Abstract
Callous-unemotional (CU) traits correlate with the severity and prognosis of conduct disorder in youth. The neuropeptide oxytocin (OT) has been linked to prosocial behaviors, including empathy and collaboration with others. This study discusses a possible role for OT in the biology of delinquent behavior. We hypothesized that in delinquent youth OT secretion will correlate with the severity of conduct problems and specifically with the level of CU traits. The study group included 67 male adolescents (mean age 16.2 years) undergoing residential treatment, previously assessed by an open clinical interview and history for the psychiatric diagnosis. Staff based Inventory of Callous-Unemotional traits for psychopathy and Strength and Difficulties Questionnaire were administered, and patients’ medical and social personal files were systematically coded for previous history of antisocial acts using the Brown-Goodwin Questionnaire. Salivary OT was assayed by ELISA. Salivary OT levels were inversely correlated with conduct problems severity on Strength and Difficulties Questionnaire (r = −0.27; p ≤ 0.01). Recorded history of antisocial acts did not correlate with current OT levels. Odds ratio (OR) for significant CU traits among subjects with conduct problems was increased in low-OT (OR = 14, p ≤ 0.05) but not in high-OT subjects (OR = 6, p ≥ 0.05). Children with conduct problems and low levels of salivary OT are at risk for significant CU traits. These results suggest a possible role for salivary OT as a biomarker for CU traits and conduct problems severity.
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Abbreviations
- BGQ:
-
Brown Goodwin questionnaire
- CD:
-
Conduct disorder
- CP:
-
Conduct problems
- CU:
-
Callous-unemotional
- ICU:
-
Inventory of callous-unemotional traits
- OT:
-
Oxytocin
- OXTR:
-
Oxytocin receptor
- SDQ:
-
Strength and difficulties questionnaire
- SNP:
-
Single nucleotide polymorphism
References
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. Arlington, VA
Kimonis ER, Frick PJ (2010) Oppositional defiant disorder and conduct disorder grown-up. J Dev Behav Pediatr 31(3):244–254. doi:10.1097/DBP.0b013e3181d3d320
Lahey BB, Loeber R, Burke JD, Applegate B (2005) Predicting future antisocial personality disorder in males from a clinical assessment in childhood. J Consult Clin Psychol 73(3):389–399
Frick PJ, Dickens C (2006) Current perspectives on conduct disorder. Curr Psychiatry Rep 8(1):59–72
Frick PJ, White SF (2008) The importance of callous-unemotional traits for the development of aggressive and antisocial behavior. J Child Psychol Psychiatry 49:359–375
Hare RD (2003) Manual for the revised psychopathy checklist, 2nd edn. Multi-Health Systems, Toronto
Viding E, McCrory EJ (2012) Why should we care about measuring callous-unemotional traits in children? Br J Psychiatry 200(3):177–178. doi:10.1192/bjp.bp.111.099770
Blair RJ, Peschardt KS, Budhani S, Mitchell DGV, Pine DS (2006) The development of psychopathy. J Child Psychol Psychiatry 47(3–4):262–275
Frick PJ, Ray JV, Thornton LC, Kahn RE (2014) Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. Psychol Bull 140(1):1–57. doi:10.1037/a0033076
Marsh AA, Finger EC, Mitchell DG et al (2008) Reduced amygdala response to fearful expressions in children and adolescents with callous-unemotional traits and disruptive behavior disorders. Am J Psychiatry 165(6):712–720. doi:10.1176/appi.ajp.2007.07071145
Cohen D, Strayer J (1996) Empathy in conduct-disordered and comparison youth. Dev Psychol 32(6):988–998
Carr MB, Lutjemeier JA (2005) The relation of facial affect recognition and empathy to delinquency in youth offenders. Adolescence 40(159):601–619
López R, Poy R, Patrick CJ, Moltó J (2013) Deficient fear conditioning and self-reported psychopathy: the role of fearless dominance. Psychophysiology 50(2):210–218. doi:10.1111/j.1469-8986.2012.01493.x
Roose A, Bijttebier P, Van der Oord S, Claes L, Lilienfeld SO (2013) Psychopathic traits in youth and associations with temperamental features: results from a performance-based measure. J Individal Diff 34(1):1–7
Muñoz LC, Frick PJ (2012) Callous-unemotional traits and their implication for understanding and treating aggressive and violent youths. Criminal Justice Behav 39(6):794–813
Frick PJ, Ray JV, Thornton LC, Kahn RE (2014) Annual Research Review: a developmental psychopathology approach to understanding callous-unemotional traits in children and adolescents with serious conduct problems. J Child Psychol Psychiatry 55(6):532–548. doi:10.1111/jcpp.12152
Lee HJ, Macbeth AH, Pagani JH, Young WS 3rd (2009) Oxytocin: the great facilitator of life. Prog Neurobiol 88(2):127–151. doi:10.1016/j.pneurobio.2009.04.001
Insel TR, Young L, Wang Z (1997) Central oxytocin and reproductive behaviours. Rev Reprod 2(1):28–37
Donaldson ZR, Young LJ (2008) Oxytocin, vasopressin, and the neurogenetics of sociality. Science 322(5903):900–904. doi:10.1126/science.1158668
Landgraf R, Neumann ID (2004) Vasopressin and oxytocin release within the brain: a dynamic concept of multiple and variable modes of neuropeptide communication. Front Neuroendocrinol 25(3–4):150–176
Fischer-Shofty M, Shamay-Tsoory SG, Harari H, Levkovitz Y (2010) The effect of intranasal administration of oxytocin on fear recognition. Neuropsychologia 48(1):179–184. doi:10.1016/j.neuropsychologia.2009.09.003
Domes G, Heinrichs M, Gläscher J, Büchel C, Braus DF, Herpertz SC (2007) Oxytocin attenuates amygdala responses to emotional faces regardless of valence. Biol Psychiatry 62(10):1187–1190
Savaskan E, Ehrhardt R, Schulz A, Walter M, Schächinger H (2008) Post-learning intranasal oxytocin modulates human memory for facial identity. Psychoneuroendocrinology 33(3):368–374. doi:10.1016/j.psyneuen.2007.12.004
Apter-Levy Y, Feldman M, Vakart A, Ebstein RP, Feldman R (2013) Impact of maternal depression across the first 6 years of life on the child’s mental health, social engagement, and empathy: the moderating role of oxytocin. Am J Psychiatry 170:1161–1168. doi:10.1176/appi.ajp.2013.12121597
Wu N, Li Z, Su Y (2012) The association between oxytocin receptor gene polymorphism and trait empathy. J Affect Disord 138(3):468-472. oi: 10.1016/j.jad.2012.01.009
Kosfeld M, Heinrichs M, Zak PJ, Fischbacher U, Fehr E (2005) Oxytocin increases trust in humans. Nature 435(7042):673–676
Kirsch P, Esslinger C, Chen Q et al (2005) Oxytocin modulates neural circuitry for social cognition and fear in humans. J Neurosci 25(49):11489–11493
De Dreu CK, Greer LL, Handgraaf MJ et al (2010) The neuropeptide oxytocin regulates parochial altruism in intergroup conflict among humans. Science 328(5984):1408–1411. doi:10.1126/science.1189047
Zak PJ, Stanton AA, Ahmadi S (2007) Oxytocin increases generosity in humans. PLoS ONE 2(11):e1128
Heinrichs M, Baumgartner T, Kirschbaum C, Ehlert U (2003) Social support and oxytocin interact to suppress cortisol and subjective responses to psychosocial stress. Biol Psychiatry 54(12):1389–1398
Blair RJR (2013) The neurobiology of psychopathic traits in youths. Nat Rev Neurosci 14(11):786–799. doi:10.1038/nrn3577
Herpers PC, Scheepers FE, Bons DM, Buitelaar JK, Rommelse NN (2014) The cognitive and neural correlates of psychopathy and especially callous-unemotional traits in youths: a systematic review of the evidence. Dev Psychopathol 26(1):245–273. doi:10.1017/S0954579413000527
Rice TR, Derish NE (2015) Oxytocin and callous-unemotional traits: towards a social-cognitive approach to forensic analysis. Int J Adolesc Med Health 27(2):195–201. doi:10.1515/ijamh-2015-5011
Malik AI, Zai CC, Abu Z, Nowrouzi B, Beitchman JH (2012) The role of oxytocin and oxytocin receptor gene variants in childhood-onset aggression. Genes Brain Behav 11(5):545–551. doi:10.1111/j.1601-183X.2012.00776.x
Beitchman JH, Zai CC, Muir K, Berall L, Nowrouzi B, Choi E (2012) Childhood aggression, callous–unemotional traits and oxytocin genes. Eur Child Adolesc Psychiatry 21:125–132
Dadds MR, Moul C, Cauchi A et al (2014) Polymorphisms in the oxytocin receptor gene are associated with the development of psychopathy. Dev Psychopathol 26(1):21–31. doi:10.1017/S0954579413000485
Dadds MR, Moul C, Cauchi A et al (2014) Methylation of the oxytocin receptor gene and oxytocin blood levels in the development of psychopathy. Dev Psychopathol 26(1):33–40. doi:10.1017/S0954579413000497
Feldman R, Zagoory-Sharon O, Weisman O et al (2012) Sensitive parenting is associated with plasma oxytocin and polymorphisms in the OXTR and CD38 genes. Biol Psychiatry 72:175–181. doi:10.1016/j.biopsych.2011.12.025
Muñoz LC, Frick PJ (2007) The reliability, stability, and predictive utility of the self-report version of the Antisocial Process Screening Device. Scand J Psychol 48(4):299–312
Frick PJ, Bodin SD, Barry CT (2000) Psychopathic traits and conduct problems in community and clinic-referred samples of children: further development of the psychopathy screening device. Psychol Assess 12(4):382–393
Viding E, Simmonds E, Petrides KV, Frederickson N (2009) The contribution of callous-unemotional traits and conduct problems to bullying in early adolescence. J Child Psychol Psychiatry 50(4):471–481. doi:10.1111/j.1469-7610.2008.02012.x
Kimonis ER, Frick PJ, Skeem J et al (2008) Assessing callous-unemotional traits in adolescent offenders: validation of the Inventory of Callous-Unemotional Traits. Int J Law Psychiatry 31(3):241–251. doi:10.1016/j.ijlp.2008.04.002
Frick PJ, Cornell AH, Barry CT, Bodin SD, Dane HE (2003) Callous-unemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-report of delinquency. J Abnormal Child Psychology 31(4):457–470
Kimonis ER, Fanti KA, Singh JP (2014) Establishing cut-off scores for the parent-reported inventory of callous-unemotional traits. Archives of Forensic Psychology 1(1):27–48
Kumsta R, Sonuga-Barke E, Rutter M (2012) Adolescent callous-unemotional traits and conduct disorder in adoptees exposed to severe early deprivation. Br J Psychiatry 200(3):197–201. doi:10.1192/bjp.bp.110.089441
Vostanis P (2006) Strengths and Difficulties Questionnaire: research and clinical applications. Curr Opin Psychiatry 19(4):367–372
Mansbach-Kleinfeld I, Apter A, Farbstein I, Levine SZ, Ponizovsky AM (2010) A population-based psychometric validation study of the Strengths and Difficulties Questionnaire—Hebrew version. Front Psychiatry 1:151. doi:10.3389/fpsyt.2010.00151
Gothelf D, Apter A, van Praag HM (1997) Measurement of aggression in psychiatric patients. Psychiatry Res 71(2):83–95
Feldman R, Gordon I, Zagoory-Sharon O (2010) The cross-generation transmission of oxytocin in humans. Horm Behav 58(4):669–676. doi:10.1016/j.yhbeh.2010.06.005
Forsling ML, Montgomery H, Halpin D, Windle RJ, Treacher DF (1999) 8) Daily patterns of secretion of neurohypophysial hormones in man: effect of age. Exp Physiol 83(3):409–418
Forsling ML (2000) Diurnal rhythms in neurohypophysial function. Exp Physiol 85:179S–186S
Fetissov SO, Hallman J, Nilsson I, Lefvert AK, Oreland L, Hökfelt T (2006) Aggressive behavior linked to corticotropin-reactive autoantibodies. Biol Psychiatry 60(8):799–802
Waller R, Gardner F, Hyde LW (2013) What are the associations between parenting, callous-unemotional traits, and antisocial behavior in youth? A systematic review of evidence. Clin Psychol Rev 33(4):593–608. doi:10.1016/j.cpr.2013.03.001
Kahn RE, Frick PJ, Youngstrom E, Findling RL, Youngstrom JK (2012) The effects of including a callous-unemotional specifier for the diagnosis of conduct disorder. J Child Psychol Psychiatry 53(3):271–282. doi:10.1111/j.1469-7610.2011.02463.x
Lieberwirth C, Wang Z (2014) Social bonding: regulation by neuropeptides. Front Neurosci 24(8):171. doi:10.3389/fnins.2014.00171
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On behalf of all authors, the corresponding author states that there is no conflict of interest. The study was funded by the involved medical centers. All authors have no financial relationships relevant to this article to disclose.
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Levy, T., Bloch, Y., Bar-Maisels, M. et al. Salivary oxytocin in adolescents with conduct problems and callous-unemotional traits. Eur Child Adolesc Psychiatry 24, 1543–1551 (2015). https://doi.org/10.1007/s00787-015-0765-6
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DOI: https://doi.org/10.1007/s00787-015-0765-6