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.     

Psychopathic Personality Traits in Relation to Self-report Delinquency in Adolescence: Should We Mind About Interaction Effects?

The aim of the present study was to investigate if interaction effects among Youth Psychopathic Traits Inventory (YPI) Grandiose-Manipulative (GM), Callous-Unemotional (CU), and Impulsive-Irresponsible (II) may add significant information in predicting self-reports of juvenile delinquent behavior among adolescents. A sample of 558 Italian high school students were administered the YPI and the Self-Reports of Delinquency Scale (SRDS) in order to evaluate interaction effects among YPI GM, CU, and II dimensions. Results showed a significant effect for a three-way interaction among the three YPI dimensions in predicting the SRDS total score, β?=?.19, p?<?.01. In conclusion, the findings seem to underline that a three-factor model of psychopathy may help clinicians and researchers in predicting self-reported delinquency better than the individual factors.     

Psychometric Properties and Measurement Invariance of the Youth Psychopathic Traits Inventory - Short Version among Portuguese Youth

This study aimed to examine the psychometric properties of the Youth Psychopathic Traits Inventory - Short version (YPI-S) among a mixed-gender sample of 782 Portuguese youth (M = 15.87 years; SD = 1.72) collected in a school context. Exploratory and confirmatory factor analysis offered support for the expected 3-factor structure. Partial cross-gender measurement invariance and cross-sample measurement invariance of the YPI-S using a forensic sample of institutionalized males was established. The Portuguese version of the YPI-S showed adequate psychometric properties in terms of internal consistency, mean inter-item correlation, corrected item-total correlation, convergent validity, and discriminant validity. In support for criterion-related validity, the YPI-S also showed statistically significant associations with self-reported conduct disorder symptoms, alcohol abuse, and drug use. In terms of known-groups validity, males from the school sample scored lower than males from the forensic sample and higher than females from the school sample. The YPI-S seems to be a valuable brief and psychometrically reliable and valid self-report measure, which can be used to assess psychopathic traits in diverse samples of youth.     

Genetic effects explain the stability of psychopathic personality from mid- to late adolescence

This study examined the importance of genetic and environmental influence for the stability of psychopathic personality between mid- and late adolescence. The target sample consisted of all 1,480 male and female twin pairs born in Sweden between 1985 and 1986. Psychopathic personality was measured with the Youth Psychopathic Traits Inventory (YPI; H. Andershed, M. Kerr, M. Stattin, & S. Levander, 2002) when the participants were 16 and 19 years old. Results showed that the 3 psychopathic personality dimensions were stable at different levels of analysis and linked to a stable higher order general factor (i.e., psychopathic personality factor). Genetic factors contributed substantially to the stability of this general higher order factor, whereas environmental factors were of little importance. However, the authors also found specific genetic stability in the Callous/unemotional and Impulsive/irresponsible dimension. Thus, the model provides evidence for etiologic generality and etiologic specificity for the stability of psychopathic personality between mid- and late adolescence.     

Exemplars in the mist: the cognitive substrate of the representativeness heuristic

The idea that people often make probability judgments by a heuristic short-cut, the representativeness heuristic, has been widely influential, but also criticized for being vague. The empirical trademark of the heuristic is characteristic deviations between normative probabilities and judgments (e.g., the conjunction fallacy, base-rate neglect). In this article the authors contrast two hypotheses concerning the cognitive substrate of the representativeness heuristic, the prototype hypothesis (Kahneman & Frederick, 2002) and the exemplar hypothesis (Juslin & Persson, 2002), in a task especially designed to elicit representativeness effects. Computational modelling and an experiment reveal that representativeness effects are evident early in training and persist longer in a more complex task environment and that the data are best accounted for by a model implementing the exemplar hypothesis.     

The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy

In the present study of 203 patients in psychodynamic group psychotherapy, we explore associations between patient and therapist global retrospective outcome evaluations (ROE), and pre-post-treatment changes on the Symptom Check List 90 Revised (SCL-90-R) and non-symptomatic focus of therapy. There were no significant associations between ROE, diagnoses and demographic variables, and pre-treatment SCL-90-R associations were negligible (less than 4% of overlapping variance). SCL-90-R subscale improvement expressed as residual gain score explained the overall largest percent of variance in both patients and therapists (44% and 25%, respectively) when compared with raw difference scores (32% and 18%), and percent reduction from baseline (34% and 23%). Moreover, ROE/end-state adjustment associations were substantial (42% and 24%). Therapists' evaluation of change showed the strongest association with improvement in non-symptomatic focus of therapy, while patients' evaluation had the strongest association with improvement in SCL-Depression. It is concluded that retrospective evaluations reflect changes related to treatment. However, unexplained variance may be independent of symptomatic state, and associated with personality factors or domains not captured by standard questionnaires.     

Selbsthilfegruppen im Rahmen stationärer psychotherapeutischer Behandlungen

Psychosomatic in-patient treatment applies a combination of various methods in order to facilitate learning by insight and corrective emotional experiences in a therapeutic community. The establishment of a self-help group on the ward can be a useful complementary element in such a comprehensive approach. However, empirical research on this specific topic does not yet exist. Based on clinical experience, necessary preconditions as well as the pros and cons of integrating self-help into professional treatment are described. The assessment of 850 patients in a clinic for psychosomatic medicine and psychotherapy concerning a self-help group on the ward are presented. Relationships between patients’ evaluation of the self-help group and various other variables as well as the overall treatment effect were studied. Empirical data provide evidence of a differential effect of the self-help group on the ward: the majority of the patients experienced the self-help group as useful. Whether the patient is able to benefit from group therapy seems to be an intermediate variable and the therapists’ attitude towards self-help groups also seems to play an important role.