Parent Training Adapted to the Needs of Children With Callous–Unemotional Traits: A Randomized Controlled Trial

Callous–unemotional (CU) traits designate a distinct subgroup of children with early-starting, stable, and aggressive conduct problems. Critically, traditional parenting interventions often fail to normalize conduct problems among this subgroup. The aim of this study was to test whether parent–child interaction therapy (PCIT) adapted to target distinct deficits associated with CU traits (PCIT-CU) produced superior outcomes relative to standard PCIT. In this proof-of-concept trial, 43 families with a 3- to 7-year-old child (M age = 4.84 years, SD = 1.12, 84% male) with clinically significant conduct problems and elevated CU traits were randomized to receive standard PCIT (n = 21) or PCIT-CU (n = 22) at an urban university-based research clinic. Families completed five assessments measuring child conduct problems, CU traits, and empathy. Parents in both conditions reported good treatment acceptability and significantly improved conduct problems and CU traits during active treatment, with no between-group differences. However, linear mixed-effects models showed treatment gains in conduct problems deteriorated for children in standard PCIT relative to those in PCIT-CU during the 3-month follow-up period (ds = 0.4–0.7). PCIT-CU shows promise for sustaining improvements in conduct problems for young children with conduct problems and CU traits, but requires continued follow-up and refinement.     

Parent-report measure of Theory of Mind: Adaptation to Polish of the Children’s Social Understanding Scale

The main aim of the study was to investigate whether the Children’s Social Understanding Scale (CSUS), a parent report technique, is a valid and reliable measure of Theory of Mind (ToM) abilities in Polish-speaking children. Additionally, the role of language abilities in ToM development was explored. A group of 225 parents of approximately 3.5-year-old Polish children was tested using the Polish version of the CSUS. Their children were tested with a word comprehension test and five behavioural ToM tasks. Satisfactory psychometric properties of the Polish CSUS were observed and positive correlations between the CSUS and behavioural ToM tasks were found. A two-factor structure was found in the CSUS: Mental State Talk (MST) and Mental State Comprehension. The MST factor was significantly related to word comprehension. The utility of the Polish version of the CSUS for future cross-cultural research with this population is discussed.