Does a Booster Intervention Augment the Preventive Effects of an Abbreviated Version of the Coping Power Program for Aggressive Children?

Booster interventions have been presumed to be important methods for maintaining the effects of evidence-based programs for children with behavioral problems, but there has been remarkably little empirical attention to this assumption. The present study examines the effect of a child-oriented booster preventive intervention with children who had previously received an abbreviated version (24 child sessions, 10 parent sessions) of the Coping Power targeted prevention program. Two hundred and forty-one children (152 boys, 89 girls) were screened as having moderate to high levels of aggressive behavior in 4th grade, then half were randomly assigned to receive the abbreviated Coping Power program in 5th grade, and half of the preventive intervention children were then randomly assigned to a Booster condition in 6th grade. The Booster sessions consisted of brief monthly individual contacts, and were primarily with the children. Five assessments across 4 years were collected from teachers, providing a three-year follow-up for all children who participated in the project. Results indicated that the abbreviated Coping Power program (one-third shorter than the full intervention) had long-term effects in reducing children’s externalizing problem behaviors, proactive and reactive aggression, impulsivity traits and callous-unemotional traits. The Booster intervention did not augment these prevention effects. These findings indicate that a briefer and more readily disseminated form of an evidence-based targeted preventive intervention was effective. The findings have potential implications for policy and guidelines about possible intervention length and booster interventions.     

Are impulsive adolescents differentially influenced by the good and bad of neighborhood and family?

Using the differential susceptibility perspective (Belsky & Pluess, 2009) as a guiding frame-work, age 12 neighborhood disadvantage (ND) and family characteristics (parental knowledge) were examined as moderators of the relations between age 12 youth impulsivity and the development (ages 13, 14, and 15) of positive (community activities) and negative (antisocial behavior; ASB) adolescent behavior. An interaction between ND and youth impulsivity (age 12) operated with differential susceptibility, but only for female community activities at age 13: under low levels of ND, impulsive adolescent females engaged in the highest levels of community activities, whereas under high ND, they engaged in the lowest levels. Exploratory analysis showed the association between community activities and ND to be partially related to parents' or adults' engagement in informal social controls (e.g., alerting the police with misbehavior in the neighborhood). Differential susceptibility effects were not identified for: (i) parental knowledge and impulsivity; (ii) ASB (ages 13, 14 or 15); or (iii) community involvement at ages 14 and 15. Findings provide limited evidence for impulsivity as a differential susceptibility phenotype.     

Predicting dangerousness with two Millon Adolescent Clinical Inventory psychopathy scales: the importance of egocentric and callous traits

Psychopathy in youth has received increased recognition as a critical clinical construct for the evaluation and management of adolescents who have come into contact with the law (e.g., Forth, Hare, & Hart, 1990; Frick, 1998; Lynam, 1996, 1998). Although considerable attention has been devoted to the adult construct of psychopathy and its relation to recidivism, psychopathy in adolescents has been less thoroughly researched. Recently, a psychopathy scale (Murrie and Cornell Psychopathy Scale; Murrie & Cornell, 2000) was developed from items of the Millon Adolescent Clinical Inventory (MACI; Millon, 1993). This scale was found to be highly related to the Psychopathy Checklist-Revised (Hare, 1991) and was judged to have demonstrated good criterion validity. A necessary step in the validation process of any psychopathy scale is establishing its predictive validity. With this in mind, we investigated the ability of the MACI Psychopathy Scale to predict recidivism with 55 adolescent offenders 2 years after they had been evaluated at a juvenile court evaluation unit. In addition, we devised a psychopathy scale from MACI items that aligned more closely with Cooke and Michie (2001) and Frick, Bodin, and Barry's (2001) recommendations for the refinement of psychopathy and tested its predictive validity. Results indicate that both scales had predictive utility. Interpersonal and affective components of the revised scale were particularly important in the prediction of both general and violent reoffending.     

Assessing Axis I symptomatology on the SADS-C in two correctional samples: the validation of subscales and a screen for malingered presentations

The Schedule of Affective Disorders and Schizophrenia-Change Version (SADS-C; Spitzer & Endicott, 1978b) is a brief, highly reliable structured interview with clinical applications to diverse populations. This investigation involved reanalyses of data from 2 earlier studies (Rogers, Grandjean, Tillbrook, Vitacco, & Sewell, 2001; Ustad, Rogers, & Salekin, 1998). Focusing on 2 clinical samples from a metropolitan jail, we investigated its subscales via exploratory and confirmatory factor analysis. A good model fit was found (comparative fit index =.92; robust comparative fit index =.94) for 4 subscales (Dysphoria, Psychosis, Mania, and Insomnia) with good interrater reliability (M intraclass coefficient =.95) and clinical relevance. As a preliminary screen for feigned mental disorders, 2 detection scales (Symptom Combinations and Symptom Selectivity) were moderately successful. By maximizing negative predictive power, the SADS-C detection strategies proved effective at ruling out feigning for mentally disordered offenders with a high likelihood of genuine disorders.     

Research report — Beguiled by Bayes: a re-analysis of Mossman and Hart's estimates of malingering

Bayes' theorem has been successfully applied to clinical decision making in circumstances where the prevalence rate is both stable and well established. An attempt by Mossman and Hart (1996) to apply Bayes' theorem to malingering is critically examined. When marked fluctuations in the base rates of malingering (both within and across settings) are considered, this model appears to have little clinical utility. For the sake of illustration, Mossman and Hart data were reanalyzed, taking into account the pronounced variation in base rates. Within a 90% confidence level, the estimates of malingering for many scores extended the full range from 0% to 100%. © 1998 John Wiley & Sons, Ltd.     

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.     

Child and adolescent psychopathy: Assessment issues and treatment needs

The identification of psychopathic traits in childhood and adolescence is a topic of growing interest for scientific research. The development of models to predict violent behavior, together with efficient preventive and therapeutic programs, is a major goal when assessing youths with psychopathic traits. This paper focuses on the construct of child and adolescent psychopathy, while approaching historical and conceptual issues. By discussing the “state of the art” of the construct, we will analyze different instruments to assess psychopathy in children and adolescents, as well as the available treatment modalities. Finally, we will present possible lines for research and clinical intervention according to an evolutionary approach to anger and antisocial behavior.