Variants of Psychopathic Traits Follow Distinct Trajectories of Clinical Features Among Children with Conduct Problems

Research on Child and Adolescent Psychopathology - Original definitions of psychopathy suggest the existence of two variants that present with distinct clinical features among antisocial adults,...     

Overt and Covert Dimensions of Antisocial Behavior in Early Childhood

The present study was designed to assess both the prevalence and structure of antisocial behavior in a normative sample of preschoolers. Prevalence estimates suggested that 40% of preschoolers exhibit at least one antisocial behavior each day. Furthermore, 10% of preschoolers exhibit six or more antisocial behaviors each day. Consistent with research based on older children, factor analyses provided support for conceptualizing antisocial behavior in early childhood as consisting of both overt and covert dimensions. While both overt and covert behaviors had acceptable test–retest reliability, only overt behaviors had acceptable interrater reliability. Finally both overt and covert dimensions of antisocial behavior were uniquely related to general measures of conduct problems, hyperactivity, and adult and peer conflict in the classroom setting. Findings are discussed with regard to early assessment and the developmental course of antisocial behavior.     

Antisocial Process Screening Device Subscales Predict Recidivism in an Australian Juvenile Offender Sample

The present study is the first to examine the psychometric properties of the self-report Antisocial Process Screening Device (APSD-SR), and the predictive utility of its subscales for reoffending, among Australian juvenile offenders (N?= 308, M age = 17.00, SD?=?1.49). Exploratory factor analysis supported a modified three-factor structure in which four items loaded differently to prior studies. Total APSD-SR and modified subscale scores were positively associated with criminal history and mental health problems (e.g., internalizing and externalizing problems, alcohol and substance abuse/dependence). Survival analyses indicated that youth scoring high on the APSD-SR total score were faster to reoffend nonviolently (Hazard Ratio [HR]?= 1.31, p?=?.0003) and violently (HR?=?1.42, p?=?.0003) than those scoring low. Whereas the modified grandiose-manipulative subscale predicted faster time to nonviolent recidivism (HR?=?1.18, p?=?.026) as a single predictor, when all subscales were simultaneously entered into the model only callous-unemotional (CU) traits and impulsivity predicted nonviolent recidivism (HR?=?1.19, p?=?.026 and 1.22, p?=?.015, respectively), and only impulsivity predicted violent recidivism (HR?=?1.26, p?=?.014). Findings inform current understanding of the relative contribution of adolescent psychopathy dimensions to designating a particularly high-risk group of Australian youth in custody.     

Factor Structure and Construct Validity of the Dutch Version of the Antisocial Process Screening Device

The goal of the present study was to evaluate the factor structure and construct validity of the Antisocial Process Screening Device (APSD) in a community sample of Dutch adolescents. Confirmatory factor analyses supported the two- and three-factor model, but the two-factor model (Callous-Unemotional and Impulsivity/Conduct Problems) was more parsimonious. Model fit was invariant across gender. Interrater reliability was good and internal consistency of the factors was modest to good, with the exception of the Callous-Unemotional factor. Convergence with the APSD self-report version, divergence with the Big Five personality dimensions of Agreeableness and Conscientiousness, and expected gender differences in mean APSD scores reproduced findings obtained in American samples, supporting the cross-cultural validity of the APSD.     

Gender-Specific Trajectories of Conduct Problems from Ages 3 to 11

Gender-specific pathways of conduct problems (CP) from toddlerhood have received little attention. Using a nationally representative sample of UK children born in 2000–2001 (6458 boys and 6340 girls), the current study (a) identified subgroups of CP pathways separately for boys and girls from ages 3 to 11 and (b) examined early precursors (pregnancy to 9 months) of these trajectories. Group-based trajectory models identified four distinct trajectories for both boys and girls: each characterized as ‘low’; ‘early-onset, desisting’; ‘early-onset, persistent’ and ‘school-onset’. This suggests that the taxonomic framework developed to conceptualise childhood-onset CP among males is also applicable to females, though needing some revision to capture heterogeneity identified during early and middle childhood. We also found significant precursors of the different trajectory groups with some variation by gender. Early socioeconomic deprivation was a significant risk factor of the early-onset pathways among both genders, but played no significant role for ‘school-onset’. Childhood-onset trajectories of boys, but not girls, were predicted by parenting attitudes and behaviour.     

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 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.     

Assessment of Psychopathic Traits in Singaporean Adolescents: Validation of the Antisocial Process Screening Device (APSD)

There is little knowledge available concerning psychopathic traits in Asian adolescents; a lack of a suitable measurement instrument for assessing psychopathy in Asian societies may account for this. This study aimed to validate a widely used scale in the West — the Antisocial Process Screening Device (APSD) — in Singaporean school-based and at-risk adolescents. Using an exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA), this study examined the two-factor (i.e., grandiose-manipulative/impulsive traits and callous-unemotional traits) and three-factor (i.e., grandiose-manipulative traits, impulsivity, and callous-unemotional traits) models of the APSD in 1027 school-based and 113 at-risk adolescents. School samples are adolescents from three secondary schools, while at-risk samples are adolescents who manifest different types of delinquent behaviors and are either placed in more structured settings or need closer supervision although they have not violated the law. Gender invariance was further tested in the school-based sample by conducting a multigroup CFA. The convergent validity of the APSD was also investigated in the school-based sample. For the school-based adolescents, the APSD revealed that the three-factor model provided a superior fit over the two-factor model and the factorial invariance across gender. Significant relationships between the three dimensions of the APSD and aggression and delinquency support the convergent validity of the APSD. As for the at-risk adolescents, both the two- and three-factor models were acceptable, but the two-factor model was preferred as it was parsimonious and it aligned with the conceptualized characteristics of psychopathic traits. Findings suggest that the APSD is a reliable and sound instrument for measuring psychopathic traits in Asian school-based and at-risk adolescents.     

The Comorbidity of Conduct Problems and Depression in Childhood and Adolescence

An extensive body of research documents the high prevalence of comorbidity among child and adolescent disorders in general and between conduct problems and depression in particular. These problems co-occur at significantly higher rates than would be expected by chance and their comorbidity may have significant implications for nosology, treatment, and prognosis. Four main hypotheses have been put forth to account for these high rates of comorbidity. First, comorbidity may be a result of shortcomings associated with referral or informant biases. Second, comorbidity may be an artifact of overlapping definitional criteria. Third, one disorder may cause the other disorder by influencing the developmental trajectory and placing an individual at increased risk for further difficulties. Finally, comorbidity between two disorders may be explained by shared underlying causal or risk factors. The purpose of this review is to explore these possibilities, concentrating primarily on the common risk factors of parent psychopathology, emotion regulation, and cognitive biases that may underlie the co-occurrence of these two disorders. Based on our review, we propose a model for the development of comorbidity between these two disorders.     

Trouble Ahead: Predicting Antisocial Trajectories with Dynamic Systems Concepts and Methods

This paper reviews and evaluates a set of studies that utilize dynamic systems (DS) principles, and in two cases dynamic systems methods, for predicting antisocial development and other behavioral outcomes. I suggest that the emphasis of DS approaches on process and nonlinear causation is very different from the emphasis in developmental psychopathology on prediction, yet the marriage of these approaches is necessary to capture the complex interactions that give rise to problematic trajectories. The studies reviewed do indeed uncover predictive relations that would have been difficult to conceptualize or impossible to find using more traditional strategies. In discussing these studies. I suggest DS interpretations of emerging individual differences, phase-specific change, sleeper effects, mediating variables, and behavioral rigidity versus malleability, in the context of developmental prediction. I also discuss the advantages of moving from DS concepts to DS methods in clinical-developmental research.     

Bidirectional Associations between Child Conduct Problems and Parenting Practices in Early Childhood

Journal of Child and Family Studies - In line with early theoretical frameworks suggesting reciprocal associations between child behavior problems and parenting behaviors, the present study...     

Neighborhood Deprivation during Early Childhood and Conduct Problems in Middle Childhood: Mediation by Aggressive Response Generation

The tremendous negative impact of conduct problems to the individual and society has provided the impetus for identifying risk factors, particularly in early childhood. Exposure to neighborhood deprivation in early childhood is a robust predictor of conduct problems in middle childhood. Efforts to identify and test mediating mechanisms by which neighborhood deprivation confers increased risk for behavioral problems have predominantly focused on peer relationships and community-level social processes. Less attention has been dedicated to potential cognitive mediators of this relationship, such as aggressive response generation, which refers to the tendency to generate aggressive solutions to ambiguous social stimuli with negative outcomes. In this study, we examined aggressive response generation, a salient component of social information processing, as a mediating process linking neighborhood deprivation to later conduct problems at age 10.5. Participants (N = 731; 50.5 % male) were drawn from a multisite randomized prevention trial that includes an ethnically diverse and low-income sample of male and female children and their primary caregivers followed prospectively from toddlerhood to middle childhood. Results indicated that aggressive response generation partially mediated the relationship between neighborhood deprivation and parent- and teacher-report of conduct problems, but not youth-report. Results suggest that the detrimental effects of neighborhood deprivation on youth adjustment may occur by altering the manner in which children process social information.     

Individual, Social, and Behavioral Factors Associated with Co-Occurring Conduct Problems and Callous-Unemotional Traits

Conduct problems (CP) and callous-unemotional (CU) traits can have a long-lasting negative impact into adulthood. Importantly, among youth with CP, those high on CU traits engage in a more severe, aggressive, and persistent pattern of antisocial behavior. The current study investigates the co-occurrence between CP and CU traits among a large sample of Greek-Cypriot adolescents (N?=?1,674; 50.1 % girls). Five distinct groups were identified with Latent Profile Analysis: low risk (48.7 %), average risk (33.8 %), co-occurring high CP-high CU (5.4 %), high CP-low CU (5.2 %), and low CP-high CU (6.9 %). Although more boys were identified in the higher risk groups, boys and girls within each group were not differentiated on levels of CP or CU traits during early adolescence. Youth in the identified groups were compared on early (Mean age?=?12.12) and middle (Mean age?=?14.02) adolescence individual and contextual factors. Youth with high CP-high CU were at higher risk for behavioral (bullying and substance use), individual (inattention, impulsivity, narcissism), and contextual (low family-support) problems compared to youth in the high CP-low CU and low CP-high CU groups, providing evidence that the combination of CP and CU traits might constitute a pathological group. These findings demonstrate the usefulness of sub-typing CP based on CU traits for the forthcoming fifth edition of the Diagnostic and Statistical Manual. Additional novel findings suggested that adolescents scoring high on CP, irrespective of CU, were not differentiated on hyperactivity, victimization, and anxiety/depression, and adolescents scoring high on CU traits, with or without CP, reported similar low levels of self-esteem and peer and family social-support.     

Significance of Childhood Conduct Problems to Later Development of Conduct Disorder Among Children With ADHD: A Prospective Follow-Up Study

This study investigates whether low to moderate levels of childhood oppositional defiant disorder (ODD) and conduct disorder (CD) behaviors contribute to the development of clinically diagnosed CD in adolescence, in children with attention deficit hyperactivity disorder (ADHD). Participants were 207 White boys (ages 6-12) with ADHD free of conduct disorder diagnoses. Parent and teacher ratings were obtained. Participants were assessed at mean age 18 by clinicians blind to childhood status. A non-ADHD group (recruited in adolescence) was also studied. ODD behavior ratings did not predict CD in adolescence, whereas CD behavior ratings did. No single ODD or CD behavior predicted adolescent outcome. ADHD probands with very low ratings (Not at all, Just a little) by parents and teachers on all CD behaviors were still at significantly increased risk for CD in adolescence, compared to non-ADHD controls. The same relationships were found between childhood ODD and CD behaviors, and antisocial personality disorder in adulthood (mean age, 25). We conclude that childhood ADHD is a developmental precursor of later antisocial disorder, even in the absence of comorbid ODD or CD in childhood. However, low levels of CD-type problems are not innocuous, because they predict later CD among children with ADHD without comorbid CD.     

Untangling Intelligence,Psychopathy, Antisocial Personality Disorder,and Conduct Problems: A Meta‐analytic Review

Substantial research has investigated the association between intelligence and psychopathic traits. The findings to date have been inconsistent and have not always considered the multidimensional nature of psychopathic traits. Moreover, there has been a tendency to confuse psychopathy with other closely related, clinically significant disorders. The current study represents a meta‐analysis conducted to evaluate the direction and magnitude of the association of intelligence with global psychopathy, as well as its factors and facets, and related disorders (i.e. antisocial personality disorder, conduct disorder, and oppositional defiant disorder). Our analyses revealed a small, significant, negative relationship between intelligence and total psychopathy (r = ?.07, p = .001). Analysis of factors and facets found differential associations, including both significant positive (e.g. interpersonal facet) and negative (e.g. affective facet) associations, further affirming that psychopathy is a multidimensional construct. Additionally, intelligence was negatively associated with antisocial personality disorder (r = ?.13, p = .001) and conduct disorder (r = ?.13, p = .001) but positively with oppositional defiant disorder (r = .06, p = .001). There was significant heterogeneity across studies for most effects, but the results of moderator analyses were inconsistent. Finally, bias analyses did not find significant evidence for publication bias or outsized effects of outliers. © 2019 European Association of Personality Psychology     

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.