Types of Aggression,Responsiveness to Provocation,and Callous-unemotional Traits in Detained Adolescents

The present study investigated differences in the behavioral and psychophysiological responses to provocation and in the level of callous-unemotional traits in boys exhibiting different patterns of aggression. Eighty-five boys (ages 13-18) in a juvenile detention center played a competitive computer task against a hypothetical peer who provided low and high levels of provocation. Youth high on both self-reported reactive and proactive aggression showed different behavioral responses to provocation than youth high on only reactive aggression. Specifically, the combined group showed high levels of aggressive responses without any provocation, whereas the group high on reactive aggression showed an increase in aggressive responding to low provocation. Further, results revealed a trend for the combined group to show lower levels of skin conductance reactivity to low provocation if they were also high on callous-unemotional traits.     

Community vs. Clinic-Based Modular Treatment of Children with Early-Onset ODD or CD: A Clinical Trial with 3-Year Follow-Up

This study examines the treatment outcomes of 139, 6–11 year-old, clinically referred boys and girls diagnosed with Oppositional Defiant Disorder (ODD) or Conduct Disorder (CD) who were randomly assigned to a modular-based treatment protocol that was applied by research study clinicians either in the community (COMM) or a clinic office (CLINIC). To examine normative comparisons, a matched sample of 69 healthy control children was included. Multiple informants completed diagnostic interviews and self-reports at six assessment timepoints (pretreatment to 3-year follow-up) to evaluate changes in the child’s behavioral and emotional problems, psychopathic features, functional impairment, diagnostic status, and service involvement. Using HLM and logistic regression models, COMM and CLINIC showed significant and comparable improvements on all outcomes. By 3-year follow-up, 36% of COMM and 47% of CLINIC patients no longer met criteria for either ODD or CD, and 48% and 57% of the children in these two respective conditions had levels of parent-rated externalizing behavior problems in the normal range. We discuss the nature and implications of these novel findings regarding the role of treatment context or setting for the treatment and long-term outcome of behavior disorders. This study was supported by grants to the first author from the National Institute of Mental Health (MH 57727) and to the second author by the National Institute of Nursing Research (NR 07615). The fourth author was supported by grant K01 MH078039 from the National Institute of Mental Health. The authors acknowledge the research and clinical staff of the Resources to Enhance the Adjustment of Children (REACH) program, and Drs. David Brent, Tammy Chung, William Gardner, John Lochman, and Wayne Osgood. Reprints may be obtained from Dr. Kolko, WPIC, 3811 O’Hara St., Pittsburgh, PA 15213.     

Can a Laboratory Measure of Emotional Processing Enhance the Statistical Prediction of Aggression and Delinquency in Detained Adolescents with Callous-unemotional Traits?

In this cross-sectional study, we investigated whether the combination of the presence of callous-unemotional (CU) traits and emotional deficits to distressing stimuli, assessed by a computerized dot-probe task, enhanced the statistical prediction of aggression and delinquency in a sample of 88 detained and predominantly African-American (68%) adolescents (M age = 15.57; SD = 1.28). Overall, self-reported CU traits were associated with self-report measures of aggression and delinquency, but not with official records of arrests. However, there was an interaction between CU traits and emotional deficits for predicting self-reported aggression, self-reported violent delinquency, and a record of violent arrests. Youth high on CU traits and who showed a deficit in their responses to visual depictions of distress showed the highest levels of aggression and violent delinquency.     

The social dynamics of boys with callous and unemotional traits: Uncooperative and proud of it

This study examined the social dynamics of boys with callous and unemotional (CU) traits when experiencing betrayal by peers and engaging in such betrayal themselves. Participants (n = 90 boys; ages 10–13 years) completed a novel prisoner’s dilemma game in which they could cooperate with, or betray, a computerized co-player. They also reported on their subjective experience of emotions during game-play and were provided with bogus feedback regarding the emotions of their co-players. Boys’ CU traits, conduct problems, and anxiety, were indexed independently via parent reports. Higher levels of CU traits were associated with lower rates of cooperation, independent of anxiety and conduct problem severity. Boys’ CU traits were also uniquely associated with greater pride following their betrayal of a co-player.     

Callous-Unemotional Traits,Relational and Social Aggression,and Interpersonal Maturity in a Sample of Behaviorally Disordered Adolescents

The authors examined the degree to which callous-unemotional traits and narcissism predict relational aggression, social aggression, and prosocial skills in a sample of 79 adolescent offenders (13–18 years old; 26% girls; 74% boys) attending a school for youth with behavior disorders in the Mid-Atlantic United States. Narcissism made a significant contribution to the prediction of both relational aggression and social aggression, accounting for most of the unique variance in the prediction of these indirect forms of aggression. Conversely, callous-unemotional traits—but not narcissism—made a significant contribution to the prediction of lower prosocial skills. Furthermore, in contrast to the large number of studies indicating gender differences in the expression of aggression, no significant gender differences in the present study were found.     

Callous-unemotional features, behavioral inhibition, and parenting: independent predictors of aggression in a high-risk preschool sample

A behaviorally-uninhibited temperament, callous-unemotional (CU) features, and harsh parenting have been associated with specific patterns of aggressive behavior in older children and adolescents. We tested the additive and interactive effects of these factors in predicting different types of aggressive behavior in a high-risk preschool sample. Forty-nine preschoolers and their parents registering for Head Start programs were recruited for participation. Behavioral inhibition, CU features, and attitudes toward various types of parenting were assessed through parent rating scales completed at the time of registration. Behavioral inhibition, CU features, and aggression were assessed by teacher ratings approximately six months later. Analyses revealed that behavioral inhibition, CU features, and harsh parental attitudes all contributed independently to the prediction of aggressive behavior. These associations were strongest for proactive types of aggression. Our results suggest that a behaviorally uninhibited temperament, CU features, and attitudes favoring harsh parenting are all important for understanding the development of aggression in preschool children.     

Emotional true and false memories in children with callous-unemotional traits

Several studies have found that children with callous-unemotional (CU) traits have a deficit in processing emotionally negative material. The present study examined whether this deficit also affects emotional memory. Twenty-two children with low CU traits and 24 children with high CU traits between 8 and 12 years of age were selected from a community sample and presented with neutral and negative emotional words, using the Deese–Roediger–McDermott paradigm. On true recall, there was no difference between the groups. Both groups had higher true recall rates for the neutral word lists than for the negative lists. However, on false recall, although there were no group differences for neutral word lists, the high CU group recalled significantly fewer critical lures on the negative word lists than the low CU group. Furthermore, the high CU group had significantly less false recall on the negative word lists compared to the neutral word lists, while the low CU group showed no difference in false recall between the word lists. These results indicate that children with high CU traits have no deficiencies in true memory performance, yet are less susceptible to developing false memories concerning emotionally negative material.     

Understanding youth antisocial behavior using neuroscience through a developmental psychopathology lens: Review,integration, and directions for research

Youth antisocial behavior (AB) is an important public health concern impacting perpetrators, victims, and society. Functional neuroimaging is becoming a more common and useful modality for understanding neural correlates of youth AB. Although there has been a recent increase in neuroimaging studies of youth AB and corresponding theoretical articles on the neurobiology of AB, there has been little work critically examining the strengths and weaknesses of individual studies and using this knowledge to inform the design of future studies. Additionally, research on neuroimaging and youth AB has not been integrated within the broader framework of developmental psychopathology. Thus, this paper provides an in-depth review of the youth AB functional neuroimaging literature with the following goals: (1) to evaluate how this literature has informed our understanding of youth AB, (2) to evaluate current neuroimaging studies of youth AB from a developmental psychopathology perspective with a focus on integrating research from neuroscience and developmental psychopathology, as well as placing this research in the context of other related areas (e.g., psychopathy, molecular genetics), and (3) to examine strengths and weaknesses of neuroimaging and behavioral studies of youth AB to suggest how future studies can develop a more informed and integrated understanding of youth AB.     

Trait impulsivity and callous-unemotional traits as predictors of inhibitory control and risky choices among high-risk adolescents

Trait impulsivity and callous-unemotional traits are associated with behavioural problems among high-risk adolescents. While both are known to influence behaviour, the nature of their expression in high-risk behaviours, particularly those related to inhibitory control, is not well understood. In the current, preliminary study, we examined whether and how these traits predicted deficits in behaviour driven by bottom-up, automatic versus deliberate, top-down inhibitory processes among high-risk adolescents. Two go/no-go task variants, emotional and non-emotional, were used to assess reactive response inhibition, and the Balloon Analogue Risk Task was used to assess the ability to resist deliberate risky choices. The results showed that the two types of self-reported trait measures were differentially associated with performance on the two types of behavioural inhibition tasks. Trait impulsivity predicted non-emotional inhibitory control whereas callous-unemotional traits predicted risky choices. The results also showed that the emotions task elicited slower reaction times and higher false alarm rates than did the letters task, and that participants had greater difficulty inhibiting responses to negatively than to positively valenced no-go stimuli. While preliminary, the results suggest that the interplay between trait impulsivity and callous-unemotional traits is an important determinant of inhibitory behaviour in this high-risk adolescents.