Previous Chapter: INFRAHUMAN PRIMATE STUDIES
Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.

has been suggested that it protects the female's developing brain from masculinization. Dixson (1980) suggests (not unreasonably) that it is important (given the variability within the order) to assess whether these relationships hold in other species of primate. Marmosets and tamarins (Callitricidae) might prove useful because of their tendency to produce twins and the possibility that sexual differentiation is delayed until after birth in such species.

HUMAN DATA

Meyer-Bahlburg (1980) and Meyer-Bahlburg and Ehrhardt (1982) comprehensively reviewed studies on the lasting impact of variations in early hormone exposure on human aggressiveness. Tables 2 through 4 provide synopses of data involving endocrine syndromes (partial androgen insensitivity and congenital adrenal hyperplasia) and treatment with hormones (generally to reduce the probability of miscarriage) created by Meyer-Bahlburg and Ehrhardt (1982). There are few reliable data on the incidences of those syndromes in particular populations (these are anyhow quite variable in their degree of severity), but their importance is not as potential causes of problems in society but as indicators of the normal biological mechanisms that influence behavioral differences between the sexes. The 5a-reductase deficiency syndrome (which is cited later) seems very rare, being associated with 38 hermaphroditic individuals born to 23 interrelated families in two inbred mountain villages in the Dominican Republic.

Although many of the data are characterized by small sample sizes, Meyer-Bahlburg (1980) suggests that exogenous sex hormones that slightly increase aggressiveness in females produce some degree of genital masculinization. He felt that the data from girls and boys resulting from treating toxemic pregnancies with progesterone were inconsistent. There was, however, some evidence of decreased aggressiveness in boys from diabetic pregnancies exposed to progestogen-estrogen combinations and from boys and girls treated with medroxyprogesterone acetate (MPA). It is, of course, uncertain precisely how such behavioral effects are generated since features such as parental rearing styles, degree of exercise, and changes in the musculoskeletal system are involved in such phenomena and are likely to be influenced (directly or indirectly) by early hormonal factors. Early exposure to androgens is said to modify temperament, increasing it in the direction of "impetuous and active." Olweus (1984) has suggested that this factor

Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.

TABLE 2 Relationships Between Aggression and Prenatal Endocrine Syndromes

Authors

Medical Syndrome

N

Age (years) at Study

Results of Assessment by Interview

 

Money and Ogunro (1974)

Partial androgen insensitivity

8 Males

13.5–39

Athletic-competitive energy expenditure

?

2 Females

 

Dominance assertion—fighting

?

 

Controls

None

 

Dominance assertion—social

?

Ehrhardt (1969)

Congenital adrenal hyperplasia

15

5.2–16.1

Fighting in childhood

NS

Money and Ehrhardt (1972)

Female controls (pair-matched)

15

5.8–15.2

 

 

Ehrhardt and Baker (1974)

Congenital adrenal hyperplasia

17

4.3–19.9

Initiation of fighting

NS

 

Female controls (siblings)

11

6.8–24.7

 

 

 

Female controls (mothers)

10

82-49

 

 

Money and Schwartz (1976)

Congenital adrenal hyperplasia

15

15–23

Participation in contact sports

?

 

 

Leadership among friends

NS ?

 

Female controls

None

 

Express dominance over others

NS ?

 

 

 

 

Temper

NS ?

 

 

 

 

History of fights

NS ?

 

 

 

 

Most common anger manifestation (physical, verbal, other)

NS ?

 

 

 

 

Physical destruction of property

NS ?

Ehrhardt and Baker (1974)

Congenital adrenal hyperplasia

9

4.8–26.3

Initiation of fighting

NS

 

male controls (siblings)

11

6.8–23.7

 

 

NOTE: = increased in patients; = decreased in patients; NS = not statistically significant; ? = conclusion without statistical comparison data.

SOURCE: Modified from Meyer-Bahlburg and Ehrhardt (1982).

Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.

TABLE 3 Associations Between Aggression and Prenatal Hormone Treatment in Females

Authors

Hormone Treatment

N

Age (years) at Study

Results of Assessment (by interview, unless stated otherwise)

 

Ehrhardt and Money (1967)

Various masculinizing progestins

10

3.8–14.3

Interest in organized team sports

?

 

 

Liked to compete with boys in sports

?

 

Controls

None

14.3

Self-assertive and independent

?

 

 

 

 

Self-defending and belligerent

?

 

 

 

 

Aggressive attack in the pecking order

NS?

Ehrhardt (1969)

Various masculinizing progrestins

10

3.8

Fighting in childhood

NS

Money and Ehrhardt (1972)

(same sample as above, reanalyzed with control group)

 

14.3

 

 

 

Controls (pair-matched)

10

3.7

 

 

 

 

 

14.3

 

 

Zussman et al. (1975, 1977)

Progesterone

12

16–19

Reports of discipline in school

 

 

 

 

Influence over peers

 

 

Controls

12

16–19

Frequency and intensity of anger

 

Reinisch (1981)

Various synthetic progestins

17

 

Leifer-Roberts Response Hierarchy:

 

 

 

6–17

Potential for physical aggression

 

 

Sibling control (at least one per hormone-exposed subject)

17

 

Potential for verbal aggression

NS

Meyer-Bahlburg and Ehrhardt (1982)

Medroxyprogesterone

15

9–14

Self- or mother-reported aggression

 

 

Pair-matched controls

15

9–14

 

 

NOTE: See Table 2 for abbreviations.

SOURCE: Modified from Meyer-Bahlburg and Ehrhardt (1982).

Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.

TABLE 4 Associations Between Aggression After Prenatal Hormone Treatment in Males

Authors

Hormone Treatment

N

Age (years) at study

Results of Assessment (by interview, unless stated otherwise)

 

Zussman et al. (1975, 1977)

Progesterone

18

16–19

Reports of discipline in school

 

 

 

 

Influence over peers

 

 

Controls

17

16–19

Aggression in childhood

 

 

 

 

 

Frequency and intensity of anger

 

Yalom et al. (1973)

Diethylstilbestrol + progesterone

20

16–17

Self-rating of physical aggressiveness

 

 

 

Clinician's ranking (aggressive-assertive)

 

 

Controls

22

16–17

 

 

 

 

 

 

 

Moos Aggression Questionnaire

 

 

 

 

 

 

In past week, anger at male

 

 

 

 

 

 

In past week, expression anger

 

 

 

 

 

 

Usually wins fights

 

 

 

 

 

 

Likes to fight

 

 

 

 

 

 

Number of fights

 

 

 

 

 

Aggression, aggregate score

 

 

Estradiol valerate + hydroxyprogesterone acetate

20

6

Aggressive activity (mother's report)

NS

 

 

 

Clinician's ranking (aggressivity)

NS

 

 

 

 

Teacher's ratings:

 

 

Controls

17

6

 

Assertiveness

 

 

 

 

 

 

Toughness

NS

 

 

 

 

 

Disruptiveness

NS

Reinisch (1981)

Various synthetic progestins

8

 

Leifer-Roberts Response Hierarchary:

 

 

 

6–18

Potential for physical aggression

 

 

Sibling controls (at least one per hormone-exposed subject)

=8

 

Potential for verbal aggression

NS

Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.

Kester et al. (1980)

Diethylstilbestrol

17

18–30

Childhood:

 

 

 

 

(a)

Fighting

 

 

Controls (pair-matched)

17

18–30

(b)

Preference for stories with more aggressive themes

NS

 

 

 

 

(c)

Participation in individual competitive noncontact sports

NS

 

 

 

 

Adolescence:

 

 

 

 

 

(d)

Participation in team competitive contact sports

NS

 

 

 

 

(e)

Participation in team competitive noncontact sports

NS

 

 

 

 

(f)

Participation in individual competitive noncontact sports

NS

 

 

 

 

Adulthood:

 

 

 

 

 

(g)

Preference for TV shows with more aggressive themes

 

 

 

 

 

(h)

Participation in team competitive contact sports

NS

 

 

 

 

(i)

Watching individual competitive contact sports

NS

 

 

 

 

(j)

Watching team competitive contact sports

NS

 

Diethylstilbestrol, natural progesterone

22

24–29

Childhood:

 

 

 

 

(a)

 

NS

 

 

 

 

(b)

 

NS

 

 

 

 

(c)

 

 

Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.

Authors

Hormone Treatment

N

Age (years) at study

Results of Assessment (by interview, unless stated otherwise)

 

 

Controls (pair-matched)

22

24–29

Adolescence:

 

 

 

 

 

(d)

NS

 

 

 

 

(e)

 

 

 

 

 

(f)

NS

 

 

 

 

Adulthood:

 

 

 

 

 

(g)

NS

 

 

 

 

(h)

NS

 

 

 

 

(i)

NS

 

 

 

 

(j)

NS

 

Natural progesterone

10

10–24

Childhood:

 

 

 

 

 

(a)

NS

 

 

 

 

(b)

 

 

 

 

 

(c)

NS

 

Controls (pair-matched)

10

10–24

Adolescence:

 

 

 

 

 

(d)

NS

 

 

 

 

(e)

NS

 

 

 

 

(f)

NS

 

 

 

 

Adulthood:

 

 

 

 

 

(g)

NS

 

 

 

 

(h)

 

 

 

 

 

(i)

 

 

 

 

 

(k)

NS

Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.

 

Synthetic progesterone

13

19–24

Childhood:

 

 

 

 

 

(a)

NS

 

 

 

 

(b)

NS

 

 

 

 

(c)

NS

 

Controls (pair-matched)

13

19–24

Adolescence:

 

 

 

 

 

(d)

 

 

 

 

 

(e)

NS

 

 

 

 

(f)

NS

 

 

 

 

Adulthood:

 

 

 

 

 

(g)

NS

 

 

 

 

(h)

NS

 

 

 

 

(j)

NS

 

 

 

 

(k)

 

Meyer-Bahlburg and Ehrhardt (1982)

Medroxyprogesterone acetate

13

9–14

Self- or mother-reported aggression

 

Controls (pair-matched)

13

9–14

 

 

NOTE: / = statistically significant increase/decrease in hormone-exposed subjects; ()/() = increase/decrease of statistically borderline significance in hormone-exposed subjects; NS = statistically; ? = conclusion without statistical comparison data.

SOURCE: Modified from Meyer-Bahlburg and Ehrhardt (1982).

Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.
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Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.
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Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.
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Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.
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Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.
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Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.
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Suggested Citation: "HUMAN DATA." National Research Council. 1994. Understanding and Preventing Violence, Volume 2: Biobehavioral Influences. Washington, DC: The National Academies Press. doi: 10.17226/4420.
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