The P-psychopathy continuum: Facets of Psychoticism and their associations with psychopathic tendencies

Eysenck proposed that psychopathy is at the extreme end of the Psychoticism (P) personality dimension (Eysenck & Eysenck, 1976). This study examined (i) whether psychopathy-relevant P items of the EPQ-R can form psychometrically valid facets that map onto the conceptualization of the two-, three- or four-factor models of psychopathy using confirmatory factor analysis (N = 577) in a normal population; and (ii) whether those P-facets have criteria-related validity in associations with self-reported primary and secondary psychopathy, impulsivity (subsample N = 306), and measures of trait empathy and aggression (subsample N = 212). The four-factor model incorporating affective, interpersonal, impulsive, and antisocial facets of P was superior to the two-factor model; however, the three-factor conceptualization excluding the antisocial P-facet was the best fit. The facets show predicted divergent associations with primary and secondary self-reported psychopathy and trait measures. Findings are discussed in light of Eysenck’s P-psychopathy continuity hypothesis and the applicability of facet approaches to the prediction of psychopathic and antisocial tendencies.     

The evolutionary role of self-deceptive enhancement as a protective factor against antisocial cognitions

This study investigates the relationship between self-deception and variables associated with antisociality in the general population (i.e., mating effort, antisocial thinking, psychopathy, and personality), seeking to provide an evolutionary explanation for how self-deception might influence antisocial thinking. The Mating Effort Scale (MES); an adjusted version of the Psychological Inventory of Criminal Thinking Styles (PICTS); the Levenson Self-Report Psychopathy Scale (LSRP); the NEO-Five Factor Inventory-Revised (NEO-FFI-R), and the Paulhus Deception Scales (PDS) were administered to 95 participants (33 males, 62 females, mean age = 36.4 years). Self-deceptive enhancement correlated significantly and negatively with Neuroticism (r = −.30, p < 0.01), and positively with Openness (r = .27, p < 0.05) and Conscientiousness (r = .43, p < 0.01). Mating effort related primarily to the PICTS and self-reported psychopathy. Factor analysis of the scales produced two underlying components; ‘careless non-cooperation’ (defined by impulsive antisociality) and ‘careful cooperation’ (reflecting dutifulness, emotional stability, and social desirability). Our results suggest self-deceptive enhancement may be a protective factor against antisocial thinking and behaviour, and that this is impeded by high neuroticism and impulsive thinking.     

Psychopathy in a forensic sample – the factor structure of the PCL:SV in a Danish forensic sample

The research literature reveals an ongoing debate regarding the most appropriate conceptualization of psychopathic personality disorder. Specifically, it is discussed to what degree antisocial behavior is part of the conceptualization of the psychopathy construct and what constitutes the best factor model of the Psychopathy Checklist scales. The aim of the present study is to consider the underlying factor structure of the PCL:SV (Psychopathy Checklist Screening Version) in a Danish sample as well as considering the role of antisocial behavior in the psychopathy construct. Data from a Danish forensic patient sample (N = 225) was used and item response theory (IRT), aonfirmatory factor analyses (CFA) and structural equations model (SEM) analyses were carried out. Overall, the findings suggest appropriate item and model fit for the PCL:SV as well as superiority of the three‐factor model over the four‐factor model. The results are discussed in relation to the broader concept of personality disorder as well as clinical practice in regards to violence risk assessments and treatment of psychopathy.     

Relating Callous-Unemotional Traits to Physically Restrictive Treatment Measures Among Child Psychiatric Inpatients

We examined the association of callous-unemotional (C/U) traits with the rates of seclusion and restraint among a sample of child psychiatric inpatients (N = 101). Analyses focused on the incremental value of C/U traits as a predictor over and above the influence of other risk factors for physically restrictive treatment measures found in previous research, including gender, age, verbal intelligence, ethnicity, the diagnosis of a conduct disorder or an oppositional defiant disorder, maltreatment history, and the other dimensions of psychopathy (i.e., narcissism and impulsivity). Results of hierarchical multiple regressions indicated that younger age and C/U traits predicted seclusion rates, whereas only C/U traits predicted restraint rates. The discussion of these findings focuses on the necessity of developing effective intervention programs for inpatient children with prominent C/U traits, to help forestall the physically dangerous behavior that necessitates a seclusion or restraint.     

Resistance and outcome expectations in cognitive‐behavioural therapy for generalised anxiety disorder

Greater client resistance has been consistently found to be negatively associated with outcome in psychotherapy. However, the pathways through which resistance impacts such outcomes are underexplored. Given that client outcome expectation (OE) has been identified as an important common factor in psychotherapy, the goals of the present study were to examine: (a) the impact of resistance on subsequent client and therapist OE (COE & TOE, respectively); and (b) whether COE and/or TOE mediate the relationship between resistance and outcome. These relationships were tested among 44 clients with severe generalised anxiety disorder treated with cognitive‐behavioural therapy in the context of a randomised controlled trial (Westra, Constantino, & Antony, 2016). Resistance was measured at a mid‐treatment session, and COE and TOE were assessed at baseline and immediately after the resistance session. Treatment outcome was measured via client‐rated worry severity at post‐treatment. As predicted, higher resistance was associated with lower subsequent COE and TOE; B = ?.73, p < .001 and B = ?.46, p < .001, respectively. In turn, lower post‐resistance COE predicted higher post‐treatment worry (B = ?.5, p < .001), indicating mediation. In contrast, TOE did not mediate the relationship between resistance and outcome (B = ?.02, p = .876). These results suggest that resistance can be demoralising to both clients and therapists. However, only lower client morale may be detrimental to therapy outcome. This study contributes to understanding outcome pathways through two common therapy processes.     

The physical postures of yoga practices may protect against depressive symptoms,even as life stressors increase: a moderation analysis

Yoga contains sub-components related to its physical postures (asana), breathing methods (pranayama), and meditation (dhyana). To test the hypothesis that specific yoga practices are associated with reduced psychological distress, 186 adults completed questionnaires assessing life stressors, symptom severity, and experience with each of these aspects of yoga. Each yoga sub-component was found to be negatively correlated with psychological distress indices. However, differing patterns of relationship to psychological distress symptoms were found for each yoga sub-component. Experience with asana was negatively correlated with global psychological distress (r = ?.21, p < .01), and symptoms of anxiety (r = ?.18, p = .01) and depression (r = ?.17, p = .02). These relationships remained statistically significant after accounting for variance attributable to Social Readjustment Rating Scale scores (GSI: r = ?.19, p = .01; BSI Anxiety: r = ?.16, p = .04; BSI Depression: r = ?.14, p = .05). By contrast, the correlations between other yoga sub-components and symptom subscales became non-significant after accounting for exposure to life stressors. Moreover, stressful life events moderated the predictive relationship between amount of asana experience and depressive symptoms. Asana was not related to depressive symptoms at low levels of life stressors, but became associated at mean (t[182] = ?2.73, p < .01) and high levels (t[182] = ?3.56, p < .001). Findings suggest asana may possess depressive symptom reduction benefits, particularly as life stressors increase. Additional research is needed to differentiate whether asana has an effect on psychological distress, and to better understand potential psychophysiological mechanisms of action.     

The evolutionary role of self-deceptive enhancement as a protective factor against antisocial cognitions

This study investigates the relationship between self-deception and variables associated with antisociality in the general population (i.e., mating effort, antisocial thinking, psychopathy, and personality), seeking to provide an evolutionary explanation for how self-deception might influence antisocial thinking. The Mating Effort Scale (MES); an adjusted version of the Psychological Inventory of Criminal Thinking Styles (PICTS); the Levenson Self-Report Psychopathy Scale (LSRP); the NEO-Five Factor Inventory-Revised (NEO-FFI-R), and the Paulhus Deception Scales (PDS) were administered to 95 participants (33 males, 62 females, mean age = 36.4 years). Self-deceptive enhancement correlated significantly and negatively with Neuroticism (r = −.30, p < 0.01), and positively with Openness (r = .27, p < 0.05) and Conscientiousness (r = .43, p < 0.01). Mating effort related primarily to the PICTS and self-reported psychopathy. Factor analysis of the scales produced two underlying components; ‘careless non-cooperation’ (defined by impulsive antisociality) and ‘careful cooperation’ (reflecting dutifulness, emotional stability, and social desirability). Our results suggest self-deceptive enhancement may be a protective factor against antisocial thinking and behaviour, and that this is impeded by high neuroticism and impulsive thinking.     

Increased forefoot loading is associated with an increased plantar flexion moment

The aim of this study was to identify the cascade of effects leading from alterations in force generation around the ankle joint to increased plantar pressures under the forefoot. Gait analysis including plantar pressure measurement was performed at an individually preferred and a standardized, imposed gait velocity in diabetic subjects with polyneuropathy (n = 94), without polyneuropathy (n = 39) and healthy elderly (n = 19). The plantar flexion moment at 40% of the stance phase was negatively correlated with the displacement rate of center of pressure (r = ?.749, p < .001 at the imposed, and r = ?.693, p < .001 at the preferred gait velocity). Displacement rate of center of pressure was strongly correlated with forefoot loading (r = ?.837, p < .001 at the imposed, and r = ?.731, p < .001 at the preferred gait velocity). People with a relatively high plantar flexion moment at 40% of the stance phase, have a faster forward transfer of center of pressure and consequently higher loading of the forefoot. This indicates that interventions aimed at increasing the control of the roll-off of the foot may contribute to a better plantar pressure distribution.     

Acute Stress,Depression, and Anxiety Symptoms Among English and Spanish Speaking Children with Recent Trauma Exposure

A growing literature suggests the clinical importance of acute stress disorder symptoms in youth following potentially traumatic events. A multisite sample of English and Spanish speaking children and adolescents (N = 479) between the ages of 8–17, along with their caregivers completed interviews and self-report questionnaires between 2 days and 1 month following the event. The results indicate that children with greater total acute stress symptoms reported greater depressive (r = .41, p < .01) and anxiety symptoms (r = .53, p < .01). Examining specific acute stress subscales, reexperiencing was correlated with anxiety (r = .47, p < .01) and arousal was correlated with depression (r = .50, p < .01) and anxiety (r = .55, p < .01). Age was inversely associated with total acute stress symptoms (r = ?.24, p < .01), reexperiencing (r = ?.17, p < .01), avoidance (r = ?.27, p < .01), and arousal (r = ?.19, p < .01) and gender was related to total anxiety symptoms (Spearman’s ρ = .17, p < .01). The current study supports the importance of screening acute stress symptoms and other mental health outcomes following a potentially traumatic event in children and adolescents. Early screening may enable clinicians to identify and acutely intervene to support children’s psychological and physical recovery.     

Personality, intelligence and proof-reading

Two studies sought to determine personality and cognitive ability correlates of proof-reading. In both studies candidates were given 5 min to identify up to 55 errors in a 920 word, two page document. In Study 1, which tested 240 school children, fluid intelligence (as measured by the Baddeley Reasoning Test) was the highest correlate of proof-reading (r = .30). Eleven percent of the variance in total attempted scores was accounted for by intelligence, Introversion and low Conscientiousness. In the second study 70 undergraduates completed the same proof-reading test along with two intelligence tests (Baddeley Reasoning Test; Wonderlic Personnel Test) and a more robust personality measure (NEO-FFI). Proof-reading was correlated with both intelligence tests (Baddeley r = .45; Wonderlic r = .40). More of the variance was accounted for in the total attempted-score of errors than for a correct errors-detected score. When the two intelligence and five personality trait scores were regressed on to the proof-reading test score over a quarter of the variance (Adj R² = .28) was accounted for, but only the Baddeley test was a significant predictor (Beta = .39).     

Validation of the AMBIANCE-brief: An observational screening instrument for disrupted caregiving

Resulting from a community-identified need for a well-validated indicator of caregiving difficulties for use in practice settings, a brief form of the Atypical Maternal Behavior Instrument for Assessment and Classification System (AMBIANCE) was developed for use as a screening instrument. Prior to its dissemination, this study aimed to assess the feasibility, reliability, and validity of the AMBIANCE-Brief. Adolescent mother–infant dyads (N = 69) participated in the Strange Situation Procedure, as well as play sessions with and without toys. Maternal disrupted caregiving was coded from the play sessions using the AMBIANCE and AMBIANCE-Brief. The AMBIANCE-Brief demonstrated convergent validity with the AMBIANCE in the play session with toys (r = .65, p < .001) and without toys (r = .61, p < .001). Concurrent validity of the AMBIANCE-Brief was also demonstrated in relation to infant attachment disorganization in the play session with toys (r = .36, p < .05) and without toys (r = .32, p < .01). These findings suggest a shorter protocol for assessing disrupted caregiving may be feasible and valid for use in community settings. Future studies are in progress to train community practitioners in the use of the AMBIANCE-Brief and to evaluate their reliability.     

Intelligence and semen quality are positively correlated

Human cognitive abilities inter-correlate to form a positive matrix, from which a large first factor, called ‘Spearman's g’ or general intelligence, can be extracted. General intelligence itself is correlated with many important health outcomes including cardio-vascular function and longevity. However, the important evolutionary question of whether intelligence is a fitness-related trait has not been tested directly, let alone answered. If the correlations among cognitive abilities are part of a larger matrix of positive associations among fitness-related traits, then intelligence ought to correlate with seemingly unrelated traits that affect fitness—such as semen quality. We found significant positive correlations between intelligence and 3 key indices of semen quality: log sperm concentration (r = .15, p = .002), log sperm count (r = .19, p < .001), and sperm motility (r = .14, p = .002) in a large sample of US Army Veterans. None was mediated by age, body mass index, days of sexual abstinence, service in Vietnam, or use of alcohol, tobacco, marijuana, or hard drugs. These results suggest that a phenotype-wide fitness factor may contribute to the association between intelligence and health. Clarifying whether a fitness factor exists is important theoretically for understanding the genomic architecture of fitness-related traits, and practically for understanding patterns of human physical and psychological health.     

Secondary psychopathy,but not primary psychopathy,is associated with risky decision-making in noninstitutionalized young adults

Although risky decision-making has been posited to contribute to the maladaptive behavior of individuals with psychopathic tendencies, the performance of psychopathic groups on a common task of risky decision-making, the Iowa Gambling Task (IGT; Bechara, Damasio, Damasio, & Anderson, 1994), has been equivocal. Different aspects of psychopathy (personality traits, antisocial deviance) and/or moderating variables may help to explain these inconsistent findings. In a sample of college students (N = 129, age 18–27), we examined the relationship between primary and secondary psychopathic features and IGT performance. A measure of impulsivity was included to investigate its potential as a moderator. In a joint model including main effects and interactions between primary psychopathy, secondary psychopathy and impulsivity, only secondary psychopathy was significantly related to risky IGT performance, and this effect was not moderated by the other variables. This finding supports the growing literature suggesting that secondary psychopathy is a better predictor of decision-making problems than the primary psychopathic personality traits of lack of empathy and remorselessness.     

Menopausal Symptoms: Is Spirituality Associated with the Severity of Symptoms?

The aim of this study was to explore whether spirituality was associated with menopausal symptoms. Menopausal symptoms, spirituality, health and menopausal status, and socio-demographic variables were assessed in a community sample of 710 peri- and postmenopausal women. A structural model was explored using structural equation modeling. The results evidence spirituality as a significant contributor regarding the severity of most menopausal symptoms. Among others, spirituality had a significant weight in depressive mood (β = ?.414; p < .001), anxiety (β = ?.308; p < .001), cognitive impairment (β = ?.287; p < .001), aches/pain (β = ?.148; p < .001), vasomotor (β = ?.125; p = .005) and sexual symptoms (β = ?.211; p < .001). Some socio-demographic variables, as well as perceived health, also predicted the menopausal symptoms’ severity. Therefore, spirituality can have a positive impact on the menopausal symptoms’ reporting.     

Investigating the Components of Psychopathic Traits in Youth Offenders

Despite widespread acceptance of the importance of psychopathic traits in youth, the relative importance of different components of psychopathy remains controversial. This study was conducted to examine whether the interpersonal and lifestyle facets of psychopathy as measured with a valid clinical measure of psychopathic traits contribute to predicting relevant external criteria on top of the contributions of the affective facet. To address this issue, we conducted multiple regressions predicting antisocial behavior, exposure to violence, and psychopathology in a sample of 225 incarcerated adolescents. Results indicated that ratings on the affective component of psychopathy were important in helping to explain variance in many of the external criterion variables but that ratings on the interpersonal and lifestyle facets also helped to explain unique variance in a range of criteria including violent and non-violent crime, exposure to violence, impulsivity, and anger expression. These studies suggest that multiple components of psychopathy are likely to be important both in predicting real world outcomes and in understanding mechanisms involved in the development and manifestation of these traits.     

Differential Associations Between Psychopathy Dimensions,Types of Aggression,and Response Inhibition

Findings on executive functioning in psychopathy are inconsistent. Different associations between psychopathy dimensions and executive functioning might explain contradicting findings. This study examined the role of psychopathy dimensions and types of aggression in response inhibition among 117 male adolescents (53 antisocial delinquents and 64 controls). Participants completed a self‐report measure of aggression and a GoNoGo task. Psychopathy dimensions were assessed using the Psychopathy Checklist: Youth Version. Although high scores on the antisocial dimension and reactive aggression were associated with poor response inhibition, the affective–interpersonal dimension, proactive aggression, and verbal intelligence (IQ) were related to better response inhibition (two‐factor model). Associations with the affective–interpersonal dimensions did not reach significance. Exploratory analyses showed that affective and antisocial facets accounted for the obtained opposing associations of the affective–interpersonal and antisocial psychopathy dimensions with response inhibition. The interpersonal and lifestyle facets (four‐facet model) were unrelated to response inhibition. Results could not be explained by Attention Deficit Hyperactivity Disorder (ADHD). Findings suggest differential associations between the psychopathy dimensions, types of aggression, and response inhibition. Therefore, a dimensional approach to psychopathy and related concepts, such as aggression, might strongly improve diagnostic procedures. Global scores could mask important differential associations. Aggr. Behav. 38:77‐88, 2012. © 2011 Wiley Periodicals, Inc.     

Mindfulness facets,trait emotional intelligence,emotional distress,and multiple health behaviors: A serial two‐mediator model

In the present study, we tested a serial mindfulness facets‐trait emotional intelligence (TEI)‐emotional distress‐multiple health behaviors mediation model in a sample of N = 427 German‐speaking occupational therapists. The mindfulness facets‐TEI‐emotional distress section of the mediation model revealed partial mediation for the mindfulness facets Act with awareness (Act/Aware) and Accept without judgment (Accept); inconsistent mediation was found for the Describe facet. The serial two‐mediator model included three mediational pathways that may link each of the four mindfulness facets with multiple health behaviors. Eight out of 12 indirect effects reached significance and fully mediated the links between Act/Aware and Describe to multiple health behaviors; partial mediation was found for Accept. The mindfulness facet Observe was most relevant for multiple health behaviors, but its relation was not amenable to mediation. Implications of the findings will be discussed.     

Mental Disorders,Comorbidity, and Pre‐enlistment Suicidal Behavior Among New Soldiers in the U.S. Army: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS)

We examined the associations between mental disorders and suicidal behavior (ideation, plans, and attempts) among new soldiers using data from the New Soldier Study (NSS) component of the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS; N = 38,507). Most new soldiers with a pre‐enlistment history of suicide attempt reported a prior mental disorder (59.0%). Each disorder examined was associated with increased odds of suicidal behavior (ORs = 2.6–8.6). Only PTSD and disorders characterized by irritability and impulsive/aggressive behavior (i.e., bipolar disorder, conduct disorder, oppositional defiant disorder, and attention‐deficit/hyperactivity disorder) predicted unplanned attempts among ideators. Mental disorders are important predictors of pre‐enlistment suicidal behavior among new soldiers and should figure prominently in suicide screening and prevention efforts.     

A moderate financial incentive can increase effort,but not intelligence test performance in adult volunteers

A positive correlation between self-reported test-taking motivation and intelligence test performance has been reported. Additionally, some financial incentive experimental evidence suggests that intelligence test performance can be improved, based on the provision of financial incentives. However, only a small percentage of the experimental research has been conducted with adults. Furthermore, virtually none of the intelligence experimental research has measured the impact of financial incentives on test-taking motivation. Consequently, we conducted an experiment with 99 adult volunteers who completed a battery of intelligence tests under two conditions: no financial incentive and financial incentive (counterbalanced). We also measured self-reported test-taking importance and effort at time 1 and time 2. The financial incentive was observed to impact test-taking effort statistically significantly. By contrast, no statistically significant effects were observed for the intelligence test performance scores. Finally, the intelligence test scores were found to correlate positively with both test-taking importance (r_c = .28) and effort (r_c = .37), although only effort correlated uniquely with intelligence (partial r_c = .26). In conjunction with other empirical research, it is concluded that a financial incentive can increase test-taking effort. However, the potential effects on intelligence test performance in adult volunteers seem limited.     

Positive affectivity predicts successful and unsuccessful adaptation to stress

This study examined adaptation to work stress among public school teachers (n = 267). Regression analyses tested whether positive affect predicted successful and unsuccessful adaptation to stress (viz., resilience and burnout, respectively) after controlling for demographic characteristics and work stress. Positive affect was largely correlated with resilience (r = .65, p < .001) and burnout (r = ?.57, p < .001). The regression of resilience showed that positive affect had a direct effect (β = .66, p < .001) and the total model explained 44 % of the variance (R ² Change = 37 %). In the regression of burnout, positive affect also had a direct effect (β = ?.41, p < .001) and the total model explained 52 % of the variance (R ² Change = 14 %). Further analyses found no significant interaction between work stress and positive affect, but revealed that positive affect completely mediated the effect of work stress on resilience. Results provide support for the broaden-and-build theory of positive emotions, particularly the theory’s building and undoing effects.