Gender, Somatization, and Psychopathic Traits in a College Sample

The structure of psychopathic traits and their association with somatization symptoms were investigated in a sample of 199 undergraduate college students enrolled in introductory psychology classes. Using multiple measures of psychopathic traits, an iterated principal axis (IPA) analysis revealed two dimensions of psychopathy that were similar to ones typically found in forensic samples. One dimension focused on a cold, callous, and unemotional interpersonal style and the second dimension focused on an impulsive and antisocial lifestyle. These two dimensions emerged for both men and women, although the correlation between the two was somewhat higher for men than women. Also, the callous and unemotional dimension was negatively correlated with somatization symptoms, and the impulsive and antisocial dimension was positively associated with somatization symptoms. This pattern of associations was similar for both men and women and it suggests that somatization symptoms may be one aspect of the high rate of negative affectivity experienced by antisocial individuals.     

Psychopathic Traits and Delinquency Trajectories in Adolescence

The utility of psychopathic traits predicting various forms of antisocial behavior has been demonstrated extensively. However, there are mixed results concerning which of the three psychopathic personality dimensions—callous and unemotional traits, grandiose and manipulative interpersonal style, impulsive-irresponsible behavior—is the best predictor of antisocial behavior in adolescence. In this study, we examined developmental trajectories of antisocial behavior over four years in adolescence and psychopathic traits as predictors of these trajectories. Participants were 811 adolescents from a longitudinal community sample (M _age = 14). Results showed that four trajectories described the development of antisocial behavior from early to middle adolescence in the current sample. Both grandiose-manipulative traits and impulsive-irresponsible behavior were significant predictors of the high and elevated trajectories whereas callous-unemotional traits were not. Our findings underline the importance of studying the dimensions of the psychopathy constructs uniquely and independently of each other.     

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.     

An exploratory study of the relations between psychopathic traits and depressive symptoms in a non-clinical sample of adolescents

Empirical evidence suggests an association between psychopathic traits, depressive symptoms and delinquent behavior in community samples of adolescents. In this study, a sample of 243 high school students completed questionnaires assessing depressive symptoms and psychopathic traits (callousness and narcissistic traits). There were significant positive correlations between depressive symptoms, callousness and narcissistic traits. Narcissistic traits appeared to be a mediator between depressive mood and callousness while depressive mood was the main predictor of impulsivity/poor behavioral control. These findings are consistent with the hypothesis that impulsivity/poor behavioral control, callous and narcissistic traits are defenses against depressed mood. Narcissistic defenses may prepare the development of callousness. There might be a developmental process from depressive symptoms to psychopathic traits and behavior problems in adolescents.     

Are Callous Unemotional (CU) Traits Enough?

A guiding question for this special section, sparked by the increasing number of studies on callous –unemotional traits (CU traits) and the DSM-5 Limited Prosocial Emotion (LPE) specifier, is whether CU traits are enough to identify a clinically meaningful subgroup of youth with conduct problems or whether other psychopathic traits contribute. Seven empirical papers and two commentary papers address this question to varying degrees and in different ways with some papers “competing” various models against one another along with other papers investigating distinct correlates of the psychopathy factors. Findings across the papers suggest that there could be benefits to examining the broader construct of psychopathy in addition to examining its underpinning dimensions rather than CU traits alone. Two commentary papers also shed light on the importance of psychopathic traits in children with Conduct Disorder (CD) and provide insights for future work on this topic. It is hoped that the articles and commentary will generate new ideas for research and practice that could have implications for the treatment of those individuals with CD and psychopathic traits.     

A genetic factor explains most of the variation in the psychopathic personality

The psychopathic personality can be conceptualized as three interrelated dimensions, (a) an interpersonal style of glibness, grandiosity, and manipulation; (b) an affective disposition of callousness, lack of empathy, and unemotionality; and (c) a behavioral/lifestyle dimension of impulsivity, need for stimulation, and irresponsibility, underpinning a higher order construct, psychopathic personality. The authors used a self-report questionnaire (The Youth Psychopathic Traits Inventory) to study the importance of genetic and environmental influences on psychopathic personality traits in a sample of 1,090 monozygotic and dizygotic twin pairs, aged 16-17 years. Results showed a strong genetic influence behind the higher order "psychopathic personality" factor, underpinned by the three psychopathic personality dimensions. Over and above the effects to the higher order factor, significant unique genetic influences were also found in the callous/unemotional and in the impulsive/irresponsible dimension, but not in the grandiose/manipulative dimension. The authors propose that this latent psychopathic personality factor is a meaningful target for future etiological research.     

The Association between Anxiety and Psychopathy Dimensions in Children

Although several theoretical models posit that low levels of anxiety are a risk factor for psychopathy and antisocial behavior, a number of studies have reported elevated levels of anxiety among antisocial individuals. Nevertheless, most investigators in this literature have not distinguished between fearfulness and trait anxiety or attempted to separate the antisocial lifestyle dimension from the callous and unemotional dimension of psychopathy. In a study of clinically referred children (N = 143), we found that (a) measures of trait anxiety and fearlessness (low fearfulness) exhibited low correlations; (b) conduct problems tended to be positively correlated with trait anxiety, whereas callous and unemotional traits tended to be negatively correlated with trait anxiety; and (c) controlling statistically for the effects of one dimension increased the divergent correlations of the other dimension with both trait anxiety and fearful inhibition. These findings bear potentially important implications for the diagnosis and etiology of psychopathy and antisocial behavior and suggest that distinctions between trait anxiety and fearful inhibition, as well as between the two dimensions of psychopathy, may help to clarify longstanding confusion in this literature.     

Psychopathy traits and the processing of emotion words: Results of a lexical decision task

Research has indicated that individuals possessing psychopathic traits exhibit a deficit in the processing of emotional stimuli. Lexical decision task studies found that psychopathic individuals do not demonstrate affective facilitation in processing emotional words relative to nonpsychopathic individuals. However, these investigations have not examined processing of discrete affective categories and their relation to the callous/unemotional (F1) and impulse control/antisocial (F2) factors of psychopathy. Sixty undergraduate men completed a self-report measure of psychopathy traits and a lexical decision task assessing response latencies to anger, sadness, fear, and happiness words. Results reflected an association between F2 and a heightened experience of anger, whereas F1 was associated with a diminished experience of sadness. Findings are discussed in terms of the relation to existing research using alternative methods of processing affect.     

Psychopathy as Predictor and Moderator of Multisystemic Therapy Outcomes among Adolescents Treated for Antisocial Behavior

Objective

The aim of the present study was to determine whether psychopathic traits act as a predictor and/or moderator of the effectiveness of Multisystemic Therapy (MST).

Method

The sample included N?=?256 adolescents (188 boys and 68 girls) referred for conduct problems, randomized to MST or Treatment As Usual (TAU). The mean age was 16 years (SD?=?1.31). Assessments were carried out before and immediately after treatment (6 months later). Three psychopathic traits (callous/unemotional traits, narcissism, and impulsiveness) were assessed with parent reports. Adolescents and parents were informants on externalizing problems.

Results

MST was more effective than TAU in decreasing externalizing problems for the “lower callous/unemotional” and “lower narcissism” group, but not for the “high callous/unemotional” and “high narcissism” group (moderators). Impulsiveness was found to predict more post-treatment externalizing problems rated by adolescents (predictor), but not more post-treatment externalizing problems rated by parents.

Conclusions

These findings point out the clinical relevance of adequately assessing psychopathic traits in adolescents referred for treatment of antisocial behaviour, and identifying those adolescents who show high levels of these traits. It is important to tailor MST specifically to meet the needs of juveniles with high levels of callous/unemotional traits and high levels of narcissism to obtain the same level of effectiveness as with juveniles scoring lower on these traits.     

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.     

Psychopathy and COVID-19: Callousness,impulsivity, and motivational reasons for engaging in prevention behavior

Two direct replication studies were conducted to investigate the associations of psychopathic traits with engagement in COVID-19 prevention behavior and motivational reasons for engaging in such behavior. College undergraduate students completed two self-report measures of psychopathic traits based on the four-factor conceptualization of psychopathy (callous affect, manipulative tendency, erratic lifestyle, criminal tendency) and the triarchic conceptualization of psychopathy (meanness, disinhibition, boldness). Participants then reported the degree to which they engaged in COVID-19 prevention behavior currently and in the past, and reported their self-focused and other-focused motivational reasons for doing so. Results aggregated across both studies (N = 292) revealed that traits reflecting emotional callousness and impulsivity independently predicted lower levels of other-focused reasons for engaging in prevention behavior. Moreover, controlling for other-focused reasons appreciably reduced negative associations of emotional callousness and impulsivity with prevention behavior. The results provide insight into points of convergence in conceptualization and measurement of psychopathy from multiple theoretical perspectives and the importance of considering the impact of divisive personality traits on motivation to protect others during pandemics.     

Intelligence, Callous-Unemotional Traits, and Antisocial Behavior

Research has consistently shown that children with severe conduct problems often exhibit intellectual deficits, especially in their verbal abilities. We investigated whether or not this finding only applies to certain subgroups of children with severe conduct problems. In a sample of 117 clinic-referred children between the ages of 6 and 13, we assessed for Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) symptoms using a structured diagnostic interview with each child's parent and teacher, callous and unemotional traits using parent and teacher ratings, and intellectual functioning using a standard individually administered intelligence test. Children with an ODD or CD diagnosis who did not show callous and unemotional traits showed a deficit on subtests measuring verbal reasoning ability relative to a clinic control group. Children with an ODD or CD diagnosis who also showed callous and unemotional traits did not show a verbal deficit and, in fact, showed a trend toward having weaker nonverbal abilities. These results highlight the importance of recognizing distinct subgroups of children with severe conduct problems when studying potential intellectual deficits in these children.     

Unique and Interactive Associations of Callous-Unemotional Traits,Impulsivity and Grandiosity with Child and Adolescent Conduct Disorder Symptoms

The construct of psychopathy remains underrepresented in the clinical diagnosis of Conduct Disorder (CD) as the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) only addresses one out of the three dimensions of child psychopathy, Callous Unemotional (CU) traits. This study tests if and to what extent there are unique and interactive associations of CU traits, impulsivity, and grandiosity with child and adolescent CD symptoms. Data were collected from two separate community samples of children (N?=?1599; Mage?=?9.46, SD?=?1.65; 52% female) and adolescents (N?=?2719; Mage?=?16.99, SD?=?0.99; 49% female), who were followed longitudinally after a year. Hierarchical linear regression analyses were conducted, testing cross-sectional and longitudinal associations with CD symptoms, taking into account all three psychopathy dimensions. The cross-sectional findings indicate that only youth presenting a combination of all three psychopathy dimensions scored above the clinical cut-off score for CD. On the other hand, longitudinal findings provided evidence that the combination of high initial levels of CD and CU traits as well as the combination between CD, grandiosity, and impulsivity can lead to clinical levels of future CD symptoms. Findings also indicated that CU traits and impulsivity more strongly predicted adolescent than child CD symptoms, and that CU traits were more strongly associated with boys’ than girls’ CD symptoms. Findings support the inclusion of CU traits as a specifier for the diagnosis of CD, and provide evidence that other psychopathy dimensions can also help clinicians to better understand and treat youth with CD, and should be considered for future revisions of the DSM.     

Treatment of conduct problem youth with interpersonal callous traits using mental models: measurement of risk and change

The present study examined a newly developed intervention for conduct problem youth with callous unemotional (CU) traits. Specifically, we examined the effects of a mental models intervention designed to increase motivation, raise positive emotion, and decrease interpersonal callousness in youth. We then measured change on the treatment scale of a risk and management measure for young offenders, namely the Risk-Sophistication-Treatment Inventory - Self Report (RSTI-SR; Iselin & Salekin, 2008). The design of the study involved administering a test battery to youth in a secure residential facility pre-, mid-, and post-treatment. Findings showed increases in positive emotion and treatment amenability scores and reduced psychopathy scores across the intervention. Reductions in symptoms were evidenced across the facets of interpersonal, callous and impulsive psychopathy traits. Similarly, gains on the RSTI-SR treatment scale were multidimensional. The current study revealed three important findings. First, positive emotion was shown to increase in youth across the intervention. Second, the new intervention was effective at reducing interpersonal callous traits in youth, as well as improving their amenability to treatment. Third, the RSTI-SR appeared to be an effective measure for indexing change. Copyright ? 2012 John Wiley & Sons, Ltd.     

Personality and psychopathology in an impulsive aggressive college sample

Certain personality traits have been associated with impulsive aggression in both college and community samples, primarily irritability, anger/hostility, and impulsivity. The literature regarding the psychopathology associated with impulsive aggression is relatively sparse and strongly emphasizes DSM‐IV‐TR [APA, 2000] Axis II personality disorders, although some comorbidity with Axis I clinical disorders has been reported. The current study compares impulsive aggressive (IA) college students with their non‐aggressive peers on several self‐report measures of personality and psychopathology. Personality results were as predicted, with IAs scoring higher than controls on measures of impulsivity and aggression. Additionally, the Psychopathic Personality Inventory (PPI), which was given for exploratory purposes, revealed a unique pattern of psychopathic traits in impulsive aggression that contained key differences from the callous‐unemotional profile seen in premeditated aggression. Contrary to our hypothesis that a specific pattern of psychopathology (personality disorders, bipolar disorder, and adult attention deficit hyperactivity disorder) would emerge for impulsive aggression, IAs scored significantly higher than controls on nearly every clinical scale of the Personality Assessment Inventory (PAI; Somatic Complaints, Anxiety, Anxiety‐Related Disorders, Depression, Mania, Schizophrenia, Borderline Features, Antisocial Features, Alcohol Problems, and Drug Problems), indicating a global elevation of psychopathology. In conclusion, while the personality traits and behaviors that characterize impulsive aggression are relatively consistent across individuals, its associated psychopathology is unexpectedly variable. Aggr. Behav. 00:1–10, 2005. © 2005 Wiley‐Liss, Inc.     

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.     

Psychopathic Traits of Dutch Adolescents in Residential Care: Identifying Subgroups

The present study examined whether a sample of 214 (52.8% male, M age = 15.76, SD = 1.29) institutionalized adolescents could be classified into subgroups based on psychopathic traits. Confirmatory Factor Analyses revealed a relationship between the subscales of the Youth Psychopathic traits Inventory (YPI) and the three latent constructs of the original model on which it is based. Latent Class Analyses showed that adolescents showing psychopathic traits could be classified into three subgroups. The first group showed low scores on the grandiose/manipulative dimension, the callous/unemotional dimension, and the impulsive/irresponsible dimension (normal group). The second group scored moderate on the grandiose/manipulative dimension and the callous/unemotional dimension and high on the impulsive/irresponsible dimension (impulsive, non-psychopathic-like group). The third group scored high on all three dimensions (psychopathy-like group). The findings revealed that the impulsive, non-psychopathic like group scored significantly higher on internalizing problem behavior compared to the normal group, while the psychopathy-like and the impulsive, non-psychopathic-like group both scored higher on externalizing problem behavior compared to the normal group. Based on a self-report delinquency measure, it appeared that the psychopathy-like group had the highest delinquency rates, except for vandalism. Both the impulsive and psychopathy-like group had the highest scores on the use of soft drugs.     

Dark triad personality traits and theory of mind among school-age children

This study examined the associations between four personality dimensions associated with the dark triad (callous–unemotional traits, narcissism, impulsivity, and Machiavellianism) and theory of mind (TOM) abilities among 146 middle school children. Results of hierarchical multiple regression analyses showed narcissism to be positively associated with TOM, callous–unemotional (CU) traits to be negatively associated with TOM, and impulsivity and Machiavellianism to be unrelated to TOM. No significant interactions were found between gender and any of the dimensions of personality. The putative mechanisms linking each personality dimension with understanding of mental states in others are discussed, along with directions for future research.