Evidence Hub

Cold hearts and dark minds: a systematic review and meta-analysis of empathy across dark triad personalities

Shukla M, Upadhyay N

Frontiers in psychiatry, 2025

5,328 participants · 9 citations

Abstract

Introduction: This systematic review and meta-analysis explored cognitive and affective empathy differences across Dark Triad traits-Narcissism, Machiavellianism, and Psychopathy.

Methods: Registered on PROSPERO and following PRISMA guidelines, PubMed, Scopus, Science Direct, ProQuest, and Google Scholar were searched for studies published until June 2024. Risk of bias was evaluated using Egger's test and Rank correlation test, along with risk-of-bias plots (Robvis) for quality assessment.

Results: Fourteen studies (N = 5,328) met the inclusion criteria. Meta-analysis showed Narcissism was negatively associated with affective empathy (r= -.134, p2 range: 40.56% - 94.03%).

Discussion: This review underscores differential empathy profiles across Dark Triad traits, with significant affective empathy deficits in Psychopathy and Machiavellianism and the complex role of cognitive empathy in Narcissism and Machiavellianism. Further research should examine situational and subtype -specific factors influencing empathy in Dark Triad traits to enhance theoretical understanding and inform interventions.

Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024559533, identifier CRD42024559533.

How strong is the evidence?

Evidence Hub reads this as a meta-analysis. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 5,328 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free