Emotional Abilities in Children with Oppositional Defiant Disorder (ODD): Impairments in Perspective-Taking and Understanding Mixed Emotions are Associated with High Callous–Unemotional Traits
Most studies of emotion abilities in disruptive children focus on emotion expression recognition. This study compared 74 children aged 4–8 years with ODD to 45 comparison children (33 healthy; 12 with an anxiety disorder) on behaviourally assessed measures of emotion perception, emotion perspective-taking, knowledge of emotions causes and understanding ambivalent emotions and on parent-reported cognitive and affective empathy. Adjusting for child’s sex, age and expressive language ODD children showed a paucity in attributing causes to emotions but no other deficits relative to the comparison groups. ODD boys with high levels of callous–unemotional traits (CU) (n = 22) showed deficits relative to low CU ODD boys (n = 25) in emotion perspective-taking and in understanding ambivalent emotions. Low CU ODD boys did not differ from the healthy typically developing boys (n = 12). Impairments in emotion perceptive-taking and understanding mixed emotions in ODD boys are associated with the presence of a high level of CU.
KeywordsOppositional defiant disorder Emotional competencies Callous unemotional traits Ambivalent emotions
The study was supported by an Australian Research Council grant (DP110101990) awarded to O’Kearney and Salmon. Dr Dawel is supported in part by a grant from the Australian Research Council Centre of Excellence for Cognition and its Disorders.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
- 17.Langdon R, Mackenzie C (eds) (2012) Emotion, imagination and moral reasoning. Psychology Press, HoveGoogle Scholar
- 18.Lewis M (2008) Self-conscious emotions: embarrassment, pride, shame, and guilt. In: Lewis M, Haviland-Jones JM, Barrett LF (eds) Handbook of emotions. Guildford Press, New York, pp 742–756Google Scholar
- 30.Holland D, Dadds MR (1997) The diagnostic interview schedule for children, adolescents, and parents (DISCAP). Griffith University, BrisbaneGoogle Scholar
- 32.Frick PJ (2004) The inventory of callous–unemotional traits. Unpublished rating scale, The University of New Orleans, OrleansGoogle Scholar
- 34.Kimonis ER, Ogg J, Fefer S (2014) The relevance of callous–unemotional traits to working with youth with conduct problems. Communiqué 42:16–18Google Scholar
- 35.Frick PJ, Moffitt TE (2010) A proposal to the DSM–V childhood disorders and the ADHD and disruptive behavior disorders work groups to include a specifier to the diagnosis of conduct disorder based on the presence of callous–unemotional traits. American Psychiatric Association, WashingtonGoogle Scholar
- 43.Williams KT (2007) Expressive vocabulary test, manual, 2nd edn. NCS Pearson, MinneapolisGoogle Scholar
- 44.Lovibond SH, Lovibond PF (1995) Manual for the depression anxiety stress scales, 2nd edn. Psychology Foundation, SydneyGoogle Scholar