The reliability and validity of the psychopathy checklist: youth version (PCL:YV) in nonincarcerated adolescent males

Current knowledge about the validity of the psychopathy syndrome in youth is limited largely to studies relying on parent-teacher rating scales or slight modifications of adult measures. Recently, the Psychopathy Checklist: Youth Version (PCL:YV) was designed for use with adolescents. However, most studies that have used this measure examined incarcerated males and addressed only validity criteria related to antisocial behavior. We investigated the generality and construct validity of the psychopathy syndrome in an adolescent sample by assessing 115 adolescent males on probation with the PCL:YV. Reliability of measurement was high. PCL:YV ratings predicted not only antisocial behaviour but also other indices of childhood psychopathology, interpersonal behaviors associated with adult psychopathy, and a lack of attachment to parents. These findings suggest that the PCL:YV identifies a syndrome in adolescence consistent with theory and research on adult males.     

Gender Differences in Predicting Antisocial Behaviors: Developmental Consequences of Physical and Relational Aggression

This study investigated gender differences in the relationship of early physical and relational aggression to later peer rejection and overt and covert antisocial behaviors. Significant gender differences were found indicating physically aggressive boys were more likely than girls to experience later peer rejection. Early physical aggression was related to later overt antisocial behavior for boys and girls, and more strongly for girls than for boys. Early relational aggression was not associated with later forms of antisocial behavior. In the context of early physical aggression, for boys and girls peer rejection generally served to increment risk for later overt and covert antisocial behavior in an additive fashion. The data suggest some gender specificity in the social risk processes associated with the development of early overt and covert antisocial behaviors.     

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.     

Stability and predictors of psychopathic traits from mid‐adolescence through early adulthood

High levels of psychopathic traits in youth are associated with multiple negative outcomes including substance misuse, aggressive behavior, and criminality. Evidence regarding stability of psychopathic traits is contradictory. No previous study has examined long‐term stability of psychopathic traits assessed with validated clinical measures. The present study examined the stability of psychopathic traits from mid‐adolescence to early adulthood and explored adolescent factors that predicted psychopathic traits five years later. The sample included 99 women and 81 men who had consulted a clinic for substance misuse in adolescence. At an average age of 16.8 years, the adolescents were assessed using the Psychopathy Checklist: Youth Version (PCL: YV) and five years later using the PCL‐Revised (PCL‐R). Additionally, extensive clinical assessments of the adolescents and their parents were completed in mid‐adolescence. Among both females and males, moderate to high rank‐order stability was observed for total PCL and facet scores. Among both females and males, there was a decrease in the mean total PCL score, interpersonal facet score, affective facet score, and lifestyle facet score. However, the great majority of females and males showed no change in psychopathy scores over the five‐year period as indicated by the Reliable Change Index. Despite the measures of multiple family and individual factors in adolescence, only aggressive behavior and male sex predicted PCL‐R total scores in early adulthood after taking account of PCL:YV scores. Taken together, these results from a sample who engaged in antisocial behavior in adolescence suggest that factors promoting high psychopathy scores act early in life.     

Cognitive competencies and aggressive behavior: A developmental study

A number of studies have demonstrated that increased socially related cognitive skills are associated with decreases in aggressive behavior. However, the link between aggression and intelligence or academic skills is less evident. While some research indicates that poor academic performance is related to aggression, it is unclear which components of intellectual ability and performance are critical to the management of aggressive behaviors. In two independent longitudinal studies of elementary school-age children, the relationship among several aspects of cognitive competence and several aspects of aggressive behavior were examined. The results of the first study showed that aggressive behavior observed in kindergarten children was more closely related to academic performance in the first and second grades than to general cognitive ability (IQ). The results of the second study, a comprehensive three-year investigation of upper elementary school-age children, indicated that teachers' assessments of aggression and parents' ratings of cruelty were consistent over time for boys, but not for girls. The intercorrelations among aggression measures within each of the three years also revealed stable sex differences. Boys identified as aggressive in the classroom were more likely to be perceived as aggressive, cruel, and/or delinquent at home, but for girls, there was little correlation between aggression at school and in the home. The analyses relating measures of cognitive functioning to indices of aggressive behavior made clear the importance of discriminating among various facets of these psychological constructs. IQ had a negligible relationship with aggression and a weak inverse relationship to delinquency. An overall index of cognitive functioning was a somewhat more consistent negative correlate of aggression, cruelty, and delinquency, especially for boys. A similar pattern was found for the correlates of academic performance. Academic disability was strongly related to delinquency in boys, and to a lesser degree to aggression in boys. Of the several cognitively related factors that were explored, Low Need Achievement manifested the strongest and most consistent relationships with the different facets of aggression and antisocial behavior, especially in boys. The implications of these results for psychological interventions in the school are discussed.     

Morningness/eveningness, morning-to-afternoon cortisol ratio, and antisocial behavior problems during puberty

The relationship between morningness/eveningness (M/E) and morning-to-afternoon cortisol ratio, pubertal timing, and antisocial behavior was examined in 111 girls and boys ages 8 to 13 years. Cortisol levels showed a significant increase after awakening and declined thereafter (p<.05). Eveningness was related to a composite measure of antisocial behavior and rule-breaking and attention behavior problems and conduct disorder (CD) symptoms in boys and relational aggression in girls. In boys only, lower a.m. to p.m. cortisol ratio, indicating less circadian decrease in cortisol, was related to attention problems. Early pubertal timing was associated with boys' rule-breaking and attention behavior problems and CD symptoms and girls' relational aggression. The findings indicate that evening activity preference; extreme a.m. to p.m. cortisol ratios, in one case; and early pubertal timing were associated with antisocial behavior even in young adolescents, but the findings were stronger for boys than for girls.     

Testing factor models of the Psychopathy Checklist: Youth Version and their association with instrumental aggression

Although there is a documented link between psychopathy and instrumental violence in adult offenders, the association between these constructs has not garnered significant attention in adolescent offenders. In this study, we evaluated the relationship between psychopathy and instrumental aggression in a sample of 122 male adolescents incarcerated in a state facility for serious and chronic offenders. We evaluated the primary (2-, 3-, and 4-factor) models of the Psychopathy Checklist: Youth Version (PCL:YV; Forth, Kosson, & Hare, 2003) and assessed their relationship to a separate 5-item measure of instrumental violence. CFA revealed good model fit for the 3- and 4-factor latent variable models of adolescent psychopathy and a single-factor model reflecting a 5-item measure of instrumental violence. Structural equation modeling results indicate that the 4-factor model accounted for 20% of the variance for instrumental violence. In contrast, the 3-factor model of the PCL:YV accounted for 8%, and the 2-factor model accounted for 5% of the variance associated with instrumental violence.     

Psychopathy and Axis I psychiatric disorders among criminal offenders: relationships to impulsive and proactive aggression

Both psychopathology and aggression are heterogeneous constructs. Determining which forms of psychopathology relate to risk for different classes of aggressive behavior has implications for risk recognition and management. This study examined the relationships of impulsive aggression (IA) and proactive aggression (PA) to psychopathy and symptoms of several Diagnostic and Statistical Manual Axis I disorders in a sample of criminal offenders. Results replicated prior findings from community samples of a broad relationship between psychopathology and IA. PA was related only to psychopathy. An interaction was found whereby IA was associated with impulsive–antisocial traits of psychopathy only for individuals with moderate to high levels of generalized anxiety. Results indicate that assessing and treating several Axis I disorders in offenders may decrease risk for IA. Moreover, current findings raise the possibility that generalized anxiety is a key, modifiable component of the relationship between IA and impulsive–antisocial traits. Aggr. Behav. 36:45–53, 2010. © 2009 Wiley‐Liss, Inc.     

Concurrent and predictive validity of the psychopathy checklist: youth version across gender and ethnicity

The concurrent and predictive validity of the Psychopathy Checklist: Youth Version (PCL:YV) were examined across gender and ethnicity using multiple outcome measures on a community-based sample of 130 adjudicated youths. The PCL:YV demonstrated concurrent validity with externalizing behavior problems but, it is important to note, was also associated with internalizing measures of negative affect. With a mean follow-up period of 3 years, the PCL:YV was found to predict general and violent recidivism in male, Native Canadian, and Caucasian youths. However, the PCL:YV demonstrated weaker concurrent and predictive validity with girls and failed to predict nonviolent recidivism in all subgroups. Implications of the findings for clinical practice are discussed.     

Psychopathy in adolescent female offenders: an item response theory analysis of the psychopathy checklist: youth version

The present study examined the applicability of the PCL:YV items to a sample of detained adolescent girls. Item response theory (IRT) was used to analyze test and item functioning of the PCL:YV. Examination of IRT trace lines indicated that the items most discriminating of the underlying construct of psychopathy included "callousness and a lack of empathy", "conning and manipulation", and "a grandiose sense of self-worth". Results from the analyses also demonstrated that the items least discriminating in this sample, or least useful for identifying psychopathy, included "poor anger control", "shallow affect", or engaging in a "serious violation of conditional release". Consistent with previous research (Cooke & Michie, 1997; Hare, 2003), interpersonal and affective components of psychopathy provided more information than behavioral features. Moreover, although previous research has also found affective features to provide the most information in past studies, it was interpersonal features of psychopathy in this case, followed by affective features, that provided greater levels of information. Implications of these results are discussed.     

Convergent validity of the Youth Psychopathic Traits Inventory (YPI): association with the Psychopathy Checklist: Youth Version (PCL:YV)

This study investigates the relationship between the self-report Youth Psychopathic Traits Inventory (YPI) and the clinician-rated Psychopathy Checklist: Youth Version (PCL:YV). A representative sample of 92 girls and 70 boys, 12 to 20 years of age (mean age, 17 years), who received services at a clinic for adolescents with substance misuse problems, was studied. Moderate correlations (r =.30-.51) were found between conceptually corresponding YPI and PCL:YV factor scores among both boys and girls, whereas correlations between individual subscales of the YPI and items of the PCL:YV were not as consistent. A cross-tabulation of groupings based on the three-factor models of the two instruments largely supported the categorical convergent validity of the YPI, particularly for low and high scorers. Although more studies with larger samples are needed, results indicate that the YPI is a cost-effective measure of psychopathic traits in adolescents in research settings.     

Early Language Impairment and Young Adult Delinquent and Aggressive Behavior

Clinic and forensic studies have reported high rates of language impairments in conduct disordered and incarcerated youth. In community samples followed to early adolescence, speech and language impairments have been linked to attention deficits and internalizing problems, rather than conduct problems, delinquency, or aggression. This study examines the young adult antisocial outcomes of speech or language impaired children. Language impaired boys had higher levels of parent-rated delinquency symptoms by age 19 than boys without language impairment, controlled for verbal IQ and for demographic and family variables. Language impaired boys did not differ from controls in self-reported delinquency or aggression symptoms on a standardized checklist; however, language impaired boys reported higher rates of arrests and convictions than controls. Language impairment was not related to aggression or delinquency in girls. We examine alternate models of the interrelationships between language, academics, and behavior, at ages 5, 12, and 19.     

Association of Normative Beliefs and Anger with Aggression and Antisocial Behavior in Russian Male Juvenile Offenders and High School Students

Examined the association of anger experience and two types of normative beliefs with physical aggression and nonaggressive antisocial behavior in 361 juvenile offenders and 206 high school students in Russia. All participants were male and ranged in age from 14 to 18 years. Higher frequency of aggressive acts was significantly associated with higher levels of anger and stronger beliefs that physical aggression is an appropriate course of action in conflicts. After statistically controlling for nonaggressive antisocial behavior, the relationship between physical aggression and antisocial beliefs was not significant. Similarly, with physical aggression controlled, nonaggressive antisocial behavior was uniquely associated with approval of deviancy, but not with anger or beliefs legitimizing aggression. Juvenile offenders reported higher levels of anger experience and higher frequency of aggression and antisocial behavior compared to high school students. There were no differences in normative beliefs between these two groups. This specificity of association of social-cognitive and emotion-regulation processes to aggressive and nonaggressive forms of antisocial behavior may be relevant to understanding the mechanisms of cognitive-behavioral therapy for conduct disorder and antisocial behavior.     

Psychopathy and the ability to read the “language of the eyes”: Divergence in the psychopathy construct

The capacity to interpret others people's behavior and mental states is a vital part of human social communication. This ability, also called mentalizing or Theory of Mind (ToM), may also serve as a protective factor against aggression and antisocial behavior. This study investigates the relationship between two measures of psychopathy (clinical assessment and self‐report) and the ability to identify mental states from photographs of the eye region. The participants in the study were 92 male inmates at Bergen prison, Norway. The results showed some discrepancy in connection to assessment methodology. For the self‐report (SRP‐III), we found an overall negative association between mental state discrimination and psychopathy, while for the clinical instrument (PCL‐R) the results were more mixed. For Factor 1 psychopathic traits (interpersonal and affective), we found positive associations with discrimination of neutral mental states, but not with the positive or negative mental states. Factor 2 traits (antisocial lifestyle) were found to be negatively associated with discrimination of mental states. The results from this study demonstrate a heterogeneity in the psychopathic construct where psychopathic traits related to an antisocial and impulsive lifestyle are associated with lower ability to recognize others' mental states, while interpersonal and affective psychopathic traits are associated with a somewhat enhanced ability to recognize others' emotional states.     

Aggressive and nonaggressive antisocial behavior in adolescence

This study examined whether a distinction between aggressive and nonaggressive antisocial behavior can be empirically verified in a large (254 girls and 254 boys) nonclinical (community) sample of Dutch adolescents between 12 and 18 years old. The results of confirmatory factor analysis for both boys and girls shows that aggressive and nonaggressive antisocial behaviors do not represent a single underlying dimension, but two separate constructs with moderate independence among them. These findings suggest that the conceptualization of adolescent antisocial behavior as a one-dimensional phenomenon is of questionable utility and supports growing evidence that aggressive antisocial behavior is distinct from other forms of antisocial behavior.     

Emotional processing in psychopathic personality

Emotional‐processing deficits may be one of the characteristic features of impaired affect in individuals with psychopathy. These include shallowness and profound lack of remorse or empathy. Performances on standardized emotion discrimination tasks and mood induction tasks were compared between 17 patients with antisocial personality disorder (DSM‐IV) and 17 nonpsychopaths. Subjects with psychopathic personality demonstrated poorer performance on emotion‐discrimination tasks compared with controls. However, higher scores on factor “emotional detachment” of the Psychopathy Checklist (PCL‐R) were associated with better discrimination ability. Subjective ratings were comparable between groups during mood induction. Although the findings support the hypothesis of a significant association between impaired emotional processing and psychopathy, they also suggest a relationship between emotional discrimination and the core personality features of psychopathy. Aggr. Behav. 28:394–400, 2002. © 2002 Wiley‐Liss, Inc.     

Self-other representations and relational and overt aggression in adolescent girls and boys

Aggressive behavior in girls has received far less attention than similar problems in boys. This study examined self-representation, and others' representation of self, as predictors of relational aggression, overt aggression, and assaultive behavior in 32 girls and 52 boys, 10 to 17 years of age, referred for assessment due to significant aggressive and delinquent behavior problems. As predicted, negativity of self-representation predicted relational aggression in girls but not boys. Negativity of self-representation also predicted overt aggression and assaultive behavior in both girls and boys. Parental representations of self were not predictive in this sample; however, negativity of peer representations of self, was associated with increased relational aggression in girls and decreased relational aggression in boys. Negativity of peer representations of self also predicted overt aggression and assaultive behavior in both girls and boys. Results suggest that the evaluation of self-other representations may be valuable in the assessment of risk for gender specific patterns of aggression.     

Social Identity and Youth Aggressive and Delinquent Behaviors in a Context of Political Violence

The goal of the current study was to examine the moderating role of in‐group social identity on relations between youth exposure to sectarian antisocial behavior in the community and aggressive behaviors. Participants included 770 mother‐child dyads living in interfaced neighborhoods of Belfast. Youth answered questions about aggressive and delinquent behaviors as well as the extent to which they targeted their behaviors toward members of the other group. Structural equation modeling results show that youth exposure to sectarian antisocial behavior is linked with increases in both general and sectarian aggression and delinquency over one year. Reflecting the positive and negative effects of social identity, in‐group social identity moderated this link, strengthening the relationship between exposure to sectarian antisocial behavior in the community and aggression and delinquency towards the out‐group. However, social identity weakened the effect for exposure to sectarian antisocial behavior in the community on general aggressive behaviors. Gender differences also emerged; the relation between exposure to sectarian antisocial behavior and sectarian aggression was stronger for boys. The results have implications for understanding the complex role of social identity in intergroup relations for youth in post‐accord societies.     

An inter-hemispheric imbalance in the psychopath’s brain

Psychopathy is associated with two extremities. On the one hand, psychopathic individuals lack any concern for social norms and they are severely poor in maintaining healthy social relationships. In addition, the ability of individuals with psychopathy to feel certain emotions such as empathy, guilt or fear is seriously compromised. In contrast to these deficits, some behaviors and tendencies are exaggerated in psychopathy. For instance, psychopathic individuals display higher than normal impulsivity, stimulation-seeking, aggression and risk-taking. There are indications in the literature that pro-social behavior, as well as the feelings of empathy, guilt and fear are mediated predominantly by regions within the right hemisphere (RH), whereas impulsivity, stimulation-seeking, aggression and risk-taking are linked primarily with left hemisphere (LH) activity. From a neurobiological perspective, it seems that psychopathy may be associated with an altered and imbalanced inter-hemispheric dynamics; a relatively hyperfunctioning LH and/or a hypofunctioning RH. Furthermore, within the psychopathic population, the RH hypofunctioning is more characteristic of primary psychopathy with its affective and interpersonal deficits, while the LH hyperfunctioning is most typical of the secondary psychopathy which is marked by impulsivity and antisocial style.     

The Development of Aggression in 18 to 48 Month Old Children of Alcoholic Parents

This study examined the development of aggressive and oppositional behavior among alcoholic and nonalcoholic families using latent growth modeling. The sample consisted of 226 families assessed at 18, 24, 36, and 48 months of child age. Results indicated that children in families with nonalcoholic parents had the lowest levels of aggressive behavior at all time points compared to children with one or more alcoholic parents. Children in families with two alcoholic parents did not exhibit normative decreases in aggressive behavior from 3 to 4 years of age compared to nonalcoholic families. However, this association was no longer significant once a cumulative family risk score was added to the model. Children in families with high cumulative risk scores, reflective of high parental depression, antisocial behavior, negative affect during play, difficult child temperament, marital conflict, fathers’ education, and hours spent in child care, had higher levels of aggression at 18 months than children in low risk families. These associations were moderated by child gender. Boys had higher levels of aggressive behavior at all ages than girls, regardless of group status. Cumulative risk was predictive of higher levels of initial aggressive behavior in both girls and boys. However, boys with two alcoholic parents had significantly less of a decline in aggression from 36 to 48 months compared to boys in the nonalcoholic group.