Evidence for a Robust, Estradiol-Associated Sex Difference in Narrative-Writing Fluency

Schultheiss O, Köllner M, Busch H, Hofer J (2021)


Publication Type: Journal article

Publication year: 2021

Journal

Book Volume: 35

Pages Range: 323-333

Journal Issue: 3

DOI: 10.1037/neu0000706

Abstract

Objective: Despite evidence for an estradiol-linked sex difference in verbal fluency favoring women, recent reviews question this difference. We therefore examined the issue based on a narrative task that we have administered to different populations for over 20 years. Method: We meta-analyzed 98 studies (N = 11,528) conducted by our laboratories and that featured measures of biological sex and storytelling. We ran primary-data analyses (N = 797) on an overlapping subset of these studies that also included salivary hormone and digit ratio measures. Results: Women told longer stories than men, d = 0.31, 95% CI [0.24, 0.38], an effect that did not vary by geographic region but was moderated by cue type (verbal: d = 0.57, [0.44, 0.71]; pictures: d = 0.29, [0.22, 0.36]), response modality (oral: d = -0.04, [-0.18, 0.09]; handwriting: d = 0.39, [0.31, 0.47]; typing: d = 0.31, [0.21, 0.42]), and age (prepubertal children: d = 0.13, [-0.04, 0.30]; pubescents: d = 0.48, [0.23, 0.74]; premenopausal adults: d = 0.36, [0.29, 0.42]; postmenopausal adults: d = -0.09, [-0.35, 0.16]). Consistent with the age effect, estradiol, a sex-dimorphic hormone during the reproductive life stage, was a specific mediator of the sex difference in narrative-writing fluency. This mediation effect was moderated by prenatal hormone exposure, estimated via digit ratio. Conclusions: When verbal fluency is assessed through narrative writing, a robust female advantage becomes evident. It is associated with the reproductive life stage and variations in current estradiol concentrations, particularly in individuals prenatally exposed to relatively more estradiol than testosterone.

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APA:

Schultheiss, O., Köllner, M., Busch, H., & Hofer, J. (2021). Evidence for a Robust, Estradiol-Associated Sex Difference in Narrative-Writing Fluency. Neuropsychology, 35(3), 323-333. https://dx.doi.org/10.1037/neu0000706

MLA:

Schultheiss, Oliver, et al. "Evidence for a Robust, Estradiol-Associated Sex Difference in Narrative-Writing Fluency." Neuropsychology 35.3 (2021): 323-333.

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