Abstract
OBJECTIVES: This study explores whether sex differences in reactive aggression (RA) and proactive aggression (PA) are attributable to sex, gender role orientation, or their interaction and explores the neuroanatomical characteristics of these sex differences. METHODS: In a sample of 108 males and 126 females, we examined the sex-by-gender role orientation interaction on RA, PA, and brain gray matter volume (GMV). Then, we explored the relationship between aggression and regional GMV. RESULTS: When the effects of sex and gender role orientation on aggression were disentangled, there were no sex differences in RA, regardless of gender role orientation. However, sex differences (male > female) in PA were observed within the masculine group but not within the feminine group. Brain imaging results revealed sex differences (male > female) on the right inferior frontal gyrus GMV, a region involved in cognitive control, within the masculine group. Moreover, a negative association between PA and the right inferior frontal gyrus GMV was observed in masculine females rather than masculine males. CONCLUSIONS: These findings indicate that gender role orientation has a more significant effect on aggression than sex, particularly with regard to PA, and hint that the goal of cognitive control involved in displaying PA differs in masculine males and masculine females.