1
|
Waaler PM, Bergseth J, Vaskinn L, Espenes K, Holtan T, Kjøbli J, Bjørnebekk G. Identification of treatment elements for adolescents with callous unemotional traits: a systematic narrative review. Child Adolesc Psychiatry Ment Health 2024; 18:110. [PMID: 39227822 PMCID: PMC11373131 DOI: 10.1186/s13034-024-00792-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Accepted: 07/31/2024] [Indexed: 09/05/2024] Open
Abstract
Adolescents with callous unemotional (CU) traits are at risk for poor quality-of-life outcomes such as incarceration, suicide, and psychopathy. It is currently unknown which treatments are implemented with CU adolescents specifically and which elements make up these interventions. A narrative systematic review was used to identify the treatments and common elements used with CU adolescents (12-18 years). Eligible studies were randomized controlled trials and quasi-experimental studies evaluating psychosocial interventions, delivered within a clinical context, and directed towards the adolescent or their family. Eight studies with 1291 participants were included. Significant decreases in CU traits were demonstrated only in a minority of studies. The most utilized practice elements were set goals for treatment, practice interpersonal/communication skills, prepare for termination, and teach parents skills and strategies; the most utilized process elements were formal therapy, practice exercises, important others, and flexible/adaptive. A majority of the studies did not report an implementation element. While theoretical frameworks for CU children are employed with CU adolescents, there is still uncertainty regarding their suitability for this age group. Given the limited empirical evidence, there is a critical need for further exploration.
Collapse
Affiliation(s)
- Pamela M Waaler
- Department of Special Needs Education, University of Oslo, Oslo, Norway.
| | - Josefine Bergseth
- Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
| | - Linda Vaskinn
- Norwegian Directorate for Children, Youth and Family Affairs (Bufdir), Oslo, Norway
| | - Kristin Espenes
- Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
- Norwegian Office for Children, Youth and Family Affairs (Bufetat), Oslo, Norway
| | - Thale Holtan
- Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
| | - John Kjøbli
- Center for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway
- Department of Education, University of Oslo, Oslo, Norway
| | - Gunnar Bjørnebekk
- Department of Special Needs Education, University of Oslo, Oslo, Norway
| |
Collapse
|
2
|
Fäldt A, Fängström K. 'Of course you crash' Parenting a young child with neurodevelopmental difficulties. RESEARCH IN DEVELOPMENTAL DISABILITIES 2024; 153:104825. [PMID: 39173406 DOI: 10.1016/j.ridd.2024.104825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 07/21/2024] [Accepted: 08/13/2024] [Indexed: 08/24/2024]
Abstract
BACKGROUND Parents of children with neurodevelopmental disorders often experience heightened levels of parenting stress and diminished well-being. However, less is known about the well-being of parents whose children exhibit symptoms of neurodevelopmental disorders without yet having a formal diagnosis. AIM This study aims to deepen our understanding of the need for support among families with young children with neurodevelopmental difficulties. Specifically, it explores parents' perspectives concerning their children, life circumstances, and emotional experiences in parenting. METHODS AND PROCEDURES Qualitative semi-structured interviews were conducted with ten parents of children aged 2.5-5 years, referred to a child psychologist due to reported neurodevelopmental difficulties. The interviews were transcribed and analysed using qualitative content analysis. OUTCOMES AND RESULTS Two themes, each containing four and three categories, respectively, emerged in the analysis: Parenting our child with neurodevelopmental difficulties is tough in so many ways and Prevent, manage and make up like a Pro. CONCLUSION AND IMPLICATIONS The parents express very similar challenges, difficulties and problems as parents of children with diagnosed neurodevelopmental disorders. The main difference lies in the lack of accessible support or help for these parents. WHAT THIS PAPER ADDS This study provides insights into how parents of children with suspected neurodevelopmental difficulties perceive their child and their overall life circumstances. The narratives show the challenges these parents face due to their children's multifaceted difficulties, leading to a need for multi-disciplinary support from professionals. The narratives also illustrate the strong emotions that arise in parenting, which in itself indicates a need for support. The study also provides further support for the importance of parents connecting with others facing similar life circumstances. The families often feel isolated despite the need for increased informal support in terms of more adults being involved with the children.
Collapse
Affiliation(s)
- Anna Fäldt
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Sweden
| | - Karin Fängström
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Sweden.
| |
Collapse
|
3
|
Paré-Ruel MP, Stack DM, Hastings PD, Serbin LA. Specialized and versatile antisocial behavioral profiles in preschoolers: Associations with persistent behavioral problems. Child Dev 2024; 95:1142-1160. [PMID: 38153212 DOI: 10.1111/cdev.14060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
This study investigated specialized and versatile antisocial patterns in preschoolers and examined the link between these patterns and the risk of developing chronic antisocial behaviors throughout childhood. A total of 556 children (50.6% boys, 88% White) participated in this three-wave longitudinal study at 3-5, 6-8, and 10-12 years old. A latent transition analysis revealed that most preschoolers (89.5%) who adopt several subtypes of antisocial behaviors simultaneously exhibit stable and severe antisocial behaviors throughout childhood. In contrast, most preschoolers (60%) who favor one specific subtype of antisocial behaviors desist from such behaviors between preschool and preadolescence. Importantly, aggression accompanied by other subtypes of antisocial behaviors predicted chronicity better than aggression alone, casting doubt on the notion that aggression is the strongest predictor of chronicity.
Collapse
Affiliation(s)
| | - Dale M Stack
- Department of Psychology, Concordia University, Montreal, Quebec, Canada
| | - Paul D Hastings
- Center for Mind & Brain, University of California Davis, Davis, California, USA
| | - Lisa A Serbin
- Department of Psychology, Concordia University, Montreal, Quebec, Canada
| |
Collapse
|
4
|
Ashok P, Fäldt A, Dahlberg A, Durbeej N. Early emotional and behavioural problems predict use of habilitation services among children: Findings from a longitudinal follow-up study. PLoS One 2024; 19:e0303685. [PMID: 38753629 PMCID: PMC11098387 DOI: 10.1371/journal.pone.0303685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 04/29/2024] [Indexed: 05/18/2024] Open
Abstract
PURPOSE To explore the association between early emotional and behavioural problems and use of habilitation services among children in Sweden. METHODS In this longitudinal cohort study, we used data on children, 3-5 years of age, whose mothers (n = 7343) and fathers (n = 6322) had responded to the Strengths and Difficulties Questionnaire (SDQ) for assessment of emotional and behavioural problems, and who were followed for approximately 6.5 years with regard to use of habilitation services. The relations between emotional and behavioural problems and use of habilitation services were explored through cox regression models. RESULTS In unadjusted models, children with identified emotional and behavioural problems were more likely to utilise habilitation services compared to those with no identified problems. These associations were shown for both mothers' (HR: 5.02) and fathers' (HR: 4.25) SDQ ratings. In adjusted cox-regression models, the associations remained significant for both mothers' (AHR: 4.24) and fathers' (AHR: 4.03) ratings. CONCLUSIONS Early emotional and behavioural problems predict later habilitation service use among children in Sweden. Assessment of these problems in all children at child health services could facilitate early identification and timely interventions. Habilitation centres in Sweden could integrate mental health care into the standard treatment for children using these services.
Collapse
Affiliation(s)
- Pavithra Ashok
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Anna Fäldt
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Anton Dahlberg
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Natalie Durbeej
- Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| |
Collapse
|
5
|
Speck JS, Frick PJ, Vaughan EP, Walker TM, Robertson EL, Ray JV, Myers TDW, Thornton LC, Steinberg L, Cauffman E. Health Service Utilization in Adolescents Following a First Arrest: The Role of Antisocial Behavior, Callous-Unemotional Traits, and Juvenile Justice System Processing. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2024; 51:393-405. [PMID: 38427148 PMCID: PMC11076348 DOI: 10.1007/s10488-024-01341-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/09/2024] [Indexed: 03/02/2024]
Abstract
Previous research indicates that youth exhibiting antisocial behavior are at risk for utilizing a disproportionate amount of health services compared to youth without these problems. The present study investigates whether being processed by the juvenile justice system and showing callous-unemotional (CU) traits independently predict health service utilization (medical and mental health service use and out-of-home placement) over and above the severity of antisocial behavior across adolescence. A total of 766 participants who had been arrested for the first time in adolescence provided data at ten appointments over a period of seven years. Results showed that self-reported antisocial behavior at the time of arrest predicted increased use of most health service use types over the next seven years (i.e. medicine prescriptions, tests for sexually transmitted infections, mental health service appointments, and out-of-home placements). All except prescription medication use remained significant when controlling for justice system processing and CU traits. Further, justice system processing added significantly to the prediction of medical service appointments. Whereas CU traits were associated with mental health service appointments and out-of-home placements, these did not remain significant when controlling for severity of antisocial behavior. These findings are consistent with prior research documenting the health care costs of antisocial behavior.
Collapse
Affiliation(s)
- Julianne S Speck
- Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA.
| | - Paul J Frick
- Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA
| | - Erin P Vaughan
- Department of Psychology, Louisiana State University, 236 Audubon Hall, Baton Rouge, LA, 70803, USA
| | - Toni M Walker
- Harris County Juvenile Probation Department, Houston, USA
| | | | | | | | | | | | | |
Collapse
|
6
|
Bégin V, Vergunst F, Haeck C, Vitaro F, Tremblay RE, Côté SM, Fontaine NMG. Childhood behavior problems and adverse economic outcomes: a 30-year population-based study of intergenerational income mobility. J Child Psychol Psychiatry 2024. [PMID: 38659297 DOI: 10.1111/jcpp.13992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/28/2024] [Indexed: 04/26/2024]
Abstract
BACKGROUND The objectives of this study were to (a) assess the associations between early behavioral problems and intergenerational income mobility (i.e., the degree to which income status is transmitted from one generation to the next), (b) verify whether these associations are moderated by child sex, and (c) explore indirect effects of early behavioral problems on income mobility via high school graduation. METHODS Data were drawn from the Quebec Longitudinal Study of Kindergarten Children (n = 3,020; 49.17% girls). Participants were followed from age 6 to 37 years. Measures included parents' and teachers' ratings of behavioral problems at age 6 years as well as participants' (ages 30-35 years) and their parents' (when participants were aged 10-19 years) income data obtained from tax return records. Regression models were used to predict upward and downward mobility (i.e., increased or decreased income status from one generation to the next) from attention-deficit/hyperactivity problems, conduct/opposition problems, depression/anxiety problems, prosociality, and the quality of children's relationship with their caregiver. Two-way interaction effects between behavioral problems and child sex were examined and indirect effect models including high school graduation as a mediator of these associations were conducted. RESULTS Despite their higher educational attainment, females had lower incomes and experienced lower upward (but higher downward) income mobility than males. For both females and males, higher levels of attention-deficit/hyperactivity and conduct/opposition problems were associated with decreased odds of upward mobility, whereas higher levels of attention-deficit/hyperactivity were associated with increased odds of downward mobility. Attention-deficit/hyperactivity problems, conduct/opposition problems as well as low prosociality were associated with lower educational attainment (no high school diploma), which in turn was associated with increased odds of downward mobility. CONCLUSIONS Results highlight the importance of providing intensive support to children with early behavioral problems as a means of improving educational attainment and intergenerational income mobility.
Collapse
Affiliation(s)
- Vincent Bégin
- Department of Psychoeducation, University of Sherbrooke, Sherbrooke, QC, Canada
- Group for Research and Intervention on Children's Social Adjustment, Sherbrooke, QC, Canada
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
| | - Francis Vergunst
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
- Special Needs Education, University of Oslo, Oslo, Norway
- Sainte-Justine University Hospital Research Center, Montreal, QC, Canada
- School of Public Health, University of Montreal, Montreal, QC, Canada
| | - Catherine Haeck
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
- Research Group on Human Capital, Montreal, QC, Canada
- Department of Economics, Université du Québec à Montréal, Montreal, QC, Canada
| | - Frank Vitaro
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
- Sainte-Justine University Hospital Research Center, Montreal, QC, Canada
- School of Psychoeducation, University of Montreal, Montreal, QC, Canada
| | - Richard E Tremblay
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
- Sainte-Justine University Hospital Research Center, Montreal, QC, Canada
- Department of Psychology, University of Montreal, Montreal, QC, Canada
- Department of Pediatrics, University of Montreal, Montreal, QC, Canada
- School of Public Health, Physiotherapy & Population Science, University College Dublin, Dublin, Ireland
| | - Sylvana M Côté
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
- Sainte-Justine University Hospital Research Center, Montreal, QC, Canada
- School of Public Health, University of Montreal, Montreal, QC, Canada
| | - Nathalie M G Fontaine
- Research Unit on Children's Psychosocial Maladjustment, Montreal, QC, Canada
- School of Criminology, University of Montreal, Montreal, QC, Canada
- Centre interdisciplinaire de recherche sur le cerveau et l'apprentissage, Montreal, QC, Canada
| |
Collapse
|
7
|
Thomson ND, Kjærvik SL, Blondell VJ, Hazlett LE. The Interplay between Fear Reactivity and Callous-Unemotional Traits Predicting Reactive and Proactive Aggression. CHILDREN (BASEL, SWITZERLAND) 2024; 11:379. [PMID: 38671596 PMCID: PMC11049142 DOI: 10.3390/children11040379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 03/17/2024] [Accepted: 03/18/2024] [Indexed: 04/28/2024]
Abstract
Research has indicated that youths with CU traits are fearless, and this fearlessness plays a bidirectional role in both the development of CU traits and engagement in aggressive behavior. However, research specifically testing the role of fear in the association between CU traits and aggression is scarce. The goal of the current study was to test if fear reactivity, both conscious (self-report) and automatic (skin conductance reactivity; SCR), moderated the association between CU traits and aggression subtypes (reactive and proactive aggression). Participants included 161 adolescents (Mage = 15 years) diagnosed with conduct disorder. CU traits were assessed using the self-report Inventory of Callous-Unemotional Traits. Conscious and automatic fear reactivity were measured during a virtual reality rollercoaster using the Self-Assessment Manikin and skin conductance reactivity (SCR), respectively. Hierarchical regressions found that high fear reactivity on SCR moderated the link between CU traits and reactive aggression, while feeling more excited during fear induction moderated the link between CU traits and proactive aggression. Overall, a possible explanation of our divergent findings between conscious and automatic fear may be the difference between the instinctual biological response to threat versus the cognitive and emotional appraisal and experience of threat. Implications for intervention strategies targeting emotional recognition and regulation in reducing aggression in CD populations are discussed.
Collapse
Affiliation(s)
- Nicholas D. Thomson
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
- Department of Surgery, Virginia Commonwealth University, Richmond, VA 23298, USA; (S.L.K.); (V.J.B.); (L.E.H.)
| | - Sophie L. Kjærvik
- Department of Surgery, Virginia Commonwealth University, Richmond, VA 23298, USA; (S.L.K.); (V.J.B.); (L.E.H.)
| | - Victoria J. Blondell
- Department of Surgery, Virginia Commonwealth University, Richmond, VA 23298, USA; (S.L.K.); (V.J.B.); (L.E.H.)
| | - Laura E. Hazlett
- Department of Surgery, Virginia Commonwealth University, Richmond, VA 23298, USA; (S.L.K.); (V.J.B.); (L.E.H.)
| |
Collapse
|
8
|
Brislin SJ, Clark DA, Clark DB, Durbin CE, Parr AC, Ahonen L, Anderson-Carpenter KD, Heitzeg MM, Luna B, Sripada C, Zucker RA, Hicks BM. Differential Item Functioning in Reports of Delinquent Behavior Between Black and White Youth: Evidence of Measurement Bias in Self-Reports of Arrest in the Adolescent Brain Cognitive Development Study. Assessment 2024; 31:444-459. [PMID: 37039543 DOI: 10.1177/10731911231164627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
Abstract
Youth self-reports are a mainstay of delinquency assessment; however, making valid inferences about delinquency using these assessments requires equivalent measurement across groups of theoretical interest. We examined whether a brief 10-item delinquency measure exhibited measurement invariance across non-Hispanic White (n = 6,064) and Black (n = 1,666) youth (ages 10-11 years old) in the Adolescent Brain Cognitive Developmentsm Study (ABCD Study®). We detected differential item functioning (DIF) in two items. Black youth were more likely to report being arrested or picked up by police than White youth with the same score on the latent delinquency trait. Although multiple covariates (income, urgency, and callous-unemotional traits) reduced mean-level difference in overall delinquency, they were generally unrelated to the DIF in the Arrest item. However, the DIF in the Arrest item was reduced in size and no longer significant after adjusting for neighborhood safety. Results illustrate the importance of considering measurement invariance when using self-reported delinquency scores to draw inferences about group differences, and the utility of measurement invariance analyses for helping to identify mechanisms that contribute to group differences generally.
Collapse
Affiliation(s)
| | | | | | | | | | - Lia Ahonen
- University of Pittsburgh, Pittsburgh, PA, USA
| | | | | | | | | | | | | |
Collapse
|
9
|
Evans SC, Karlovich AR, Khurana S, Edelman A, Buza B, Riddle W, López-Sosa D. Evidence Base Update on the Assessment of Irritability, Anger, and Aggression in Youth. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2024; 53:277-308. [PMID: 38275270 PMCID: PMC11042996 DOI: 10.1080/15374416.2023.2292041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
OBJECTIVE Irritability, anger, and aggression have garnered significant attention from youth mental health researchers and clinicians; however, fundamental challenges of conceptualization and measurement persist. This article reviews the evidence base for assessing these transdiagnostic constructs in children and adolescents. METHOD We conducted a preregistered systematic review of the evidence behind instruments used to measure irritability, anger, aggression, and related problems in youth. Searches were conducted in PsycINFO and PubMed, identifying 4,664 unique articles. Eligibility criteria focused on self- and proxy-report measures with peer-reviewed psychometric evidence from studies in English with youths ages 3-18. Additional measures were found through ancillary search strategies (e.g. book chapters, review articles, test publishers). Measures were screened and coded by multiple raters with acceptable reliability. RESULTS Overall, 68 instruments met criteria for inclusion, with scales covering irritability (n = 15), anger (n = 19), aggression (n = 45), and/or general overt externalizing problems (n = 27). Regarding overall psychometric support, 6 measures (8.8%) were classified as Excellent, 46 (67.6%) were Good, and 16 (23.5%) were Adequate. Descriptive information (e.g. informants, scales, availability, translations) and psychometric properties (e.g. reliability, validity, norms) are summarized. CONCLUSIONS Numerous instruments for youth irritability, anger, and aggression exist with varying degrees of empirical support for specific applications. Although some measures were especially strong, none had uniformly excellent properties across all dimensions, signaling the need for further research in particular areas. Findings promote conceptual clarity while also producing a well-characterized toolkit for researchers and clinicians addressing transdiagnostic problems affecting youth.
Collapse
Affiliation(s)
- Spencer C. Evans
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | | | - Sakshi Khurana
- Department of Psychology, University of Miami, Coral Gables, FL, USA
- Department of Psychology, Harvard University, Cambridge, MA, USA
- College of Education, DePaul University, Chicago, IL, USA
| | - Audrey Edelman
- Department of Psychology, University of Miami, Coral Gables, FL, USA
- Department of Psychology, Yale University, New Haven, CT, USA
| | - Bianca Buza
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | - William Riddle
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | - Denise López-Sosa
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| |
Collapse
|
10
|
Ayano G, Abraha M, Tsegay L, Gizachew Y. Umbrella Review of the Global Prevalence of Conduct Disorder in Children and Adolescents. Psychiatr Q 2024; 95:173-183. [PMID: 37962781 DOI: 10.1007/s11126-023-10060-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/15/2023] [Indexed: 11/15/2023]
Abstract
With the ever-increasing prevalence of mental health issues worldwide, a robust synthesis of existing epidemiological data on the prevalence of Conduct disorder (CD) in children and adolescents is needed to strengthen the knowledge base. This quantitative umbrella review aims to provide a robust synthesis of evidence on the prevalence of CD children and adolescents from meta-analytic systematic reviews. We searched PubMed, Web of Science, PsychINFO, and Scopus to identify relevant articles. The study protocol has been registered with PROSPERO (CRD42023447620). The methodological quality of the studies was evaluated by using a Measurement Tool to Assess Systematic Reviews (AMSTAR). Invariance variance weighted random-effect meta-analysis was performed to pool prevalence estimates from the included articles. Seven meta-analyses, encompassing 138 primary studies and slightly over 48 million CD cases were included in this umbrella review. The quantitative analysis of these studies found a pooled prevalence of CD 3.0% (95%CI 2.0-5%) in children and adolescents, based on random effect meta-analyses. In a stratified analysis, the prevalence estimate of CD was 2.6 times higher in boys compared to girls. Evidence from our quantitative umbrella review showed that the prevalence of CD is relatively high in children and adolescents with boys 2.6 times more likely to experience the disorders when compared to girls. Our findings underlie that attention should be given to preventing, identifying, and treating CD in children and adolescents.
Collapse
Affiliation(s)
- Getinet Ayano
- School of Population Health, Curtin University, Perth, Australia.
| | - Mebratu Abraha
- Research Directorate Office and Nursing Education Department, SaintPaulo's Millennium Medical College, Addis Ababa, Ethiopia
| | | | | |
Collapse
|
11
|
Martínez-Levy GA, Maya-Martínez M, García-Marín LM, Díaz-Torres S, Gómez LM, Benjet C, Rentería ME, Cruz-Fuentes CS, Rabinowitz JA. Associations of externalizing polygenic scores with externalizing disorders among Mexican youth. J Psychiatr Res 2024; 171:346-353. [PMID: 38354668 DOI: 10.1016/j.jpsychires.2024.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 12/21/2023] [Accepted: 01/15/2024] [Indexed: 02/16/2024]
Abstract
Several studies have examined the association of externalizing polygenic scores (PGS) with externalizing symptoms in samples of European ancestry. However, less is known about the associations of externalizing polygenic vulnerability in relation to phenotypic externalizing disorders among individuals of different ancestries, such as Mexican youth. Here, we leveraged the largest genome-wide association study on externalizing behaviors that included over 1 million individuals of European ancestry to examine associations of externalizing PGS with a range of externalizing disorders in Mexican adolescents, and investigated whether adversity exposure in childhood moderated these associations. Participants (N = 1064; age range 12-17 years old; 58.8% female) were adolescents recruited for a general population survey on adolescent mental health in the Mexico City Metropolitan region and were genotyped. Childhood adversity exposure and externalizing disorders, specifically attention-deficit hyperactivity disorder (ADHD), conduct disorder, oppositional defiant disorder, and substance use disorder, were assessed via the computer-assisted World Mental Health Composite International Diagnostic Interview for adolescents. A greater externalizing PGS was associated with a greater odds of any externalizing disorder (OR = 1.29 [1.12, 1.48]; p < 0.01) and ADHD (OR = 1.40 [1.15, 1.70]; p < 0.01) in the whole sample, and in females in particular. There were no main effects of the externalizing PGS on conduct disorder, oppositional defiant disorder, or substance use disorder, nor did adversity exposure moderate these associations. Our results suggest that greater genetic propensity for externalizing disorders is associated with increased odds of any externalizing disorders and ADHD among Mexican adolescents, furthering our understanding of externalizing disorder manifestation in this population.
Collapse
Affiliation(s)
- Gabriela A Martínez-Levy
- Departamento de Genética, Instituto Nacional de Psiquiatría "Ramón de la Fuente Muñíz", Ciudad de México, Mexico
| | - Mateo Maya-Martínez
- Licenciatura en Ciencias Genómicas, Centro de Ciencias Genómicas, Universidad Nacional Autónoma de México, Cuernavaca, Morelos, Mexico
| | - Luis M García-Marín
- Mental Health and Neuroscience Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Santiago Díaz-Torres
- Mental Health and Neuroscience Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Lina M Gómez
- Mental Health and Neuroscience Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia
| | - Corina Benjet
- Epidemiological and Psychosocial Research, Center for Global Mental Health, Instituto Nacional de Psiquiatria Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Miguel E Rentería
- Mental Health and Neuroscience Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia; School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Carlos S Cruz-Fuentes
- Departamento de Genética, Instituto Nacional de Psiquiatría "Ramón de la Fuente Muñíz", Ciudad de México, Mexico
| | - Jill A Rabinowitz
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore MD 21205, USA.
| |
Collapse
|
12
|
Turri F, Jones A, Constanty L, Ranjbar S, Drexl K, Miano G, Lepage C, Plessen KJ, Urben S. Self-regulatory control processes in youths: A temporal network analysis approach. JCPP ADVANCES 2024; 4:e12200. [PMID: 38486949 PMCID: PMC10933645 DOI: 10.1002/jcv2.12200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 09/11/2023] [Indexed: 03/17/2024] Open
Abstract
Objective This study aimed to better understand the temporal interrelationships among self-control, response inhibition, and anger (i.e., momentary state and rumination) on both the within- and between-person levels in male adolescents. Method We applied temporal network analyses among 62 male adolescents with a wide range of behavioral difficulties. Self-control, momentary anger, and anger rumination were mapped by self-report measures, whereas we measured response inhibition through an ambulatory Go/No-go task (two measures a day-morning and afternoon-over a 9-day period). Results Temporal network analysis, at the within-person level, revealed that morning measures of response inhibition, anger rumination, and self-control were related to the corresponding measure in the afternoon. More efficient response inhibition in the morning was associated with higher self-control in the afternoon. Higher anger rumination in the morning led to higher momentary anger in the afternoon. In a concurrent within-person network, higher momentary anger was reciprocally associated with lower self-control. At the between-person level, higher momentary anger was correlated to higher anger rumination, lower response inhibition, and lower self-control. Discussion This study provides insight into the dynamic interactions among self-control, response inhibition, and anger (momentary state and rumination) in male adolescents, advancing the understanding of self-regulatory control functioning.
Collapse
Affiliation(s)
- Fiorella Turri
- Division of Child and Adolescent PsychiatryDepartment of PsychiatryLausanne University Hospital (CHUV)LausanneSwitzerland
| | - Andrew Jones
- School of PsychologyLiverpool John Moores UniversityLiverpoolUK
| | - Lauriane Constanty
- Division of Child and Adolescent PsychiatryDepartment of PsychiatryLausanne University Hospital (CHUV)LausanneSwitzerland
| | - Setareh Ranjbar
- Center of Psychiatric Epidemiology and PsychopathologyDepartment of PsychiatryLausanne University HospitalUniversity of LausannePrillySwitzerland
| | - Konstantin Drexl
- Division of Child and Adolescent PsychiatryDepartment of PsychiatryLausanne University Hospital (CHUV)LausanneSwitzerland
| | - Giorgia Miano
- Division of Child and Adolescent PsychiatryDepartment of PsychiatryLausanne University Hospital (CHUV)LausanneSwitzerland
| | - Caroline Lepage
- Division of Child and Adolescent PsychiatryDepartment of PsychiatryLausanne University Hospital (CHUV)LausanneSwitzerland
| | - Kerstin Jessica Plessen
- Division of Child and Adolescent PsychiatryDepartment of PsychiatryLausanne University Hospital (CHUV)LausanneSwitzerland
- Faculty of Biology and MedicineUniversity of LausanneLausanneSwitzerland
| | - Sébastien Urben
- Division of Child and Adolescent PsychiatryDepartment of PsychiatryLausanne University Hospital (CHUV)LausanneSwitzerland
- Faculty of Biology and MedicineUniversity of LausanneLausanneSwitzerland
| |
Collapse
|
13
|
Goulter N, Hur YS, Jones DE, Godwin J, McMahon RJ, Dodge KA, Lansford JE, Lochman JE, Bates JE, Pettit GS, Crowley DM. Kindergarten conduct problems are associated with monetized outcomes in adolescence and adulthood. J Child Psychol Psychiatry 2024; 65:328-339. [PMID: 37257941 PMCID: PMC10687301 DOI: 10.1111/jcpp.13837] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/07/2023] [Indexed: 06/02/2023]
Abstract
BACKGROUND Across several sites in the United States, we examined whether kindergarten conduct problems among mostly population-representative samples of children were associated with increased criminal and related (criminal + lost offender productivity + victim; described as criminal + victim hereafter) costs across adolescence and adulthood, as well as government and medical services costs in adulthood. METHODS Participants (N = 1,339) were from two multisite longitudinal studies: Fast Track (n = 754) and the Child Development Project (n = 585). Parents and teachers reported on kindergarten conduct problems, administrative and national database records yielded indexes of criminal offending, and participants self-reported their government and medical service use. Outcomes were assigned costs, and significant associations were adjusted for inflation to determine USD 2020 costs. RESULTS A 1SD increase in kindergarten conduct problems was associated with a $21,934 increase in adolescent criminal + victim costs, a $63,998 increase in adult criminal + victim costs, a $12,753 increase in medical services costs, and a $146,279 increase in total costs. In the male sample, a 1SD increase in kindergarten conduct problems was associated with a $28,530 increase in adolescent criminal + victim costs, a $58,872 increase in adult criminal + victim costs, and a $144,140 increase in total costs. In the female sample, a 1SD increase in kindergarten conduct problems was associated with a $15,481 increase in adolescent criminal + victim costs, a $62,916 increase in adult criminal + victim costs, a $24,105 increase in medical services costs, and a $144,823 increase in total costs. CONCLUSIONS This investigation provides evidence of the long-term costs associated with early-starting conduct problems, which is important information that can be used by policymakers to support research and programs investing in a strong start for children.
Collapse
Affiliation(s)
| | | | | | | | - Robert J. McMahon
- Simon Fraser University, Canada; BC Children’s Hospital Research Institute, Canada
| | | | | | | | | | | | | |
Collapse
|
14
|
Cheng J, Scott Huebner E, Tian L. Co-developmental trajectories of aggression and rule-breaking from middle childhood to early adolescence: individual and environmental predictors. Eur Child Adolesc Psychiatry 2024; 33:401-410. [PMID: 36810710 DOI: 10.1007/s00787-023-02171-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 02/14/2023] [Indexed: 02/23/2023]
Abstract
This study examined the heterogeneous co-developmental trajectories of aggression and rule-breaking from middle childhood to early adolescence, as well as how these identified, distinct trajectories related to individual and environmental predictors. A total of 1944 Chinese elementary school students in grade 4 (45.5% girls, Mage = 10.06, SD = 0.57) completed measures on five occasions across two and a half years, using six-month intervals. Findings included: (a) Parallel process latent class growth modeling revealed four distinct co-developmental trajectory groups of aggression and rule-breaking: congruent-low (84.0%); moderate-decreasing aggression and high-decreasing rule-breaking (3.8%); moderate-increasing aggression (5.9%); and moderate-increasing rule-breaking (6.3%); (b) Multivariate logistic regression analyses revealed that children belonging to the high risk groups were more likely to experience multiple individual and environmental difficulties. Implications for prevention of aggression and rule-breaking were discussed.
Collapse
Affiliation(s)
- Jianing Cheng
- Philosophy and Social Science Laboratory of Reading and Development in Children and Adolescents (South China Normal University), Ministry of Education, Guangzhou, 510631, People's Republic of China
- School of Psychology, South China Normal University, Guangzhou, 510631, People's Republic of China
| | - E Scott Huebner
- Department of Psychology, University of South Carolina, Columbia, SC, 29208, USA
| | - Lili Tian
- Philosophy and Social Science Laboratory of Reading and Development in Children and Adolescents (South China Normal University), Ministry of Education, Guangzhou, 510631, People's Republic of China.
| |
Collapse
|
15
|
Chan CKY, Fu K, Liu SKY. Incorporating emotion coaching into behavioral parent training program: evaluation of its effectiveness. Child Psychiatry Hum Dev 2024; 55:236-246. [PMID: 35838816 DOI: 10.1007/s10578-022-01402-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 06/01/2022] [Accepted: 06/28/2022] [Indexed: 11/03/2022]
Abstract
Disruptive behaviors in childhood yield negative mental health outcomes. Both behavioral management and emotion coaching parenting programs were effective in reducing children's disruptive behaviors. This randomized control trial (RCT) study evaluated the effectiveness of a community clinic-based, parent training program that incorporated emotion coaching into behavioral training (BPEC) for 119 parents who expressed difficulty in handling their elementary school-aged children's disruptive behaviors. These parents were randomly assigned to the treatment group or waitlist control. Pre-tests, post-tests, and 3-month delayed post-tests were administered. Compared to those in the waitlist control group, participants in the BPEC group reported significantly (a) fewer child oppositional behaviors and ADHD symptoms and (b) more positive aspects of the parent-child relationship. Significant short-term effects were maintained after 3-month for parent-reported, child oppositional behaviors. Thus, BPEC effectively reduced the disruptive behaviors of children.
Collapse
Affiliation(s)
- Charlotte Kwok Ying Chan
- Child Assessment Service, Department of Health, Hong Kong Special Administrative Region, Hong Kong, China
| | - Kei Fu
- Child Assessment Service, Department of Health, Hong Kong Special Administrative Region, Hong Kong, China.
| | - Stephenie Ka Yee Liu
- Child Assessment Service, Department of Health, Hong Kong Special Administrative Region, Hong Kong, China
| |
Collapse
|
16
|
Böttinger BW, Aggensteiner PM, Hohmann S, Heintz S, Ruf M, Glennon J, Holz NE, Banaschewski T, Brandeis D, Baumeister S. Exploring real-time functional magnetic resonance imaging neurofeedback in adolescents with disruptive behavior disorder and callous unemotional traits. J Affect Disord 2024; 345:32-42. [PMID: 37852585 DOI: 10.1016/j.jad.2023.10.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 09/24/2023] [Accepted: 10/08/2023] [Indexed: 10/20/2023]
Abstract
INTRODUCTION Adolescents with increased callous unemotional traits (CU traits) in the context of disruptive behavior disorder (DBD) show a persistent pattern of antisocial behavior with shallow affect and a lack of empathy or remorse. The amygdala and insula as regions commonly associated with emotion processing, empathy and arousal are implicated in DBD with high CU traits. While behavioral therapies for DBD provide significant but small effects, individualized treatments targeting the implicated brain regions are missing. METHODS In this explorative randomized controlled trial we randomly assigned twenty-seven adolescents with DBD to individualized real-time functional magnetic resonance neurofeedback (rtfMRI-NF) or behavioral treatment as usual (TAU). Visual feedback of either amygdala or insula activity was provided during rtfMRI-NF by gauges and included a simple and concurrent video run plus a transfer run. A linear mixed model (LMM) was applied to determine improvement of self-regulation. Specificity was assessed by correlating individual self-regulation improvement with clinical outcomes. RESULTS The rtfMRI-NF (n = 11) and TAU (n = 10) completers showed comparable and significant clinical improvement indicating neither superiority nor inferiority of rtfMRI-NF. The exploratory LMM revealed successful learning of self-regulation along the course of training for participants who received feedback from the amygdala. A significant exploratory correlation between individual target region activity in the simple run and clinical improvement was found for one dimension of DBD. CONCLUSIONS This exploratory study demonstrated feasibility and suggests clinical efficacy of individualized rtfMRI-NF comparable to active TAU for adolescents with DBD and increased CU traits. Further studies are needed to confirm efficacy, specificity and to clarify underlying learning mechanisms.
Collapse
Affiliation(s)
- Boris W Böttinger
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
| | - Pascal-M Aggensteiner
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
| | - Sarah Hohmann
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; Department of Child and Adolescent Psychiatry and Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Stefan Heintz
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
| | - Matthias Ruf
- Department of Neuroimaging, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
| | - Jeffrey Glennon
- Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, the Netherlands; Conway Institute of Biomolecular and Biomedical Research, School of Medicine, University College Dublin, Dublin, Ireland
| | - Nathalie E Holz
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; Donders Center for Brain, Cognition and Behavior, Radboud University Nijmegen, Nijmegen, the Netherlands; Department for Cognitive Neuroscience, Radboud University Medical Center Nijmegen, Nijmegen, the Netherlands; Institute of Medical Psychology and Medical Sociology, University Medical Center Schleswig Holstein, Kiel University, Kiel, Germany
| | - Tobias Banaschewski
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
| | - Daniel Brandeis
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, University of Zurich, Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH, Zurich, Zurich, Switzerland
| | - Sarah Baumeister
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
| |
Collapse
|
17
|
Chaku N, Yan R, Kelly DP, Zhang Z, Lopez-Duran N, Weigard AS, Beltz AM. 100 days of Adolescence: Elucidating Externalizing Behaviors Through the Daily Assessment of Inhibitory Control. Res Child Adolesc Psychopathol 2024; 52:93-110. [PMID: 37405589 PMCID: PMC10787911 DOI: 10.1007/s10802-023-01071-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/28/2023] [Indexed: 07/06/2023]
Abstract
Inhibitory control is a transdiagnostic risk factor for externalizing behaviors, particularly during adolescence. Despite advances in understanding links between inhibitory control and externalizing behaviors across youth on average, significant questions remain about how these links play out in the day-to-day lives of individual adolescents. The goals of the current study were to: (1) validate a novel 100-occasion measure of inhibitory control; (2) assess links between day-to-day fluctuations in inhibitory control and individual differences in externalizing behaviors; and (3) illustrate the potential of intensive longitudinal studies for person-specific analyses of adolescent externalizing behaviors. Participants were 106 youth (57.5% female, Mage = 13.34 years; SDage = 1.92) who completed a virtual baseline session followed by 100 daily surveys, including an adapted Stroop Color Word task designed to assess inhibitory control. Results suggested that the novel task was generally reliable and valid, and that inhibitory control fluctuated across days in ways that were meaningfully associated with individual differences in baseline impulsive behaviors. Results of illustrative personalized analyses suggested that inhibitory control had more influence in the daily networks of adolescents who used substances during the 100 days than in a matched set of adolescents who did not. This work marks a path forward in intensive longitudinal research by validating a novel inhibitory control measure, revealing that daily fluctuations in inhibitory control may be a unique construct broadly relevant to adolescent externalizing problems, and at the same time, highlighting that links between daily inhibitory control and impulsive behaviors are adolescent-specific.
Collapse
Affiliation(s)
- Natasha Chaku
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Ran Yan
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Dominic P Kelly
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Zhuoran Zhang
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | | | | | - Adriene M Beltz
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA.
| |
Collapse
|
18
|
Djamnezhad D, Bergström M, Andrén P, Hofvander B. Good behavior game - study protocol for a randomized controlled trial of a preventive behavior management program in a Swedish school context. Front Psychiatry 2023; 14:1256714. [PMID: 37867765 PMCID: PMC10585039 DOI: 10.3389/fpsyt.2023.1256714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 09/20/2023] [Indexed: 10/24/2023] Open
Abstract
Background Early conduct problems and school failure are prominent risk factors for several adverse outcomes in later life. With the potential of reaching many children at early stages of their life, school-based interventions constitute a valuable approach to universal prevention. Good behavior game (GBG) is a promising school-based behavior management program, having shown immediate reductions in conduct problems along with several long-term positive effects. Adapting interventions to new contexts may however affect their effectiveness. The current study aims to evaluate the effectiveness of a Swedish adaption of GBG under pragmatic conditions. The intervention is hypothesized to reduce conduct problems in the classroom (primary outcome). Secondary analyses will investigate changes in conduct problems in common school areas, classroom climate, teacher collective efficacy, on-task behavior, as well as investigating behavioral management practices, implementation, and barriers to implementation. Methods This is a cluster-randomized trial with two parallel groups. Schools will be randomized (1,1, stratified by their areas sociodemographic index score) to be provided training in GBG or perform business-as-usual. The intervention and data collection lasts for a school year. Data will be collected at three time points: at baseline in the beginning of the school year (prior to training in GBG), after three months, and after nine months (at the end of the school year; primary endpoint). Data consists of teacher-rated measures of conduct problems, classroom climate, teacher collective efficacy, behavior management practices, and implementation factors, along with demographic factors. In addition, data will be collected by independent and blinded observers using corresponding measures in a subset of randomly chosen classrooms. Procedural fidelity will be rated and collected by GBG-trainers during nine observations throughout the school year. Statistical analysis will include frequentist intention-to-treat analysis, and comparisons of estimates with a corresponding Bayesian model using weakly informative priors. The study has currently completed data collection. Discussion This study will provide knowledge in universal prevention and school-based interventions with high reach, as well as specific knowledge concerning the effectiveness of an adapted version of GBG under real-world conditions, along with factors affecting its implementation and effects. Clinical trial registration ClinicalTrials.gov, identifier NCT05794893.
Collapse
Affiliation(s)
- Dariush Djamnezhad
- Department of Clinical Sciences Lund, Lund Clinical Research on Externalizing and Developmental Psychopathology, Lund University, Lund, Sweden
- Administration of Compulsory Education Department, Malmö, Sweden
| | | | - Per Andrén
- Department of Clinical Sciences Lund, Lund University, Lund, Sweden
- Child and Adolescent Psychiatry Skåne, Lund, Sweden
| | - Björn Hofvander
- Department of Clinical Sciences Lund, Lund Clinical Research on Externalizing and Developmental Psychopathology, Lund University, Lund, Sweden
- Department of Forensic Psychiatry, Region Skåne, Sweden
- Department of Psychiatry and Neurochemistry, Centre of Ethics, Law and Mental Health, University of Gothenburg, Gothenburg, Sweden
| |
Collapse
|
19
|
López-Romero L, Cutrín O, Maneiro L, Salekin RT. Proposed Specifiers for Conduct Disorder-Short Version (PSCD-SV): Psychometric Properties, Concurrent Correlates and Parenting Predictors. Child Psychiatry Hum Dev 2023; 54:1258-1273. [PMID: 35212858 PMCID: PMC10435417 DOI: 10.1007/s10578-022-01335-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/08/2022] [Indexed: 01/08/2023]
Abstract
The present study aims to further examine the four-factor model of psychopathy in adolescence with a new alternate model for the assessment of psychopathic traits and conduct disorder (CD): The Proposed Specifiers for Conduct Disorder-Short version (PSCD-SV). Data were collected in a sample of 414 adolescents (49.2% females) aged 12-15 at the first assessment who were then followed-up 2 years later. Results supported the usefulness of the PSCD-SV to assess the broader construct of psychopathy showing good psychometric properties, including adequate reliability and validity, while accounting for all its dimensions. In addition, the study showed close associations between psychopathic traits and adolescent behavioral, emotional and psychosocial maladjustment. Finally, the findings elucidated the PSCD's connection to parental support and psychological control, and reinforced the potential role of parenting practices as predictors that can act as mechanisms of change in the development of psychopathy. Overall, current findings shed light on conceptual and developmental models of psychopathy that may have implications for assessment, diagnostic classification, prevention, and intervention.
Collapse
Affiliation(s)
- Laura López-Romero
- Department of Clinical Psychology and Psychobiology, Facultad de Psicología, Universidade de Santiago de Compostela, Campus Sur, 15782, Santiago de Compostela, Spain.
| | - Olalla Cutrín
- Department of Clinical Psychology and Psychobiology, Facultad de Psicología, Universidade de Santiago de Compostela, Campus Sur, 15782, Santiago de Compostela, Spain
| | - Lorena Maneiro
- Department of Clinical Psychology and Psychobiology, Facultad de Psicología, Universidade de Santiago de Compostela, Campus Sur, 15782, Santiago de Compostela, Spain
- Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands
| | - Randall T Salekin
- Department of Psychology, The University of Alabama, Tuscaloosa, USA
| |
Collapse
|
20
|
Li Q, Gao M, Deng Y, Zhou Z, Wang J. Parental Attachment and Proactive-Reactive Aggression in Adolescence: The Mediating Role of Self-Control and Perspective Taking. Psychol Res Behav Manag 2023; 16:3437-3446. [PMID: 37664135 PMCID: PMC10473417 DOI: 10.2147/prbm.s423270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 08/17/2023] [Indexed: 09/05/2023] Open
Abstract
Introduction Identifying risk and protective factors of aggressive behavior during adolescence is beneficial for the intervention and prevention treatments. Although studies show that attachment quality is closely related to aggression, the underlying psychological mechanisms remain unclear. This study aimed to investigate the links of parental attachment with proactive and reactive aggression and to examine the mediating role of perspective taking and self-control among Chinese adolescents. Methods A cluster sampling method was used to recruit participants from several high schools located in the central regions of China. A total of 2982 participants (Mage = 17.28, SD = 0.83, range 15~20 years; 1602 girls, 1380 boys) were included in the final analysis. Results Correlation analysis showed that participants possessing higher attachment security with parents were more likely to report lower levels of proactive and reactive aggression. And, self-control and perspective taking were positively associated with parental attachment, and negatively associated with both types of aggression. Moreover, structural equation models indicated that parental attachment directly, and indirectly predicted proactive and reactive aggression through self-control and perspective taking. Discussion Overall, this study contributes to a more comprehensive understanding of the explanatory mechanisms that link adolescent-parent attachment and aggression, and suggest that high quality of adolescent-parent interactions may promote adolescents' self-control and perspectives taking, which further reduces their aggression propensity.
Collapse
Affiliation(s)
- Qingqing Li
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, People’s Republic of China
- Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Wuhan, People’s Republic of China
- School of Psychology, Central China Normal University, Wuhan, People’s Republic of China
| | - Ming Gao
- Beijing Dentons (Yichang) Law Office, Yichang, People’s Republic of China
| | - Yanfang Deng
- Beijing Dentons (Yichang) Law Office, Yichang, People’s Republic of China
| | - Zongkui Zhou
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, People’s Republic of China
- Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Wuhan, People’s Republic of China
- School of Psychology, Central China Normal University, Wuhan, People’s Republic of China
| | - Jing Wang
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan, People’s Republic of China
- Key Laboratory of Human Development and Mental Health of Hubei Province, School of Psychology, Wuhan, People’s Republic of China
- School of Psychology, Central China Normal University, Wuhan, People’s Republic of China
| |
Collapse
|
21
|
Steinhoff A, Bechtiger L, Ribeaud D, Eisner M, Shanahan L. Self-, other-, and dual-harm during adolescence: a prospective-longitudinal study of childhood risk factors and early adult correlates. Psychol Med 2023; 53:3995-4003. [PMID: 35297361 PMCID: PMC10317800 DOI: 10.1017/s0033291722000666] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 12/22/2021] [Accepted: 02/21/2022] [Indexed: 01/12/2023]
Abstract
BACKGROUND Little is known about the childhood antecedents and adult correlates of adolescent dual-harm (i.e. co-occurring self- and other-harm). We examine the longitudinal associations between (a) social and psychological risk factors in childhood and adolescent dual-harm and (b) adolescent dual-harm and social and mental health impairments in early adulthood. METHODS Participants (N = 1482) are from a prospective longitudinal community-representative study. Dual-, self-, and other-harm were self-reported at ages 13, 15, and 17. Social and psychological risk factors in childhood were assessed between 7 and 11; early adult correlates at age 20. Groups with dual-harm, self-harm only, other-harm only, and no harm were compared. RESULTS Between 13 and 17, 7.2% of adolescents reported dual-harm (self-harm only: 16.2%; other-harm only: 13.3%). Some childhood risk factors (e.g. sensation-seeking, parental divorce, victimization by peers) characterized all harm groups; others were common to the dual- and self-harm (anxiety/depressive symptoms, relational aggression) or dual- and other-harm groups only (low self-control, substance use, delinquency). Adolescents with dual-harm had reported more physical aggression and harsh parenting, and lower school bonding in childhood than any other group. In early adulthood, they reported more anxiety/depressive symptoms, psychopathy symptoms, homicidal ideations, delinquency, and victimization experiences than any other group. CONCLUSIONS Adolescent dual-harm follows psychological problems and social disconnection in childhood and signals risk of psychopathology and isolation in early adulthood. To curb the burden from dual-harm, interventions must target adolescents, families, peer networks, and school environments. Differentiating youth with dual-harm from those with single-harm is important for developing personalized treatments.
Collapse
Affiliation(s)
- Annekatrin Steinhoff
- Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
| | - Laura Bechtiger
- Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
| | - Denis Ribeaud
- Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
| | - Manuel Eisner
- Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
- Institute of Criminology, University of Cambridge, Cambridge, UK
| | - Lilly Shanahan
- Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
- Department of Psychology, University of Zurich, Zurich, Switzerland
| |
Collapse
|
22
|
O’Brien CT, Bell M, Hipwell AE, Stepp SD. Associations between trajectories of adolescent conduct problems and psychological well-being in young women. J Adolesc 2023; 95:865-878. [PMID: 36851853 PMCID: PMC10330015 DOI: 10.1002/jad.12159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 12/31/2022] [Accepted: 02/15/2023] [Indexed: 03/01/2023]
Abstract
INTRODUCTION Despite the clinical relevance, little is known about variability in positive adult outcomes (i.e., flourishing, life satisfaction) of female adolescent conduct problems (CP), or interpersonal factors that promote these types of well-being. We hypothesized differential associations between adolescent CP trajectories and indicators of adult well-being due to level of positive relationships with caregivers during ages 12-17. METHOD Data were drawn from participants (N = 1965) of the Pittsburgh Girls Study, a longitudinal study of girls' development. Caregiver reported CP, adolescent reports of parental trust and positive parenting, and adolescent-reported peer delinquency were assessed annually between ages 12-17. Well-being in young adulthood was measured using self-reported flourishing and life satisfaction between ages 18-22. RESULTS Latent class growth analysis of adolescent CP revealed four trajectories characterized as low stable (20.0%), moderate stable (63.9%), adolescent-onset (8.1%), and high quadratic (8.0%). Main effects of trust and positive relationships with caregivers during adolescence on well-being in early adulthood were found. Positive parenting was found to moderate the association between CP trajectory and flourishing. The magnitude of the negative association between the high quadratic trajectory group and life satisfaction decreased as positive parenting increased. CONCLUSION These results support the importance of intervention in adolescence to focus on increasing trusting and positive relationships with caregivers for all females, as this may increase well-being in adulthood regardless of adolescent CP history.
Collapse
Affiliation(s)
- Christopher T. O’Brien
- Social Sciences Department, Chatham University, Woodland Road, Pittsburgh, PA, 15232, USA
| | - Melissa Bell
- Social Sciences Department, Chatham University, Woodland Road, Pittsburgh, PA, 15232, USA
| | - Alison E. Hipwell
- Department of Psychiatry, University of Pittsburgh, 3811 O’Hara St, Pittsburgh, PA, 15213, USA
| | - Stephanie D. Stepp
- Department of Psychiatry, University of Pittsburgh, 3811 O’Hara St, Pittsburgh, PA, 15213, USA
| |
Collapse
|
23
|
Rogers CR, Jimenez V, Benjamin A, Rudolph KD, Telzer EH. The Effect of Parents and Peers on the Neural Correlates of Risk Taking and Antisocial Behavior During Adolescence. J Youth Adolesc 2023:10.1007/s10964-023-01789-4. [PMID: 37249810 DOI: 10.1007/s10964-023-01789-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 05/09/2023] [Indexed: 05/31/2023]
Abstract
Social and neurobiological factors independently associate with the development of antisocial behavior during adolescence, yet it is unclear how these factors contribute to antisocial behavior in girls. Using a longitudinal sample of 45 adolescent girls (age in years at scan: M = 15.38, SD = 0.33), this study examined the contributions of parent-adolescent relationship quality and deviant peer affiliation from 6th-8th grades along with the neural correlates of risk taking in 9th grade to later antisocial behavior. High parent-adolescent closeness in early adolescence predicted lower antisocial behavior for girls in later adolescence via lower affiliation with deviant peer groups and less activation of the medial prefrontal cortex during risk taking. Findings highlight the enduring role of parents and peers during adolescence, and the importance of investigating social relationships alongside the brain to identify a holistic understanding of the development of antisocial behavior in girls.
Collapse
Affiliation(s)
- Christy R Rogers
- Department of Human Development and Family Sciences, Texas Tech University, Lubbock, TX, USA
| | - Virnaliz Jimenez
- Department of Human Development and Family Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Amanda Benjamin
- John Jay College of Criminal Justice, City University of New York, New York, NY, USA
| | - Karen D Rudolph
- Department of Psychology, University of Illinois at Urbana-Champaign, Champaign, IL, USA
| | - Eva H Telzer
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
| |
Collapse
|
24
|
Chen JH, Huang CH, Wu CF, Jonson-Reid M, Drake B. The Application of Family Stress Model to Investigating Adolescent Problematic Behaviors: The Moderating Role of Assets. JOURNAL OF FAMILY AND ECONOMIC ISSUES 2023:1-10. [PMID: 37360657 PMCID: PMC10139908 DOI: 10.1007/s10834-023-09902-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/06/2023] [Indexed: 06/28/2023]
Abstract
The Family Stress Model framework proposes that household income can influence child and youth development through caregiver psychological distress. While prior studies have observed stronger associations among households with lower income, the role of assets has been ignored. This is unfortunate, as many existing policies and practices that intend to improve child and family well-being are focused on assets. The purpose of this study is to clarify whether asset poverty moderates the direct and indirect effects of paths linking household income, caregiver psychological distress, and adolescent problematic behaviors. Using the 2017 and 2019 Panel Study of Income Dynamic Main Study and 2019 and 2020 Child Development Supplements, we find that the family stress processes consisting of household income, caregiver psychological distress, and adolescent problematic behaviors are less intensive for families with more assets. These findings not only add our knowledge of FSM by taking account the moderating role of assets but also advance our understanding that assets can benefit child and family well-being through alleviating family stress processes.
Collapse
Affiliation(s)
- Jun-Hong Chen
- George Warren Brown School of Social Work, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO 63130 USA
| | - Chieh-Hsun Huang
- Graduate Institute of Educational Psychology and Counseling, Tamkang University, No.151, Yingzhuan Rd., Tamsui Dist, New Taipei City, 251301 Taiwan
| | - Chi-Fang Wu
- School of Social Work, University of Illinois at Urbana-Champaign, 1010 W Nevada St, Urbana, IL 61801 USA
| | - Melissa Jonson-Reid
- George Warren Brown School of Social Work, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO 63130 USA
| | - Brett Drake
- George Warren Brown School of Social Work, Washington University in St. Louis, 1 Brookings Dr, St. Louis, MO 63130 USA
| |
Collapse
|
25
|
Rodríguez-Ruiz J, Zych I, Ribeaud D, Steinhoff A, Eisner M, Quednow BB, Shanahan L. The Influence of Different Dimensions of the Parent–Child Relationship in Childhood as Longitudinal Predictors of Substance Use in Late Adolescence. The Mediating Role of Self-Control. Int J Ment Health Addict 2023. [DOI: 10.1007/s11469-023-01036-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
Abstract This study examined longitudinal links between several dimensions of parent–child relationship and adolescent substance use, and tested the role of self-control in mediating these. Data came from the Zurich Project on the Social Development from Childhood to Adulthood. Validated questionnaires were used to measure parent–child domains at age 11, self-control at age 13, and substance use at ages 13, 15, 17, and 20. Low positive parenting and parental supervision, as well as aversive parenting, correlated with substance use. Linear regression model revealed that aversive parenting, low child disclosure, low positive parenting, and low parental involvement at age 11 predicted substance use at different stages of adolescence. These associations were mediated by low self-control at age 13. Involving parents and increasing their knowledge about desirable parental practices and ways to help their children to develop adequate self-control could be an effective element in substance use prevention strategies.
Collapse
|
26
|
Helleman A, Rubin RT, Gardner W, Lourie A, Taylor AN, Cochran J, Dorn LD, Susman E, Barrowman N, Bijelić V, Leininger L, Pajer K. Circadian cortisol secretion in adolescent girls with conduct disorder. Psychoneuroendocrinology 2023; 148:105972. [PMID: 36462295 PMCID: PMC10038075 DOI: 10.1016/j.psyneuen.2022.105972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 11/07/2022] [Accepted: 11/08/2022] [Indexed: 11/16/2022]
Abstract
Severe antisocial behavior in girls, best exemplified by conduct disorder (CD), is a serious clinical and public health problem. Treatment is difficult, particularly in girls with comorbid internalizing disorders. Identifying biological correlates may help to develop new treatments or diagnostic, prognostic, or treatment response biomarkers. Based on our earlier work and research from others occurring primarily in boys with severe antisocial behavior, it is possible that abnormalities in the hypothalamic pituitary adrenal (HPA) axis circadian cortisol cycle may be associated with female CD. Additionally, research suggests that the presence of comorbid internalizing disorders may be related to differences in cortisol secretion, compared to subjects who only have CD. Our study aimed: 1) to compare the circadian cortisol cycle in 98 girls with CD, 15-16 years of age to 47 girls without any psychiatric disorder (ND) and 2) to compare the cycle in girls with CD and comorbid internalizing disorders (CD + INT) to those without such comorbidity (CD Only). Salivary cortisol was collected over 24 h during weekdays at scheduled times, with protocol adherence measures in place. Unstructured covariance pattern modeling, controlling for effects of age, social class, IQ, and awakening time was used to analyze cortisol data. CD was associated with overall lower cortisol secretion (p = 0.03), but this difference was due to a lower volume of cortisol secreted 30 min after awakening (area under the curve with respect to ground, p = 0.01). Circadian cortisol secretion was no different in the CD+INT group compared to the CD Only group (p = 0.52). Our findings need to be replicated using current consensus guidelines for the assessment of the CAR. We also suggest two new avenues of research in this field.
Collapse
Affiliation(s)
| | - Robert T Rubin
- David Geffen School of Medicine at UCLA, Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA, USA
| | - William Gardner
- CHEO Research Institute, Ottawa, Ontario, Canada; The Research Institute at Nationwide Children's Hospital, The Ohio State University, Department of Pediatrics, Columbus, OH, USA
| | - Andrea Lourie
- The Research Institute at Nationwide Children's Hospital, The Ohio State University, Department of Pediatrics, Columbus, OH, USA
| | - Anna N Taylor
- David Geffen School of Medicine at UCLA, Department of Neurobiology, Los Angeles, CA, USA
| | - Justinn Cochran
- The Research Institute at Nationwide Children's Hospital, The Ohio State University, Department of Pediatrics, Columbus, OH, USA
| | - Lorah D Dorn
- Cincinnati Children's Hospital Medical Center, Division of Adolescent Medicine, Cincinnati, OH, USA
| | - Elizabeth Susman
- College of Health and Human Development, The Pennsylvania State University, University Park, PA, USA
| | | | - Vid Bijelić
- CHEO Research Institute, Ottawa, Ontario, Canada
| | - Lisa Leininger
- The Research Institute at Nationwide Children's Hospital, The Ohio State University, Department of Pediatrics, Columbus, OH, USA
| | - Kathleen Pajer
- CHEO Research Institute, Ottawa, Ontario, Canada; The Research Institute at Nationwide Children's Hospital, The Ohio State University, Department of Pediatrics, Columbus, OH, USA.
| |
Collapse
|
27
|
Socialization processes within adolescents' relationships with parents and peers predicting couples' intimate partner violence in adulthood: A social learning perspective. Dev Psychopathol 2023; 35:204-217. [PMID: 34311797 PMCID: PMC8792108 DOI: 10.1017/s0954579421000602] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Previous studies have established that individual characteristics such as violent behavior, substance use, and high-risk sexual behavior, as well as negative relationships with parents and friends, are all risk factors for intimate partner violence (IPV). In this longitudinal prospective study, we investigated whether violent behavior, substance use, and high-risk sexual behavior in early adulthood (ages 22-23 years) mediated the link between family conflict and coercive relationship talk with friends in adolescence (ages 16-17 years) and dyadic IPV in adulthood (ages 28-30 years). A total of 998 individuals participated in multimethod assessments, including observations of interactions with parents and friends. Data from multiple reporters were used for variables of interest including court records, parental and self-reports of violence, self-reports of high-sexual-risk behaviors and substance use, and self- and romantic partner-reports of IPV. Longitudinal mediation analyses showed that violent behavior during early adulthood mediated the link between coercive relationship talk with friends in adolescence and dyadic IPV in adulthood. No other mediation paths were found and there was no evidence of gender differences. Results are discussed with attention to the interpersonal socialization processes by which IPV emerges relative to individual risk factors.
Collapse
|
28
|
Donohue MR, Hoyniak CP, Tillman R, Barch DM, Luby J. Associations of observed callous-unemotional behaviors in early childhood with conduct problems and substance use over 14 years. Dev Psychopathol 2023; 35:421-432. [PMID: 36914291 PMCID: PMC10014890 DOI: 10.1017/s0954579421000791] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Callous-unemotional (CU) behaviors (i.e., low concern and active disregard for others) uniquely predict severe conduct problems and substance use when present by late childhood. Less is known about the predictive utility of CU behaviors displayed in early childhood, when morality is developing and interventions may be more effective. Children aged 4-7 years (N = 246; 47.6% girls) completed an observational task wherein they were encouraged to tear an experimenter's valued photograph, and blind raters coded children's displayed CU behaviors. During the next 14 years, children's conduct problems (i.e., oppositional defiant and conduct symptoms) and age of onset of substance use were assessed. Compared to children displaying fewer CU behaviors, children displaying greater CU behaviors were 7.61 times more likely to meet criteria for a conduct disorder (n = 52) into early adulthood (95% CI, 2.96-19.59; p = <.0001), and their conduct problems were significantly more severe. Greater CU behaviors were associated with earlier onset of substance use (B = -.69, SE = .32, t = -2.14, p = .036). An ecologically valid observed indicator of early CU behavior was associated with substantially heightened risk for conduct problems and earlier onset substance use into adulthood. Early CU behavior is a powerful risk marker identifiable using a simple behavioral task which could be used to target children for early intervention.
Collapse
Affiliation(s)
- Meghan Rose Donohue
- Department of Psychiatry, Washington University School of Medicine, Saint Louis, USA
| | - Caroline P Hoyniak
- Department of Psychiatry, Washington University School of Medicine, Saint Louis, USA
| | - Rebecca Tillman
- Department of Psychiatry, Washington University School of Medicine, Saint Louis, USA
| | - Deanna M Barch
- Department of Psychiatry, Washington University School of Medicine, Saint Louis, USA
| | - Joan Luby
- Department of Psychiatry, Washington University School of Medicine, Saint Louis, USA
| |
Collapse
|
29
|
Tärnhäll A, Björk J, Wallinius M, Gustafsson P, Hofvander B. Offending Trajectories in Violent Offenders: Criminal History and Early Life Risk Factors. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2023; 67:270-290. [PMID: 35435040 PMCID: PMC9806473 DOI: 10.1177/0306624x221086565] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The understanding of offending, and thus its possible prevention, is expanded through longitudinal studies on criminal trajectories depicting early life risk factors. This longitudinal study aimed to explore criminal trajectories, criminal histories, and early life risk factors in a cohort of violent offenders. A Swedish nationally representative cohort of male violent offenders (n = 266), clinically assessed while imprisoned aged 18 to 25, was followed through national registers from age 15 to 25-34. Substantial differences in criminal histories between violent offenders and a matched comparison group (n = 10,000) were demonstrated. Five trajectory groups were identified: four persisting and one desisting. Although differences were observed between persisting trajectory groups, a higher prevalence of early life risk factors was generally displayed compared to the desisting, especially in conduct problems and experiences of out-of-home placements. Neurocognitive ability and prevalence of ADHD and autism were similar across trajectories. Severe early life risks highlight the population's need for early interventions.
Collapse
Affiliation(s)
- André Tärnhäll
- LU-CRED, Child and Adolescent
Psychiatry, Department of Clinical Sciences Lund, Lund University, Lund,
Sweden
- Department of Forensic Psychiatry,
Region Skåne, Trelleborg, Sweden
- Centre of Ethics, Law and Mental
Health, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and
Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg,
Sweden
| | - Jonas Björk
- LU-CRED, Child and Adolescent
Psychiatry, Department of Clinical Sciences Lund, Lund University, Lund,
Sweden
| | - Märta Wallinius
- LU-CRED, Child and Adolescent
Psychiatry, Department of Clinical Sciences Lund, Lund University, Lund,
Sweden
- Centre of Ethics, Law and Mental
Health, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and
Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg,
Sweden
- Department of Occupational and
Environmental Medicine, Lund Universisty, Lund, Sweden
| | - Peik Gustafsson
- LU-CRED, Child and Adolescent
Psychiatry, Department of Clinical Sciences Lund, Lund University, Lund,
Sweden
| | - Björn Hofvander
- LU-CRED, Child and Adolescent
Psychiatry, Department of Clinical Sciences Lund, Lund University, Lund,
Sweden
- Centre of Ethics, Law and Mental
Health, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and
Physiology, The Sahlgrenska Academy at University of Gothenburg, Gothenburg,
Sweden
- Research Department, Regional Forensic
Psychiatric Clinic, Växjö, Sweden
| |
Collapse
|
30
|
Girard LC, Okolikj M. Trajectories of Mental Health Problems in Childhood and Adult Voting Behaviour: Evidence from the 1970s British Cohort Study. POLITICAL BEHAVIOR 2023:1-24. [PMID: 36713267 PMCID: PMC9862212 DOI: 10.1007/s11109-022-09852-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 12/27/2022] [Indexed: 06/18/2023]
Abstract
The link between childhood mental health difficulties such as conduct problems and adult political abstention has been overlooked despite early mental health difficulties potentially resulting in political self-marginalisation. Using the1970s British Cohort Study, we estimate developmental trajectories of conduct problems (i.e., from 5 to 16 years). Logistic regression, linear probability models, and propensity score matching were then conducted to test the association between trajectory group membership and voter turnout at 30, 42, and 46 years of age. Three distinct trajectories of conduct problems were identified: a normative (n = 11,871; reference group), moderate-chronic (n = 3433), and elevated-chronic (n = 250) group. Results revealed an association between conduct problems and decreased turnout. In particular the elevated-chronic group had a decreased odds of voting of 52.2%, 52.0%, and 45.7%, as compared to the normative group at 30, 42, and 46 years respectively. The moderate-chronic group had a decreased odds of voting of 24.7% as compared to the normative group at age 30 only. Matched results and linear probability models substantiated findings, suggesting (1) the importance of considering childhood factors when examining antecedents of lifelong voting behaviour, and (2) the political self-marginalisation of people with chronic childhood conduct problems more than 3 decades later. Supplementary Information The online version contains supplementary material available at 10.1007/s11109-022-09852-9.
Collapse
Affiliation(s)
- Lisa-Christine Girard
- School of Health in Social Science, Clinical Psychology, University of Edinburgh, Edinburgh, UK
- Present Address: Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | - Martin Okolikj
- Department of Comparative Politics, University of Bergen, Bergen, Norway
| |
Collapse
|
31
|
Widmer A, Havewala M, Bowker JC, Rubin KH. Secure Attachment Relationships With Mothers, But Not Fathers, Moderate the Relation Between Attention-Deficit Hyperactivity Symptoms and Delinquency in Adolescents. J Atten Disord 2023; 27:46-56. [PMID: 36039532 DOI: 10.1177/10870547221120694] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The primary aim of this study was to investigate whether secure parent-adolescent attachment relationships moderate the longitudinal relation between 9th grade (G9) ADHD symptoms and 12th grade (G12) delinquency within a community sample of adolescents. METHOD Participants included 335 9th graders, of whom 203 students completed measures again in 12th grade. Mothers reported on their adolescents' ADHD symptoms and aggressive behaviors, and adolescents completed measures of their own delinquency and their perceptions of their parent-child attachment relationships. RESULTS G9 ADHD symptoms predicted increases in G12 delinquent behaviors. Moderation effects were also found such that G9 ADHD symptoms predicted G12 delinquency for only those youth who had moderate or low levels of secure maternal attachment. Paternal secure attachment did not moderate the effects of G9 ADHD symptoms on G12 delinquency. CONCLUSION Findings underscore the importance of secure maternal attachment relationships in the development of delinquency among adolescents with ADHD symptoms.
Collapse
|
32
|
Fekih-Romdhane F, Malaeb D, Sarray El Dine A, Obeid S, Hallit S. The relationship between smartphone addiction and aggression among Lebanese adolescents: the indirect effect of cognitive function. BMC Pediatr 2022; 22:735. [PMID: 36572845 PMCID: PMC9791769 DOI: 10.1186/s12887-022-03808-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 12/16/2022] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Despite a large body of research has shown that smartphone addiction (SA) is associated with aggressive behaviors, only a few mediators have been previously examined in this relationship among early adolescent students. No previous studies have explored, to our knowledge, the indirect role of cognitive function despite its great importance during this life period. This study is intended to verify whether cognitive function have indirect effects on the relationship between SA and aggression among high-school students in the context of Lebanese culture. METHODS This was a cross-sectional designed study, conducted between January and May 2022, and enrolling 379 Lebanese adolescent students (aged 13-17 years). The Cognitive Functioning Self-Assessment Scale, the Buss-Perry Aggression Questionnaire-Short Form, and the Smartphone Addiction Scale-Short form were used. RESULTS The bivariate analysis results revealed that higher SA and worse cognitive function were significantly associated with more physical aggression, verbal aggression, anger and hostility. The mediation analyses found that cognitive function mediated the association between SA and physical aggression, verbal aggression, anger and hostility. Higher SA was significantly associated with worse cognitive function and more physical aggression, verbal aggression, anger and hostility. Finally, worse cognitive function was significantly associated with more physical aggression, verbal aggression, anger and hostility. CONCLUSION Our findings cautiously suggest that, to reduce adolescent students' aggression, interventions that promote cognitive performance may be effective. Particularly, students who are addicted to smartphones and show aggressive tendencies require interventions designed to improve cognition function.
Collapse
Affiliation(s)
- Feten Fekih-Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of psychiatry “Ibn Omrane”, Razi hospital, 2010 Manouba, Tunisia ,grid.12574.350000000122959819Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Diana Malaeb
- grid.444421.30000 0004 0417 6142School of Pharmacy, Lebanese International University, Beirut, Lebanon ,grid.411884.00000 0004 1762 9788College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates
| | - Abir Sarray El Dine
- grid.444421.30000 0004 0417 6142Department of Biomedical Sciences, School of Arts and Sciences, Lebanese International University, Beirut, Lebanon
| | - Sahar Obeid
- grid.411323.60000 0001 2324 5973Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon
| | - Souheil Hallit
- grid.444434.70000 0001 2106 3658School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon ,grid.411423.10000 0004 0622 534XApplied Science Research Center, Applied Science Private University, Amman, Jordan ,grid.512933.f0000 0004 0451 7867Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| |
Collapse
|
33
|
Martins‐Silva T, Bauer A, Matijasevich A, Santos I, Barros A, Ekelund U, Tovo‐Rodrigues L, Murray J. Educational performance and conduct problem trajectories from childhood to adolescence: Observational and genetic associations in a Brazilian birth cohort. JCPP ADVANCES 2022; 2:e12105. [PMID: 37431415 PMCID: PMC10242956 DOI: 10.1002/jcv2.12105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 08/24/2022] [Indexed: 11/14/2023] Open
Abstract
BACKGROUND Educational difficulties are an important potential influence on both the onset and course of children's conduct problems. This study evaluated the association between school failure and children's conduct problems in Brazil, a context with high rates of both conditions, using both observational and genetic approaches. METHODS Prospective, population-based, birth cohort study in Pelotas city, Brazil. Parents reported on conduct problems four times between ages 4-15 years, and group-based trajectory analysis was used to classify 3469 children into trajectories of childhood-limited, early-onset persistent, adolescence-onset, or low conduct problems. School failure was measured as having repeated a school grade up to age 11, and a polygenic risk score (PRS) predicting educational attainment was calculated. Multinomial adjusted regression models were used to estimate the association between school failure (observational measure and the PRS) and conduct problem trajectories. To consider possible variation in effects of school failure by social context, interactions were tested with family income and school environment (using both observational and PRS methods). RESULTS Children repeating a school grade had increased odds of being on to childhood-limited (OR: 1.57; 95% CI 1.21; 2.03), adolescence-onset (OR: 1.96; 95% CI 1.39; 2.75), or early-onset persistent trajectory (OR: 2.99; 95% CI 1.85; 4.83), compared to the low conduct problem trajectory. School failure also predicted increased risk for early-onset persistent problems versus the childhood-limited problems (OR: 1.91; 95% CI 1.17; 3.09). Using a genetic PRS approach, similar findings were observed. Associations varied according to the school environment: school failure had larger effects on children in better school environments. CONCLUSION School performance, whether measured in terms of repeating school grades or genetic susceptibility, was consistently associated with trajectories of child conduct problems into mid-adolescence. We also found a larger association for children in better school environments.
Collapse
Affiliation(s)
- Thais Martins‐Silva
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
| | - Andreas Bauer
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
| | - Alicia Matijasevich
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
- Departamento de Medicina PreventivaFaculdade de Medicina FMUSPUniversidade de São PauloSão PauloBrazil
| | - Iná Santos
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
- Postgraduate Program in Pediatrics and Child HealthSchool of MedicinePontifical Catholic University of Rio Grande do SulPorto AlegreBrazil
| | - Aluísio Barros
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
- International Center for Equity in HealthFederal University of PelotasPelotasBrazil
| | - Ulf Ekelund
- Department of Sport MedicineNorwegian School of Sport SciencesOsloNorway
- Department of Chronic Diseases and AgeingNorwegian Institute of Public HealthOsloNorway
| | - Luciana Tovo‐Rodrigues
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
| | - Joseph Murray
- Human Development and Violence Research Centre (DOVE)Federal University of PelotasPelotasBrazil
- Post‐Graduate Program in EpidemiologyFederal University of PelotasPelotasBrazil
| |
Collapse
|
34
|
Fantozzi P, Muratori P, Levantini V, Mammarella I, Masi G, Milone A, Petrucci A, Ricci F, Tacchi A, Cristofani C, Valente E. Callous-Unemotional Traits and Intelligence in Children with Externalizing Behavioral Problems. CHILDREN (BASEL, SWITZERLAND) 2022; 9:1768. [PMID: 36421217 PMCID: PMC9689262 DOI: 10.3390/children9111768] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 11/02/2022] [Accepted: 11/15/2022] [Indexed: 11/15/2023]
Abstract
Research on the association between callous-unemotional (CU) traits and intelligence yielded contradictory results. Moreover, several previous studies focused on global intelligence scores or verbal vs. nonverbal/performance abilities usually evaluated with short/abbreviated instruments. The current study builds on these previous works and explores the link between CU traits and intelligence using the full version of the Wechsler Intelligence Scale for Children-4th Edition (WISC-IV), which provides four different verbal and nonverbal abilities scores. This guarantees a more detailed evaluation of children's intelligence and its relation to CU traits. The sample included children (N = 149; age 6-14 years old) with severe behavioral problems. Clinicians administered the WISC-IV, and parents completed questionnaires evaluating the child's externalizing problems and CU traits. Findings showed that CU traits were associated with lower verbal comprehension scores after also controlling for gender, age, externalizing problems, and the other WISC-IV indexes. In addition, CU traits and externalizing problems did not interact in predicting the WISC-IV indexes, and there were no significant differences in the WISC-IV indexes between children with CU traits and high vs. low externalizing problems. The current study suggests the relevance of assessing and addressing verbal abilities in children with behavioral problems and CU traits.
Collapse
Affiliation(s)
| | | | - Valentina Levantini
- Department of Languages and Literatures, Communication, Education and Society, University of Udine, 33100 Udine, Italy
| | - Irene Mammarella
- Department of Developmental and Social Psychology, University of Padova, 35122 Padua, Italy
| | | | | | - Alessia Petrucci
- Department of Developmental and Social Psychology, University of Padova, 35122 Padua, Italy
| | | | | | | | | |
Collapse
|
35
|
Li W, Zhang L, Qin Z, Chen J, Liu C. Childhood Trauma and Malevolent Creativity in Chinese College Students: Moderated Mediation by Psychological Resilience and Aggression. J Intell 2022; 10:97. [PMID: 36412777 PMCID: PMC9680388 DOI: 10.3390/jintelligence10040097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 10/21/2022] [Accepted: 11/03/2022] [Indexed: 11/09/2022] Open
Abstract
Although a previous study has shown that childhood trauma influences malevolent creativity, aggression and psychological resilience have been linked with childhood trauma and creativity. However, little is known about the complex correlations among these factors in Chinese college students. The present study aimed to investigate the mediating role of aggression and the moderating role of psychological resilience between childhood trauma and malevolent creativity. A total of 389 undergraduates were enrolled in this cross-sectional study. The moderated mediation model was conducted to explore whether aggression mediated the correlation between childhood trauma and malevolent creativity and whether psychological resilience moderated the indirect role of childhood trauma. The results showed that childhood trauma positively correlated with aggression and malevolent creativity and was negatively associated with psychological resilience. Aggression partly mediated the association of childhood trauma with malevolent creativity. Resilience moderated the indirect effect of the mediation model, such that the indirect effect of childhood trauma on malevolent creativity through aggression increased as the level of resilience increased. The study indicated that childhood trauma exposure is associated with malevolent creativity behavior, and aggression mediated this association. The level of psychological resilience differentiates the indirect paths of childhood trauma on malevolent creativity. These results have important implications for preventing and containing expressions of malevolent creativity.
Collapse
Affiliation(s)
- Wenfu Li
- School of Mental Health, Jining Medical University, Jining 272067, China
| | - Linghui Zhang
- School of Mental Health, Jining Medical University, Jining 272067, China
- Department of Child and Adolescent Psychiatry, Shandong Daizhuang Hospital, Jining 272051, China
| | - Zhilei Qin
- School of Mental Health, Jining Medical University, Jining 272067, China
| | - Jingting Chen
- Labour Union, Jining Medical University, Jining 272067, China
| | - Chuanxin Liu
- School of Mental Health, Jining Medical University, Jining 272067, China
| |
Collapse
|
36
|
Langevin S, Caspi A, Barnes JC, Brennan G, Poulton R, Purdy SC, Ramrakha S, Tanksley PT, Thorne PR, Wilson G, Moffitt TE. Life-Course Persistent Antisocial Behavior and Accelerated Biological Aging in a Longitudinal Birth Cohort. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14402. [PMID: 36361282 PMCID: PMC9657643 DOI: 10.3390/ijerph192114402] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/24/2022] [Accepted: 10/25/2022] [Indexed: 06/16/2023]
Abstract
Prior research shows that individuals who have exhibited antisocial behavior are in poorer health than their same-aged peers. A major driver of poor health is aging itself, yet research has not investigated relationships between offending trajectories and biological aging. We tested the hypothesis that individuals following a life-course persistent (LCP) antisocial trajectory show accelerated aging in midlife. Trajectories of antisocial behavior from age 7 to 26 years were studied in the Dunedin Multidisciplinary Health and Development Study, a population-representative birth cohort (N = 1037). Signs of aging were assessed at age 45 years using previously validated measures including biomarkers, clinical tests, and self-reports. First, we tested whether the association between antisocial behavior trajectories and midlife signs of faster aging represented a decline from initial childhood health. We then tested whether decline was attributable to tobacco smoking, antipsychotic medication use, debilitating illnesses in adulthood, adverse exposures in childhood (maltreatment, socioeconomic disadvantage) and adulthood (incarceration), and to childhood self-control difficulties. Study members with a history of antisocial behavior had a significantly faster pace of biological aging by midlife, and this was most evident among individuals following the LCP trajectory (β, 0.22, 95%CI, 0.14, 0.28, p ≤ 0.001). This amounted to 4.3 extra years of biological aging between ages 25-45 years for Study members following the LCP trajectory compared to low-antisocial trajectory individuals. LCP offenders also experienced more midlife difficulties with hearing (β, -0.14, 95%CI, -0.21, -0.08, p ≤ 0.001), balance (β, -0.13, 95%CI, -0.18, -0.06, p ≤ 0.001), gait speed (β, -0.18, 95%CI, -0.24, -0.10, p ≤ 0.001), and cognitive functioning (β, -0.25, 95%CI, -0.31, -0.18, p ≤ 0.001). Associations represented a decline from childhood health. Associations persisted after controlling individually for tobacco smoking, antipsychotic medication use, midlife illnesses, maltreatment, socioeconomic status, incarceration, and childhood self-control difficulties. However, the cumulative effect of these lifestyle characteristics together explained why LCP offenders have a faster Pace of Aging than their peers. While older adults typically age-out of crime, LCP offenders will likely age-into the healthcare system earlier than their chronologically same-aged peers. Preventing young people from offending is likely to have substantial benefits for health, and people engaging in a LCP trajectory of antisocial behaviors might be the most in need of health promotion programs. We offer prevention and intervention strategies to reduce the financial burden of offenders on healthcare systems and improve their wellbeing.
Collapse
Affiliation(s)
- Stephanie Langevin
- Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA
| | - Ashalom Caspi
- Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA
- Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC 27708, USA
- Center for Genomic and Computational Biology, Duke University, Durham, NC 27708, USA
- Geriatric Research, Education, and Clinical Center, Durham VA Healthcare System, Durham, NC 27705, USA
| | - J. C. Barnes
- School of Criminal Justice, University of Cincinnati, Cincinnati, OH 45221, USA
| | - Grace Brennan
- Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA
| | - Richie Poulton
- Department of Psychology, University of Otago, Dunedin 9016, New Zealand
| | - Suzanne C. Purdy
- Discipline of Speech Science, University of Auckland, Auckland 1142, New Zealand
| | - Sandhya Ramrakha
- Department of Psychology, University of Otago, Dunedin 9016, New Zealand
| | - Peter T. Tanksley
- Population Research Center, University of Texas at Austin, Austin, TX 78705, USA
| | - Peter R. Thorne
- Discipline of Audiology, University of Auckland, Auckland 1142, New Zealand
| | - Graham Wilson
- Matai Medical Research Institute, Gisborne 4010, New Zealand
| | | |
Collapse
|
37
|
Tielbeek JJ, Uffelmann E, Williams BS, Colodro-Conde L, Gagnon É, Mallard TT, Levitt BE, Jansen PR, Johansson A, Sallis HM, Pistis G, Saunders GRB, Allegrini AG, Rimfeld K, Konte B, Klein M, Hartmann AM, Salvatore JE, Nolte IM, Demontis D, Malmberg ALK, Burt SA, Savage JE, Sugden K, Poulton R, Harris KM, Vrieze S, McGue M, Iacono WG, Mota NR, Mill J, Viana JF, Mitchell BL, Morosoli JJ, Andlauer TFM, Ouellet-Morin I, Tremblay RE, Côté SM, Gouin JP, Brendgen MR, Dionne G, Vitaro F, Lupton MK, Martin NG, Castelao E, Räikkönen K, Eriksson JG, Lahti J, Hartman CA, Oldehinkel AJ, Snieder H, Liu H, Preisig M, Whipp A, Vuoksimaa E, Lu Y, Jern P, Rujescu D, Giegling I, Palviainen T, Kaprio J, Harden KP, Munafò MR, Morneau-Vaillancourt G, Plomin R, Viding E, Boutwell BB, Aliev F, Dick DM, Popma A, Faraone SV, Børglum AD, Medland SE, Franke B, Boivin M, Pingault JB, Glennon JC, Barnes JC, Fisher SE, Moffitt TE, Caspi A, Polderman TJC, Posthuma D. Uncovering the genetic architecture of broad antisocial behavior through a genome-wide association study meta-analysis. Mol Psychiatry 2022; 27:4453-4463. [PMID: 36284158 PMCID: PMC10902879 DOI: 10.1038/s41380-022-01793-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 08/03/2022] [Accepted: 09/09/2022] [Indexed: 01/14/2023]
Abstract
Despite the substantial heritability of antisocial behavior (ASB), specific genetic variants robustly associated with the trait have not been identified. The present study by the Broad Antisocial Behavior Consortium (BroadABC) meta-analyzed data from 28 discovery samples (N = 85,359) and five independent replication samples (N = 8058) with genotypic data and broad measures of ASB. We identified the first significant genetic associations with broad ASB, involving common intronic variants in the forkhead box protein P2 (FOXP2) gene (lead SNP rs12536335, p = 6.32 × 10-10). Furthermore, we observed intronic variation in Foxp2 and one of its targets (Cntnap2) distinguishing a mouse model of pathological aggression (BALB/cJ strain) from controls (BALB/cByJ strain). Polygenic risk score (PRS) analyses in independent samples revealed that the genetic risk for ASB was associated with several antisocial outcomes across the lifespan, including diagnosis of conduct disorder, official criminal convictions, and trajectories of antisocial development. We found substantial genetic correlations of ASB with mental health (depression rg = 0.63, insomnia rg = 0.47), physical health (overweight rg = 0.19, waist-to-hip ratio rg = 0.32), smoking (rg = 0.54), cognitive ability (intelligence rg = -0.40), educational attainment (years of schooling rg = -0.46) and reproductive traits (age at first birth rg = -0.58, father's age at death rg = -0.54). Our findings provide a starting point toward identifying critical biosocial risk mechanisms for the development of ASB.
Collapse
Affiliation(s)
- Jorim J Tielbeek
- Center for Neurogenomics and Cognitive Research, Department of Complex Trait Genetics, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands.
| | - Emil Uffelmann
- Center for Neurogenomics and Cognitive Research, Department of Complex Trait Genetics, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands
| | - Benjamin S Williams
- Department of Psychology and Neuroscience, Trinity College of Arts and Sciences, Duke University, 2020 West Main Street, Durham, NC, 27705, USA
| | - Lucía Colodro-Conde
- Psychiatric Genetics, Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Brisbane, QLD, 4006, Australia
| | - Éloi Gagnon
- Research Unit on Children's Psychosocial Maladjustment, École de psychologie, Université Laval, 2523 Allée des Bibliothèques, Quebec City, QC, G1V 0A6, Canada
| | - Travis T Mallard
- Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA
| | - Brandt E Levitt
- Carolina Population Center, University of North Carolina at Chapel Hill, 123 Franklin St, Chapel Hill, NC, 27516, USA
| | - Philip R Jansen
- Center for Neurogenomics and Cognitive Research, Department of Complex Trait Genetics, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands
| | - Ada Johansson
- Department of Psychology, Faculty of Arts, Psychology, and Theology, Åbo Akademi University, Tuomiokirkontori 3, FI-20500, Turku, Finland
| | - Hannah M Sallis
- MRC Integrative Epidemiology Unit, University of Bristol, Oakfield Road, Bristol, BS8 2BN, UK
| | - Giorgio Pistis
- Center for Psychiatric Epidemiology and Psychopathology, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Route de Cery 25, CH-1008, Prilly, Vaud, Switzerland
| | - Gretchen R B Saunders
- Department of Psychology, University of Minnesota, 75 E. River Road, Minneapolis, MN, 55455, USA
| | - Andrea G Allegrini
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, DeCrespigny Park, Denmark Hill, London, SE5 8AF, UK
| | - Kaili Rimfeld
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, DeCrespigny Park, Denmark Hill, London, SE5 8AF, UK
| | - Bettina Konte
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria
| | - Marieke Klein
- Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Groteplein 10, 6500 HB, Nijmegen, The Netherlands
| | - Annette M Hartmann
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria
| | - Jessica E Salvatore
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, NJ, USA
| | - Ilja M Nolte
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands
| | - Ditte Demontis
- iPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, 8000, Aarhus C, Aarhus, Denmark
| | - Anni L K Malmberg
- Department of Psychology and Logopedics, University of Helsinki, Haartmaninkatu 3, 00014, Helsinki, Finland
| | | | - Jeanne E Savage
- Center for Neurogenomics and Cognitive Research, Department of Complex Trait Genetics, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands
| | - Karen Sugden
- Department of Psychology and Neuroscience, Trinity College of Arts and Sciences, Duke University, 2020 West Main Street, Durham, NC, 27705, USA
| | - Richie Poulton
- Dunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, Dunedin, New Zealand
| | - Kathleen Mullan Harris
- Department of Sociology, University of North Carolina at Chapel Hill, CB# 3210, 201 Hamilton Hall, Chapel Hill, NC, 27599, USA
| | - Scott Vrieze
- Department of Psychology, University of Minnesota, 75 E. River Road, Minneapolis, MN, 55455, USA
| | - Matt McGue
- Department of Psychology, University of Minnesota, 75 E. River Road, Minneapolis, MN, 55455, USA
| | - William G Iacono
- Department of Psychology, University of Minnesota, 75 E. River Road, Minneapolis, MN, 55455, USA
| | - Nina Roth Mota
- Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Geert Groteplein 10, 6500 HB, Nijmegen, The Netherlands
| | - Jonathan Mill
- University of Exeter Medical School, University of Exeter, Exeter, UK
| | - Joana F Viana
- The Institute of Metabolism and Systems Research (IMSR), University of Birmingham, Edgbaston, Birmingham, UK
| | - Brittany L Mitchell
- Genetic Epidemiology, Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Brisbane, QLD, 4006, Australia
| | - Jose J Morosoli
- Psychiatric Genetics, Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Brisbane, QLD, 4006, Australia
| | - Till F M Andlauer
- Department of Neurology, Technical University of Munich, 22 Ismaninger St., 81675, Munich, Germany
| | - Isabelle Ouellet-Morin
- Research Unit on Children's Psychosocial Maladjustment, École de criminologie, Université of Montreal, 3150 Rue Jean-Brillant, Montreal, QC, H3T 1N8, Canada
| | - Richard E Tremblay
- Research Unit on Children's Psychosocial Maladjustment, Département de pédiatrie et de psychologie, University of Montreal, 90 Avenue Vincent d'Indy, Montreal, QC, H2V 2S9, Canada
| | - Sylvana M Côté
- Research Unit on Children's Psychosocial Maladjustment, CHU Ste-Justine Research Center and Department of Social and Preventive Medicine, University of Montreal, 3175 Chemin de la Côte Ste-Catherine, Montreal, QC, H3T 1C5, Canada
| | - Jean-Philippe Gouin
- Department of Psychology, Concordia University, 7141 Sherbrooke St. West, Montreal, QC, H4B 1R6, Canada
| | - Mara R Brendgen
- Research Unit on Children's Psychosocial Maladjustment, Département de psychologie, Université du Québec à Montréal, CP 8888 succursale Centre-ville, Montreal, QC, H3C 3P8, Canada
| | - Ginette Dionne
- Research Unit on Children's Psychosocial Maladjustment, École de psychologie, Université Laval, 2523 Allée des Bibliothèques, Quebec City, QC, G1V 0A6, Canada
| | - Frank Vitaro
- Research Unit on Children's Psychosocial Maladjustment, CHU Sainte-Justine Research Center and University of Montreal, 3175 Chemin de la Côte Ste-Catherine, Montreal, QC, H3T 1C5, Canada
| | - Michelle K Lupton
- Genetic Epidemiology, Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Brisbane, QLD, 4006, Australia
| | - Nicholas G Martin
- Genetic Epidemiology, Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Brisbane, QLD, 4006, Australia
| | - Enrique Castelao
- Center for Psychiatric Epidemiology and Psychopathology, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Route de Cery 25, CH-1008, Prilly, Vaud, Switzerland
| | - Katri Räikkönen
- Department of Psychology and Logopedics, University of Helsinki, Haartmaninkatu 3, 00014, Helsinki, Finland
| | - Johan G Eriksson
- Department of General Practice and Primary Health Care, University of Helsinki, Tukholmankatu 8 B, Helsinki, Finland
| | - Jari Lahti
- Department of Psychology and Logopedics, University of Helsinki, Haartmaninkatu 3, 00014, Helsinki, Finland
| | - Catharina A Hartman
- Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands
| | - Albertine J Oldehinkel
- Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands
| | - Harold Snieder
- Department of Epidemiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands
| | - Hexuan Liu
- School of Criminal Justice, University of Cincinnati, 2840 Bearcat Way, Cincinnati, OH, 45221, USA
| | - Martin Preisig
- Center for Psychiatric Epidemiology and Psychopathology, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Route de Cery 25, CH-1008, Prilly, Vaud, Switzerland
| | - Alyce Whipp
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, PO Box 4, (Yliopistonkatu 3), 00014, Helsinki, Finland
| | - Eero Vuoksimaa
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, PO Box 4, (Yliopistonkatu 3), 00014, Helsinki, Finland
| | - Yi Lu
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Nobels Väg 12A, 171 77, Stockholm, Sweden
| | - Patrick Jern
- Department of Psychology, Faculty of Arts, Psychology, and Theology, Åbo Akademi University, Tuomiokirkontori 3, FI-20500, Turku, Finland
| | - Dan Rujescu
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria
| | - Ina Giegling
- Department of Psychiatry and Psychotherapy, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria
| | - Teemu Palviainen
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, PO Box 4, (Yliopistonkatu 3), 00014, Helsinki, Finland
| | - Jaakko Kaprio
- Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, PO Box 4, (Yliopistonkatu 3), 00014, Helsinki, Finland
| | - Kathryn Paige Harden
- Department of Psychology and Population Research Center, University of Texas at Austin, 108 E Dean Keeton Stop #A8000, Austin, TX, 78712, USA
| | - Marcus R Munafò
- MRC Integrative Epidemiology Unit, University of Bristol, Oakfield Road, Bristol, BS8 2BN, UK
| | - Geneviève Morneau-Vaillancourt
- Research Unit on Children's Psychosocial Maladjustment, École de psychologie, Université Laval, 2523 Allée des Bibliothèques, Quebec City, QC, G1V 0A6, Canada
| | - Robert Plomin
- Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, DeCrespigny Park, Denmark Hill, London, SE5 8AF, UK
| | - Essi Viding
- Division of Psychology and Language Sciences, University College London, London, UK
| | - Brian B Boutwell
- School of Applied Sciences, University of Mississippi, John D. Bower School of Population Health, University of Mississippi Medical Center, 84 Dormitory Row West, University, MS, 38677, USA
| | - Fazil Aliev
- Department of Psychology, Virginia Commonwealth University, Box 842018, 806W Franklin St, Richmond, VA, 23284, USA
| | - Danielle M Dick
- Department of Psychology, Virginia Commonwealth University, Box 842018, 806W Franklin St, Richmond, VA, 23284, USA
| | - Arne Popma
- Amsterdam UMC, VKC Psyche, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam, The Netherlands
| | - Stephen V Faraone
- Department of Psychiatry, SUNY Upstate Medical University, Syracuse, NY, USA
| | - Anders D Børglum
- iPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, 8000, Aarhus C, Aarhus, Denmark
| | - Sarah E Medland
- Psychiatric Genetics, Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, 300 Herston Road, Herston, Brisbane, QLD, 4006, Australia
| | - Barbara Franke
- Department of Human Genetics, Donders Institute for Brain, Cognition and Behaivour, Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Nijmegen, The Netherlands
| | - Michel Boivin
- Research Unit on Children's Psychosocial Maladjustment, École de psychologie, Université Laval, 2523 Allée des Bibliothèques, Quebec City, QC, G1V 0A6, Canada
| | - Jean-Baptiste Pingault
- Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - Jeffrey C Glennon
- Conway Institute of Biomolecular and Biomedical Sciences, School of Medicine, University College Dublin, Dublin, Ireland
| | - J C Barnes
- School of Criminal Justice, University of Cincinnati, 2840 Bearcat Way, Cincinnati, OH, 45221, USA
| | - Simon E Fisher
- Language and Genetics Department, Max Planck Institute for Psycholinguistics, Wundtlaan 1, 6525 XD, Nijmegen, The Netherlands
| | - Terrie E Moffitt
- Department of Psychology and Neuroscience, Trinity College of Arts and Sciences, Duke University, 2020 West Main Street, Durham, NC, 27705, USA
| | - Avshalom Caspi
- Department of Psychology and Neuroscience, Trinity College of Arts and Sciences, Duke University, 2020 West Main Street, Durham, NC, 27705, USA
| | - Tinca J C Polderman
- Amsterdam UMC, VKC Psyche, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam, The Netherlands
| | - Danielle Posthuma
- Center for Neurogenomics and Cognitive Research, Department of Complex Trait Genetics, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands
| |
Collapse
|
38
|
Poulton R, Guiney H, Ramrakha S, Moffitt TE. The Dunedin study after half a century: reflections on the past, and course for the future. J R Soc N Z 2022. [DOI: 10.1080/03036758.2022.2114508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Richie Poulton
- Dunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, Division of Sciences, University of Otago, Dunedin, New Zealand
| | - Hayley Guiney
- Dunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, Division of Sciences, University of Otago, Dunedin, New Zealand
| | - Sandhya Ramrakha
- Dunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, Division of Sciences, University of Otago, Dunedin, New Zealand
| | - Terrie E. Moffitt
- Department of Psychology and Neuroscience, Duke University, Durham, NC, USA
- SGDP Centre, Kings College London, London, UK
| |
Collapse
|
39
|
Obando D, Hill J, Sharp H, Pickles A, Fisher L, Wright N. Synergy between callous-unemotional traits and aggression in preschool children: Cross-informant and cross-cultural replication in the UK Wirral Child Health and Development Study, and the Colombian La Sabana Parent-Child Study. Dev Psychopathol 2022; 34:1079-1087. [PMID: 33752771 DOI: 10.1017/s0954579420002114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Incremental prediction of aggression from callous-unemotional (CU) traits is well established, but cross-cultural replication and studies of young children are needed. Little is understood about the contribution of CU traits in children who are already aggressive. We addressed these issues in prospective studies in the United Kingdom and Colombia. In a UK epidemiological cohort, CU traits and aggression were assessed at age 3.5 years, and aggression at 5.0 years by mothers (N = 687) and partners (N = 397). In a Colombian general population sample, CU traits were assessed at age 3.5 years and aggression at 3.5 and 5.0 years by mother report (N = 220). Analyses consistently showed prediction of age-5.0 aggression by age-3.5 CU traits controlling for age-3.5 aggression. Associations between age-3.5 CU traits and age-5.0 aggression were moderated by aggression at 3.5 years, with UK interaction terms, same informant, β = .07 p = .014 cross-informant, β = .14 p = .002, and in Colombia, β = .09 p = .128. The interactions arose from stronger associations between CU traits and later aggression in those already aggressive. Our findings with preschoolers replicated across culturally diverse settings imply a major role for CU traits in the maintenance and amplification of already established aggression, and cast doubt on their contribution to its origins.
Collapse
Affiliation(s)
- D Obando
- Department of Psychology, Universidad de La Sabana, Chia, Colombia
| | - J Hill
- Department of Psychology and Clinical Language Sciences, University of Reading, Reading, UK
| | - H Sharp
- School of Psychology, Institute of Health & Life Sciences, University of Liverpool, Liverpool, UK
| | - A Pickles
- Department of Biostatistics & Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, Kings College London, London, UK
| | - L Fisher
- School of Psychology, Institute of Health & Life Sciences, University of Liverpool, Liverpool, UK
| | - N Wright
- Department of Biostatistics & Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, Kings College London, London, UK
| |
Collapse
|
40
|
Gottfredson NC, McNaughton-Reyes HL, Wu J. Predictive Associations Between Adolescent Profiles of Violent and Nonviolent Deviant Behavior With Convictions in Adulthood. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP12207-NP12237. [PMID: 33682492 DOI: 10.1177/0886260521997453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
This study examines how multivariate trajectory patterns of overt and relational peer and dating violence perpetration, alcohol use, and nonviolent deviant behavior during high school predict convictions in adulthood. Adolescent data are from an accelerated cohort design study that spanned four waves in 2003-2005. In 2019, conviction records were obtained for a random subsample of 1,579 individuals from the original study. We identified latent classes that were jointly characterized by distinct behavioral trajectories and adult conviction status, and described the demographic and psychosocial profiles of each class. The best-fitting model comprised four trajectory classes: Low Deviance (44%), Moderate Stable Deviance (40%), Increasing Deviance (8%), and Dating Violence Perpetrators (8%). Adolescents whose deviance increased during adolescence had substantially higher risk of convictions, including violent convictions, than all other groups. Classes were differentiated by gender, household structure, parental education, school bonding, grades, emotional dysregulation, sensation-seeking, family conflict, and prosocial values. The Increasing Deviance class was predominantly male, had an elevated probability of coming from a single-parent household and of having parents with low education, but values on psychosocial indicators were not extreme. Dating Violence Perpetrators were also more likely to come from a single-parent household, but their parents tended to have more education. This group was the most extreme on several psychosocial indicators that indicate low school and family bonds, and poor emotional regulation. The implications of these patterns in relation to interactional and strain theories, theories of cognitive maturation, and theories of social bonds and social control are discussed.
Collapse
Affiliation(s)
| | | | - Juliet Wu
- University of North Carolina at Chapel Hill, NC, USA
| |
Collapse
|
41
|
Paz Y, Davidov M, Orlitsky T, Roth-Hanania R, Zahn-Waxler C. Developmental trajectories of empathic concern in infancy and their links to social competence in early childhood. J Child Psychol Psychiatry 2022; 63:762-770. [PMID: 34492744 DOI: 10.1111/jcpp.13516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/30/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Empathic concern is an important component of children's social competence. Yet, little is known about the role of the development of concern for others during infancy as a predictor of social competence in early childhood. METHODS Israeli infants (N = 165, 50% girls) were observed five times, from 3 to 36 months. Empathic concern was assessed at ages 3-18 months using observations, and four components of social competence were assessed at 36 months using observations and teacher reports. RESULTS Four groups with distinct developmental trajectories of empathic concern from 3 to 18 months were identified: early-onset (starting high and increasing), low-empathy (starting low with minimal increase), rising (starting low and increasing considerably), and a very small group with a negative slope (decreasing). The first three trajectories differed on aspects of social competence at 36 months. Early-onset children continued to exhibit the highest empathic concern. Both the early-onset and rising groups had greater affective knowledge than the low-empathy group. Moreover, the rising group had better peer relations compared with low-empathy trajectory children. CONCLUSIONS Children who exhibit high levels of empathy early in infancy are likely to show high social competence later on. However, even when initial empathy levels are low, subsequent growth in empathy from 3 to 18 months can occur, with positive consequences for children's social competence at 36 months. Only children with low initial empathic concern and minimal growth across infancy are at increased risk of having poorer socioemotional capabilities in early childhood.
Collapse
Affiliation(s)
- Yael Paz
- The Hebrew University of Jerusalem, Jerusalem, Israel
| | | | - Tal Orlitsky
- The Hebrew University of Jerusalem, Jerusalem, Israel
| | | | | |
Collapse
|
42
|
Turner HR, Jackson DS, Sender M, Orimoto TE, Slavin LA, Mueller CW. Identifying Youth Problem Profiles and Predicting Remission Following Mental Health Treatment. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2022; 49:810-820. [PMID: 35697977 DOI: 10.1007/s10488-022-01200-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2022] [Indexed: 10/18/2022]
Abstract
This study utilized latent profile analysis to categorize youth served by a public mental health setting into homogenous classes. Then, associations between class membership and meeting clinical criteria by the latest assessment were examined. Caregiver responses to the Ohio Scales, Short Form, Problem Severity Scale for 1090 youth completed at entry into this public mental health system were subjected to latent profile analysis. This method classifies youth into categories based on mental health problem profiles, in order to determine the degree to which these groupings are related to later mental health outcomes. The classification of youth cases that emerged was then used to predict clinical remission at or nearest end of treatment, including final Ohio Scales Problem Severity scores and a measure of day-to-day functioning, the Child and Adolescent Functional Assessment Scale (CAFAS). A four-class model was identified as best representing the data, reflecting a relatively low-risk class (63.3% of the sample), an internalizing class (23.2%), a delinquency class (8.8%), and a high-risk class (4.7%). Individuals in the internalizing and high-risk classes had lower likelihoods of achieving problem remission than those in the low-risk and delinquency classes at the time of their last completed Ohio Scales. Additionally, youth assigned to the delinquency and high-risk classes had lower likelihoods of reaching functional impairment remission than those in the internalizing and low-risk classes. Youth membership in a class based on initial problem scores can be utilized to predict clinical remission over the course of treatment in public mental health care. Such class-based predictions support other methods of predicting outcomes and can be used by clinicians to develop more informed treatment plans and to adjust treatment based on such classifications.
Collapse
Affiliation(s)
- Holly R Turner
- Department of Psychology, University of Hawai‛i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA.
| | - David S Jackson
- Child and Adolescent Mental Health Division, Hawai'i Department of Health, 3627 Kilauea Ave., Room 101, Honolulu, HI, 96816, USA
| | - Max Sender
- Child and Adolescent Mental Health Division, Hawai'i Department of Health, 3627 Kilauea Ave., Room 101, Honolulu, HI, 96816, USA
| | - Trina E Orimoto
- Child and Adolescent Mental Health Division, Hawai'i Department of Health, 3627 Kilauea Ave., Room 101, Honolulu, HI, 96816, USA
| | - Lesley A Slavin
- Child and Adolescent Mental Health Division, Hawai'i Department of Health, 3627 Kilauea Ave., Room 101, Honolulu, HI, 96816, USA
| | - Charles W Mueller
- Department of Psychology, University of Hawai‛i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI, 96822, USA
| |
Collapse
|
43
|
Resisting aggression in social contexts: The influence of life-course persistent antisocial behavior on behavioral and neural responses to social feedback. Neuroimage Clin 2022; 34:102973. [PMID: 35245790 PMCID: PMC8892163 DOI: 10.1016/j.nicl.2022.102973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 02/23/2022] [Accepted: 02/25/2022] [Indexed: 12/04/2022]
Abstract
Negative social feedback (vs positive / neutral) evoked more retaliatory aggression. Persistent and desistent antisocial development associated with similar and dissociable neural activity: During social feedback processing: Increased Insula (both groups) or dlPFC activation (desisters) During retaliation: Increased dlPFC and ACC activity after positive feedback. During retaliation: ACC activity correlated with inhibition of retaliation (desisters)
Early adulthood has long been recognized as a potential turning point for the development of antisocial behavior, due to changes in social contexts and ongoing psychological and neurobiological maturation. However, it remains unclear how different developmental trajectories of antisocial behavior, their neural underpinnings, and individual differences in psychopathic traits may help explain the distinct developmental outcomes of individuals who persist in or desist from antisocial behavior in early adulthood - such as how they respond to others in social contexts. Therefore, in the current study, young adults (aged 18–30, 68% male) with a persistent or desistant antisocial trajectory (N = 54), as well as healthy controls (N = 39), completed the Social Network Aggression Task, during which they received positive, neutral, or negative feedback on a personal profile and got the opportunity to retaliate by blasting a loud noise. On a behavioral level, results indicated that in all groups, negative peer feedback evoked higher retaliatory aggression, compared to positive and neutral feedback. On a neural level, when receiving social feedback, individuals with persistent or desistent trajectories showed both similar and dissociable patterns of neural activity; desisting and persisting trajectory groups showed higher activity in the Insula, and the desisting trajectory group showed higher activity in dlPFC. Finally, when participants retaliated, they showed increased dlPFC and ACC activity following positive relative to neutral and negative feedback, where ACC activity correlated most strongly with inhibition of retaliatory responses in the desisting trajectory group. Together, these findings provide novel insights in dissociable patterns of brain activity that may increase our understanding of the mechanisms underlying different developmental trajectories of antisocial behavior.
Collapse
|
44
|
Huffman LG, Oshri A. Neural signatures of the development of antisocial behaviours and callous-unemotional traits among youth: The moderating role of parental support. Int J Dev Neurosci 2022; 82:205-221. [PMID: 35181902 DOI: 10.1002/jdn.10173] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 02/10/2022] [Accepted: 02/15/2022] [Indexed: 11/08/2022] Open
Abstract
Comorbidity of antisocial behaviours (AB) and callous-unemotional (CU) traits characterizes a subgroup of youth at risk for chronic and severe AB in adulthood. Although aberrant neural response to facial emotion confers heightened risk for AB and CU traits, the behavioural effect of this neural response varies by family context. The present study examines the effects of neural response to emotional faces, parental support and the interaction between the two as predictors of AB and CU traits in a longitudinal sample of preadolescents (Nbaseline = 11,883; Mage = 9.5; 47.8% female). Low CU youth who evinced attenuated response to fearful faces within the left superior temporal sulcus and fusiform gyrus showed smaller decreases of AB over time; these associations did not extend to high CU youth. Among high CU youth reporting low parental support, blunted response to fearful faces within the bilateral inferior parietal sulcus predicted smaller decreases of AB. Study findings highlight neurobehavioural differences between youth with high and low CU traits, as well as the interacting roles of negative face processing and parental support in the development of AB.
Collapse
Affiliation(s)
| | - Assaf Oshri
- Department of Human Development & Family Science, University of Georgia, Athens, Georgia, USA
| |
Collapse
|
45
|
Geoffrion S, Nolet K, Giguère CÉ, Lecomte T, Potvin S, Lupien S, Marin MF. Psychosocial Profiles of Patients Admitted to Psychiatric Emergency Services: Results from the Signature Biobank Project. CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2022; 67:380-390. [PMID: 34011181 PMCID: PMC9065491 DOI: 10.1177/07067437211018793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Patients admitted to psychiatric emergency services (PES) are highly heterogenous. New tools based on a transdiagnosis approach could help attending psychiatrists in their evaluation process and treatment planning. The goals of this study were to: (1) identify profiles of symptoms based on self-reported, dimensional outcomes in psychiatric patients upon their admission to PES, (2) link these profiles to developmental variables, that is, history of childhood abuse (CA) and trajectories of externalizing behaviours (EB), and (3) test whether this link between developmental variables and profiles was moderated by sex. METHODS In total, 402 patients were randomly selected from the Signature Biobank, a database of measures collected from patients admitted to the emergency of a psychiatric hospital. A comparison group of 92 healthy participants was also recruited from the community. Symptoms of anxiety, depression, alcohol and drug abuse, impulsivity, and psychosis as well as CA and EB were assessed using self-reported questionnaires. Symptom profiles were identified using cluster analysis. Prediction of profile membership by sex, CA, and EB was tested using structural equation modelling. RESULTS Among patients, four profiles were identified: (1) low level of symptoms on all outcomes, (2) high psychotic symptoms, (3) high anxio-depressive symptoms, and (4) elevated substance abuse and high levels of symptoms on all scales. An indirect effect of CA was found through EB trajectories: patients who experienced the most severe form of CA were more likely to develop chronic EB from childhood to adulthood, which in turn predicted membership to the most severe psychopathology profile. This indirect effect was not moderated by sex. CONCLUSION Our results suggest that a transdiagnostic approach allows to highlight distinct clinical portraits of patients admitted to PES. Importantly, developmental factors were predictive of specific profiles. Such transdiagnostic approach is a first step towards precision medicine, which could lead to develop targeted interventions.
Collapse
Affiliation(s)
- Steve Geoffrion
- School of Psychoeducation, 5622University of Montreal, Quebec, Canada.,Centre de recherche de l'26612Institut universitaire en santé mentale de Montréal, Quebec, Canada
| | - Kévin Nolet
- School of Psychoeducation, 5622University of Montreal, Quebec, Canada.,Centre de recherche de l'26612Institut universitaire en santé mentale de Montréal, Quebec, Canada
| | - Charles-Édouard Giguère
- Centre de recherche de l'26612Institut universitaire en santé mentale de Montréal, Quebec, Canada
| | - Tania Lecomte
- Centre de recherche de l'26612Institut universitaire en santé mentale de Montréal, Quebec, Canada.,Department of Psychology, 5622University of Montreal, Quebec, Canada
| | - Stéphane Potvin
- Centre de recherche de l'26612Institut universitaire en santé mentale de Montréal, Quebec, Canada.,Department of Psychiatry and Addictology, 5622University of Montreal, Quebec, Canada
| | - Sonia Lupien
- Centre de recherche de l'26612Institut universitaire en santé mentale de Montréal, Quebec, Canada.,Department of Psychiatry and Addictology, 5622University of Montreal, Quebec, Canada
| | - Marie-France Marin
- Centre de recherche de l'26612Institut universitaire en santé mentale de Montréal, Quebec, Canada.,Department of Psychiatry and Addictology, 5622University of Montreal, Quebec, Canada.,Department of Psychology, 14845Université du Québec à Montréal, Quebec, Canada
| |
Collapse
|
46
|
Rivard G, Le Corff Y, Déry M, Bégin V, Lapalme M. Personality Heterogeneity in Adolescents with Disruptive Behavior Disorders: A Conceptual Replication Study. JOURNAL OF RESEARCH IN PERSONALITY 2022. [DOI: 10.1016/j.jrp.2022.104240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
47
|
Successful implementation of parenting support at preschool: An evaluation of Triple P in Sweden. PLoS One 2022; 17:e0265589. [PMID: 35417460 PMCID: PMC9007376 DOI: 10.1371/journal.pone.0265589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Accepted: 03/05/2022] [Indexed: 12/05/2022] Open
Abstract
Although emotional and behavioural problems among young children are common and, if unaddressed, can lead to multi-facetted problems later in life, there is little research investigating the implementation of parenting programs that target these problems. In this study, the RE-AIM framework was used to evaluate the implementation of the Triple P parenting program in a preschool setting at a medium-sized municipality in Sweden. Reach increased over time, showing an overall increase in participating fathers and parents with lower education. Effectiveness outcomes showed an improvement in emotional and behavioural problems in children and less mental health-related symptoms and higher self-efficacy in parents. Adoption rate was 93.3%. To ensure staff “buy-in”, designated coordinators made changes in recruitment procedures, and provided supervision and training to all Triple P practitioners. Implementation adaptations were made, such as minor revisions of parenting strategies and other program content, as well as providing child care during seminars and groups, and setting up weekend-groups. Maintenance assessed through 12 month follow-up data suggested that several child and parent outcomes were maintained over time. Uppsala municipality continues to offer Triple P to parents. The reach, effectiveness, adoption, implementation and maintenance of the program were all satisfactory and demonstrated the suitability of delivering evidence-based parenting support using preschools as an arena.
Collapse
|
48
|
Isen J, Tuvblad C, Younan D, Ericson M, Raine A, Baker LA. Developmental Trajectories of Delinquent and Aggressive Behavior: Evidence for Differential Heritability. Child Psychiatry Hum Dev 2022; 53:199-211. [PMID: 33449264 PMCID: PMC8280243 DOI: 10.1007/s10578-020-01119-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/29/2020] [Indexed: 10/22/2022]
Abstract
The developmental course of antisocial behavior is often described in terms of qualitatively distinct trajectories. However, the genetic etiology of various trajectories is not well understood. We examined heterogeneity in the development of delinquent and aggressive behavior in 1532 twin youth using four waves of data collection, spanning ages 9-10 to 16-18. A latent class growth analysis was used to uncover relevant subgroups. For delinquent behavior, three latent classes emerged: Non-Delinquent, Low-Level Delinquent, and Persistent Delinquent. Liability for persistent delinquency had a substantial genetic origin (heritability = 67%), whereas genetic influences were negligible for lower-risk subgroups. Three classes of aggressive behavior were identified: Non-Aggressive, Moderate, and High. Moderate heritability spanned the entire continuum of risk for aggressive behavior. Thus, there are differences between aggressive behavior and non-aggressive delinquency with respect to heterogeneity of etiology. We conclude that persistent delinquency represents an etiologically distinct class of rule-breaking with strong genetic roots.
Collapse
Affiliation(s)
- Joshua Isen
- Department of Psychology, University of South Alabama, 75 South University Blvd., Mobile, AL, 36688, USA.
| | - Catherine Tuvblad
- Department of Psychology, University of Southern California, USA,School of Law, Psychology and Social Work, Örebro University, Sweden
| | - Diana Younan
- Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
| | - Marissa Ericson
- Department of Psychology, University of Southern California, USA
| | - Adrian Raine
- Departments of Criminology, Psychiatry, and Psychology, University of Pennsylvania, Philadelphia, PA, USA
| | - Laura A. Baker
- Department of Psychology, University of Southern California, USA
| |
Collapse
|
49
|
Externalizing behavior in preschool children in a South African birth cohort: Predictive pathways in a high-risk context. Dev Psychopathol 2022; 35:982-999. [PMID: 35287770 DOI: 10.1017/s095457942200027x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Mental health problems often begin in early childhood. However, the associations of various individual and contextual risk factors with mental health in the preschool period are incompletely understood, particularly in low- to middle-income countries (LMICs) where multiple risk factors co-exist. To address this gap, we prospectively followed 981 children in a South African birth cohort, the Drakenstein Child Health Study, assessing pre-and postnatal exposures and risk factors. The predictive value of these factors for child mental health (assessed by the Child Behavior Checklist) was modeled using structural equation modeling. We identified two key pathways to greater externalizing behavior: (1) prenatal exposure to substances (alcohol and smoking) directly predicted increased externalizing behavior (β = 0.24, p < 0.001); this relationship was partially mediated by an aspect of infant temperament (negative emotionality; β = 0.05, p = 0.016); (2) lower socioeconomic status and associated maternal prenatal depression predicted more coercive parenting, which in turn predicted increased externalizing behavior (β = 0.18, p = 0.001). Findings in this high-risk LMIC cohort cohere with research from higher income contexts, and indicate the need to introduce integrated screening and intervention strategies for maternal prenatal substance use and depression, and promoting positive parenting across the preschool period.
Collapse
|
50
|
Individual differences in the development of youth externalizing problems predict a broad range of adult psychosocial outcomes. Dev Psychopathol 2022; 35:630-651. [PMID: 35256022 DOI: 10.1017/s0954579421001772] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
This study examined how youth aggressive and delinquent externalizing problem behaviors across childhood and adolescence are connected to consequential psychosocial life outcomes in adulthood. Using data from a longitudinal, high-risk sample (N = 1069) that assessed children and their parents regularly from early childhood (ages 3-5) through adulthood, multilevel growth factors of externalizing behaviors were used to predict adult outcomes (age 24-31), providing a sense of how externalizing problems across development were related to these outcomes via maternal, paternal, teacher, and child report. Findings indicated strong support for the lasting connections between youth externalizing problems with later educational attainment and legal difficulties, spanning informants and enduring beyond other meaningful contributors (i.e., child sex, cognitive ability, parental income and education, parental mental health and relationship quality). Some support was also found, although less consistently, linking externalizing problems and later alcohol use as well as romantic relationship quality. Delinquent/rule-breaking behaviors were often stronger predictors of later outcomes than aggressive behaviors. Taken together, these results indicate the importance of the role youth externalizing behaviors have in adult psychosocial functioning one to two decades later.
Collapse
|