Predictive validity of callous–unemotional traits measured in early adolescence with respect to multiple antisocial outcomes.

This study investigated the predictive validity of youth callous–unemotional (CU) traits, as measured in early adolescence (Grade 7) by the Antisocial Process Screening Device (APSD; Frick & Hare, 2001), in a longitudinal sample (N = 754). Antisocial outcomes, assessed in adolescence and early adulthood, included self-reported general delinquency from 7th grade through 2 years post–high school, self-reported serious crimes through 2 years post–high school, juvenile and adult arrest records through 1 year post–high school, and antisocial personality disorder symptoms and diagnosis at 2 years post–high school. CU traits measured in 7th grade were highly predictive of 5 of the 6 antisocial outcomes—general delinquency, juvenile and adult arrests, and early adult antisocial personality disorder criterion count and diagnosis—over and above prior and concurrent conduct problem behavior (i.e., criterion counts of oppositional defiant disorder and conduct disorder) and attention-deficit/hyperactivity disorder (criterion count). Incorporating a CU traits specifier for those with a diagnosis of conduct disorder improved the positive prediction of antisocial outcomes, with a very low false-positive rate. There was minimal evidence of moderation by sex, race, or urban/rural status. Urban/rural status moderated one finding, with being from an urban area associated with stronger relations between CU traits and adult arrests. Findings clearly support the inclusion of CU traits as a specifier for the diagnosis of conduct disorder, at least with respect to predictive validity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ineffective parenting and childhood conduct problems: The moderating role of callous-unemotional traits.

A sample of 6- to 13-year-old clinic-referred (n?=?136) and volunteer (n?=?30) participants was investigated for a potential interaction between the quality of parenting that a child receives and callous–unemotional traits in the child for predicting conduct problems. Ineffective parenting was associated with conduct problems only in children without significant levels of callous (e.g., lack of empathy, manipulativeness) and unemotional (e.g., lack of guilt, emotional constrictedness) traits. In contrast, children high on these traits exhibited a significant number of conduct problems, regardless of the quality of parenting they experiences. Results are interpreted in the context of a model that proposed that callous–unemotional traits designate a group of children with conduct problems who have distinct causal factors involved in the development of their problematic behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differences in offending patterns between adolescent sex offenders high or low in callous—unemotional traits.

In the present study, the authors investigated whether callous and unemotional (CU) traits designated a distinct and important group of adolescent sex offender. A sample of 150 detained adolescents (mean age = 15.89, SD = 1.53) with a current sexual offense disposition was assessed with a self-report measure of CU traits and through extensive assessments of the characteristics of their sexual offending behaviors using self-report interviews and file review. Results indicated that after controlling for the severity of their history of impulsive/antisocial behaviors, offenders high on CU traits had a greater number of sexual offense victims, used more violence with their victims, and engaged in more sexual offense planning than those low on these traits. The 2 groups did not differ greatly on the age of, gender of, or relationship with their victims. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Suicidality as a function of impulsivity, callous–unemotional traits, and depressive symptoms in youth.

Suicidality represents one of the most important areas of risk for adolescents, with both internalizing (e.g., depression, anxiety) and externalizing–antisocial (e.g., substance use, conduct) disorders conferring risk for suicidal ideation and attempts (e.g., Bridge, Goldstein, & Brent, 2006). However, no study has attended to gender differences in relationships between suicidality and different facets of psychopathic tendencies in youth. Further, very little research has focused on disentangling the multiple manifestations of suicide risk in the same study, including behaviors (suicide attempts with intent to die, self-injurious behavior) and general suicide risk marked by suicidal ideation and plans. To better understand these relationships, we recruited 184 adolescents from the community and in treatment. As predicted, psychopathic traits and depressive symptoms in youth showed differential associations with components of suicidality. Specifically, impulsive traits uniquely contributed to suicide attempts and self-injurious behaviors, above the influence of depression. Indeed, once psychopathic tendencies were entered in the model, depressive symptoms only explained general suicide risk marked by ideation or plans but not behaviors. Further, callous–unemotional traits conferred protection from suicide attempts selectively in girls. These findings have important implications for developing integrative models that incorporate differential relationships between (a) depressed mood and (b) personality risk factors (i.e., impulsivity and callous–unemotional traits) for suicidality in youth. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The importance of callous–unemotional traits for extending the concept of psychopathy to children.

This study focused on the use of callous–unemotional (CU) traits to identify a subgroup of children with both attention deficit/hyperactivity disorder (ADHD) and a conduct problem diagnosis (oppositional defiant disorder [ODD] or conduct disorder [CD]) who show characteristics similar to adults with psychopathy. In a clinic-referred sample of children aged 6 to 13 years (N?=?154), those with diagnoses of both ADHD and ODD/CD were divided on the basis of teacher ratings of CU traits. Children high on these traits showed features typically associated with psychopathy, such as a lack of fearfulness and a reward-dominant response style. Furthermore, children with CU traits seemed less distressed by their behavior problems. These findings are consistent with research on adults showing that impulsivity and antisocial behavior alone are insufficient to document persons who fit the construct of psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validation de l'échelle d'évaluation des traits antisociaux.

This study is testing the psychometric properties of the French version of the Antisocial Process Screening Device (APSD, Frick & Hare, 2001). Reliability and validity of the scales (impulsivity/conduct problems, callous/unemotional), as well as the total scale are tested on a sample of 306 children (mean age: 9.9 years) receiving special education services because of behaviour problems. Results indicate psychometric properties consistent with the English version (Frick, O'Brien, Wooton & McBurnett, 1994), as well as some differences. Test-retest reliability, internal consistency, confirmatory factor analysis, and validity (convergent, predictive) are acceptable. Further use of the French version of the APSD is warranted for research purposes but interpretation must remain cautious in the absence of a population based sample used in the validation process. Studies on the factors associated with the precocity and the stability of antisocial traits are recommended. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy and conduct problems in children.

Factor analysis of a measure of psychopathy was conducted in a sample of 95 clinic-referred children between the ages of 6 and 13 yrs. These analyses revealed 2 dimensions of behavior, one associated with impulsivity and conduct problems (I/CP) and one associated with the interpersonal and motivational aspects of psychopathy (callous/unemotional: CU). In a subset of this sample (n?=?64), analyses indicated that scores on the I/CP factor were highly associated with traditional measures of conduct problems. In contrast, scores derived from the CU factor were only moderately associated with measures of conduct problems and exhibited a different pattern of associations on several criteria that have been associated with psychopathy (e.g., sensation seeking) or childhood antisocial behavior (e.g., low intelligence, poor school achievement, and anxiety). These analyses suggest that psychopathic personality features and conduct problems are independent, yet interacting, constructs in children, analogous to findings in the adult literature. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessment of psychopathy as a function of age.

The assessment of psychopathy was examined as a function of age in 889 male prison inmates between the ages of 16 and 69. Ratings of psychopathy were made with the Psychopathy Checklist (PCL), which measures 2 correlated factors. Factor 1 describes a cluster of affective-interpersonal traits central to psychopathy. Factor 2 describes traits and behaviors associated with an unstable, unsocialized lifestyle, or social deviance. Cross-sectional analyses revealed that mean scores on Factor 1 were stable across the age-span; mean scores on Factor 2 declined with age. The prevalence of antisocial personality disorder, and, to a lesser extent of PCL-defined psychopathy, also declined with age. The results are consistent with a conceptualization of psychopathy as encompassing 2 correlated but distinct constructs. They also suggest that age-related differences in traits related to impulsivity, social deviance, and antisocial behavior are not necessarily paralleled by differences in the egocentric, manipulative, and callous traits fundamental to psychopathy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship of attention deficit hyperactivity disorder and conduct disorder to juvenile delinquency: legal implications

Attention deficit/hyperactivity disorder (ADHD) and conduct disorder (CD) are both disorders of childhood and adolescence that all too frequently extend into adulthood. But just what is the relationship between these two disorders? This study explores the overlap between these two disorders as they relate to juvenile delinquency; both are significant risk factors for the development of antisocial behavior. But there is more significance to the presence or absence of ADHD or CD in later antisocial behavior. Higher levels of defiant and/or aggressive behavior lead to antisocial acts as compared with lower levels of defiance and antisocial acts. Boys diagnosed with ADHD have higher felony rates than normal control boys, yet ADHD is not nearly as strong a predictor of offending behavior as is CD in study subjects. The presence of both CD and ADHD contributes to illegal behavior, and it is likely that early intervention in both disorders will reduce the prevalence of antisocial behavior.     

The latent structure of life-course-persistent antisocial behavior: Is Moffitt's developmental taxonomy a true taxonomy?

Objective: The purpose of this study was to determine whether life-course-persistent (LCP) and adolescence-limited (AL) antisocial behavior form distinct categories or lie along a common dimension. Method: Taxometric analyses were performed on 2,175 men and women from the National Longitudinal Survey of Youth–Child Data (Center for Human Resource Research, 2009) with at least 1 self-reported delinquent act. The 3 externalizing factor scales from the parent-rated Behavior Problems Index (Peterson & Zill, 1986)—Antisocial, Headstrong, and Hyperactive—served as indicators in an investigation into the latent structure of LCP and AL antisocial behavior. Results: All 3 taxometric procedures included in this study—mean above minus below a cut, maximum covariance, and latent mode factor analysis—produced results consistent with the conclusion that the latent structure of LCP and AL antisocial behavior is dimensional in nature. Conclusion: From a conceptual standpoint, the results of this study suggest that LCP and AL antisocial behavior differ in degree (quantitative difference) rather than in kind (qualitative difference). These results have potentially important implications for theory development as well as for clinical assessment, diagnosis, and intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Building an evidence base for DSM–5 conceptualizations of oppositional defiant disorder and conduct disorder: Introduction to the special section.

The DSM–5 ADHD and Disruptive Behavior Disorders Work Group recently outlined a research agenda designed to support possible revisions to the diagnostic criteria for oppositional defiant disorder (ODD) and conduct disorder (CD). Some of the areas in need of further investigation include (a) examining the clinical utility of the current diagnostic system in girls, (b) further clarifying the developmental progression from ODD to CD, (c) determining whether facets of ODD symptoms can help explain heterotypic continuity and enhance predictive validity, (d) evaluating the clinical utility of a new subtyping scheme for CD on the basis of the presence of callous–unemotional traits, and (e) comparing the clinical utility of dimensional versus categorical conceptualizations of ODD and CD. This special section was organized in an attempt to provide data on these issues using a diverse array of longitudinal data sets consisting of both epidemiological and clinic-based samples that collectively cover a large developmental span ranging from childhood through early adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

ODD dimensions, ADHD, and callous–unemotional traits as predictors of treatment response in children with disruptive behavior disorders.

To answer several questions pertinent to DSM–V, the authors examined the predictive validity of pretreatment oppositional defiant disorder (ODD) dimensions, attention-deficit/hyperactivity disorder (ADHD), and callous–unemotional (CU) traits in relation to several treatment outcomes in 177 children diagnosed with ODD or conduct disorder (CD). Multiple informants completed diagnostic interviews and rating scales at 6 assessment points (pretreatment to 3-year follow-up) to document emotional and behavioral outcomes. After controlling for pretreatment CD, the ODD dimension of hurtfulness was related to treatment-resistant CD, delinquent behaviors, and externalizing problems. In contrast, the ODD dimension tapping irritability was associated with treatment-resistant ODD, internalizing problems, and global functional impairment following treatment. Whereas pretreatment ADHD was associated with posttreatment ODD and social problems, it was unrelated to posttreatment CD symptoms and diagnosis. Contrary to predictions, CU traits were unrelated to any posttreatment outcomes after controlling for other covariates. These findings remained after controlling for measures of pretreatment global functional impairment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Elevated trajectories of externalizing problems are associated with lower awakening cortisol levels in midadolescence.

A growing body of research suggesting a negative association between basal levels of cortisol and persistent antisocial behavior has emerged. The present study examined relations between awakening cortisol levels and antisocial trajectories from ages 5 to 15 years among individuals in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Antisocial behavior was defined by semiparametric group modeling techniques, which revealed antisocial patterns parallel to Moffitt's (1993) taxonomy of antisocial trajectories. In contrast to the claim that biological diatheses are uniquely characteristic of individuals who demonstrate an early-onset pattern of antisocial behavior, our results suggest that individuals with elevated patterns of antisocial behavior between 5 and 15 years of age—irrespective of the timing of onset or desistance—are more likely to evidence lower awakening cortisol levels compared with individuals with persistently low levels of antisocial behavior. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Impulsive and callous traits are more strongly associated with delinquent behavior in higher risk neighborhoods among boys and girls.

The purpose of the present study was to determine whether the effect of impulsive and callous personality traits on delinquent behavior varied across neighborhood context in a population-based, statewide sample of 85,000 Iowa schoolchildren ages 10-19. Two previous studies examining the association between impulsivity and delinquency across disadvantaged and affluent neighborhoods have yielded contrasting findings. Results of the present study suggested a robust moderating effect of neighborhood context on personality risk for delinquency. The relation between impulsivity and delinquency was greater in neighborhoods low in collective efficacy compared to neighborhoods high in collective efficacy. A similar interaction was found for callous personality traits, indicating the consistency of the moderating effect of neighborhood context on personality risk for delinquency. Gender differences were also examined, and results were replicated in a holdout sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy and violence: The importance of factor level interactions.

The power of scales based on the Psychopathy Checklist (PCL; R. D. Hare, 1980) for prediction of violent behavior is well established. Although evidence suggests that this relationship is chiefly due to the impulsive and antisocial lifestyle component (Factor 2), the predictive power of psychopathy for violence may also reflect the multiplicative effects of this component with interpersonal and unemotional traits (Factor 1). The determination of the extent to which psychopathy subcomponents interact to predict violence has theoretical and practical implications for PCL-assessed psychopathy. However, the relationship between violence and the interactive effects of psychopathy subcomponents remains largely undetermined. The authors used prospective and cross-sectional designs to examine the independent and interactive effects of the factors of PCL-assessed psychopathy in 2 samples: (a) 199 county jail inmates and (b) 863 civil psychiatric patients. The Factor 1 × Factor 2 interaction predicted violence in both samples, such that the predictive power of Factor 2 was attenuated at lower levels of Factor 1. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Immoral actions in otherwise moral individuals: Interrogating the structure and meaning of moral hypocrisy.

Not all forms of deception are alike. Unlike pathological lying or frank antisocial behavior, moral hypocrisy reflects the deceptive pursuit of self-interest in which the individual uniquely violates his or her own moral standards. Four hypotheses relevant to this concept are identified in a critical review of the psychoanalytic literature. These hypotheses are evaluated logically and in light of findings from contemporary research. The author argues that explanations resting on the concepts of superego weakness, impulse strength, and/or narcissism fail to provide an adequate account of the complex intentions betokened by hypocrisy. By contrast, the mechanism of disavowal enjoys strong, broad-based support once it is freed from the narrow confines of perception and reality testing. Rather than a attenuation of reality testing, hypocrisy represents a mode of perception in which contradictory moral imperatives coexist without conflict. Authentic engagement and empathy with patients is facilitated by a nonjudgmental appreciation of the human capacity for moral disengagement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychopathy, antisocial personality, and suicide risk.

H. Cleckley (1976) maintained that psychopaths are relatively immune to suicide, but substantial evidence exists for a relationship between antisocial deviance and suicidal acts. This study was the first to explicitly examine suicidal history among psychopathic individuals as defined by R. D. Hare's (1991) Psychopathy Checklist—Revised (PCL—R). Male prison inmates (N?=?313) were assessed using the PCL—R and DSM-III R and DSM-IV criteria (American Psychiatric Association, 1987, 1994) for antisocial personality disorder (APD), and they completed A. Tellegen's (1982) Multidimensional Personality Questionnaire (MPQ). Presence or absence of prior suicide attempts was coded from structured interview and prison file records. Suicide history was significantly related to PCL—R Factor 2 (which reflects chronic antisocial deviance) and to APD diagnosis but was unrelated to PCL-R Factor 1, which encompasses affective and interpersonal features of psychopathy. Higher order MPQ dimensions of Negative Emotionality and low Constraint were found to account for the relationship between history of suicidal attempts and antisocial deviance, indicating that temperament traits may represent a common vulnerability for both. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Tuning in to psychological change: Linguistic markers of psychological traits and emotions over time in popular U.S. song lyrics.

American culture is filled with cultural products. Yet few studies have investigated how changes in cultural products correspond to changes in psychological traits and emotions. The current research fills this gap by testing the hypothesis that one cultural product—word use in popular song lyrics—changes over time in harmony with cultural changes in individualistic traits. Linguistic analyses of the most popular songs from 1980–2007 demonstrated changes in word use that mirror psychological change. Over time, use of words related to self-focus and antisocial behavior increased, whereas words related to other-focus, social interactions, and positive emotion decreased. These findings offer novel evidence regarding the need to investigate how changes in the tangible artifacts of the sociocultural environment can provide a window into understanding cultural changes in psychological processes. (PsycINFO Database Record (c) 2011 APA, all rights reserved)