Callous-unemotional traits and conduct problems in the prediction of conduct problem severity,aggression, and self-report of delinquency

The role of callous-unemotional (CU) traits and conduct problems in predicting conduct problem severity, severity and type of aggression, and self-reported delinquency at a 1-year follow-up was investigated in a sample of 98 children (mean age 12.43; SD = 1.72) recruited from a community-wide screening. Children with both CU traits and conduct problems had a greater number and variety of conduct problems at follow-up than children who at the screening had high levels of conduct problems alone. However, this poorer outcome for children with CU traits could largely be accounted for by differences in initial level of conduct problem severity. Children with CU traits and conduct problems were also at risk for showing higher levels of aggression, especially proactive aggression, and self-reported delinquency. Importantly, these outcomes could not be solely explained by initial level of conduct problem severity. Finally, CU traits predicted self-reported delinquency in some children who did not initially show high levels of conduct problems and this predictive relationship seemed to be strongest for girls in the sample who were high on CU traits but who did not show significant conduct problems.     

Gender Differences in Psychopathic Traits,Types, and Correlates of Aggression Among Adjudicated Youth

The current study investigated gender differences in types and correlates of aggression among 150 adjudicated youth (M age = 15.2, SD = 1.4). In cluster analysis, consistent with past studies, one aggressive group characterized by moderate levels of reactive aggression and one characterized by high levels of proactive and reactive aggression emerged and these patterns were consistent across gender. For both boys and girls, the combined proactive/reactive aggression cluster showed the greatest levels of aggression, impulsivity, and callous-unemotional traits, supporting a severity over a typology model of proactive and reactive aggression. Girls displayed significantly higher rates of physical and relational aggression than boys. Girls were highly aggressive toward both girls and boys, whereas boys were highly aggressive only toward other boys. Girls also showed multiple indications of severity and emotionality, indexed by higher rates of negative affect, anxiety, distress about social provocations, and empathy.     

Hypothalamic Pituitary Adrenal Axis Functioning in Reactive and Proactive Aggression in Children

The purpose of this study was to examine the association between hypothalamic-pituitary-adrenal axis (HPA-axis) reactivity and proactive and reactive aggression in pre-pubertal children. After a 30-min controlled base line period, 73 7-year-old children (40 males and 33 females) were randomly assigned to one of two experimental tasks designed to elicit fear (N = 33) or frustration (N = 32), or a validity check condition (N = 8). This was followed by a 60-min controlled regulation phase. A total of 17 saliva samples for cortisol analysis were collected including 12 post-stress samples at 5-min intervals. Reactive and proactive aggression levels were assessed via the teacher-completed Aggression Behavior Teacher Checklist (Dodge and Coie, J Pers Soc Psychol, 53(6), 1146–1158, 1987). Reactive aggression significantly predicted total and peak post-stress cortisol regardless of stress modality. Proactive aggression was not a predictor of any cortisol index. Examination of pure reactive, proactive, combined, or non-aggressive children indicated that reactive aggressive children had higher cortisol reactivity than proactive and non-aggressive children. Our data suggest that while an overactive HPA-axis response to stress is associated with reactive aggression, stress induced HPA-axis variability does not seem to be related to proactive aggression.     

Proactive and Reactive Aggression and Physical Activity

The current study examined relations between physical activity and proactive and reactive aggression. Additionally, physical activity was examined as a potential moderator of the associations between these subtypes of aggression and peer delinquency. Relations were examined in a community recruited sample of 89 children (56% male, 74% Caucasian) ranging from 9 to 12 years of age (M = 10.44, SD = 1.14). As expected, physical activity was negatively related to proactive aggression and unrelated to reactive aggression. Moreover, physical activity moderated the relation between proactive aggression and peer delinquency, such that at high levels of physical activity, proactive aggression was unrelated to peer delinquency but at low levels of physical activity, proactive aggression was positively associated with peer delinquency. Thus, physical activity may be an important factor to consider when understanding the link between aggression and other problem behavior, as physical activity appears to impact the link between proactive aggression and delinquent peer affiliations.     

Callous-Unemotional Traits Only Versus the Multidimensional Psychopathy Construct as Predictors of Various Antisocial Outcomes During Early Adolescence

The aim of this study was to compare callous-unemotional (CU) traits versus the multidimensional psychopathy construct in their ability to predict future and stable antisocial behavior. At baseline, a community sample of 996 Cypriot 12-year old adolescents (52% girls) completed measures that tap conduct problems (CP) and psychopathic traits, including CU. CP, aggression, and substance use were self-reported at 1–3 year follow-ups. Youths were assigned to six mutually exclusive groups based on their baseline levels of CP and psychopathic traits. Youth with CP scoring high on all three psychopathic traits dimensions (Psychopathic Personality?+?CP) showed the most robust and highest risk for future and stable CP, aggression, and substance use, followed by youth who were high on all three psychopathic traits dimensions but displayed no concurrent CP (Psychopathic Personality Only) and CP youth with low levels of psychopathic traits (CP Only). Youth with CP who merely manifested callous-unemotional traits (Callous-Unemotional?+?CP) were only at risk for future CP. The findings suggest that the CU traits-based approach for subtyping children with CP is less informative compared to a subtyping approach using various psychopathic traits dimensions in predicting future and stable forms of various antisocial outcomes. These findings and their consistency with prior work indicate the need for additional research to examine the various psychopathic traits dimensions rather than focusing solely on CU traits, especially for CP subtyping purposes.     

Differential Genetic and Environmental Influences on Reactive and Proactive Aggression in Children

While significant heritability for childhood aggression has been claimed, it is not known whether there are differential genetic and environmental contributions to proactive and reactive forms of aggression in children. This study quantifies genetic and environmental contributions to these two forms of aggression in an ethnically diverse urban sample of 9–10 year old twins (N = 1219), and compares results across different informants (child self-report, mother, and teacher ratings) using the Reactive–Proactive Aggression Questionnaire (RPQ). Confirmatory factor analysis of RPQ items indicated a significant and strong fit for a two-factor proactive–reactive model which was significantly superior to a one-factor model and which replicated across gender as well as the three informant sources. Males scored significantly higher than females on both self-report reactive and proactive aggression, findings that replicated on mother and teacher versions of the RPQ. Asian–Americans scored lower than most ethnic groups on reactive aggression yet were equivalent to Caucasians on proactive aggression. African–Americans scored higher than other ethnic groups on all measures of aggression except caregiver reports. Heritable influences were found for both forms of aggression across informants, but while boys’ self-reports revealed genetic influences on proactive (50%) and reactive (38%) aggression, shared and non-shared environmental influences almost entirely accounted for girls’ self-report reactive and proactive aggression. Although genetic correlations between reactive and proactive aggression were significant across informants, there was evidence that the genetic correlation was less than unity in boys self reported aggression, indicating that genetic factors differ for proactive and reactive aggression. These findings provide the first evidence for varying genetic and environmental etiologies for reactive and proactive aggression across gender, and provide additional support for distinction between these two forms of aggression.     

Patterns of Physical and Relational Aggression in a School-Based Sample of Boys and Girls

The current study investigated the patterns of aggressive behavior displayed in a sample of 282 students in the 4th through 7th grades (M age = 11.28; SD = 1.82). Using cluster analyses, two distinct patterns of physical aggression emerged for both boys and girls with one aggressive cluster showing mild levels of reactive aggression and one group showing high levels of both reactive and proactive aggression. Both aggressive clusters showed problems with anger dysregulation, impulsivity, thrill and adventure seeking, positive outcome expectancies for aggression, and higher rates of bullying. However, the combined cluster was most severe on all of these variables and only the combined aggressive group differed from non-aggressive students on their level of callous-unemotional traits. Similar patterns of findings emerged for relational aggression but only for girls.     

New Directions in Measuring Reactive and Proactive Aggression: Validation of a Teacher Questionnaire

The well-known distinction between reactive and proactive aggression is theoretically important but empirically controversial. Recently, aggression researchers have argued that we should separate the form and function of aggression to make a clearer distinction between reactive and proactive aggression. This article describes the validation of a new teacher-report Instrument for Reactive and Proactive Aggression (IRPA) that assesses the form separate from the function of aggression. We demonstrated good discriminant, convergent, and construct validity of the IRPA in a sample of 427 children aged 10 to 13. Reactive and proactive functions of aggression were independent constructs (r = 0.03) which indicates excellent discriminant validity. Convergent validity was satisfactory; scores from the IRPA were moderately to highly related to scores from the widely used Teacher Rating Instrument, TRI (Dodge and Coie in Journal of Personality and Social Psychology 53:1146–1158, 1987). Additionally, reactive and proactive aggression showed unique correlations with most a priori hypothesized theoretically relevant variables, which indicates construct validity. (150 words)     

Longitudinal Investigation of the Link Between Proactive and Reactive Aggression and Disciplinary Actions in an After-School Care Program

The current study longitudinally investigated relations between proactive (goal-oriented, calculated) and reactive (response to perceived threat) aggression and disciplinary actions in an after-school care program in a sample of 147 school-age children (Mean age = 8.22 years; 54.4% male). In addition, perceived best friend delinquency was examined as a moderator of the relations between proactive and reactive aggression and disciplinary actions. As expected, high levels of proactive aggression were associated with high levels of disciplinary actions. Reactive aggression, in contrast, was negatively associated with disciplinary actions 2-months later. Finally, perceived best friend delinquency moderated the association between proactive, but not reactive, aggression and disciplinary actions. However, this interaction effect was only marginally statistically significant (p = .06). Implications for findings and future directions are discussed.     

The importance of narcissism in predicting proactive and reactive aggression in moderately to highly aggressive children

The present study examined the importance of psychopathy-linked narcissism in predicting proactive and reactive aggression and conduct problems in a group of 160 moderately to highly aggressive children (mean age of 10 years, 9 months). Children's self-report of self-esteem and parent and teacher report of dimensions of psychopathy [narcissism, callous-unemotional (CU) traits, and impulsivity], proactive and reactive aggression, and conduct problems were collected. Composites of parent and teacher ratings of children's behavior were used. Consistent with the study's hypotheses, narcissism predicted unique variance in both proactive and reactive aggression, even when controlling for other dimensions of psychopathy, demographic variables associated with narcissism, and the alternative subtype of aggression. As hypothesized, impulsivity was significantly associated with only reactive aggression. CU traits were not related to proactive or reactive aggression once the control variables were entered. All dimensions of psychopathy predicted unique variance in conduct problems. Consistent with prediction, narcissism was not significantly related to general self-esteem, providing support that narcissism and self-esteem are different constructs. Furthermore, narcissism and self-esteem related differentially to proactive aggression, reactive aggression, and conduct problems. Furthermore, narcissism but not self-esteem accounted for unique variance in aggression and conduct problems. The importance of narcissism in the prediction of aggressive behaviors and clinical implications are discussed.     

Developmental Pathways to Conduct Problems: A Further Test of the Childhood and Adolescent-Onset Distinction

This study tested several theoretically important differences between youth with a childhood-onset and youth with an adolescent-onset to their severe conduct problems. Seventy-eight pre-adjudicated adolescent boys (ranging in age from 11 to 18) housed in two short-term detention facilities and one outpatient program for youth at risk for involvement in the juvenile justice system participated in the current study. The sample was divided into those with a childhood-onset to their serious conduct problem behavior (n = 47) and those with an adolescent-onset (n = 31). The childhood-onset group showed greater levels of dysfunctional parenting, callous–unemotional traits, and affiliation with delinquent peers. The only variable more strongly associated with the adolescent-onset group was lower scores on a measure of traditionalism.     

Attachment-Related Mentalization Moderates the Relationship Between Psychopathic Traits and Proactive Aggression in Adolescence

The lack of affective responsiveness to others’ mental states – one of the hallmarks of psychopathy – is thought to give rise to increased interpersonal aggression. Recent models of psychopathy highlight deficits in attachment security that may, in turn, impede the development of relating to others in terms of mental states (mentalization). Here, we aimed to assess whether mentalization linked to attachment relationships may serve as a moderator for the relationship between interpersonal aggression and psychopathic traits in an adolescent community sample. Data from 104 males and females with a mean age of 16.4 years were collected on mentalization capacities using the Reflective Functioning Scale on the Adult Attachment Interview (AAI). Psychopathic traits and aggressive behavior were measured via self-report. Deficits in mentalization were significantly associated with both psychopathic traits and proactive aggression. As predicted, mentalization played a moderating role, such that individuals with increased psychopathic tendencies did not display increased proactive aggression when they had higher mentalizing capacities. Effects of mentalization on reactive aggression were fully accounted for by its shared variance with proactive aggression. Psychopathic traits alone only partially explain aggression in adolescence. Mentalization may serve as a protective factor to prevent the emergence of proactive aggression in spite of psychopathic traits and may provide a crucial target for intervention.     

Internalizing problems and their impact on the relation between callous-unemotional traits,narcissism, and aggression

Narcissism and callous-unemotional (CU) traits have demonstrated relations with youth aggression across studies. However, different forms of narcissism and internalizing problems may exacerbate the relation between CU traits and aggression. To that end, the current study examined the degree to which interactions among internalizing problems, CU traits, and dimensions of narcissism related to aggression in a sample of 219 adolescents (83.1% males), ages 16–19, enrolled in a military-style residential program. Consistent with previous research, psychopathy-linked narcissism significantly moderated the relation between CU traits and aggression. Addtionally, self-reported aggression was highest among adolescents who endorsed high levels of CU traits, psychopathy-linked narcissism, and internalizing problems. The same pattern of results was not evident for other forms of narcissism. These results suggest that internalizing problems further increase the probability of aggression among adolescents with psychopathic tendencies (i.e., CU traits, psychopathy-linked narcissism). Further implications are discussed.     

Entwicklungspsychologische Aspekte von Delinquenz

Children and adolescents are more likely to present aggressive behavior than adults. According to official criminal statistics in Germany approximately one quarter of all delinquents are younger than 25 years. Nevertheless, delinquency is a transient phenomenon in adolescence and the prevalence of delinquency in young adults decreases significantly. Most children show no problems with aggressive behavior or delinquency and only persistent problems with aggressive behavior, violence and conduct problems indicate the necessity for child and adolescent psychiatric diagnostics. The type of aggression (proactive versus reactive) a child presents seems to be predictive for the later outcome and children with proactive aggression are at higher risk for later delinquency and social problems. Lack of empathy and psychopathic traits are further aspects which are of interest in research on etiology of aggressive behavior in children. Both seem to be relevant as predictors of the course of aggressive behavior. Furthermore, attachment problems in infancy, parenting style and ecological factors, such as socioeconomic status and peers have an influence both on the origin and on the course of aggressive behavior in children.     

Psychopathic Traits in Youth: Is There Evidence for Primary and Secondary Subtypes?

The current study employed model-based cluster analysis in a sample of male adolescent offenders (n = 94) to examine subtypes based on psychopathic traits and anxiety. Using the Psychopathy Checklist: Youth Version (PCL:YV; Forth et al. 2003) and the self-report Antisocial Process Screening Device (APSD; Caputo et al. 1999), analyses identified three clusters in males that varied in the severity of psychopathic traits (low, moderate, and high) and anxiety. The high psychopathic group exhibited more negative personality traits and was judged to be at greater risk for dangerousness whereas the low psychopathic group exhibited more positive personality traits and was judged to be at lower risk for dangerousness. Implications regarding potential developmental differences between adolescent and adult psychopathy, as well as treatment considerations are discussed.     

Aggression Among Children with ADHD,Anxiety, or Co-occurring Symptoms: Competing Exacerbation and Attenuation Hypotheses

Competing hypotheses for explaining the role of anxiety in the relation between attention-deficit/hyperactivity disorder (ADHD) symptoms and childhood aggression were evaluated. Two studies tested whether anxiety exacerbated, attenuated, or had no effect on the relation between ADHD and aggression subtypes among psychiatrically hospitalized children. In Study 1 (N = 99), children who scored above clinical cut-off levels for anxiety only, ADHD only, and co-occurring ADHD and anxiety were compared on aggression subtypes (i.e., reactive, proactive, overt, and relational aggression). In Study 2, the moderating role of anxiety on the relation between ADHD and aggression subtypes was examined with a larger sample (N = 265) and with continuous variables. No support was found for either the attenuation or exacerbation hypothesis, and results remained consistent when separately examining hyperactivity/impulsivity and inattention symptoms of ADHD. Although ADHD symptoms were significantly associated with all aggression subtypes, this association did not remain when including symptoms of oppositional defiant disorder.     

Relation between parenting stress and psychopathic traits among children

Parenting stress was examined as a correlate of psychopathic traits, specifically narcissism, callous/unemotional traits, and impulsivity, among school-aged children while controlling for the variance explained by aggressive behavior. Participants included 212 children ranging from 6 to 12 years of age (M = 8.3 years) who were admitted to an acute child psychiatric inpatient unit for treatment. Parents completed standardized measures of aggression (Child Behavior Checklist; CBCL), psychopathic traits (Antisocial Process Screening Device; APSD), and parenting stress (Parenting Stress Index; PSI) at the time of the child's admission. Multiple regression analyses revealed that high levels of the PSI dimension attachment difficulties were associated with high levels of narcissism and callous/unemotional traits among the children while statistically controlling for aggression. The PSI dimension role restriction was also found to be negatively related to narcissism. These findings suggest that specific aspects of parenting stress may be related to child psychopathic traits and might aid with conceptualizing and developing treatment approaches for childhood behavior problems.     

Psychopathy, aggression, and the processing of emotional stimuli in non-referred girls and boys

Research shows that individuals with psychopathic traits differ in how they process negative emotional stimuli. However, it is unclear whether these differences are specific to certain types of negative emotional stimulus and whether they are more strongly associated with psychopathic traits or aggression. Further, it is not clear whether or not deficits in emotional processing generalize to females and ethnic minority individuals with psychopathic traits. In this study, we examined the emotional processing of visual stimuli using a dot-probe task in 50 non-referred girls and boys (mean age of 9.30; SD = 2.00). Overall, there was a significant association between proactive aggression and reduced responsiveness to distressing stimuli. In addition, the predicted association between psychopathic traits and reduced responsiveness to distressing stimuli was only found for children high on aggression. Also, the associations among aggression, psychopathic traits, and responsiveness to distressing stimuli did not differ for boys and girls.     

The association of psychopathic traits with aggression and delinquency in non-referred boys and girls

The current study investigated the association of psychopathic traits with aggression and delinquency in a non-referred sample of boys (n=86) and girls (n=114) in the fifth through ninth grades at two public schools in a large urban area. Psychopathic traits were measured by both teacher- and self-report ratings, whereas aggression and delinquency were assessed through self-report ratings. Self-reported psychopathic traits were associated with both aggression and delinquency and teacher-reported psychopathic traits were associated with higher levels of aggression. There were no clear differences for the callous-unemotional, narcissism, or impulsivity dimensions in their associations with aggression and delinquency. Also, psychopathic traits predicted aggression and delinquency for both boys and girls. The one clear gender difference was in the stronger associations between psychopathic traits and relational aggression for girls.     

Distinct characteristics of psychopathy relate to different subtypes of aggression

This article both selectively reviews the evidence supporting the view that reactive and proactive aggression actually reflect related but separate constructs, and also investigates the selective relationship between these forms of aggression and psychopathic personality in 121 male prison inmates. Results show that total psychopathy scores were related to residualized scores of proactive (but not reactive) aggression. However, different sub-characteristics of psychopathy were differentially related to reactive as well as proactive aggression. Results support the view that reactive and proactive aggression have differential correlates, and suggest that while psychopathic personality is predominantly characterized by proactive aggression, some psychopathy components are more related to reactive aggression.