Skip to main content
Log in

Callous-Unemotional Traits and Co-occurring Anxiety in Preschool and School-age Children: Investigation of Associations with Family’s Socioeconomic Status and Home Chaos

  • Published:
Research on Child and Adolescent Psychopathology Aims and scope Submit manuscript

Abstract

While contemporary literature has traditionally viewed youth with Callous-Unemotional (CU) traits as a homogeneous group, there is a growing interest in delineating two variants of CU traits based on high or low levels of anxiety. Extensive attention has been brought in the CU traits literature to the study of relational factors such as maltreatment and parenting practices. However, very few studies have looked at other environmental contexts in which the children within these two variants evolve, such as home chaos or socioeconomic status (SES). In a community sample of children aged 4 to 9, divided into a preschool sample (N = 107; Mage = 4.95, SD = 0.62) and a school-age sample (N = 153; Mage = 7.49, SD = 1.11), the current study investigated whether anxiety moderates the associations of CU traits with SES and home chaos. Hierarchical regression analyses revealed that CU traits were positively associated with home chaos, regardless of anxiety levels. CU traits were negatively associated with SES, but this effect emerged only at high levels of anxiety. Notably, these findings were observed solely in the school-age subsample. Implications for understanding the two variants of CU traits (i.e., primary and secondary) and hypotheses regarding their developmental trajectories are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data, Materials and Code Availability

The study materials, analysis code and output are available by emailing the corresponding author. 

Notes

  1. The term “broad CU traits” is used to talk about CU traits without making a distinction between the two variants.

  2. To address potential biases resulting from non-normally distributed residuals, robust regression analyses were performed using bootstrapping to compute confidence intervals and p-values. This approach allowed for the avoidance of normality assumptions and the acquisition of precise estimates of the population value of coefficient b for each predictor. In the preschool sample, ODP symptoms were significantly associated with home chaos (b = 0.41 [0.15, 0.60], p = 0.00). In the school-age sample, the findings revealed significant associations with SES for the child’s gender (b = 0.30 [0.07, 0.53], p = 0.02), as well as a significant interaction between CU traits and anxiety (b = -0.01 [-0.01, -0.002], p = 0.01). These results closely align with non-robust regression analyses.

References

  • Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms & profiles. University of Vermont, Research Center for Children, Youth & Families.

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles : Child behavior checklist for ages 6–18, teacher’s report form, youth self-report : an integrated system of multi-informant assessment. University of Vermont, Research Center for Children, Youth & Families.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders : DSM-5. (5th ed.). American Psychiatric Publishing.

  • Bansal, P. S., Goh, P. K., Lee, C. A., & Martel, M. M. (2020). Conceptualizing callous-unemotional traits in preschool through confirmatory factor and network analysis. Journal of Abnormal Child Psychology, 48(4), 539–550. https://doi.org/10.1007/s10802-019-00611-9

    Article  PubMed  Google Scholar 

  • Barnes, J., Gardiner, J., Sutcliffe, A., & Melhuish, E. (2014). The parenting of preschool children by older mothers in the United Kingdom. European Journal of Developmental Psychology, 11(4), 397–419. https://doi.org/10.1080/17405629.2013.863728

    Article  Google Scholar 

  • Bégin, V., Déry, M., & Le Corff, Y. (2021). Variants of psychopathic traits follow distinct trajectories of clinical features among children with conduct problems. Research on Child and Adolescent Psychopathology, 49(6), 775–788. https://doi.org/10.1007/s10802-021-00775-3

    Article  PubMed  Google Scholar 

  • Berger, L. M. (2004). Income, family structure, and child maltreatment risk. Children and Youth Services Review, 26(8), 725–748. https://doi.org/10.1016/j.childyouth.2004.02.017

    Article  Google Scholar 

  • Burke, J. D., Loeber, R., & Lahey, B. B. (2007). Adolescent conduct disorder and interpersonal callousness as predictors of psychopathy in young adults. Journal of Clinical Child & Adolescent Psychology, 36(3), 334–346. https://doi.org/10.1080/15374410701444223

    Article  Google Scholar 

  • Cecil, C. A. M., McCrory, E. J., Barker, E. D., Guiney, J., & Viding, E. (2018). Characterising youth with callous–unemotional traits and concurrent anxiety : Evidence for a high-risk clinical group. European Child & Adolescent Psychiatry, 1‑14. https://doi.org/10.1007/s00787-017-1086-8

  • Colins, O. F., Van Damme, L., Hendriks, A. M., & Georgiou, G. (2020). The DSM-5 with Limited Prosocial Emotions specifier for Conduct Disorder : A systematic literature review. Journal of Psychopathology and Behavioral Assessment, 42(2), 248‑258. https://doi.org/10.1007/s10862-020-09799-3

  • Craig, S. G., Goulter, N., Andrade, B. F., & McMahon, R. J. (2021). Developmental precursors of primary and secondary callous-unemotional traits in youth. Child Psychiatry & Human Development, 54, 582–596. https://doi.org/10.1007/s10578-021-01271-x

    Article  Google Scholar 

  • Craig, S. G., Goulter, N., & Moretti, M. M. (2020). A systematic review of primary and secondary callous-unemotional traits and psychopathy variants in youth. Clinical Child and Family Psychology Review. https://doi.org/10.1007/s10567-020-00329-x

    Article  PubMed  Google Scholar 

  • Craig, S. G., & Moretti, M. M. (2019). Profiles of primary and secondary callous-unemotional features in youth : The role of emotion regulation. Development and Psychopathology, 31(4), 1489–1500. https://doi.org/10.1017/S0954579418001062

  • Dadds, M. R., Kimonis, E. R., Schollar-Root, O., Moul, C., & Hawes, D. J. (2018). Are impairments in emotion recognition a core feature of callous–unemotional traits? Testing the primary versus secondary variants model in children. Development and Psychopathology, 30(1), 67–77. https://doi.org/10.1017/S0954579417000475

    Article  PubMed  Google Scholar 

  • Docherty, M., Boxer, P., Huesmann, L. R., O’Brien, M., & Bushman, B. J. (2016). Exploring primary and secondary variants of psychopathy in adolescents in detention and in the community. Journal of Clinical Child and Adolescent Psychology, 45(5), 564–578. https://doi.org/10.1080/15374416.2014.979934

    Article  PubMed  Google Scholar 

  • Dumas, J. E., Nissley, J., Nordstrom, A., Smith, E. P., Prinz, R. J., & Levine, D. W. (2005). Home chaos : Sociodemographic, parenting, interactional, and child correlates. Journal of Clinical Child & Adolescent Psychology, 34(1), 93–104. https://doi.org/10.1207/s15374424jccp3401_9

  • Ezpeleta, L., Granero, R., de la Osa, N., & Domènech, J. M. (2017). Developmental trajectories of callous-unemotional traits, anxiety and oppositionality in 3–7year-old children in the general population. Personality and Individual Differences, 111, 124–133. https://doi.org/10.1016/j.paid.2017.02.005

    Article  Google Scholar 

  • Fanti, K. A., Kyranides, M. N., Petridou, M., Demetriou, C. A., & Georgiou, G. (2018). Neurophysiological markers associated with heterogeneity in conduct problems, callous unemotional traits, and anxiety : Comparing children to young adults. Developmental Psychology, 54(9), 1634–1649. https://doi.org/10.1037/dev0000505

  • Fiese, B. H., & Winter, M. A. (2010). The dynamics of family chaos and its relation to children’s socioemotional well-being. In G. W. Evans & T. D. Wachs (Éds.), Chaos and its influence on children’s development : An ecological perspective (p. 49‑66). American Psychological Association. https://doi.org/10.1037/12057-004

  • Fisher, J. H., & Brown, J. L. (2018). A prospective, longitudinal examination of the influence of childhood home and school sontexts on psychopathic characteristics in adolescence. Journal of Youth and Adolescence, 47(10), 2041–2059. https://doi.org/10.1007/s10964-018-0861-2

    Article  PubMed  Google Scholar 

  • Flexon, J. L. (2015). Evaluating variant callous–unemotional traits among noninstitutionalized youth : Implications for violence research and policy. Youth Violence and Juvenile Justice, 13(1), 18–40. https://doi.org/10.1177/1541204013519829

  • Flexon, J. L. (2016). Callous-unemotional traits and differently motivated aggression : An examination of variants in a noninstitutionalized sample. Youth Violence and Juvenile Justice, 14(4), 367–389. https://doi.org/10.1177/1541204015577000

  • Fontaine, N. M. G., McCrory, E. J. P., Boivin, M., Moffitt, T. E., & Viding, E. (2011). Predictors and outcomes of joint trajectories of callous–unemotional traits and conduct problems in childhood. Journal of Abnormal Psychology, 120(3), 730–742. https://doi.org/10.1037/a0022620

    Article  PubMed  Google Scholar 

  • Frick, P.  J. (2004). The Inventory of Callous-Unemotional Traits—Unpublished rating scale. http://psyc.uno.edu/Frick%20Lab/ICU.html

  • Frick, P. J., Ray, J. V., Thornton, L. C., & Kahn, R. E. (2014a). A developmental psychopathology approach to understanding callous-unemotional traits in children and adolescents with serious conduct problems. Journal of Child Psychology and Psychiatry, 55(6), 532–548. https://doi.org/10.1111/jcpp.12152

    Article  PubMed  Google Scholar 

  • Frick, P. J., Ray, J. V., Thornton, L. C., & Kahn, R. E. (2014b). 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), 1–57. https://doi.org/10.1037/a0033076

    Article  PubMed  Google Scholar 

  • Goulter, N., Kimonis, E. R., Hawes, S. W., Stepp, S., & Hipwell, A. E. (2017). Identifying stable variants of callous-unemotional traits : A longitudinal study of at-risk girls. Developmental Psychology, 53(12), 2364–2376. https://doi.org/10.1037/dev0000394

  • Hare, R. D., & Neumann, C. S. (2008). Psychopathy as a clinical and empirical construct. Annual Review of Clinical Psychology, 4(1), 217–246. https://doi.org/10.1146/annurev.clinpsy.3.022806.091452

    Article  PubMed  Google Scholar 

  • Hawes, D. J., Dadds, M. R., Frost, A. D. J., & Hasking, P. A. (2011). Do childhood callous-unemotional traits drive change in parenting practices? Journal of Clinical Child & Adolescent Psychology, 40(4), 507–518. https://doi.org/10.1080/15374416.2011.581624

    Article  Google Scholar 

  • Herpers, P. C. M., Rommelse, N. N. J., Bons, D. M. A., Buitelaar, J. K., & Scheepers, F. E. (2012). Callousunemotional traits as a cross-disorders construct. Social Psychiatry and Psychiatric Epidemiology, 47(12), 2045–2064. https://doi.org/10.1007/s00127-012-0513-x

  • Humayun, S., Kahn, R. E., Frick, P. J., & Viding, E. (2014). Callous-unemotional traits and anxiety in a community sample of 7-year-olds. Journal of Clinical Child & Adolescent Psychology, 43(1), 36–42. https://doi.org/10.1080/15374416.2013.814539

    Article  Google Scholar 

  • Jaffee, S. R., Hanscombe, K. B., Haworth, C. M. A., Davis, O. S. P., & Plomin, R. (2012). Chaotic homes and children’s disruptive behavior : A longitudinal cross-lagged twin study. Psychological Science, 23(6), 643–650. https://doi.org/10.1177/0956797611431693

  • Kahn, R. E., Deater-Deckard, K., King-Casas, B., & Kim-Spoon, J. (2016). Intergenerational similarity in callous-unemotional traits : Contributions of hostile parenting and household chaos during adolescence. Psychiatry Research, 246, 815–820. https://doi.org/10.1016/j.psychres.2016.10.023

  • Kahn, R. E., Frick, P. J., Golmaryami, F. N., & Marsee, M. A. (2017). The moderating role of anxiety in the associations of callous-unemotional traits with self-report and laboratory measures of affective and cognitive empathy. Journal of Abnormal Child Psychology, 45(3), 583–596. https://doi.org/10.1007/s10802-016-0179-z

    Article  PubMed  Google Scholar 

  • Kahn, R. E., Frick, P. J., Youngstrom, E. A., Kogos Youngstrom, J., Feeny, N. C., & Findling, R. L. (2013). Distinguishing primary and secondary variants of callous-unemotional traits among adolescents in a clinic-referred sample. Psychological Assessment, 25(3), 966–978. https://doi.org/10.1037/a0032880

    Article  PubMed  PubMed Central  Google Scholar 

  • Karpman, B. (1941). On the need of separating psychopathy into two distinct clinical types : The symptomatic and the idiopathic. Journal of Criminal Psychopathology, 3, 112–137.

  • Kemp, E. C., Frick, P. J., Matlasz, T. M., Clark, J. E., Robertson, E. L., Ray, J. V., Thornton, L. C., Wall Myers, T. D., Steinberg, L., & Cauffman, E. (2023). Developing Cutoff Scores for the Inventory of Callous-Unemotional Traits (ICU) in Justice-Involved and Community Samples. Journal of Clinical Child & Adolescent Psychology, 52(4), 519–532. https://doi.org/10.1080/15374416.2021.1955371

    Article  Google Scholar 

  • Kimonis, E. R., Fanti, K. A., Anastassiou-Hadjicharalambous, X., Mertan, B., Goulter, N., & Katsimicha, E. (2016). Can callous-unemotional traits be reliably measured in preschoolers? Journal of Abnormal Child Psychology, 44(4), 625–638. https://doi.org/10.1007/s10802-015-0075-y

    Article  PubMed  Google Scholar 

  • Kimonis, E. R., Frick, P. J., Cauffman, E., Goldweber, A., & Skeem, J. (2012). Primary and secondary variants of juvenile psychopathy differ in emotional processing. Development and Psychopathology, 24(3), 1091–1103. https://doi.org/10.1017/S0954579412000557

    Article  PubMed  Google Scholar 

  • Kimonis, E. R., Frick, P. J., Munoz, L. C., & Aucoin, K. J. (2008). Callous-unemotional traits and the emotional processing of distress cues in detained boys : Testing the moderating role of aggression, exposure to community violence, and histories of abuse. Development and Psychopathology, 20(2), 569–589. https://doi.org/10.1017/S095457940800028X

  • Kimonis, E. R., Goulter, N., Hawes, D. J., Wilbur, R. R., & Groer, M. W. (2017). Neuroendocrine factors distinguish juvenile psychopathy variants. Developmental Psychobiology, 59(2), 161–173. https://doi.org/10.1002/dev.21473

    Article  PubMed  Google Scholar 

  • Kimonis, E. R., Skeem, J. L., Cauffman, E., & Dmitrieva, J. (2011). Are secondary variants of juvenile psychopathy more reactively violent and less psychosocially mature than primary variants? Law and Human Behavior, 35(5), 381–391.

    Article  PubMed  Google Scholar 

  • Letourneau, N. L., Duffett-Leger, L., Levac, L., Watson, B., & Young-Morris, C. (2013). Socioeconomic status and child development : A meta-analysis. Journal of Emotional and Behavioral Disorders, 21(3), 211–224. https://doi.org/10.1177/1063426611421007

  • Longman, T., Hawes, D. J., & Kohlhoff, J. (2016). Callous–unemotional traits as markers for conduct problem severity in early childhood : A meta-analysis. Child Psychiatry & Human Development, 47(2), 326–334. https://doi.org/10.1007/s10578-015-0564-9

  • 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(1), 155–165. https://doi.org/10.1037/0021-843X.116.1.155

    Article  PubMed  PubMed Central  Google Scholar 

  • Matheny, A. P., Wachs, T. D., Ludwig, J. L., & Phillips, K. (1995). Bringing order out of chaos : Psychometric characteristics of the confusion, hubbub, and order scale. Journal of Applied Developmental Psychology, 16(3), 429–444. https://doi.org/10.1016/0193-3973(95)90028-4

  • McCabe, C. J., Kim, D. S., & King, K. M. (2018). Improving Present Practices in the Visual Display of Interactions. Advances in Methods and Practices in Psychological Science, 1(2), 147–165. https://doi.org/10.1177/2515245917746792

    Article  PubMed  PubMed Central  Google Scholar 

  • Meehan, A. J., Maughan, B., Cecil, C. A. M., & Barker, E. D. (2017). Interpersonal callousness and co-occurring anxiety : Developmental validity of an adolescent taxonomy. Journal of Abnormal Psychology, 126(2), 225–236. https://doi.org/10.1037/abn0000235

  • Mills-Koonce, W. R., Willoughby, M. T., Garrett-Peters, P., Wagner, N., Vernon-Feagans, L., & The Family Life Project Key Investigators. (2016). The interplay among socioeconomic status, household chaos, and parenting in the prediction of child conduct problems and callous–unemotional behaviors. Development and Psychopathology, 28(3), 757–771. https://doi.org/10.1017/S0954579416000298

    Article  Google Scholar 

  • Payot, M., Monseur, C., & Stievenart, M. (2022). Factorial structure of the parent-reported version of the inventory of callous-unemotional traits among Belgian children : A theory-based model. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.839785

  • Pike, A., Atzaba-Poria, N., & Kretschmer, T. (2016). Predictors of parenting : Family-wide and child-specific factors. Parenting, 16(3), 147–163. https://doi.org/10.1080/15295192.2016.1158599

  • Piotrowska, P. J., Stride, C. B., Croft, S. E., & Rowe, R. (2015). Socioeconomic status and antisocial behaviour among children and adolescents : A systematic review and meta-analysis. Clinical Psychology Review, 35, 47–55. https://doi.org/10.1016/j.cpr.2014.11.003

  • Porter, S. (1996). Without conscience or without active conscience? The etiology of psychopathy revisited. Aggression and Violent Behavior, 1(2), 179–189. https://doi.org/10.1016/1359-1789(95)00010-0

    Article  Google Scholar 

  • Rowe, R., Maughan, B., Moran, P., Ford, T., Briskman, J., & Goodman, R. (2010). The role of callous and unemotional traits in the diagnosis of conduct disorder. Journal of Child Psychology and Psychiatry, 51(6), 688–695. https://doi.org/10.1111/j.1469-7610.2009.02199.x

    Article  PubMed  Google Scholar 

  • Schumacher, J. A., Slep, A. M. S., & Heyman, R. E. (2001). Risk factors for child neglect. Aggression and Violent Behavior, 6(2), 231–254. https://doi.org/10.1016/S1359-1789(00)00024-0

    Article  Google Scholar 

  • Waller, R., Gardner, F., Viding, E., Shaw, D. S., Dishion, T. J., Wilson, M. N., & Hyde, L. W. (2014). Bidirectional associations between parental warmth, callous unemotional behavior, and behavior problems in high-risk preschoolers. Journal of Abnormal Child Psychology, 42(8), 1275–1285. https://doi.org/10.1007/s10802-014-9871-z

    Article  PubMed  PubMed Central  Google Scholar 

  • Wu, M., Adams, R., Wilson, M., & Research, A. (1997). ACER ConQuest : Generalised item reponse modelling software manual (Version 2.0) [computer program].

  • Zvara, B. J., Lathren, C., & Mills-Koonce, R. (2020). Maternal and paternal attachment style and chaos as risk factors for parenting behavior. Family Relations, 69(2), 233–246. https://doi.org/10.1111/fare.12423

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Morgane Payot.

Ethics declarations

Funding

This research was supported by a grant from the University of Liege.

Conflict of Interest

The authors have no relevant financial or non-financial interests to disclose.

Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Ethical Committee of Psychology of Liege University.

Informed Consent

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

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Payot, M., Monseur, C., Stievenart, M. et al. Callous-Unemotional Traits and Co-occurring Anxiety in Preschool and School-age Children: Investigation of Associations with Family’s Socioeconomic Status and Home Chaos. Res Child Adolesc Psychopathol (2023). https://doi.org/10.1007/s10802-023-01158-6

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10802-023-01158-6

Keywords

Navigation