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Bégin V, Mavungu-Blouin C, Hamilton M, Therriault D, Le Corff Y, Déry M. Primary and Secondary Variants of Callous-Unemotional Traits in Children with Conduct Problems: A Longitudinal Follow-up During Adolescence. Res Child Adolesc Psychopathol 2024; 52:933-948. [PMID: 38334909 DOI: 10.1007/s10802-024-01168-y] [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: 01/12/2024] [Indexed: 02/10/2024]
Abstract
Recent empirical work has suggested that youths with conduct problems and presenting high levels of callous-unemotional (CU) traits can be divided in two variants (i.e., primary, secondary) presenting specific characteristics and needs, but studies examining outcomes associated longitudinally with variants memberships remain scarce. Building on a previous investigation in which we identified variants of CU traits among children with conduct problems, we examined differences between groups on a wide range of behavioral/psychological, relational/social, and educational outcomes assessed during adolescence (n = 309, mean age = 17.4, SD = 0.96). When compared to those from the primary variant, youths from the secondary variant reported higher levels of conduct, opposition, attention deficit/hyperactivity and anxiety problems, had lower teacher-reported academic performance, experienced more conflictual relationships with their teachers, and were at higher risk of being victimized by their intimate partner. These results shed light on the specific clinical characteristics of children from the secondary variant that are likely to persist until adolescence. Providing these children with intensive preventive interventions targeting these long-term consequences could be particularly beneficial.
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Affiliation(s)
- Vincent Bégin
- Department of Psychoeducation, University of Sherbrooke, Sherbrooke, Canada.
- Group for Research and Intervention on Children's Social Adjustment, Sherbrooke, Canada.
- Research Unit on Children's Psychosocial Maladjustment, Montreal, Canada.
| | - Corinne Mavungu-Blouin
- Department of Psychoeducation, University of Sherbrooke, Sherbrooke, Canada
- Group for Research and Intervention on Children's Social Adjustment, Sherbrooke, Canada
| | - Mathis Hamilton
- Department of Psychoeducation, University of Sherbrooke, Sherbrooke, Canada
- Group for Research and Intervention on Children's Social Adjustment, Sherbrooke, Canada
| | - Danyka Therriault
- Department of Psychoeducation, University of Sherbrooke, Sherbrooke, Canada
- Group for Research and Intervention on Children's Social Adjustment, Sherbrooke, Canada
| | - Yann Le Corff
- Group for Research and Intervention on Children's Social Adjustment, Sherbrooke, Canada
- Department of Vocational Guidance, University of Sherbrooke, Sherbrooke, Canada
- Department of Psychiatry, University of Sherbrooke, Sherbrooke, Canada
| | - Michèle Déry
- Department of Psychoeducation, University of Sherbrooke, Sherbrooke, Canada
- Group for Research and Intervention on Children's Social Adjustment, Sherbrooke, Canada
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2
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Payot M, Monseur C, Stievenart M, Brianda ME. Callous-Unemotional Traits and Co-occurring Anxiety in Preschool and School-age Children: Investigation of Associations with Family's Socioeconomic Status and Home Chaos. Res Child Adolesc Psychopathol 2024; 52:819-831. [PMID: 38157123 DOI: 10.1007/s10802-023-01158-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2023] [Indexed: 01/03/2024]
Abstract
While contemporary literature has traditionally viewed youth with Callous-Unemotional (CU) traits as a homogeneous group, there is a growing interest in delineating two variants of CU traits based on high or low levels of anxiety. Extensive attention has been brought in the CU traits literature to the study of relational factors such as maltreatment and parenting practices. However, very few studies have looked at other environmental contexts in which the children within these two variants evolve, such as home chaos or socioeconomic status (SES). In a community sample of children aged 4 to 9, divided into a preschool sample (N = 107; Mage = 4.95, SD = 0.62) and a school-age sample (N = 153; Mage = 7.49, SD = 1.11), the current study investigated whether anxiety moderates the associations of CU traits with SES and home chaos. Hierarchical regression analyses revealed that CU traits were positively associated with home chaos, regardless of anxiety levels. CU traits were negatively associated with SES, but this effect emerged only at high levels of anxiety. Notably, these findings were observed solely in the school-age subsample. Implications for understanding the two variants of CU traits (i.e., primary and secondary) and hypotheses regarding their developmental trajectories are discussed.
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Affiliation(s)
- Morgane Payot
- Research Unit for a life-Course perspective on Health & Education, University of Liege, Place des Orateurs, 1, 4000, Liege, Belgium.
| | - Christian Monseur
- Research Unit for a life-Course perspective on Health & Education, University of Liege, Place des Orateurs, 1, 4000, Liege, Belgium
| | - Marie Stievenart
- Research Unit for a life-Course perspective on Health & Education, University of Liege, Place des Orateurs, 1, 4000, Liege, Belgium
| | - Maria Elena Brianda
- Research Unit for a life-Course perspective on Health & Education, University of Liege, Place des Orateurs, 1, 4000, Liege, Belgium
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3
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Kaouar S, Fleming GE, Neo B, Hawes DJ, Eapen V, Kimonis ER. Dimensions of Warm Parenting Attributions Differentiate Conduct Problem Subtypes in Young Children. Res Child Adolesc Psychopathol 2024; 52:223-236. [PMID: 37581855 PMCID: PMC10834570 DOI: 10.1007/s10802-023-01111-7] [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: 07/31/2023] [Indexed: 08/16/2023]
Abstract
Understanding the developmental psychopathology of child conduct problems (CP) has been advanced by differentiating subtypes based on levels of internalizing problems (INT) and/or callous-unemotional (CU) traits (i.e., low empathy/guilt, poor motivation, shallow/deficient affect). The current study sought to elucidate prior inconsistencies in the role of warm/positive and harsh/negative parenting subcomponents in CP by differentiating subtypes on the basis of INT and CU traits. Parents of 135 young children (M age = 4.21 years, SD = 1.29) referred to specialty clinics for the treatment of CP completed pre-treatment measures of parenting and rated their child's levels of CP, INT, and CU traits. Results of planned comparisons revealed that mothers of children classified as secondary CU variants (high CU/ high INT) reported fewer overall warm attributions toward their child, compared with CP-only (low CU) children. They also reported a more negative dyadic relationship characterized by feelings of anger/hostility, active avoidance and/or a desire to do harm to their child relative to primary CU variants (high CU/ low INT). Mothers of primary CU variants attributed fewer good and altruistic intentions towards others in their child, relative to CP-only children. Subtypes were undifferentiated on observed positive and negative parenting behaviors, indicative of a disconnect between parenting behaviors and cognitions for mothers of children high on CU traits. Findings are discussed in relation to their theoretical and practice implications, and in guiding future research.
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Affiliation(s)
- Silvana Kaouar
- Parent-Child Research Clinic, School of Psychology, The University of New South Wales, Sydney, NSW, Australia
| | - Georgette E Fleming
- Parent-Child Research Clinic, School of Psychology, The University of New South Wales, Sydney, NSW, Australia
| | - Bryan Neo
- Parent-Child Research Clinic, School of Psychology, The University of New South Wales, Sydney, NSW, Australia
| | - David J Hawes
- School of Psychology, The University of Sydney, Sydney, Australia
| | - Valsamma Eapen
- School of Psychiatry, The University of New South Wales, Sydney, NSW, Australia
| | - Eva R Kimonis
- Parent-Child Research Clinic, School of Psychology, The University of New South Wales, Sydney, NSW, Australia.
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4
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Kimonis ER. The Emotionally Sensitive Child-Adverse Parenting Experiences-Allostatic (Over)Load (ESCAPE-AL) Model for the Development of Secondary Psychopathic Traits. Clin Child Fam Psychol Rev 2023; 26:1097-1114. [PMID: 37735279 PMCID: PMC10640461 DOI: 10.1007/s10567-023-00455-2] [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: 08/28/2023] [Indexed: 09/23/2023]
Abstract
Understanding and treatment of antisocial behavior have improved through efforts to subtype individuals based on similar risk factors and outcomes. In particular, the presence of psychopathic traits is associated with distinct etiological factors and antisocial behavior that begins early in life, is aggressive, persistent, and less likely to normalize with traditional treatments, relative to individuals low on psychopathy or its childhood precursor, callous-unemotional (CU) traits. However, important distinctions can be made within individuals with CU/psychopathic traits according to the presence of elevated anxiety symptoms and/or adverse childhood experiences, known as secondary psychopathy/CU traits. This paper provides a broad and brief overview of theory and empirical literature supporting the existence of secondary psychopathy/CU variants as a distinct subtype of childhood antisocial behavior. It outlines the Emotionally Sensitive Child-Adverse Parenting Experiences-Allostatic (Over)Load (ESCAPE-AL) model for the developmental psychopathology of secondary psychopathic/CU traits and discusses research and theory supporting this perspective. Future research directions for testing this conceptual model and its implications for assessing and treating high-risk individuals with secondary CU/psychopathic traits are discussed.
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Affiliation(s)
- Eva R Kimonis
- Parent-Child Research Clinic, School of Psychology, The University of New South Wales, Sydney, NSW, 2052, Australia.
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5
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Payot M, Monseur C, Stievenart M. Variants of Callous-unemotional traits in childhood: investigation of attachment profile and hostile attribution bias. Attach Hum Dev 2023; 25:566-582. [PMID: 37750612 DOI: 10.1080/14616734.2023.2258604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 09/06/2023] [Indexed: 09/27/2023]
Abstract
There is increasing evidence of interest in describing two variants of CallousUnemotional (CU) traits based on high (secondary variant) or low (primary variant) levels of anxiety. However, studies are limited in childhood. The present study aimed to further the understanding of the variants, specifically in association with hostile attribution bias (HAB) and attachment. In a community sample of children aged 4 to 9 (N = 70), the study examined whether anxiety moderated the association of CU traits with HAB, secure and disorganized attachment representations. Hierarchical regression analyses revealed that CU traits were positively associated with disorganized attachment, regardless of the anxiety level. In contrast, CU traits were not associated with secure attachment. A significant interaction revealed that CU traits were positively associated with HAB only at high levels of anxiety. Implications for understanding the variants of CU traits and hypotheses regarding their developmental trajectories are discussed.
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Affiliation(s)
- M Payot
- Research Unit for a life-Course perspective on Health & Education, University of Liege, Liege, Belgium
| | - C Monseur
- Research Unit for a life-Course perspective on Health & Education, University of Liege, Liege, Belgium
| | - M Stievenart
- Research Unit for a life-Course perspective on Health & Education, University of Liege, Liege, Belgium
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6
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Payot M, Monseur C, Stievenart M. Primary and Secondary Variants of Callous-Unemotional Traits in Early and Middle Childhood: Distinction, Evaluation and Empathic Differences. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01576-z. [PMID: 37552334 DOI: 10.1007/s10578-023-01576-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/17/2023] [Indexed: 08/09/2023]
Abstract
Current literature demonstrates the relevance of considering two variants of CU traits based on high or low levels of anxiety. However, there is limited information about these variants in young community samples. The current study used cluster analyses to investigate the primary and the secondary variants of CU traits in two samples of children: preschool (N = 107; Mage = 4.95, SD = 0.62) and school-age (N = 153; Mage = 7.49, SD = 1.11). The identified clusters were compared on empathic dimensions, aggressive behavior and criteria from the "with limited prosocial emotions" specifier from the DSM-V. The primary variant was identified as early as preschool age while the secondary variant was only identified in the school-age sample. In this latter sample, the two variants did not differ on assessed variables, except for aggressive behavior. Despite the similarities between the two variants, these results suggest distinct developmental trajectories.
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Affiliation(s)
- Morgane Payot
- Research Unit for a Life-Course Perspective on Health & Education, University of Liege, Place des Orateurs, 1, 4000, Liège, Belgium.
| | - Christian Monseur
- Research Unit for a Life-Course Perspective on Health & Education, University of Liege, Place des Orateurs, 1, 4000, Liège, Belgium
| | - Marie Stievenart
- Research Unit for a Life-Course Perspective on Health & Education, University of Liege, Place des Orateurs, 1, 4000, Liège, Belgium
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7
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Craig SG, Goulter N, Andrade BF, McMahon RJ. Developmental Precursors of Primary and Secondary Callous-Unemotional Traits in Youth. Child Psychiatry Hum Dev 2023; 54:582-596. [PMID: 34687405 DOI: 10.1007/s10578-021-01271-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/10/2021] [Indexed: 01/07/2023]
Abstract
There is growing evidence of diverse etiological pathways to the development of callous-unemotional (CU) traits, known as primary and secondary CU variants. The purpose of the present study was to extend previous cross-sectional research and examine theoretical predictors of CU variants prospectively from childhood to adolescence. Participants included high-risk control and normative samples from the Fast Track project (N = 754, male = 58%, Black = 46%). Using structural equation modelling, primary CU traits, identified in early adolescence, were associated with higher levels of childhood emotion regulation and lower levels of prosocial behavior. Secondary CU traits were associated with lower levels of childhood emotion regulation and low parental warmth, but not prosocial behaviour. Neither CU variant was related to harsh parenting. Parental warmth moderated emotion regulation and prosocial behavior on secondary CU traits. Results were not moderated by sex. A greater understanding of theoretical developmental precursors of CU variants may better guide intervention efforts.
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Affiliation(s)
- Stephanie G Craig
- LaMarsh Centre for Child and Youth Research, York University, Toronto, ON, Canada.
- Department of Psychology, Simon Fraser University, Burnaby, BC, Canada.
- BC Children's Hospital Research Institute, Vancouver, BC, Canada.
| | - Natalie Goulter
- Department of Psychology, Simon Fraser University, Burnaby, BC, Canada
- BC Children's Hospital Research Institute, Vancouver, BC, Canada
| | - Brendan F Andrade
- McCain Centre for Child Youth and Family Mental Health, Centre for Addiction and Mental Health, Toronto, ON, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
| | - Robert J McMahon
- Department of Psychology, Simon Fraser University, Burnaby, BC, Canada
- BC Children's Hospital Research Institute, Vancouver, BC, Canada
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8
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Todorov JJ, Devine RT, De Brito SA. Association between childhood maltreatment and callous-unemotional traits in youth: A meta-analysis. Neurosci Biobehav Rev 2023; 146:105049. [PMID: 36681371 DOI: 10.1016/j.neubiorev.2023.105049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 12/15/2022] [Accepted: 01/14/2023] [Indexed: 01/21/2023]
Abstract
Callous-unemotional (CU) traits (i.e., lack of remorse or guilt, callous lack of empathy, deficient concern for the feelings of others) in youth with conduct problems confer risk for a particularly severe and persistent form of antisocial behaviour. Previous research has linked childhood maltreatment as a potential risk factor for CU traits, both primary (i.e., genetically underpinned) and secondary (i.e., environmentally influenced) variants, but findings have been inconsistent, and the association has not yet been tested in a meta-analysis. To address this gap, we conducted a meta-analysis to assess the nature and strength of the associations between childhood maltreatment and its subtypes with CU traits and potential variants (i.e., primary and secondary CU traits). A systematic search identified 29 eligible studies including 9,894 participants (42% female) between the ages of 3 and 18 years (Mage=14.22 years, SD = 1.07). Results revealed a significant moderate positive association between childhood maltreatment and CU traits. All subtypes of maltreatment bar sexual abuse were significantly associated with CU traits. However, it was not possible to compare primary and secondary CU traits directly due to inconsistencies in how they are defined. The limitations posed by current research signal the need for clinical and operational guidelines on how to define primary and secondary CU traits. Additionally, prospective longitudinal, genetically informed research is needed to clarify if maltreatment is a causal risk factor for CU traits.
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Affiliation(s)
- Jessica J Todorov
- Centre for Human Brain Health, School of Psychology, University of Birmingham, UK.
| | - Rory T Devine
- Centre for Developmental Science, School of Psychology, University of Birmingham, UK
| | - Stephane A De Brito
- Centre for Human Brain Health, School of Psychology, University of Birmingham, UK.
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9
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Levy T, Peskin M, Kohn Y, Sheinhorn S, Schoen G, Weizman A, Golubchik P. Callous-Unemotional Traits and Face-Emotion Recognition as Mediators in Conduct Problems of Children With ADHD. Clin Child Psychol Psychiatry 2022; 27:978-990. [PMID: 35608436 DOI: 10.1177/13591045221093876] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Attention-deficit/hyperactivity disorder (ADHD) is associated with increased risk for conduct problems (CP), as well as with callous-unemotional traits (CUt) and lower accuracy in face emotional recognition (FER). It is unclear, however, whether CUt and low accuracy in FER contribute to the risk for CP in ADHD. The present study investigated the possibility of such contribution. METHODS This pilot study's participants included 31 children aged 7-17 years, diagnosed with ADHD, and treated in a psychiatric outpatient clinic. The parents rated their children on the ADHD Rating Scale, Inventory of Callous-Unemotional Traits, and the Child Behavior Checklist-Conduct Problems scale. Participants completed the Hebrew version of the children's Reading the Mind in the Eyes Test (cRMET)-a Theory of Mind measure. A bootstrapped multiple mediator model was used, adjusting for age and gender. RESULTS ADHD symptoms were associated with CP. This association was not mediated by CUt or cRMET. CUt was associated with CP independent of ADHD symptom severity. CONCLUSIONS ADHD symptoms and CUt both should be considered when assessing risk for CP and devising a treatment plan, in children with ADHD. Current results did not confirm the hypothesis that cRMET and CUt mediate between ADHD symptoms and CP. More studies employing larger samples, longitudinal design, and other emotion recognition measures are needed.
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Affiliation(s)
- Tomer Levy
- Department of Psychiatry, The Hospital for Sick Children, Toronto, Ontario, Canada.,Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.,Behavior Regulation Services, Geha Mental Health Center, Petah Tikva, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Miriam Peskin
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Preschool Department, Geha Mental Health Center, Petah Tikva, Israel
| | - Yoav Kohn
- Donald Cohen Child and Adolescent Psychiatry Department, Eitanim Psychiatric Hospital, Jerusalem Mental Health Center, Jerusalem, Israel.,Hadassah School of Medicine, Hebrew University, Jerusalem, Israel
| | - Sapir Sheinhorn
- Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel
| | - Gila Schoen
- Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel
| | - Abraham Weizman
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Research Unit, Geha Mental Health Center, Petah Tikva, Israel.,Felsenstein Medical Research Center, Tel Aviv University, Petah Tikva, Israel
| | - Pavel Golubchik
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel
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10
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Pueyo N, Navarro JB, De La Osa N, Penelo E, Ezpeleta L. Describing Callous Unemotional Traits and Stressful Life Event Trajectories: Differences on Risk Factors and Mental Health Outcomes from the Age of 3 to 10. THE SPANISH JOURNAL OF PSYCHOLOGY 2022; 25:e17. [PMID: 35499095 DOI: 10.1017/sjp.2022.13] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Callous Unemotional (CU) traits are associated with different environmental risk factors, such as negative stressful life events (SLE). The most common studied SLE associated with CU trait has been childhood maltreatment, but less is known about how other SLE impact the development of CU traits. Therefore, this work examines risk factors, personal factors (executive functioning), and mental health outcomes associated with the trajectories of Callous Unemotional (CU) traits and Stressful Life Events (SLE) in a community sample of children. A cohort of 377 preschoolers were followed up between ages 3 and 10. Several risk factors and outcomes for three trajectory groups (high CU/SLE; high CU/low SLE; and the reference group with low CU/SLE) were analyzed by using multiple post-hoc comparisons. We hypothesized that children with high CU/SLE would face more contextual risk factors, more executive functioning difficulties and more mental health problems than children with high CU/low SLE or the reference group. At the age of 3, children who showed high CU/SLE faced more early contextual adversity, including socioeconomic difficulties and maternal antisocial behavior than the other groups of children. At the age of 10, children with high CU/SLE presented more peer problems and higher psychopathology symptoms than the reference group, but no differences on mental health outcomes in comparison to the high CU/low SLE group. These results have potential implications for clinical practice and studies attempting to identify different CU subtypes in children.
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Affiliation(s)
| | | | | | - Eva Penelo
- Universitat Autònoma de Barcelona (Spain)
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11
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Joyner B, Beaver KM. Examining the potential link between child maltreatment and callous-unemotional traits in children and adolescents: A multilevel analysis. CHILD ABUSE & NEGLECT 2021; 122:105327. [PMID: 34534846 DOI: 10.1016/j.chiabu.2021.105327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 08/05/2021] [Accepted: 09/06/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND There is a great deal of research indicating that callous-unemotional traits in childhood are among the strongest predictors of adult psychopathy and psychopathic traits. As a result, there has been a recent surge of studies examining potential risk factors that may be related to the development of callous-unemotional traits. OBJECTIVE The current study sought to extend prior research examining potential risk factors for the development of callous-unemotional traits by estimating the extent to which child maltreatment related to callous-unemotional traits in children and adolescents. PARTICIPANTS To do so, the study uses a longitudinal sample of 4579 male and female youths drawn from the National Survey of Child and Adolescent Well-Being (NSCAW I) across four waves of data. Data collection ran from November 1999 to December 2006. METHODS A series of multilevel random-effects models were estimated in order to examine the association between child maltreatment and callous-unemotional traits. RESULTS The results of the analyses revealed a significant association between child maltreatment and callous-unemotional traits across all the models. Additionally, our models demonstrated that the association between child maltreatment and callous-unemotional traits may be dependent upon the biological sex of the individual with child maltreatment having a stronger effect on males than females (β = 0.15*). CONCLUSIONS Overall, our analyses lend support to prior research examining child maltreatment as a risk factor for the development of callous-unemotional traits in youth. We conclude by discussing the implications of our study and considerations for future research.
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Affiliation(s)
- Bridget Joyner
- College of Criminology and Criminal Justice, Florida State University, 112 S Copeland St, Tallahassee, FL 32304, USA.
| | - Kevin M Beaver
- College of Criminology and Criminal Justice, Florida State University, 112 S Copeland St, Tallahassee, FL 32304, USA; Prince Mishaal bin Majed bin Abdul Aziz Center for Social and Humanities Research, King Abdulaziz University, Jeddah, Saudi Arabia
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12
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Barrau V, López-Romero L, Bosch R, Torrubia R, Casas M, Molinuevo B. Further Validation of the Spanish Parent-Reported Child Problematic Traits Inventory: Discriminant Validity for Distinguishing Children Vulnerable to Externalizing and Other Psychopathology Conditions. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2021. [DOI: 10.1007/s10862-021-09921-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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13
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Bégin V, Déry M, Le Corff Y. Variants of Psychopathic Traits Follow Distinct Trajectories of Clinical Features Among Children with Conduct Problems. Res Child Adolesc Psychopathol 2021; 49:775-788. [PMID: 33502717 DOI: 10.1007/s10802-021-00775-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2021] [Indexed: 10/22/2022]
Abstract
Original definitions of psychopathy suggest the existence of two variants that present with distinct clinical features among antisocial adults, but whether these clinical differences originate early in life or emerge at some point during childhood remains uncertain. We examined if primary and secondary variants follow distinct developmental trajectories of theoretically relevant clinical features among children with conduct problems (CP). Participants were 370 children (40.3% girls) with CP initially aged 8.49 years old in average (s.d. = 0.93). Variants indicators (callous-unemotional [CU] traits and anxiety [ANX]) and clinical features were measured at six yearly assessments. A dual trajectory modelling approach was used to identify groups and group memberships were entered in conditional growth models predicting trajectories of clinical features. Four groups were identified: CP-only, anxious (CP + ANX), primary (CP + CU), and secondary (CP + CU + ANX). Both variants showed higher initial levels of impairment than the CP-only group on most features. Compared to the primary variant, membership to the secondary variant was associated with more stable patterns of CP, oppositional problems, narcissism-grandiosity and impulsivity-irresponsibility traits. Moreover, children from the secondary variant showed higher initial levels of impairment in terms of cognitive abilities, depression, victimization, and dependency to teachers, with non-significant effects on the slope parameters suggesting that these early differences persist across development. In addition to showing distinct clinical features relatively early in childhood, children from the secondary variant of psychopathic traits are at high risk of experiencing an increasing psychopathological burden across childhood. The early identification and treatment of these children therefore appears particularly important.
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Affiliation(s)
- Vincent Bégin
- Groupe de recherche et d'intervention sur les adaptations sociales de l'enfance (GRISE), Université de Sherbrooke, Sherbrooke, Canada. .,Département de psychoéducation, Université de Sherbrooke, Sherbrooke, Canada.
| | - Michèle Déry
- Groupe de recherche et d'intervention sur les adaptations sociales de l'enfance (GRISE), Université de Sherbrooke, Sherbrooke, Canada.,Département de psychoéducation, Université de Sherbrooke, Sherbrooke, Canada
| | - Yann Le Corff
- Groupe de recherche et d'intervention sur les adaptations sociales de l'enfance (GRISE), Université de Sherbrooke, Sherbrooke, Canada.,Département d'orientation professionnelle, Université de Sherbrooke, Sherbrooke, Canada.,Département de psychiatrie, Université de Sherbrooke, Sherbrooke, Canada
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14
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A Systematic Review of Primary and Secondary Callous-Unemotional Traits and Psychopathy Variants in Youth. Clin Child Fam Psychol Rev 2020; 24:65-91. [PMID: 33079293 DOI: 10.1007/s10567-020-00329-x] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2020] [Indexed: 12/28/2022]
Abstract
Two variants of callous-unemotional (CU) traits and psychopathy have been proposed, referred to as primary and secondary. Whereas primary variants are thought to be underpinned by insufficient arousal to emotional cues, secondary variants are thought to develop as a coping mechanism in response to trauma exposure. Compared with adult samples, research on primary and secondary variants in children and adolescents under the age of 18 has only emerged in the past decade, and there is ongoing debate with regards to the identification, defining characteristics, and distinct correlates of these variants. The present systematic review synthesizes the current literature on primary and secondary variants in relation to: (1) constructs used to distinguish and define primary and secondary variants; (2) study population characteristics; (3) data analytic techniques to differentiate variants; and (4) differential associations with theoretically relevant indices related to emotional processing, maltreatment, biomarkers, and behavioral outcomes (e.g., substance use, aggression). This is the first systematic review to examine the growing literature on primary and secondary CU and psychopathy variants among youth. Findings support the distinction between youth with primary versus secondary variants and demonstrate that this distinction is related to unique clinical correlates. Recommendations are made for future research in the field.
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Waschbusch DA, Baweja R, Babinski DE, Mayes SD, Waxmonsky JG. Irritability and Limited Prosocial Emotions/Callous-Unemotional Traits in Elementary-School-Age Children. Behav Ther 2020; 51:223-237. [PMID: 32138934 DOI: 10.1016/j.beth.2019.06.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 06/13/2019] [Accepted: 06/17/2019] [Indexed: 01/06/2023]
Abstract
Affective traits, including irritability and limited prosocial emotions/callous-unemotional traits (LPE/CU), each explain significant variance in youth conduct problems but few studies have examined these constructs simultaneously. This study examined whether irritability, LPE/CU, or their combination explained significant variance in measures of internalizing or externalizing psychopathology, aggression, peer problems, impairment, or parenting. Participants were 219 elementary-school-age children, including 178 with attention-deficit/hyperactivity disorder, oppositional defiant disorder, and/or conduct disorder and 41 typically developing children. Results of analyses showed that irritability and LPE/CU had significant and sometimes unique associations with measures of child behavior, impairment, and parenting. There was also evidence that the interaction between irritability and LPE/CU was significantly associated with aggression and impairment. These findings suggest that irritability and LPE/CU should be examined together when assessing and treating conduct problems in youth.
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Affiliation(s)
- Daniel A Waschbusch
- Penn State College of Medicine and Penn State Milton S. Hershey Medical Center.
| | - Raman Baweja
- Penn State College of Medicine and Penn State Milton S. Hershey Medical Center
| | - Dara E Babinski
- Penn State College of Medicine and Penn State Milton S. Hershey Medical Center
| | - Susan D Mayes
- Penn State College of Medicine and Penn State Milton S. Hershey Medical Center
| | - James G Waxmonsky
- Penn State College of Medicine and Penn State Milton S. Hershey Medical Center
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16
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Hodgins S. Sex differences in antisocial and aggressive disorders that onset in childhood and persist into adulthood. HANDBOOK OF CLINICAL NEUROLOGY 2020; 175:405-422. [PMID: 33008540 DOI: 10.1016/b978-0-444-64123-6.00027-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
As many as 10.7% of males and 7.5% of females display early-onset, stable, antisocial and aggressive behavior (ESAAB). Most research has focused on males. These individuals are diagnosed with conduct disorder in childhood and antisocial personality disorder in adulthood, and a very few, almost all males, present the syndrome of psychopathy. ESAAB includes three subgroups: (1) conduct problems and callousness; (2) conduct problems, callousness, and anxiety; and (3) conduct problems. Heritability of the first two subtypes is high. This high heritability derives, at least in part, from genes involved in regulating serotonergic functioning early in life and to genotypes that confer sensitivity to trauma. The first subtype is rare and characterized by difficulty in face emotion recognition, especially fear and sadness, and hypoarousal as indexed by both autonomic and neural measures, and by structural brain abnormalities. By contrast, those with conduct problems, callousness, and anxiety are more common. They include a greater proportion of females and show hypersensitivity to threat that triggers reactive aggression and that is reflected in both autonomic and neural functioning. In sum, fewer females than males present ESAAB, but many characteristics, autonomic and neural correlates, and etiology are similar. Importantly, however, females with ESAAB play a critical role in the intergenerational transfer of antisocial behavior. Despite higher prevalence of EASSB in males than females, few sex differences in neural abnormalities have been identified.
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Affiliation(s)
- Sheilagh Hodgins
- Institut Universitaire en Santé Mentale de Montréal, and Department of Psychiatry, University of Montreal, Montréal, QC, Canada.
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17
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The Sensitivity to Threat and Affiliative Reward (STAR) model and the development of callous-unemotional traits. Neurosci Biobehav Rev 2019; 107:656-671. [PMID: 31618611 DOI: 10.1016/j.neubiorev.2019.10.005] [Citation(s) in RCA: 64] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 10/07/2019] [Accepted: 10/08/2019] [Indexed: 12/20/2022]
Abstract
Research implicates callous-unemotional (CU) traits (i.e., lack of empathy, prosociality, and guilt, and reduced sensitivity to others' emotions) in the development of severe and persistent antisocial behavior. To improve etiological models of antisocial behavior and develop more effective treatments, we need a better understanding of the origins of CU traits. In this review, we discuss the role of two psychobiological and mechanistic precursors to CU traits: low affiliative reward (i.e., deficits in seeking out or getting pleasure from social bonding and closeness with others) and low threat sensitivity (i.e., fearlessness to social and non-social threat). We outline the Sensitivity to Threat and Affiliative Reward (STAR) model and review studies that have examined the development of affiliative reward and threat sensitivity across animal, neuroimaging, genetic, and behavioral perspectives. We next evaluate evidence for the STAR model, specifically the claim that CU traits result from deficits in both affiliative reward and threat sensitivity. We end with constructive suggestions for future research to test the hypotheses generated by the STAR model.
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Waschbusch DA, Willoughby MT, Haas SM, Ridenour T, Helseth S, Crum KI, Altszuler AR, Ross JM, Coles EK, Pelham WE. Effects of Behavioral Treatment Modified to Fit Children with Conduct Problems and Callous-Unemotional (CU) Traits. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2019; 49:639-650. [PMID: 31166145 DOI: 10.1080/15374416.2019.1614000] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Research suggests that children with conduct problems (CP) and callous-unemotional (CU) traits show a diminished response to behavior therapy, perhaps due to a reward-oriented, punishment insensitive learning style. Children with CP and CU may benefit from personalizing behavioral treatment for them by emphasizing rewards and de-emphasizing punishments. This hypothesis was tested in a sample of 46 children (78.3% boys), ages 7.0 to 12.6 years (M = 9.3, SD = 1.4). All participants met criteria for ODD and ADHD and 63% also met criteria for CD. Participants were oversampled for high CU, but CU scores ranged from average to high. Children received four weeks of modified behavior therapy that emphasized rewards and de-emphasized punishments and four weeks of treatment as usual, which was standard behavior therapy that balanced rewards and punishments. Treatments were implemented in a summer treatment program and compared using a within-subjects design, with order of treatment counterbalanced. Disruptive behavior was equal or slightly higher in modified behavior therapy than in standard behavior therapy on point system measures, but lower on parent weekly ratings. End of treatment ratings showed both treatments produced significant improvements compared to pre-treatment ratings but did not differ from each other. Personalizing behavior therapy for children with CP and CU produced inconsistent findings relative to standard behavior therapy. Behavior therapy is likely to be a necessary part of treatment for children with CP and CU, but treatment personalization efforts may provide some benefit by addressing other deficits shown by these children.
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Affiliation(s)
- Daniel A Waschbusch
- Department of Psychiatry, Penn State Health Milton S. Hershey Medical Center
| | | | - Sarah M Haas
- Department of Psychiatry, Penn State Health Milton S. Hershey Medical Center
| | - Ty Ridenour
- Education and Workforce Development, RTI International
| | - Sarah Helseth
- Department of Psychology, Center for Children and Families, Florida International University
| | - Kathleen I Crum
- Department of Psychology, Center for Children and Families, Florida International University
| | - Amy R Altszuler
- Department of Psychology, Center for Children and Families, Florida International University
| | - J Megan Ross
- Department of Psychology, Center for Children and Families, Florida International University
| | - Erika K Coles
- Department of Psychology, Center for Children and Families, Florida International University
| | - William E Pelham
- Department of Psychology, Center for Children and Families, Florida International University
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The genetic underpinnings of callous-unemotional traits: A systematic research review. Neurosci Biobehav Rev 2019; 100:85-97. [PMID: 30817934 DOI: 10.1016/j.neubiorev.2019.02.018] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 02/22/2019] [Accepted: 02/23/2019] [Indexed: 12/11/2022]
Abstract
BACKGROUND Callous-unemotional (CU) traits represent the affective features of psychopathy used to delineate youth at high risk for externalizing pathology. The genetic etiology CU traits is not currently well-understood. METHODS The current review surveyed the literature for studies on the genetic underpinnings of CU traits and integrated information from 39 genetic studies. RESULTS The results from 24 studies with quantitative data suggest that the heritability for CU traits is likely between 36-67%. A majority of the 16 molecular genetic studies focused on candidate genes in the serotonin and oxytocin systems with results that have not been well replicated. Although two genome-wide association studies have been conducted, no genome-wide significant loci have been discovered. DISCUSSION There is some evidence to suggest that the serotonin and oxytocin systems may play a role in CU traits; however, there is currently not enough evidence to implicate specific genetic mechanisms. The authors encourage researchers to continue to apply the most up-to-date and relevant methodology, specifically collaborations and consortiums using genome-wide and polygenic methods.
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A systematic review of the heritability of specific psychopathic traits using Hare's two-factor model of psychopathy. CNS Spectr 2018; 23:29-38. [PMID: 28490392 DOI: 10.1017/s109285291700027x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND There have been no systematic reviews that investigated the heritability of the two-factor model of psychopathy: interpersonal-affective and behavioral. Our review aimed, first, to examine the heritability of general psychopathic traits and, second, if genetic influences were suggested, to determine the heritability of various traits related to the interpersonal-affective and behavioral factors of psychopathy. METHOD A systematic literature search was conducted using articles from the PsycINFO, Embase, Global Health, Medline, PubMed, Web of Science, and Scopus databases (January of 1980 to December of 2015) in order to identify eligible literature that reported on the heritability of psychopathy-related traits. Papers were also found via manual examination and reference tracking. Papers were subjected to exclusion criteria and quality appraisal. We identified a total of 24 studies. RESULTS Our results were grouped into three categories: general, interpersonal-affective, and behavioral. All these areas demonstrated modest to high heritability. The highest heritability values were found in studies investigating callous-unemotional behaviors. CONCLUSIONS Heritability was found for all the psychopathic traits. Future research should include endophenotypic approaches that explore gene-environment correlations, which could aid in identification of the behavioral phenotype that is most amenable to early intervention by way of moderation of genetic risk.
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Cecil CAM, McCrory EJ, Barker ED, Guiney J, Viding E. Characterising youth with callous-unemotional traits and concurrent anxiety: evidence for a high-risk clinical group. Eur Child Adolesc Psychiatry 2018; 27:885-898. [PMID: 29222633 PMCID: PMC6013514 DOI: 10.1007/s00787-017-1086-8] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2017] [Accepted: 11/18/2017] [Indexed: 02/04/2023]
Abstract
Growing evidence supports the existence of two variants of youth with high callous-unemotional (CU) traits who present with markedly different risk profiles and outcomes, with potential implications for risk assessment and treatment formulation. So far, studies have identified variants of CU youth mainly using data-driven cluster approaches based on levels of CU traits and co-occurring anxiety. Yet, the extent to which this knowledge may be translated into clinical practice is unclear. To this end, the present study employed a severity-based, cut-off approach to systematically characterise CU groups across a range of clinically informative domains, including trauma history, psychiatric symptomatology, affective functioning, attachment style and behavioural risk. Analyses were based on multi-rated data from a community sample of high-risk youths (n = 155, M = 18 years). Consistent with previous studies, we found that, whereas variants show comparable levels of antisocial behaviour, those who present with both high CU and high anxiety report more severe childhood maltreatment, psychological distress, ADHD symptomatology and behavioural risk-including substance use, suicidal ideation and unsafe sex. In addition, these youth show greater attachment insecurity and affective dysregulation, as indexed by levels of irritability and alexithymia. Together, findings indicate that (1) trauma history is a key factor that differentiates variants of CU youth high vs. low on anxiety, and (2) differences in individual functioning across variants point to the need for tailored clinical assessment tools and intervention strategies. Importantly, the present findings indicate that variants of CU youth can be meaningfully differentiated using cut-off based approaches that parallel methods used in clinical assessments.
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Affiliation(s)
- Charlotte A. M. Cecil
- 0000 0001 2322 6764grid.13097.3cDepartment of Psychology, Institute of Psychiatry, King’s College London, London, UK
| | - Eamon J. McCrory
- 0000000121901201grid.83440.3bDivision of Psychology and Language Sciences, University College London, 26 Bedford Way, London, WC1H 0AP UK
| | - Edward D. Barker
- 0000 0001 2322 6764grid.13097.3cDepartment of Psychology, Institute of Psychiatry, King’s College London, London, UK
| | - Jo Guiney
- 0000 0001 2188 881Xgrid.4970.aDepartment of Psychology, Royal Holloway, University of London, Egham, UK
| | - Essi Viding
- Division of Psychology and Language Sciences, University College London, 26 Bedford Way, London, WC1H 0AP, UK.
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Fonagy P, Luyten P. Conduct problems in youth and the RDoC approach: A developmental, evolutionary-based view. Clin Psychol Rev 2017; 64:57-76. [PMID: 28935341 DOI: 10.1016/j.cpr.2017.08.010] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 02/25/2017] [Accepted: 08/30/2017] [Indexed: 12/11/2022]
Abstract
Problems related to aggression in young people are traditionally subsumed under the header of conduct problems, which include conduct disorder and oppositional defiant disorder. Such problems in children and adolescents are an important societal and mental health problem. In this paper we present an evolutionarily informed developmental psychopathology view of conduct problems inspired by the NIMH Research Domain Criteria (RDoC) initiative. We assume that while there are many pathways to conduct problems, chronic or temporary impairments in the domain of social cognition or mentalizing are a common denominator. Specifically, we conceptualize conduct problems as reflecting temporary or chronic difficulties with mentalizing, that is, the capacity to understand the self and others in terms of intentional mental states, leading to a failure to inhibit interpersonal violence through a process of perspective-taking and empathy. These difficulties, in turn, stem from impairments in making use of a normally evolutionarily protected social learning system that functions to facilitate intergenerational knowledge transmission and protect social collaborative processes from impulsive and aggressive action. Temperamental, biological, and social risk factors in different combinations may all contribute to this outcome. This adaptation then interacts with impairments in other domains of functioning, such as in negative and positive valence systems and cognitive systems. This view highlights the importance of a complex interplay among biological, psychological, and environmental factors in understanding the origins of conduct problems. We outline the implications of these views for future research and intervention.
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Affiliation(s)
- Peter Fonagy
- Research Department of Clinical, Educational and Health Psychology, University College London, UK.
| | - Patrick Luyten
- Research Department of Clinical, Educational and Health Psychology, University College London, UK; Faculty of Psychology and Educational Sciences, KU Leuven, Belgium
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23
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Blanchard A, Centifanti LCM. Callous-Unemotional Traits Moderate the Relation Between Prenatal Testosterone (2D:4D) and Externalising Behaviours in Children. Child Psychiatry Hum Dev 2017; 48:668-677. [PMID: 27734260 PMCID: PMC5487702 DOI: 10.1007/s10578-016-0690-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Children who exhibit callous-unemotional (CU) traits are identified as developing particularly severe forms of externalising behaviours (EB). A number of risk factors have been identified in the development of CU traits, including biological, physiological, and genetic factors. However, prenatal testosterone (PT) remains un-investigated, yet could signal fetal programming of a combination of CU/EB. Using the 2D:4D digit ratio, the current study examined whether CU traits moderated the relationship between PT and EB. Hand scans were obtained from 79 children aged between 5 and 6 years old whose parents completed the parent report ICU (Inventory of Callous Unemotional Traits) and SDQ (Strengths and Difficulties Questionnaire). CU traits were found to moderate the relationship between PT and EB so that children who were exposed to increased PT and were higher in CU traits exhibited more EB. Findings emphasize the importance of recognising that vulnerability for EB that is accompanied by callousness may arise before birth.
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Affiliation(s)
- Alyson Blanchard
- Department of Psychology, Nottingham Trent University, Burton Street, Nottingham, NG1 4BU UK
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24
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Tuvblad C, Fanti KA, Andershed H, Colins OF, Larsson H. Psychopathic personality traits in 5 year old twins: the importance of genetic and shared environmental influences. Eur Child Adolesc Psychiatry 2017; 26:469-479. [PMID: 27683227 PMCID: PMC5364258 DOI: 10.1007/s00787-016-0899-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Accepted: 08/21/2016] [Indexed: 01/08/2023]
Abstract
There is limited research on the genetic and environmental bases of psychopathic personality traits in children. In this study, psychopathic personality traits were assessed in a total of 1189 5-year-old boys and girls drawn from the Preschool Twin Study in Sweden. Psychopathic personality traits were assessed with the Child Problematic Traits Inventory, a teacher-report measure of psychopathic personality traits in children ranging from 3 to 12 years old. Univariate results showed that genetic influences accounted for 57, 25, and 74 % of the variance in the grandiose-deceitful, callous-unemotional, and impulsive-need for stimulation dimensions, while the shared environment accounted for 17, 48 and 9 % (n.s.) in grandiose-deceitful and callous-unemotional, impulsive-need for stimulation dimensions, respectively. No sex differences were found in the genetic and environmental variance components. The non-shared environment accounted for the remaining 26, 27 and 17 % of the variance, respectively. The three dimensions of psychopathic personality were moderately correlated (0.54-0.66) and these correlations were primarily mediated by genetic and shared environmental factors. In contrast to research conducted with adolescent and adult twins, we found that both genetic and shared environmental factors influenced psychopathic personality traits in early childhood. These findings indicate that etiological models of psychopathic personality traits would benefit by taking developmental stages and processes into consideration.
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Affiliation(s)
- Catherine Tuvblad
- School of Psychology, Law and Social Work, Örebro University, Örebro, Sweden
- Department of Psychology, University of Southern California, Los Angeles, CA USA
| | - Kostas A. Fanti
- Department of Psychology, University of Cyprus, Nicosia, Cyprus
| | - Henrik Andershed
- School of Psychology, Law and Social Work, Örebro University, Örebro, Sweden
| | - Olivier F. Colins
- School of Psychology, Law and Social Work, Örebro University, Örebro, Sweden
- Departments of Child and Adolescent Psychiatry, Curium-Leiden University Medical Center, Leiden, The Netherlands
| | - Henrik Larsson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Solna, Sweden
- Karolinska Institute Center for Neurodevelopmental Disorders, Solna, Sweden
- School of Medical Sciences, Örebro University, Örebro, Sweden
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Meehan AJ, Maughan B, Cecil CAM, Barker ED. Interpersonal callousness and co-occurring anxiety: Developmental validity of an adolescent taxonomy. JOURNAL OF ABNORMAL PSYCHOLOGY 2016; 126:225-236. [PMID: 27977232 PMCID: PMC5305415 DOI: 10.1037/abn0000235] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Growing evidence suggests heterogeneity within interpersonal-callous (IC) youth based on co-occurring anxiety. The developmental validity of this proposed taxonomy remains unclear however, as most previous research is cross-sectional and/or limited to adolescence. We aimed to identify low-anxiety (IC/ANX-) and high-anxiety (IC/ANX+) IC variants, and compare these groups on (a) early risk exposures, (b) psychiatric symptoms from midchildhood to early adolescence, and (c) school-based functioning. Using the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective epidemiological birth cohort, model-based cluster analysis was performed on children with complete age-13 IC and anxiety scores (n = 6,791). Analysis of variance was used to compare resulting clusters on (a) prenatal and postnatal family adversity and maternal psychopathology, and harsh parenting; (b) developmental differences in attention-deficit/hyperactivity disorder (ADHD), conduct disorder (CD), oppositional defiant disorder (ODD), emotional difficulties, and low pro-social behavior at 7, 10, and 13 years; and (c) teacher-reported discipline problems, along with standardized test performance. We identified a 4-cluster solution: "typical," "low," "IC/ANX-", and "IC/ANX+." IC/ANX+ youth showed the highest prenatal and postnatal levels of family adversity and maternal psychopathology, highest levels of ADHD, CD, ODD, and emotional difficulties, greatest discipline problems, and lowest national test scores (all p < .001). IC/ANX+ also showed a distinct pattern of increasing psychopathology from age 7 to 13 years. Adolescent IC subtypes were successfully validated in ALSPAC across multiple raters using prenatal and early postnatal risk, repeated measures of psychopathology, and school-based outcomes. Greater prenatal environmental risk among IC/ANX+ youth suggests an important target for early intervention. (PsycINFO Database Record
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Affiliation(s)
- Alan J Meehan
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London
| | - Barbara Maughan
- MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London
| | - Charlotte A M Cecil
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London
| | - Edward D Barker
- Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London
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Callous-unemotional behaviors in early childhood: Genetic and environmental contributions to stability and change. Dev Psychopathol 2016; 29:1227-1234. [PMID: 27976598 DOI: 10.1017/s0954579416001267] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Callous-unemotional (CU) behaviors demonstrate meaningful individual differences in early childhood, even in nonclinical samples with low mean levels of CU, but the factors underlying this variation have not been examined. This study investigated genetic and environmental contributions to individual differences and to sources of continuity and change in CU in toddler twins (145 monozygotic, 169 dizygotic) assessed at ages 2 and 3 years. CU, as assessed by the Child Behavior Checklist 1.5-5 (Achenbach & Rescorla, 2000), was moderately stable across age (r = .45, p < .0001). Longitudinal biometric analyses revealed genetic and nonshared environmental influences on CU at both ages, with no significant contribution from shared environmental factors. Stability from age 2 to 3 was due to genetic factors, whereas change was due to both genetic and nonshared environmental influences. This genetic and nonshared environmental change was substantial, suggesting malleability of CU in early childhood. Over 50% of the genetic influences and 100% of the nonshared environmental influences on CU at age 3 were independent of those that operated at age 2. Implications of novel sources of variance across age are discussed.
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The Inventory of Callous-Unemotional Traits (ICU) in Children: Reliability and Heritability. Behav Genet 2016; 47:141-151. [PMID: 27909830 DOI: 10.1007/s10519-016-9831-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Accepted: 11/16/2016] [Indexed: 10/20/2022]
Abstract
Callous-unemotional (CU) traits comprise the core symptoms of psychopathy, yet no study has estimated the heritability of CU traits in a community sample of children using an instrument designed solely to assess CU traits. The current study uses data from 339 twin pairs aged 9-14 to examine the reliability and heritability of the parent-report Inventory of Callous-unemotional Traits (ICU) at two assessments approximately 3 weeks apart. Time-specific measurement error was taken into account to obtain a more accurate estimate of the heritability reflecting the latent liability to CU traits. Test-retest reliability was 0.84 and heritability at visit 1 was 39%. The heritability of the latent liability to CU traits was 47%. This latent liability contributed 79% of the variance in ICU score at visit 1 and visit 2. This is the first study to account for measurement error while examining the heritability of CU traits, furthering our understanding of psychopathy in children.
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Masi G, Milone A, Brovedani P, Pisano S, Muratori P. Psychiatric evaluation of youths with Disruptive Behavior Disorders and psychopathic traits: A critical review of assessment measures. Neurosci Biobehav Rev 2016; 91:21-33. [PMID: 27677830 DOI: 10.1016/j.neubiorev.2016.09.023] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 08/12/2016] [Accepted: 09/23/2016] [Indexed: 12/29/2022]
Abstract
Disruptive Behavior Disorders (DBDs) are stable and impairing disorders, heterogeneous in presentation, developmental pathways, and treatment needs. Disentangling subtypes according to psychopathological dimensions is helpful for timely diagnoses, precise prognoses and tailored interventions. Psychopathic traits are relevant in subtyping DBDs with severe antisocial and aggressive behaviors. Three psychopathy dimensions have been found: 1) an affective dimension, the callous-unemotional (CU) trait, with lack of empathy and remorse, and with short-lived emotions; 2) an interpersonal dimension, the narcissistic domain, with manipulative abilities, superficial charm, egocentricity and grandiosity; 3) a behavioral dimension, the impulsivity or impulsive-irresponsibility, with irresponsibility, proneness to boredom, and novelty seeking. Recently, research suggests that youth with CU traits, similarly to adults with psychopathy, can present a low-anxious "primary" and high-anxious "secondary" variants. Our aim is to critically review the main measures of psychopathic traits, including the three main dimensions (with specific emphasis on CU traits), and the "primary/secondary" distinction, focusing on the assessment in clinical settings. An assessment procedure is proposed, based on previous literature and personal clinical experience.
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Affiliation(s)
- Gabriele Masi
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Calambrone, Pisa, Italy.
| | - Annarita Milone
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Calambrone, Pisa, Italy
| | - Paola Brovedani
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Calambrone, Pisa, Italy
| | - Simone Pisano
- Department of Mental and Physical Health and Preventive Medicine, Child and Adolescent Psychiatry Division, Second University of Naples, Italy
| | - Pietro Muratori
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Calambrone, Pisa, Italy
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Docherty M, Boxer P, Huesmann LR, O'Brien M, Bushman BJ. Exploring Primary and Secondary Variants of Psychopathy in Adolescents in Detention and in the Community. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2016; 45:564-578. [PMID: 25602443 PMCID: PMC7219566 DOI: 10.1080/15374416.2014.979934] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The current study aims to ascertain how different variants of callous-unemotional traits differ in their psychopathology, exposure to aggression and violence, and aggressive and violent behavior. If secondary/distressed variants (high in callous-unemotional traits and high in anxiety) and primary/traditional variants (high in callous-unemotional traits and low in anxiety) differ along these dimensions, it may speak to their different etiologies, treatment needs (e.g., trauma focused), and responsiveness to treatment. The current sample consisted of 799 adolescents from high schools (n = 419) and juvenile detention centers (n = 380). Participants were interviewed regarding their callous-unemotional traits, psychopathology, exposure to aggression and violence, and aggressive and violent behavior. Parents/guardians and teachers/staff members also reported on participants' callous-unemotional traits and aggressive and violent behavior. A model-based cluster analysis indicated that there were four clusters in the data set, based on callous-unemotional traits and anxiety: a nonvariant cluster, a primary/traditional callous-unemotional cluster, a secondary/distressed callous-unemotional cluster, and a "fearful" cluster. Secondary/distressed variants of psychopathy exhibited significantly greater symptoms of depression and psychoticism, more exposure to low level aggression and neighborhood violence, and more aggressive and violent behavior, as compared to the other clusters. Adolescents with callous-unemotional traits might not be a homogeneous group, but rather may differ in attitudes, behaviors, and exposure to risk, therefore differing in their treatment needs and responsiveness.
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Affiliation(s)
| | - Paul Boxer
- b Department of Psychology and School of Criminal Justice , Rutgers University
- c Research Center for Group Dynamics, Institute for Social Research , The University of Michigan
| | - L Rowell Huesmann
- c Research Center for Group Dynamics, Institute for Social Research , The University of Michigan
- d Departments of Psychology and Communication Studies , The University of Michigan
| | - Maureen O'Brien
- e Institute for Social Research , The University of Michigan
| | - Brad J Bushman
- f School of Communication and Department of Psychology , The Ohio State University
- g Department of Communication Science , VU University Amsterdam
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Euler F, Jenkel N, Stadler C, Schmeck K, Fegert JM, Kölch M, Schmid M. Variants of girls and boys with conduct disorder: anxiety symptoms and callous-unemotional traits. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2016; 43:773-85. [PMID: 25349148 DOI: 10.1007/s10802-014-9946-x] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Recent research suggests that among the group of aggressive and antisocial adolescents, there are distinct variants who exhibit different levels of anxiety symptoms and callous-unemotional traits (CU traits). The purpose of the present study was to examine whether such variants are also present in male and female adolescents diagnosed with conduct disorder (CD). We used model-based cluster analysis to disaggregate data of 158 adolescents with CD (109 boys, 49 girls; mean age =15.61 years) living in child welfare and juvenile justice institutions. Three variants were identified: (1) CD only, (2) CD with moderate CU traits and anxiety symptoms, and (3) CD with severe CU traits. Variants differed in external validation measures assessing anger and irritability, externalizing behavior, traumatic experiences, and substance use. The CD variant with moderate CU traits and anxiety symptoms had the most severe pattern of psychopathology. Our results also indicated distinct profiles of personality development for all three variants. Gender-specific comparisons revealed differences between girls and boys with CD on clustering and external validation measures and a gender-specific cluster affiliation. The present results extend previously published findings on variants among aggressive and antisocial adolescents to male and female adolescents diagnosed with CD.
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Affiliation(s)
- Felix Euler
- Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, Wilhelm Klein-Strasse 27, 4012, Basel, Switzerland,
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31
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Frick PJ, Ray JV. Evaluating Callous-Unemotional Traits as a Personality Construct. J Pers 2014; 83:710-22. [DOI: 10.1111/jopy.12114] [Citation(s) in RCA: 82] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Paul J. Frick
- University of New Orleans
- Australian Catholic University
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