Sex/Gender Differences in Brain Lateralisation and Connectivity

Curr Top Behav Neurosci. 2023:62:71-99. doi: 10.1007/7854_2022_303.

Abstract

There is now a significant body of literature concerning sex/gender differences in the human brain. This chapter will critically review and synthesise key findings from several studies that have investigated sex/gender differences in structural and functional lateralisation and connectivity. We argue that while small, relative sex/gender differences reliably exist in lateralisation and connectivity, there is considerable overlap between the sexes. Some inconsistencies exist, however, and this is likely due to considerable variability in the methodologies, tasks, measures, and sample compositions between studies. Moreover, research to date is limited in its consideration of sex/gender-related factors, such as sex hormones and gender roles, that can explain inter-and inter-individual differences in brain and behaviour better than sex/gender alone. We conclude that conceptualising the brain as 'sexually dimorphic' is incorrect, and the terms 'male brain' and 'female brain' should be avoided in the neuroscientific literature. However, this does not necessarily mean that sex/gender differences in the brain are trivial. Future research involving sex/gender should adopt a biopsychosocial approach whenever possible, to ensure that non-binary psychological, biological, and environmental/social factors related to sex/gender, and their interactions, are routinely accounted for.

Keywords: Biopsychosocial approach; Brain connectivity; Commissures; Default-mode network; Diffusion tensor imaging; Functional cerebral asymmetries; Interhemispheric interaction; Resting-state network; Sex hormones.

MeSH terms

  • Brain Mapping* / methods
  • Brain*
  • Female
  • Humans
  • Interpersonal Relations
  • Magnetic Resonance Imaging / methods
  • Male
  • Neural Pathways
  • Sex Factors