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Journal of Abnormal Child Psychology

, Volume 46, Issue 4, pp 781–793 | Cite as

Callous-Unemotional Traits are Uniquely Associated with Poorer Peer Functioning in School-Aged Children

  • Sarah M. Haas
  • Stephen P. Becker
  • Jeffery N. Epstein
  • Paul J. Frick
Article

Abstract

This study examines externalizing symptoms (attention-deficit/hyperactivity disorder [ADHD], conduct problems, and callous-unemotional [CU] traits) in relation to domains of peer functioning (social competence, loneliness, and close friendship quality), with a specific focus on the role of CU traits. One hundred twenty-four elementary students (grades 3–6; 45% boys) completed multiple measures of peer functioning, and teachers completed measures of externalizing symptoms and social competence. After controlling for demographic variables and other externalizing symptoms, CU traits were significantly associated with poorer peer functioning across all variables except for demands of exclusivity in close friendships. ADHD symptoms were also uniquely associated with poorer social functioning across a number of variables. In contrast, conduct problems were at times associated with better social functioning after controlling for the effects of other externalizing problems. These findings bolster the importance of developing and evaluating social skills interventions for children displaying elevated CU traits.

Keywords

Callous-unemotional traits Externalizing Friendship Peer acceptance Loneliness 

Notes

Acknowledgments

We would like to thank the many families, teachers, and research assistants who helped make this project possible.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
  2. Andrade, B. F., Sorge, G. B., Djordjevic, D., & Naber, A. R. (2015). Callous-unemotional traits influence the severity of peer problems in children with impulsive/overactive and oppositional/defiant behaviors. Journal of Child and Family Studies, 24, 2183–2190.CrossRefGoogle Scholar
  3. Antrop, I., Roeyers, H., Oosterlaan, J., & Van Oost, P. (2002). Agreement between parent and teacher ratings of disruptive behavior disorders in children with clinically diagnosed ADHD. Journal of Psychopathology and Behavioral Assessment, 24, 67–73.CrossRefGoogle Scholar
  4. Asher, S. R., & Paquette, J. A. (2003). Loneliness and peer relations in childhood. Current Directions in Psychological Science, 12, 75–78.CrossRefGoogle Scholar
  5. Asher, S. R., Hymel, S., & Renshaw, P. D. (1984). Loneliness in children. Child Development, 55, 1456–1464.CrossRefGoogle Scholar
  6. Asher, S. R., Parker, J. G., & Walker, D. L. (1996). Distinguishing friendship from acceptance: Implications for intervention and assessment. In W. M. Bukowski, A. F. Newcomb, & W. W. Hartup (Eds.), The company they keep: Friendship during childhood and adolescence (pp. 366–405). New York: Cambridge University Press.Google Scholar
  7. Babiak, P., & Hare, R. D. (2006). Snakes in suits: When psychopaths go to work. New York: Regan Books.Google Scholar
  8. Bagwell, C. L., & Coie, J. D. (2004). The best friendships of aggressive boys: Relationship quality, conflict management, and rule-breaking behavior. Journal of Experimental Child Psychology, 88, 5–24.CrossRefPubMedGoogle Scholar
  9. Barry, T. D., Barry, C. T., Deming, A. M., & Lochman, J. E. (2008). Stability of psychopathic characteristics in childhood: The influence of social relationships. Criminal Justice and Behavior, 35, 244–262.CrossRefGoogle Scholar
  10. Becker, S. P. (2014). Sluggish cognitive tempo and peer functioning in school-aged children: A six-month longitudinal study. Psychiatry Research, 217, 72–78.CrossRefPubMedGoogle Scholar
  11. Becker, S. P., Luebbe, A. M., & Langberg, J. M. (2012). Co-occurring mental health problems and peer functioning among youth with attention-deficit/hyperactivity disorder: A review and recommendations for future research. Clinical Child and Family Psychology Review, 15, 279–302.CrossRefPubMedGoogle Scholar
  12. Becker, S. P., Fite, P. J., Luebbe, A. M., Stoppelbein, L., & Greening, L. (2013). Friendship intimacy exchange buffers the relation between ADHD symptoms and later social problems among children attending an after-school care program. Journal of Psychopathology and Behavioral Assessment, 35, 142–152.CrossRefGoogle Scholar
  13. Blair, R. J. R., Colledge, E., Murray, L., & Mitchell, D. G. V. (2001). A selective impairment in the processing of sad and fearful expressions in children with psychopathic tendencies. Journal of Abnormal Child Psychology, 29, 491–498.CrossRefPubMedGoogle Scholar
  14. Boivin, M., Poulin, F., & Vitaro, F. (1994). Depressed mood and peer rejection in childhood. Development and Psychopathology, 6, 483–498.CrossRefGoogle Scholar
  15. Bukowski, W. M., & Hoza, B. (1989). Popularity and friendship: Issues in theory, management, and outcome. In T. J. Berndt & G. W. Ladd (Eds.), Peer relations in child development (pp. 15–45). New York: Wiley.Google Scholar
  16. Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). London: Routledge Academic.Google Scholar
  17. De Los Reyes, A., Henry, D. B., Tolan, P. H., & Wakschlag, L. S. (2009). Linking informant discrepancies to observed variations in young children’s disruptive behavior. Journal of Abnormal Child Psychology, 37, 637–652.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Ebesutani, C., Drescher, C. F., Reise, S. P., Heiden, L., Hight, T. L., Damon, J. D., & Young, J. (2012). The loneliness questionnaire–short version: An evaluation of reverse-worded and non-reverse-worded items via item response theory. Journal of Personality Assessment, 94, 427–437.CrossRefPubMedGoogle Scholar
  19. Frick, P. J., & Dantagnan, A. L. (2005). Predicting the stability of conduct problems in children with and without callous-unemotional traits. Journal of Child and Family Studies, 14, 469–485.CrossRefGoogle Scholar
  20. Frick, P. J., & Ellis, M. (1999). Callous-unemotional traits and subtypes of conduct disorder. Clinical Child and Family Psychology Review, 2, 149–168.CrossRefPubMedGoogle Scholar
  21. Frick, P. J., & Hare, R. D. (2001). Antisocial process screening device: APSD. Toronto: Multi-Health Systems.Google Scholar
  22. Frick, P. J., & Morris, A. S. (2004). Temperament and developmental pathways to conduct problems. Journal of Clinical Child and Adolescent Psychology, 33, 54–68.CrossRefPubMedGoogle Scholar
  23. Frick, P. J., Cornell, A. H., Bodin, S. D., Dane, H. E., Barry, C. T., & Loney, B. R. (2003). Callous-unemotional traits and developmental pathways to severe conduct problems. Developmental Psychology, 39, 246–260.CrossRefPubMedGoogle Scholar
  24. Frick, P. J., Ray, J. V., Thornton, L. C., & Kahn, R. E. (2014). Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. Psychological Bulletin, 140, 1–57.CrossRefPubMedGoogle Scholar
  25. Furman, W., & Robbins, P. (1985). What’s the point? Issues in the selection of treatment objectives. In B. H. Schneider, K. H. Rubin, & J. E. Ledingham (Eds.), Children’s peer relations: Issues in assessment and intervention (pp. 41–56). New York: Springer-Verlag.CrossRefGoogle Scholar
  26. Gardner, D. M., & Gerdes, A. C. (2015). A review of peer relationships and friendships in youth with ADHD. Journal of Attention Disorders, 19, 844–855.CrossRefPubMedGoogle Scholar
  27. George, D., & Mallery, M. (2010). SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 update (10a ed.) Boston: Pearson.Google Scholar
  28. Graziano, P. A., & Garcia, A. (2016). Attention-deficit hyperactivity disorder and children's emotion dysregulation: A meta-analysis. Clinical Psychology Review, 46, 106–123.CrossRefPubMedGoogle Scholar
  29. Greene, R. W., Biederman, J., Faraone, S. V., Ouellette, C. A., Penn, C., & Griffin, S. M. (1996). Toward a new psychometric definition of social disability in children with attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 571–578.CrossRefPubMedGoogle Scholar
  30. Grotpeter, J. K., & Crick, N. R. (1996). Relational aggression, overt aggression, and friendship. Child Development, 67, 2328–2338.CrossRefPubMedGoogle Scholar
  31. Haas, S. M., Waschbusch, D. A., Pelham, W. E., King, S., Andrade, B. F., & Carrey, N. J. (2011). Treatment response in CP/ADHD-only children with callous/unemotional traits. Journal of Abnormal Child Psychology, 39, 541–552.CrossRefPubMedGoogle Scholar
  32. Haas, S. M., Morrison, L., Waschbusch, D. A., Willoughby, M. W., Derefinko, K. J., Helseth, S., Crum, K., Altszuler, A., Ross, J. M., Coles, E., & Pelham, W. (2014, March). Validity of multiple informant evaluations of callous-unemotional traits in children with conduct problems. In Presented at the American-psychology law society (APLS) annual meeting. New: Orleans.Google Scholar
  33. Haas, S. M., Waschbusch, D. A., King, S., & Walsh, T. M. (2015). Examining the role of callous-unemotional traits in the attribution styles and self competence evaluations of children with conduct problems and ADHD. Journal of Psychopathology and Behavioral Assessment, 37, 196–206. doi: 10.1007/s10862-014-9459-5.CrossRefGoogle Scholar
  34. Harter, S. (2012). Self-perception profile for children: Manual and questionnaires. University of Denver: Unpublished manuscript.CrossRefGoogle Scholar
  35. Hawes, D. J., Price, M. J., & Dadds, M. R. (2014). Callous-unemotional traits and the treatment of conduct problems in childhood and adolescence: A comprehensive review. Clinical Child and Family Psychology Review, 17, 248–267.CrossRefPubMedGoogle Scholar
  36. Houghton, S., Roost, E., Carroll, A., & Brandtman, M. (2015). Loneliness in children and adolescents with and without attention-deficit/hyperactivity disorder. Journal of Psychopathology and Behavioral Assessment, 37, 27–37.CrossRefGoogle Scholar
  37. Hoza, B. (2006). Peer functioning in children with ADHD. Journal of Pediatric Psychology, 32, 655–663.CrossRefGoogle Scholar
  38. Hoza, B., Pelham, W. E., Milich, R., Pillow, D., & McBride, K. (1993). The self-perception and attributions of attention deficit hyperactivity disorderd and nonreferred boys. Journal of Abnormal Child Psychology, 21, 271–286.CrossRefPubMedGoogle Scholar
  39. Hoza, B., Gerdes, A. C., Hinshaw, S. P., Arnold, L. E., Pelham Jr., W. E., Molina, B. S., et al. (2004). Self-perceptions of competence in children with ADHD and comparison children. Journal of Consulting and Clinical Psychology, 72, 382–391.CrossRefPubMedGoogle Scholar
  40. Hughes, J. N., Cavell, T. A., & Grossman, P. B. (1997). A positive view or self: Risk or protection for aggressive children? Development and Psychopathology, 9, 75–94.CrossRefPubMedGoogle Scholar
  41. Ladd, G. W. (1999). Peer relationships and social competence during early and middle childhood. Annual Review of Psychology, 50, 333–359.CrossRefPubMedGoogle Scholar
  42. Ladd, G. W., & Troop-Gordon, W. (2003). The role of chronic peer difficulties in the development of children’s psychological adjustment problems. Child Development, 74, 1344–1367.CrossRefPubMedGoogle Scholar
  43. Lahey, B. H. (2014). What we need to know about callous-unemotional traits: Comment on Frick et al. (2013). Psychological Bulletin, 140, 58–63.CrossRefPubMedPubMedCentralGoogle Scholar
  44. Marsee, M. A., Barry, C. T., Childs, K. K., Frick, P. J., Kimonis, E. R., Muñoz, L. C., et al. (2011). Assessing the forms and functions of aggression using self-report: Factor structure and invariance of the peer conflict scale in youths. Psychological Assessment, 23, 792–804.CrossRefPubMedGoogle Scholar
  45. Munoz, L. C., Kerr, M., & Besic, N. (2008). The peer relationships of youth with psychopathic personality traits: A matter of perspective. Criminal Justice and Behavior, 35, 212–227.CrossRefGoogle Scholar
  46. Newcomb, A. F., Bukowski, W. M., & Pattee, L. (1993). Peer relations: A meta-analytic review of popular, rejected, neglected, controversial, and average sociometric status. Psychological Bulletin, 113, 99–128.CrossRefPubMedGoogle Scholar
  47. Normand, S., Schneider, B. H., Lee, M. D., Maisonneuve, M., Kuehn, S. M., & Robaey, P. (2011). How do children with ADHD (mis)manage their real-life dyadic friendships? A multi-method investigation. Journal of Abnormal Child Psychology, 39, 293–305.CrossRefPubMedGoogle Scholar
  48. Pardini, D. A. (2006). The callousness pathway to severe violent delinquency. Aggressive Behavior, 32, 590–598.CrossRefGoogle Scholar
  49. Pardini, D. (2011). Perceptions of social conflicts among incarcerated adolescents with callous-unemotional traits: ‘You’re going to pay. It’s going to hurt, but I don’t care’. Journal of Child Psychology and Psychiatry, 52, 248–255.CrossRefPubMedGoogle Scholar
  50. Pardini, D. A., & Fite, P. J. (2010). Symptoms of conduct disorder, oppositional defiant disorder, attention-deficit/hyperactivity disorder, and callous-unemotional traits as unique predictors of psychosocial maladjustment in boys: Advancing an evidence base for DSM-V. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 1134–1144.PubMedPubMedCentralGoogle Scholar
  51. Pardini, D. A., Obradovic, J., & Loeber, R. (2006). Interpersonal callousness, hyperactivity/impulsivity, inattention, and conduct problems as precursors to delinquency persistence in boys: A comparison of three grade-based cohorts. Journal of Clinical Child and Adolescent Psychology, 35, 46–59.CrossRefPubMedGoogle Scholar
  52. Parker, J. G., & Asher, S. R. (1993). Friendship quality in middle childhood: Links with peer group acceptance and feelings of loneliness and social dissatisfaction. Developmental Psychology, 29, 611–621.CrossRefGoogle Scholar
  53. Parker, J. G., Low, C. M., Walker, A. R., & Gamm, B. K. (2005). Friendship jealousy in young adolescents: Individual differences and links to sex, self-esteem, aggression, and social adjustment. Developmental Psychology, 41, 235–250.CrossRefPubMedGoogle Scholar
  54. Pelham, W. E., Gnagy, E. M., & Greiner, A. R. (1998). Children's summer day treatment program manual. Buffalo: Comprehensive Treatment for Attention Deficit Disorder.Google Scholar
  55. Peplau, L. A. (1985). Loneliness research: Basic concepts and findings. In I. J. Sarason & B. R. Sarason (Eds.), Social support: Theory, research, and applications. Boston: Martinus Nijhoff.Google Scholar
  56. Piatigorsky, A., & Hinshaw, S. P. (2004). Psychopathic traits in boys with and without attention-deficit/hyperactivity disorder: Concurrent and longitudinal correlates. Journal of Abnormal Child Psychology, 32, 535–550.CrossRefPubMedGoogle Scholar
  57. Pliszka, S. (2007). Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 894–921.CrossRefPubMedGoogle Scholar
  58. Qualter, P., Brown, S. L., Munn, P., & Rotenberg, K. J. (2010). Childhood loneliness as a predictor of adolescent depressive symptoms: An 8-year longitudinal study. European Child & Adolescent Psychiatry, 19, 493–501.CrossRefGoogle Scholar
  59. Rodkin, P. C., Farmer, T. W., Pearl, R., & Van Acker, R. (2000). Heterogeneity of popular boys: Antisocial and prosocial configurations. Developmental Psychology, 36, 14–24.CrossRefPubMedGoogle Scholar
  60. Scholtens, S., Diamantopoulou, S., Tillman, C. M., & Rydell, A. M. (2012). Effects of symptoms of ADHD, ODD, and cognitive functioning on social acceptance and the positive illusory bias in children. Journal of Attention Disorders, 16, 685–696.CrossRefPubMedGoogle Scholar
  61. Swanson, E. N., Owens, E. B., & Hinshaw, S. P. (2012). Is the positive illusory bias illusory? Examining discrepant self-perceptions of competence in girls with ADHD. Journal of Abnormal Child Psychology, 40, 987–998.CrossRefPubMedGoogle Scholar
  62. Van Zalk, M. H. W., & Van Zalk, N. (2015). Violent peer influence: The roles of self-esteem and psychopathic traits. Development and Psychopathology, 27, 1077–1088.CrossRefPubMedGoogle Scholar
  63. Wall, T. D., Frick, P. J., Fanti, K. A., Kimonis, E. R., & Lordos, A. (2016). Factors differentiating callous-unemotional children with and without conduct problems. Journal of Child Psychology and Psychiatry, 57, 976–983.CrossRefPubMedGoogle Scholar
  64. Waschbusch, D. A. (2002). A meta-analytic examination of comorbid hyperactive-impulsive-attention problems and conduct problems. Psychological Bulletin, 128, 118–150.CrossRefPubMedGoogle Scholar
  65. Waschbusch, D. A., & Willoughby, M. T. (2008). Attention-deficit/hyperactivity disorder and callous-unemotional traits as moderators of conduct problems when examining impairment and aggression in elementary school children. Aggressive Behavior, 34, 139–153.CrossRefPubMedGoogle Scholar
  66. Waschbusch, D. A., Carrey, N. J., Willoughby, M. T., King, S., & Andrade, B. F. (2007a). Effects of methylphenidate and behavior modification on the social and academic behavior of children with disruptive behavior disorders: The moderating role of callous/unemotional traits. Journal of Clinical Child and Adolescent Psychology, 36, 629–644.CrossRefPubMedGoogle Scholar
  67. Waschbusch, D. A., Walsh, T. M., Andrade, B. F., King, S., & Carrey, N. J. (2007b). Social problem solving, conduct problems, and callous-unemotional traits in children. Child Psychiatry and Human Development, 37, 293–305.CrossRefPubMedGoogle Scholar
  68. Webster-Stratton, C., & Lindsay, D. W. (1999). Social competence and conduct problems in young children: Issues in assessment. Journal of Clinical Child Psychology, 28, 25–43.CrossRefPubMedGoogle Scholar
  69. Webster-Stratton, C., Reid, M. J., & Hammond, M. (2001). Preventing conduct problems, promoting social competence: A parent and teacher training partnership in head start. Journal of Clinical Child Psychology, 30, 283–302.CrossRefPubMedGoogle Scholar
  70. Weiner, B. (1985). An attributional theory of achievement motivation and emotion. Psychological Review, 92, 548–573.CrossRefPubMedGoogle Scholar
  71. Wolraich, M. L., Hannah, J. N., Baumgaertel, A., & Feurer, I. D. (1998). Examination of DSM-IV criteria for attention deficit/hyperactivity disorder in a county-wide sample. Journal of Developmental & Behavioral Pediatrics, 19, 162–168.CrossRefGoogle Scholar
  72. Wolraich, M. L., Bard, D. E., Neas, B., Doffing, M., & Beck, L. (2013). The psychometric properties of the Vanderbilt attention-deficit hyperactivity disorder diagnostic teacher rating scale in a community population. Journal of Developmental & Behavioral Pediatrics, 34, 83–93.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Sarah M. Haas
    • 1
    • 2
  • Stephen P. Becker
    • 1
    • 3
  • Jeffery N. Epstein
    • 1
    • 3
  • Paul J. Frick
    • 4
    • 5
  1. 1.Division of Behavioral Medicine and Clinical PsychologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Department of PsychiatryPenn State Hershey Medical CenterHersheyUSA
  3. 3.Department of PediatricsUniversity of Cincinnati College of MedicineCincinnatiUSA
  4. 4.Department of Clinical PsychologyLouisiana State UniversityBaton RougeUSA
  5. 5.Learning Sciences Institute of AustraliaAustralian Catholic UniversityMelbourneAustralia

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