad, Christine M. Freitag

Research output: Contribution to journalArticlepeer-review

16 Citations (SciVal)


As most research on conduct disorder (CD) has been conducted on male participants, it has been suggested that female-specific symptoms may be underestimated based on current DSM-5 criteria. In particular, relational aggression, i.e. the hurtful, often indirect, manipulation of relationships with the intention of damaging the other’s social position, has been proposed as a characteristic of CD that is more common in females. In addition, sex-specific studies on correlates of relational aggressive behavior are lacking. Relational aggression may be strongly related to the correlates of proactive aggression, namely low affective empathy, and high levels of callous-unemotional (CU) traits and relational victimization. Thus, the present study investigated sex differences in relational aggression, and associations between relational aggression and correlates of proactive aggression in 662 adolescents with CD (403 females) and 849 typically-developing controls (568 females) aged 9–18 years (M = 14.74, SD = 2.34) from the European multi-site FemNAT-CD study. Females with CD showed significantly higher levels of relational aggression compared to males with CD, whereas no sex differences were seen in controls. Relational aggression was only partly related to correlates of proactive aggression in CD: Independent of sex, CU traits showed a positive association with relational aggression. In females only, cognitive, but not affective empathy, was negatively associated with relational aggression. Relational victimization was more strongly associated with relational aggression in males compared to females. Despite interesting sex specific correlates of relational aggression, effects are small and the potential clinical implications should be investigated in future studies.

Original languageEnglish
Pages (from-to)1625-1637
Number of pages13
JournalJournal of Abnormal Child Psychology
Issue number10
Early online date1 Apr 2019
Publication statusPublished - 1 Oct 2019


  • Callous-unemotional traits
  • Conduct disorder
  • Empathy
  • Relational aggression
  • Relational victimization
  • Sex differences

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health


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