Journal of Abnormal Child Psychology

, Volume 40, Issue 7, pp 1099–1110

Callous-Unemotional Traits as Unique Prospective Risk Factors for Substance Use in Early Adolescent Boys and Girls

  • Brian T. Wymbs
  • Carolyn A. McCarty
  • Kevin M. King
  • Elizabeth McCauley
  • Ann Vander Stoep
  • John S. Baer
  • Daniel A. Waschbusch
Article

Abstract

Youth with elevated conduct disorder (CD) symptoms who also have callous-unemotional (CU) traits exhibit more antisocial behavior than youth without CU traits. However, evidence regarding whether CU traits increase risk of substance use over and above CD symptoms, and whether these associations differ for boys and girls, is scarce. Using the Developmental Pathways Project sample of 521 middle school students, we examined whether adolescent- and parent-reported CU traits measured in 6th grade prospectively predicted the onset and recurrence of substance use and use-related impairment by 9th grade. We also examined the degree to which CU traits uniquely predicted substance use and impairment over and above CD symptoms, as well as whether gender moderated these associations. Results indicated that adolescent-reported CU traits increased the likelihood of substance use and impairment onset and recurrence by 9th grade. Analyses revealed that CD symptoms accounted for prospective associations between adolescent-reported CU and substance use, but gender moderated these associations. Boys with elevated CU traits and CD symptoms were not more likely to report alcohol use onset or recurrence, but they were at highest risk of recurrent marijuana use, use of both alcohol and marijuana, and use-related impairment by 9th grade. Girls with low CU traits and high CD symptoms were most likely to report onset and recurrent use of alcohol, as well as recurrent marijuana use, use of both substances and impairment. Study findings highlight the importance of accounting for CD symptoms and gender when examining links between CU traits and substance use in early adolescence.

Keywords

Callous-unemotional traits Conduct disorder Substance use Early adolescence 

References

  1. Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont.Google Scholar
  2. Armstrong, T. D., & Costello, E. J. (2002). Community studies on adolescent substance use, abuse, or dependence and psychiatric comorbidity. Journal of Consulting and Clinical Psychology, 70, 1224–1239.PubMedCrossRefGoogle Scholar
  3. Bailey, S. L., Flewelling, R. L., & Rachal, J. V. (1992). The characterization of inconsistencies in self-reports of alcohol and marijuana use in a longitudinal study of adolescents. Journal of Studies on Alcohol, 53, 636–647.PubMedGoogle Scholar
  4. Brown, S. A., Myers, M. G., Lippke, L., Tapert, S. F., Stewart, D. G., & Vik, P. W. (1998). Psychometric evaluation of the customary drinking and drug use record: a measure of adolescent alcohol and drug involvement. Journal of Studies on Alcohol, 59, 427–438.PubMedGoogle Scholar
  5. Cable, N., & Sacker, A. (2007). The role of adolescent social disinhibition expectancies in moderating the relationship between psychological distress and alcohol use and misuse. Addictive Behaviors, 32, 282–295.PubMedCrossRefGoogle Scholar
  6. Caspi, A., & Moffitt, T. E. (1991). Individual differences are accentuated during periods of social change. Journal of Personality and Social Psychology, 61, 157–168.PubMedCrossRefGoogle Scholar
  7. Chassin, L., Ritter, J., Trim, R. S., & King, K. M. (2003). Adolescent substance use disorders. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (2nd ed., pp. 199–230). New York: Guilford.Google Scholar
  8. Costello, E. J., & Angold, A. (1988). Scales to assess child and adolescent depression. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 726–737.PubMedCrossRefGoogle Scholar
  9. Dadds, M. R., Fraser, J., Frost, A., & Hawes, D. J. (2005). Disentangling the underlying dimensions of psychopathy and conduct problems in childhood: a community study. Journal of Consulting and Clinical Psychology, 73, 400–410.PubMedCrossRefGoogle Scholar
  10. Dadds, M. R., Hawes, D. J., Frost, A. D. J., Vassallo, S., Bunn, P., Hunter, K., et al. (2009). Learning to ‘talk the talk’: the relationship of psychopathic traits to deficits in empathy across childhood. Journal of Child Psychology and Psychiatry, 50, 599–606.PubMedCrossRefGoogle Scholar
  11. Dick, D. M., Rose, R. J., Viken, R. J., & Kaprio, J. (2000). Pubertal timing and substance use: associations between and within families across late adolescence. Developmental Psychology, 36, 180–189.PubMedCrossRefGoogle Scholar
  12. Fontaine, N. M. G., Rijsdijk, F. V., McCrory, E. J. P., & Viding, E. (2010). Etiology of different developmental trajectories of callous-unemotional traits. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 656–664.PubMedGoogle Scholar
  13. Frick, P. J., Bodin, S. D., & Barry, C. T. (2000). Psychopathic traits and conduct problems in community and clinic-referred samples of children: further development of the psychopathy screening device. Psychological Assessment, 12, 382–393.PubMedCrossRefGoogle Scholar
  14. Frick, P. J., Cornell, A. H., Barry, C. T., Bodin, S. D., & Dane, H. E. (2003a). Callous-unemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-report of delinquency. Journal of Abnormal Child Psychology, 31, 457–470.PubMedCrossRefGoogle Scholar
  15. Frick, P. J., Cornell, A. H., Bodin, S. D., Dane, H. E., Barry, C. T., & Loney, B. R. (2003b). Callous-unemotional traits and developmental pathways to severe conduct problems. Developmental Psychology, 39, 246–260.PubMedCrossRefGoogle Scholar
  16. Frick, P. J., & Hare, R. D. (2001). Antisocial Process Screening Device (APSD): technical manual. Tonawanda: Multi-Health Systems Inc.Google Scholar
  17. Frick, P. J., & Moffitt, T. E. (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. http://www.dsm5.org/Proposed%20Revision%20Attachments/Proposal%20for%20Callous%20and%20Unemotional%20Specifier%20of%20Conduct%20Disorder.pdf.
  18. Frick, P. J., Stickle, T. R., Dandreaux, D. M., Farrell, J. M., & Kimonis, E. R. (2005). Callous-unemotional traits in predicting the severity and stability of conduct problems and delinquency. Journal of Abnormal Child Psychology, 33, 471–487.PubMedCrossRefGoogle Scholar
  19. Frick, P. J., & White, S. F. (2008). Research review: the importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior. Journal of Child Psychology and Psychiatry, 49, 359–375.PubMedCrossRefGoogle Scholar
  20. Ginzler, J. A., Garrett, S. B., Baer, J. S., & Peterson, P. L. (2007). Measurement of negative consequences of substance use in street youth: an expanded use of the Rutgers alcohol problem index. Addictive Behaviors, 32, 1519–1525.PubMedCrossRefGoogle Scholar
  21. Gretton, H. M., Hare, R. D., & Catchpole, R. E. H. (2004). Psychopathy and offending from adolescence to adulthood. Journal of Consulting and Clinical Psychology, 72, 636–645.PubMedCrossRefGoogle Scholar
  22. Harvey, P. D., Stokes, J. L., Lord, J., & Pogge, D. L. (1996). Neurocognitive and personality assessment of adolescent substance abusers. Assessment, 3, 241–253.CrossRefGoogle Scholar
  23. Hillege, S., Das, J., & de Ruiter, C. (2010). The youth psychopathic traits inventory: psychometric properties and its relation to substance use and interpersonal style in a Dutch sample of non-referred adolescents. Journal of Adolescence, 33, 83–91.PubMedCrossRefGoogle Scholar
  24. Jessor, R. (1987). Problem-behavior theory, psychosocial development, and adolescent problem drinking. British Journal of Addiction, 82, 331–342.PubMedCrossRefGoogle Scholar
  25. Johnson, R. A., & Gerstein, D. R. (2000). Age, period, and cohort effects in marijuana and alcohol incidence: United States females and males, 1961–1990. Substance Use & Misuse, 35, 925–948.CrossRefGoogle Scholar
  26. Keyes, K. M., Schulenberg, J. E., O’Malley, P. M., Johnston, L. D., Bachman, J. G., Li, G., et al. (2011). The social norms of birth cohorts and adolescent marijuana use in the United States, 1976–2007. Addiction, 106, 1790–1800.PubMedCrossRefGoogle Scholar
  27. King, K. M., & Chassin, L. (2007). A prospective study of the effects of age of initiation of alcohol and drug use on young adult substance dependence. Journal of Studies on Alcohol and Drugs, 68(2), 256–265.PubMedGoogle Scholar
  28. Krueger, R. F., Hicks, B. M., Patrick, C. J., Carlson, S. R., Iacono, W. G., & McGue, M. (2002). Etiologic connections among substance dependence, antisocial behavior and personality: modeling the externalizing spectrum. Journal of Abnormal Psychology, 111, 411–424.PubMedCrossRefGoogle Scholar
  29. Loney, B. R., Butler, M. A., Lima, E. N., Counts, C. A., & Eckel, L. A. (2006). The relation between salivary cortisol, callous-unemotional traits, and conduct problems in an adolescent non-referred sample. Journal of Child Psychology and Psychiatry, 47, 30–36.PubMedCrossRefGoogle Scholar
  30. Lynam, D. R., Caspi, A., Moffitt, T. E., Loeber, R., & Stouthamer-Loeber, M. (2007). Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy. Journal of Abnormal Psychology, 116, 155–165.PubMedCrossRefGoogle Scholar
  31. Lynam, D. R., Charnigo, R., Moffitt, T. E., Raine, A., Loeber, R., & Stouthamer-Loeber, M. (2009). The stability of psychopathy across adolescence. Development and Psychopathology, 21, 1133–1153.PubMedCrossRefGoogle Scholar
  32. Mailloux, D. L., Forth, A. E., & Kroner, D. G. (1997). Psychopathy and substance use in adolescent male offenders. Psychological Reports, 81, 529–530.PubMedGoogle Scholar
  33. Marsee, M. A., & Frick, P. J. (2007). Exploring the cognitive and emotional correlates to proactive and reactive aggression in a sample of detained girls. Journal of Abnormal Child Psychology, 35, 969–981.PubMedCrossRefGoogle Scholar
  34. Marsee, M. A., Silverthorn, P., & Frick, P. J. (2005). The association of psychopathic traits with aggression and delinquency in non-referred boys and girls. Behavioral Sciences & the Law, 23, 803–817.CrossRefGoogle Scholar
  35. McMahon, R. J., Witkiewitz, K., Kotler, J. S., & the Conduct Problems Prevention Research Group. (2010). Predictive validity of callous-unemotional traits measured in early adolescence with respect to multiple antisocial outcomes. Journal of Abnormal Psychology, 119, 752–763.PubMedCrossRefGoogle Scholar
  36. Miller, E. T., Neal, D. J., Roberts, L. J., Baer, J. S., Cressler, S. O., Metrick, J., et al. (2002). Test-retest reliability of alcohol measures: is there a difference between internet-based assessment and traditional methods? Psychology of Addictive Behaviors, 16, 56–63.PubMedCrossRefGoogle Scholar
  37. Murrie, D. C., & Cornell, D. G. (2000). The million adolescent clinical inventory and psychopathy. Journal of Personality Assessment, 75, 110–125.PubMedCrossRefGoogle Scholar
  38. Obradovic, J., Pardini, D. A., Long, J. D., & Loeber, R. (2007). Measuring interpersonal callousness in boys from childhood to adolescence: an examination of longitudinal invariance and temporal stability. Journal of Clinical Child and Adolescent Psychology, 36, 276–292.PubMedCrossRefGoogle Scholar
  39. Pardini, D. A., Lochman, J. E., & Frick, P. J. (2003). Callous/unemotional traits and social-cognitive processes in adjudicated youths. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 364–371.PubMedCrossRefGoogle Scholar
  40. Pardini, D., Stepp, S., Hipwell, A., Stouthamer-Loeber, M., & Loeber, R. (2012). The clinical utility of the proposed DSM-5 callous-unemotional subtype of conduct disorder in young girls. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 62–73.PubMedCrossRefGoogle Scholar
  41. Poythress, N. D., Douglas, K. S., Falkenback, D., Cruise, K., Lee, Z., Murrie, D. C., et al. (2006). Internal consistency reliability of the self-report antisocial process screening device. Assessment, 13, 107–113.PubMedCrossRefGoogle Scholar
  42. Roussy, S., & Toupin, J. (2000). Behavioral inhibition deficits in juvenile psychopaths. Aggressive Behavior, 26, 413–424.CrossRefGoogle Scholar
  43. Schaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.CrossRefGoogle Scholar
  44. Schwab-Stone, M. E., Shaffer, D., Dulcan, M. K., Jensen, P. S., Fisher, P., Bird, H. R., et al. (1996). Criterion validity of the NIMH diagnostic interview schedule for children version 2.3 (DISC-2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35, 878–888.PubMedCrossRefGoogle Scholar
  45. Shillington, A. M., & Clapp, J. D. (2000). Self-report stability of adolescent substance use: are there differences for gender, ethnicity and age? Drug and Alcohol Dependence, 60, 19–27.PubMedGoogle Scholar
  46. Skenderian, J. J., Siegel, J. T., Crano, W. D., Alvaro, E. E., & Lac, A. (2008). Expectancy change and adolescents’ intentions to use marijuana. Psychology of Addictive Behaviors, 22, 563–569.PubMedCrossRefGoogle Scholar
  47. Sung, M., Erkanli, A., Angold, A., & Costello, E. J. (2004). Effects of age at first substance use and psychiatric comorbidity on the development of substance use disorders. Drug and Alcohol Dependence, 75(3), 287–299.PubMedCrossRefGoogle Scholar
  48. Vander Stoep, A., McCauley, E., Thompson, K. A., Herting, J. R., Kuo, E. S., Stewart, D. G., et al. (2005). Universal emotional health screening at the middle school transition. Journal of Emotional and Behavioral Disorders, 13, 213–223.CrossRefGoogle Scholar
  49. Verona, E., Sadeh, N., & Javdani, E. (2010). The influence of gender and culture on child and adolescent psychopathy. In R. T. Salekin & D. R. Lynam (Eds.), Handbook of child and adolescent psychopathy (pp. 401–419). New York: Guilford.Google Scholar
  50. Viding, E., Frick, P. J., & Plomin, R. (2007). Aetiology of the relationship between callous-unemotional traits and conduct problems in childhood. The British Journal of Psychiatry, 190S, s33–s38.CrossRefGoogle Scholar
  51. Viding, E., Simmonds, E., Petrides, K. V., & Frederickson, N. (2009). The contribution of callous-unemotional traits and conduct problems to bullying in early adolescence. Journal of Child Psychology and Psychiatry, 50, 471–481.PubMedCrossRefGoogle Scholar
  52. Way, N., Stauber, H. Y., Nakkula, M. J., & London, P. (1994). Depression and substance use in two divergent high school cultures: a quantitative and qualitative analysis. Journal of Youth and Adolescence, 23, 331–357.CrossRefGoogle Scholar
  53. Weissman, M. M., Wickramaratne, P., Adams, P., Wolk, S., Verdeli, H., & Olfson, M. (2000). Brief screening for family psychiatric history: the family history screen. Archives of General Psychiatry, 57, 675–682.PubMedCrossRefGoogle Scholar
  54. White, H. R., & Labouvie, E. W. (1989). Towards the assessment of adolescent problem drinking. Journal of Studies on Alcohol, 51, 30–37.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Brian T. Wymbs
    • 1
  • Carolyn A. McCarty
    • 1
    • 2
  • Kevin M. King
    • 2
  • Elizabeth McCauley
    • 1
    • 2
  • Ann Vander Stoep
    • 2
  • John S. Baer
    • 2
  • Daniel A. Waschbusch
    • 3
  1. 1.Seattle Children’s Research InstituteSeattleUSA
  2. 2.University of WashingtonSeattleUSA
  3. 3.Florida International UniversityMiamiUSA

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