The relationship between psychopathic features, violence and treatment outcome: the comparison of three youth measures of psychopathic features

Few studies have compared self-report and clinician-administered measures of youth psychopathic features in juvenile-justice settings in terms of antisocial behavior and treatment indices. In a sample of 85 adjudicated delinquents, the predictive validities of the Antisocial Process Screening Device (APSD), the modified Childhood Psychopathy Scale (mCPS), and the Hare Psychopathy Checklist: Youth Version (PCL:YV) were tested. Three indices of institutional antisocial behavior (physical aggression; verbal aggression; administrative infractions) and two indices of treatment progress (time to treatment level promotion; whether treatment levels were dropped) were used as external correlates. The self-report measures (mCPS more so than APSD) were more consistently and strongly related to antisocial behavior and to the days required to progress in treatment than the PCL:YV. The following issues are discussed: (i) implications of the potential impact of measurement format on the understanding and predictive validity of youth psychopathy features and measures; (ii) the differential predictive validity of self-report versus clinician-administered measures; and (iii) the potential practical utility of measures of psychopathic features in youth.     

Psychopathic features in a juvenile diversion population: reliability and predictive validity of two self-report measures

The reliability and predictive validity of two experimental self-report versions of two measures of psychopathic features in youth, the Antisocial Process Screening Device (APSD: Frick & Hare, 2001) and a modified version of the Child Psychopathy Scale (CPS: Lynam, 1997) were examined in a sample of 69 arrested youth (M age = 14.4 years) referred to a juvenile diversion program. Parents or legal guardians completed parent-rating versions of the same measures. Reliability indicators for the APSD total measure were satisfactory although internal consistency indices (coefficient alpha) for the Callous/Unemotional and Impulsive/Conduct Problems scales were slightly lower than desirable. Reliability indicators for the CPS were excellent after deleting items that had poor corrected item-to-CPS total score correlations. Positive and statistically significant correlations for all measures were obtained with prospective measures of program failure (range 0.22-0.36) and rearrest at 1 year follow-up (range 0.33-0.56). Although further research is needed prior to the clinical use of these measures, these results signal the potential of such measures to inform clinical judgments regarding treatment compliance and risk with justice-involved youth.     

The antisocial process screening device: an examination of its construct and criterion-related validity

The clinical assessment of psychopathy in adulthood is well established via programmatic research. More recently, psychopathy has been extended to children and adolescents with correlates to maladaptive personality traits, violent behavior, and noncompliance with institutional rules. To screen for adolescent psychopathy, the Antisocial Process Screening Device (APSD) was developed as a 20-item self-report measure of psychopathy. The original validation of the APSD was limited to samples of clinic-referred and community-based children. In extending this research to delinquent populations, the current article uses two separate samples of adolescent offenders incarcerated in a maximum security facility (n = 78) and a local juvenile detention facility (n = 77). As evidence of criterion-related validity, the APSD was compared with two versions of the Psychopathy Checklist that yielded mixed results. Construct validity was examined via a confirmatory factor analysis that provided support for a three-factor model of the APSD.     

Posttraumatic Overmodulation,Callous–Unemotional Traits,and Offending Among Justice-Involved Youth

A large body of research has demonstrated an association between childhood trauma exposure (TE) and adolescent delinquency. This association may be explained by callous–unemotional (CU) traits, which may stem from TE and are associated with persistent offending and recidivism. However, research on the mechanisms underlying TE and delinquency has lacked specificity regarding the posttraumatic symptoms that may drive this effect, particularly new models that distinguish between posttraumatic symptoms (PTS) of overmodulation versus undermodulation. This article sought to investigate the role of overmodulation in the association between TE and CU traits and their relations with persistent offending. Participants included 829 detained youth who completed self-report measures of TE, PTS, and CU traits. Official records of youth offenses were also obtained. Results of path analyses demonstrated that the association between interpersonal TE and persistent offending exhibited an indirect effect through overmodulation and CU traits. Efforts to address overmodulation among traumatized detained youth may represent a promising avenue of intervention for reducing recidivism.     

Youth Psychopathic Traits Inventory-Short Version: A Further Test of the Internal Consistency and Criterion Validity

The Youth Psychopathic Traits Inventory-Short Version (YPI-S; van Baardewijk et al., 2010) is a self-report measure to assess psychopathic-like traits in adolescents. The aim of the present study is to investigate the factor structure, the internal consistency, and the criterion validity of the YPI-S in 768 Belgian community adolescents (45.4?% males). In general, our study supported the YPI three factor structure while relevant indices showed that the instrument is internally consistent. In addition, relations between the YPI-S total score and dimension scores on the one hand and external criterion measures (e.g. conduct problems and self-reported offending) on the other hand were generally in line with predictions. The present study replicated and substantially extended previous findings of the YPI-S in a sample of community youth. Future studies are needed to test whether findings from community samples can be replicated in clinical-referred and justice-involved boys and adolescents.     

The reliability, stability, and predictive utility of the self-report version of the Antisocial Process Screening Device

The psychometric properties of the self-report version of the Antisocial Processes Screening Device (APSD; Frick & Hare, 2001), a rating scale developed to assess traits associated with the construct of psychopathy in youth, was tested in a sample of 91 non-referred young adolescents with an average age of 13.38 (SD = 1.75) at the initial assessment. The sample was recruited from a large community-wide screening, where youth with conduct problems and youth high on psychopathic traits were over-sampled. The sample was reassessed three times at yearly intervals. The self-report scores on the APSD showed moderate correlations with parent ratings of psychopathic traits, were moderately stable across 1-2 years, and showed significant correlations with measures of antisocial behavior both concurrently and predictively. One major weakness of the self-report ratings was the low internal consistency of the subscales, which were much lower than the internal consistency found on the parent report version of the scale.     

Internal consistency reliability of the self-report antisocial process screening device

The self-report version of the Antisocial Process Screening Device (APSD) has become a popular measure for assessing psychopathic features in justice-involved adolescents. However, the internal consistency reliability of its component scales (Narcissism, Callous-Unemotional, and Impulsivity) has been questioned in several studies. This study evaluates the internal consistency reliability of the self-report APSD by examining various indices (e.g., Cronbach's alpha, mean interitem correlation) across 11 studies. Whereas the Narcissism and Impulsivity scales display moderate to good reliability, internal consistency indices for the Callous-Unemotional scale are consistently poor across studies. Suggestions are made for revisions to this scale that would substantially improve its internal consistency reliability.     

Psychopathy screening of incarcerated juveniles: a comparison of measures

How well do brief screening measures correspond with a full-scale assessment of psychopathy among juvenile offenders? This study compared 3 independent screening measures (the Antisocial Process Screening Device [APSD] Self-Report [A. A. Caputo, P. J. Frick, & S. L. Brodsky, 1999], the APSD Staff Rating [P. J. Frick & R. D. Hare, 2001], and the Psychopathy Content Scale [D. C. Murrie & D. G. Cornell, 2000] on the Millon Adolescent Clinical Inventory [T. Millon, 1993]) with the Psychopathy Checklist: Youth Version (PCL:YV; A. E. Forth, D. S. Kosson, & R. D. Hare, in press) in a sample of 117 incarcerated male juveniles. Modest correlations (.30-.49) were found between PCL:YV scores and those of the 3 screening measures, and there was moderate accuracy (67%-82%) in identifying youth who scored relatively high (> or = 25) on the PCL:YV. Although these results support the construct of adolescent psychopathy, they indicate substantial limitations in the use of psychopathy screening measures with juvenile offenders.     

The validity of the Antisocial Process Screening Device as a self-report measure of psychopathy in adolescent offenders

There is a growing interest in the assessment of adolescent psychopathy to enable early treatment and intervention. Recently, a self-report measure has been developed to assess psychopathic traits in adolescents. The Antisocial Process Screening Device (APSD), a self-report measure of psychopathic traits, and the Psychopathy Checklist: Youth Version (PCL:YV), a clinical rating scale, were administered to a sample of 100 incarcerated male adolescent offenders to assess the concurrent validity of the APSD. Results indicated that the APSD had limited concurrent validity with respect to the PCL:YV and that there appears to be a method effect in the measurement of psychopathy. Thus, it appears the APSD did not assess psychopathy in a manner parallel to that of the PCL:YV.     

The relationship between the youth psychopathic traits inventory and psychopathology in a U.S. community sample of male youth

The Youth Psychopathic Traits Inventory (YPI) is a self-report measure of juvenile psychopathic traits. Validity data for this measure are limited, especially for nonreferred samples. This report investigated the concurrent validity of the YPI by assessing 171 nonreferred male youth (M age = 12.96 years) with a battery of self-, parent-, and peer-report measures including the Child Behavior Checklist (CBCL), the Reactive-Proactive Aggression Questionnaire (RPQ), the Antisocial Process Screening Device (APSD), and a peer-sociometric measure of aggression. Results confirmed the expected correlations between the YPI and measures of proactive aggression, other externalizing and internalizing behavior, and parent-report psychopathic-like traits. In addition, cluster analyses of YPI scores revealed 2 groups of youth (low vs. high) who scored differently on measures of externalizing behavior. This study supports the utility of the YPI as a research tool for assessing juvenile psychopathic traits.     

Validity of the Modified Child Psychopathy Scale for Juvenile Justice Center Residents

Adult psychopathy has proven to be an important clinical and forensic construct, but much less is known about juvenile psychopathy. In the present study, we examined the construct validity of the self report modified Child Psychopathy Scale mCPS; Lynam (Psychological Bulletin 120:(2), 209-234, 1997) in a sample of 57 adolescents residing in a Dutch juvenile justice center, aged between 13 and 22?years. The mCPS total score was reliably related to high externalizing problems, low empathy, high anger and aggression, high impulsivity, high (violent) delinquency, and high alcohol/drug use. Unique relations were found for the antisocial-impulsive (mCPS Factor 2), but not the callous-unemotional facet of psychopathy (mCPS Factor 1). Our findings support the validity of the mCPS in that it encompasses the antisocial-impulsive facet of psychopathy, but it is less clear whether the mCPS sufficiently captures the affective-interpersonal facet of psychopathy.     

A comparison of the construct validity of two alternative approaches to the assessment of psychopathy in the community

This study compared the validity of 2 different self-report approaches to the assessment of psychopathy in nonforensic samples: the Psychopathy Resemblance Index (PRI), derived from a measure of normal personality functioning, and the Self-Report Psychopathy Scale (SRP), developed specifically to assess the maladaptive traits associated with psychopathy. In 2 adult samples (n (1) = 260, n(2) = 250), the PRI and the SRP were positively correlated with each other and with measures of maladaptive personality traits related to Machiavellianism and narcissism. However, unlike the SRP, the PRI was independent of trait empathy and general psychopathology and was positively associated with trait emotional intelligence. These results suggest that the PRI captures a more adaptive variant of psychopathy than does the SRP.     

A review of the literature on Pacific Island youth offending in New Zealand

This review examines the current literature on Pacific youth offending in New Zealand. Pacific Island youth offenders are over-represented in the rates of violent offenses, despite not being overly represented in youth offending statistics. A major concern is that the Pacific population has the largest percentage of children and young people under 15 years old in New Zealand. Therefore, this is an issue to be faced by Pacific and wider communities in New Zealand. We focus on risk factors of offending, and its current impacts on Pacific Island youth in New Zealand. A literature review was conducted to explore some of the risk factors for offending looking at New Zealand studies and government reports. This was followed by a review of overseas literature regarding Pacific youths and their offending behavior. Following this, ethnic minorities were included in the literature review from New Zealand and international perspectives. Expectedly, results in this area are sparse. However, a number of efforts have been made to address this gap in the literature which this review included. The findings in this review make future recommendations for Pacific youth with offending behavior. These include that ethnicity should be taken into account when addressing research on youth offenders; data relating to the youth offender such as social and demographic history should also be considered for a more collaborative approach to researching and understanding this population; and more targeted studies towards this population are needed to improve the overall health of the Pacific Island population in New Zealand and overseas. Finally, existing programs and interventions currently in place for our Pacific youths with offending behavior needs to be evaluated to ensure it continues to meet the dynamic needs of our Pacific youth population.     

Psychopathy and Anxiety in Children and Adolescents: New Insights on Developmental Pathways to Offending

This study examined the relation between psychopathy and anxiety in 130 juvenile offenders. Adolescents were administered three psychopathy scales (PCL-YV, APSD, and SRP-II), a measure of psychopathology (APS), and subsequently followed prospectively in the community for three years in order to track recidivism. Three mediational models were tested to determine whether psychopathy mediates the relation between anxiety (trait anxiety, fearlessness, and trauma) and future offending. Findings indicated that psychopathy mediated the relation between two types of anxiety (trait anxiety and fearlessness) and recidivism when using the PCL-YV as an index for psychopathy. These influences were not supported when using self-report measures of psychopathy (APSD and SRP-II) and the meditational models did not apply to the anxiety subtype of trauma for any of the psychopathy measures. The PCL-YV mediational models provide new insights on the relation between psychopathy anxiety and offending. Specifically, pathways from fearlessness to psychopathy and later offending were in the expected direction. Surprisingly, higher levels of trait anxiety were linked with higher levels of psychopathy and subsequent offending. This developmental difference is in contrast with theory and the adult literature on this topic. The results from the current study suggest that both fear and anxiety may be important considerations in treatment planning for the reduction of adolescent offending.     

Psychopathy and comorbidity in a young offender sample: taking a closer look at psychopathy's potential importance over disruptive behavior disorders

The authors examined the construct of psychopathy as applied to 130 adolescent offenders using 3 psychopathy measures and a broad range of DSM-TV Axis I diagnoses and psychosocial problems. Measures used in the study included the following: (a) Psychopathy Checklist-Youth Version, (b) Antisocial Process Screening Device, (c) a modified version of the Self-Report Psychopathy-II scale, and (d) the Adolescent Psychopathology Scale. Results from this study offer incremental support for the construct validity of psychopathy in youth. Psychopathy evidenced better convergent and discriminant validity results than did the disruptive behavior disorders (DBDs) such as oppositional-defiant disorder (ODD) and conduct disorder (CD). Despite this finding, psychopathy scales nonetheless correlated with other forms of psychopathology at a higher rate than was expected, suggesting that comorbidity is high even when psychopathy is used as a classification scheme. Also, hierarchical multiple regression was used to determine whether psychopathy offered an improvement in the prediction of previous violent and nonviolent offenses. The results for the current study were mixed, with only the PCL-YV significantly predicting previous violent and nonviolent offenses beyond the DBDs. The findings indicate that psychopathy may offer incremental improvement over DBDs with regard to level of comorbidity and perhaps even prediction. However, simply extending the adult construct of psychopathy to youth without considering the array of psychopathology that may accompany adolescent psychopathy could be misleading.     

Evaluation of the Responding in Peaceful and Positive Ways (RIPP) Seventh Grade Violence Prevention Curriculum

We evaluated the impact of RIPP-7, a seventh grade violence prevention curriculum designed to strengthen and extend the effects of the sixth grade RIPP-6 curriculum. Classes of seventh graders at two urban middle schools serving predominantly African-American youth where RIPP-6 had been implemented the preceding school year were randomized to intervention (N = 239) and control groups (N = 237). Compared to students in the control group, students who participated in RIPP-7 had fewer disciplinary code violations for violent offenses during the following school year. A limited number of main effects were found on self-report outcome measures and measures of attitudes. Although significant main effects were not found on self-report measures of physical aggression, drug use, or anxiety, analyses of interactions with pretest scores indicated that intervention effects were significantly moderated by pretest scores for several outcome measures. Students most likely to benefit from the intervention were those who reported higher pretest rates of problem behaviors including violent behavior, nonphysical aggression, and delinquent behavior.     

Attention Network Performance and Psychopathic Symptoms in Early Adolescence: An ERP Study

Reaction time (RT) and event-related potential (ERP) measures were used to examine the relationships between psychopathic symptoms and three major attention networks (alerting, orienting, and executive attention) among a community sample of youth. Antisocial Process Screening Device (APSD; Frick and Hare 2001) total and subscale scores were negatively correlated with ERP measures of attentional alerting, indicating that youth with psychopathic symptoms had difficulty using warning cues to prepare for upcoming targets. APSD total scores were not related to performance on measures of orienting or executive attention, although weaker executive attention was found among youth with higher scores on the Impulsivity subscale. These findings support attention-based models of psychopathy and provide evidence of specific deficits in attentional alerting among youth with psychopathic traits. Deficiencies in attentional alerting may be related to noradrenergic functioning and may have cascading effects on higher order cognitive and affective processing.     

The use of a screening device to assess psychopathy in young offenders

The aim of this research was to determine to what extent a psychopath screening device (the APSD) is useful in forensic assessments to predict general and violent offending. For this purpose, a cross-sectional study was done and 238 young people serving a sentence were assessed. The gold standard instrument used to measure psychopathy was the Psychopathy Checklist: Youth Version (PCL:YV; Forth, Kosson & Hare, 2003). The results indicate that the association found between the screening device scores and several indicators of risk is low if compared with those obtained with the PCL:YV, suggesting that it is less useful as a tool in order to predict offending or violent offences. However, an Area Under the Curve of .784 and a validity index of 62.5 support its use as a screening device or as a preliminary approach to assess psychopathy in this population. The usefulness of this instrument to make assessments with young people in the forensic setting is discussed.     

Validity and structure of a self-report measure of youth psychopathy

An interest in early identification of youth who may be at risk of psychopathy has generated measures for age-appropriate screening and assessment. This study examines the structural, concurrent, and divergent validity of the Psychopathy Content Scale, a 20-item self-report instrument derived from the Millon Adolescent Clinical Inventory (MACI). Data for 481 youths who had taken the MACI, the Child Behavior Checklist Youth Self-Report (YSR), and the Massachusetts Youth Screening Instrument, Second Version (MAYSI-2), were analyzed. Results showed that the PCS is best described by a two-factor model and that analyses of the two factors offer limited support for convergent and divergent validity. High scores on both factors were associated with high YSR and MAYSI-2 scales, suggesting that the measure identified youth who were distressed on several measures of emotional, psychological, and behavioral disorder.     

Assessment of Psychopathic Traits in an Incarcerated Adolescent Sample: A Methodological Comparison

Analyses of convergent validity and group assignment using self-report, caregiver-report and interview-based measures of adolescent psychopathy were conducted in a sample of 160 incarcerated adolescents. Results reveal significant convergent validity between caregiver-report measures of adolescent psychopathy, significant convergent validity between self-report measures of adolescent psychopathy and an interviewer rating scale, but not between the caregiver-report measures and their corresponding self-report measures nor between the caregiver-report measures and the interviewer rating scale. Analyses of group assignment were also poorer than expected among all the measures with none evidencing significant agreement with the expert-rated device (Hare Psychopathy Checklist-Youth Version; PCL-YV), the most common forensic instrument used in clinical practice. Part of the poor agreement may be related to the poor psychometric performance of the callous-unemotional subscale of most of these measures and the low response rates from caregivers (N?=?35). These findings suggest that the measures do not provide an interchangeable assessment of callous-unemotional traits and suggest that further refinement of the measurement of callous-unemotional traits in youth may be warranted.