Abstract
Previous studies have revealed associations between grandiosity, callous unemotionality, and impulsive dimensions of psychopathy with psychophysiological measures during adolescence and young adulthood. However, it is largely unknown if such associations can be identified earlier in life. The main aim of the current study was to investigate the associations between diverse psychophysiological measurements (heart rate, skin conductance, and startle reflex) assessed at rest and during exposure to emotional stimuli with the three dimensions of psychopathy. This was done in a sample of 147 children (Mage = 7.30, SD = 1.42; 44.2% girls) selected from a large screening sample (N = 1652). Participants watched video scenes and pictures eliciting different emotions, while their physiological reactions were monitored. Regarding baseline measures, results showed a negative relation between the impulsive dimension with baseline skin conductance. Hierarchical regression models controlling for age, gender, conduct problems, and the inter-relation between psychopathic traits, revealed several important associations. Lower heart-rate reactivity in response to sad video scenes and fearful pictures was uniquely associated with the callous-unemotional dimension. High startle reactivity in response to fearful emotional stimuli was associated with the grandiose (fearful pictures) and impulsive (fearful videos) dimensions. The present study provides new evidence and adds to existing knowledge regarding the distinct physiological processes associated with each dimension of psychopathy assessed in childhood.
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References
Anastassiou-Hadjicharalambous, X., & Warden, D. (2008). Physiologically-indexed and self-perceived affective empathy in conduct-disordered children high and low on callous-unemotional traits. Child Psychiatry and Human Development, 39(4), 503–517. https://doi.org/10.1007/s10578-008-0104-y
Arnett, P. A., Smith, S. S., & Newman, J. P. (1997). Approach and avoidance motivation in psychopathic criminal offenders during passive avoidance. Journal of Personality and Social Psychology, 72(6), 1413–1428. https://doi.org/10.1037/0022-3514.72.6.1413
Ashare, R. L., Hawk, L. W., Jr., & Mazzullo, R. J. (2007). Motivated attention: Incentive effects on attentional modification of prepulse inhibition. Psychophysiology, 44(6), 839–845. https://doi.org/10.1111/j.1469-8986.2007.00563.x
Asscher, J. J., van Vugt, E. S., Stams, G. J. J., Deković, M., Eichelsheim, V. I., & Yousfi, S. (2011). The relationship between juvenile psychopathic traits, delinquency and (violent) recidivism: A meta-analysis. Journal of Child Psychology and Psychiatry, 52(11), 1134–1143. https://doi.org/10.1111/j.1469-7610.2011.02412.x
Benning, S. D., Patrick, C. J., & Iacono, W. G. (2005). Psychopathy, startle blink modulation, and electrodermal reactivity in twin men. Psychophysiology, 42(6), 753–762. https://doi.org/10.1111/j.1469-8986.2005.00353.x
Beauchaine, T. P. (2012). Physiological markers of emotion and behavior dysregulation in externalizing psychopathology. Monographs of the Society for Research in Child Development, 77(2), 79–86. https://doi.org/10.1111/j.1540-5834.2011.00665.x
Blair, R. J. R. (2005). Responding to the emotions of others: Dissociating forms of empathy through the study of typical and psychiatric populations. Consciousness and Cognition, 14(4), 698–718. https://doi.org/10.1016/j.concog.2005.06.004
Blair, R. J. R. (2010). Psychopathy, frustration, and reactive aggression: The role of ventromedial prefrontal cortex. British Journal of Psychology, 101(3), 383–399. https://doi.org/10.1348/000712609X418480
Blair, R. J. R. (2013). The neurobiology of psychopathic traits in youths. Nature Reviews Neuroscience, 14(11), 786–799. https://doi.org/10.1038/nrn3577
Brook, M., Brieman, C. L., & Kosson, D. S. (2013). Emotion processing in Psychopathy Checklist—Assessed psychopathy: A review of the literature. Clinical Psychology Review, 33(8), 979–995. https://doi.org/10.1016/j.cpr.2013.07.008
Colins, O. F., Andershed, H., Frogner, L., Lopez-Romero, L., Veen, V., & Andershed, A. K. (2014). A new measure to assess psychopathic personality in children: The Child Problematic Traits Inventory. Journal of Psychopathology and Behavioral Assessment, 36(1), 4–21. https://doi.org/10.1007/s10862-013-9385-y
Colins, O. F., Fanti, K. A., Andershed, H., Mulder, E., Salekin, R. T., Blokland, A., & Vermeiren, R. R. (2017a). Psychometric properties and prognostic usefulness of the Youth Psychopathic Traits Inventory (YPI) as a component of a clinical protocol for detained youth: A multiethnic examination. Psychological Assessment, 29(6), 740–753. https://doi.org/10.1037/pas0000437
Colins, O. F., Fanti, K. A., Salekin, R. T., & Andershed, H. (2017b). Psychopathic personality in the general population: Differences and similarities across gender. Journal of Personality Disorders, 31(1), 49–74. https://doi.org/10.1521/pedi_2016_30_237
Colins, O. F., Fanti, K., Larsson, H., & Andershed, H. (2017c). Psychopathic traits in early childhood: Further validation of the Child Problematic Traits Inventory. Assessment, 24(5), 602–614. https://doi.org/10.1177/1073191115624544
Colins, O. F., Roetman, P. J., Lopez-Romero, L., & Andershed, H. (2020). Assessing Psychopathic Traits Among Children: The First Validation Study of the Child Problematic Traits Inventory in a Clinical Sample. Assessment, 27(6), 1242–1257. https://doi.org/10.1177/1073191119832654
De Panfilis, C., Antonucci, C., Meehan, K. B., Cain, N. M., Soliani, A., Marchesi, C., & Sambataro, F. (2019). Facial emotion recognition and social-cognitive correlates of narcissistic features. Journal of Personality Disorders, 33(4), 433–449.
De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131(4), 483–509. https://doi.org/10.1037/0033-2909.131.4.483
de Ruigh, E. L., Jansen, L. M., Vermeiren, R., & Popma, A. (2019). Psychopathic traits and empathic functioning in detained juveniles: Withdrawal response to empathic sadness. International Journal of Forensic Mental Health, 18(4), 336–349. https://doi.org/10.1080/14999013.2019.1577317
de Wied, M., van Boxtel, A., Matthys, W., & Meeus, W. (2012). Verbal, facial and autonomic responses to empathy-eliciting film clips by disruptive male adolescents with high versus low callous-unemotional traits. Journal of Abnormal Child Psychology, 40(2), 211–223. https://doi.org/10.1007/s10802-011-9557-8
Dindo, L., & Fowles, D. (2011). Dual temperamental risk factors for psychopathic personality: Evidence from self-report and skin conductance. Journal of Personality and Social Psychology, 100(3), 557–566. https://doi.org/10.1037/a0021848
Eisenstadt, T. H., McElreath, L. H., Eyberg, S., & Bodiford McNeil, C. (1994). Interparent agreement on the eyberg child behavior inventory. Child & Family Behavior Therapy, 16(1), 21–27. https://doi.org/10.1300/J019v16n01_02
Eyberg, S. M., & Pincus, D. (1999). ECBI & SESBI-R: Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory-revised: Professional manual. Psychological Assessment Resources.
Eysenck, H. J. (1997). Personality and the biosocial model of anti-social and criminal behaviour. In Biosocial bases of violence (pp. 21–37). Springer US. https://doi.org/10.1007/978-1-4757-4648-8_2
Fanti, K. A. (2018). Understanding heterogeneity in conduct disorder: A review of psychophysiological studies. Neuroscience & Biobehavioral Reviews, 91, 4–20. https://doi.org/10.1016/j.neubiorev.2016.09.022
Fanti, K. A., Eisenbarth, H., Goble, P., Demetriou, C., Kyranides, M. N., Goodwin, D., Zhang, J., Bobak, B., & Cortese, S. (2019). Psychophysiological activity and reactivity in children and adolescents with conduct problems: A systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews, 100, 98–107. https://doi.org/10.1016/j.neubiorev.2019.02.016
Fanti, K. A., Kyranides, M. N., Georgiou, G., Petridou, M., Colins, O. F., Tuvblad, C., & Andershed, H. (2017). Callous-unemotional, impulsive-irresponsible, and grandiose-manipulative traits: Distinct associations with heart rate, skin conductance, and startle responses to violent and erotic scenes. Psychophysiology, 54(5), 663–672. https://doi.org/10.1111/psyp.12837
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
Fanti, K. A., & Lordos, A. (2020). Age patterns in psychopathic traits from age 9 to age 20: Testing unique associations with conduct disorder symptoms. Current Psychology, 1-12. https://doi.org/10.1007/s12144-020-01150-z
Fanti, K. A., Panayiotou, G., Kyranides, M. N., & Avraamides, M. N. (2016a). Startle modulation during violent films: Association with callous–unemotional traits and aggressive behavior. Motivation and Emotion, 40(2), 321–333. https://doi.org/10.1007/s11031-015-9517-7
Fanti, K. A., Panayiotou, G., Lazarou, C., Michael, R., & Georgiou, G. (2016b). The better of two evils? Evidence that children exhibiting continuous conduct problems high or low on callous–unemotional traits score on opposite directions on physiological and behavioral measures of fear. Development and Psychopathology, 28(1), 185–198. https://doi.org/10.1017/S0954579415000371
Fowles, D. C., & Dindo, L. (2006). A dual deficit model of psychopathy. In C. J. Patrick (Ed.), Handbook of psychopathy (pp. 14–34). Guilford Press.
Frick, P. J. (2009). Extending the construct of psychopathy to youth: Implications for understanding, diagnosing, and treating antisocial children and adolescents. The Canadian Journal of Psychiatry, 54(12), 803–812. https://doi.org/10.1177/070674370905401203
Frick, P. J., & Morris, A. S. (2004). Temperament and developmental pathways to conduct problems. Journal of Clinical Child and Adolescent Psychology, 33(1), 54–68. https://doi.org/10.1207/S15374424JCCP3301_6
Frick, P. J., & Viding, E. (2009). Antisocial behavior from a developmental psychopathology perspective. Development and Psychopathology, 21(4), 1111–1131. https://doi.org/10.1017/S0954579409990071
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), 1–57. https://doi.org/10.1037/a0033076
Fridlund, A. J., & Cacioppo, J. T. (1986). Guidelines for human electromyographic research. Psychophysiology, 23(5), 567–589. https://doi.org/10.1111/j.1469-8986.1986.tb00676.x
Funderburk, B. W., Eyberg, S. M., Rich, B. A., & Behar, L. (2003). Further psychometric evaluation of the Eyberg and Behar rating scales for parents and teachers of preschoolers. Early Education and Development, 14(1), 67–82. https://doi.org/10.1207/s15566935eed1401_5
Fung, M. T., Raine, A., Loeber, R., Lynam, D. R., Steinhauer, S. R., Venables, P. H., & Stouthamer-Loeber, M. (2005). Reduced electrodermal activity in psychopathy-prone adolescents. Journal of Abnormal Psychology, 114(2), 187–196. https://doi.org/10.1037/0021-843X.114.2.187
Hansen, A. L., Johnsen, B. H., Thornton, D., Waage, L., & Thayer, J. F. (2007). Facets of psychopathy, heart rate variability and cognitive function. Journal of Personality Disorders, 21(5), 568–582. https://doi.org/10.1521/pedi.2007.21.5.568
Hare, R. D. (2003). The psychopathy checklist–Revised. Toronto, ON, 2003.
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
Hare, T. A., Tottenham, N., Galvan, A., Voss, H. U., Glover, G. H., & Casey, B. J. (2008). Biological substrates of emotional reactivity and regulation in adolescence during an emotional go-nogo task. Biological Psychiatry, 63(10), 927–934. https://doi.org/10.1016/j.biopsych.2008.03.015
Isen, J., Raine, A., Baker, L., Dawson, M., Bezdjian, S., & Lozano, D. I. (2010). Sex-specific association between psychopathic traits and electrodermal reactivity in children. Journal of Abnormal Psychology, 119(1), 216–225. https://doi.org/10.1037/a0017777
Kavish, D. R., Mullins, C. W., & Soto, D. A. (2016). Interactionist labeling: Formal and informal labeling’s effects on juvenile delinquency. Crime & Delinquency, 62(10), 1313–1336. https://doi.org/10.1177/0011128714542504
Kimonis, E. R., Fanti, K. A., Hadjicharalambous, X., Mertan, B., Goulter, N., & Katsimicha, E. (2016). Can callous-unemotional traits be reliably measured in preschoolers? Journal of Abnormal Child Psychology, 44, 625–638. https://doi.org/10.1007/s10802-015-0075-y
Kimonis, E. R., Frick, P. J., Fazekas, H., & Loney, B. R. (2006). Psychopathy, aggression, and the processing of emotional stimuli in non-referred girls and boys. Behavioral Sciences & the Law, 24(1), 21–37. https://doi.org/10.1002/bsl.668
Klingzell, I., Fanti, K. A., Colins, O. F., Frogner, L., Andershed, A. K., & Andershed, H. (2016). Early childhood trajectories of conduct problems and callous-unemotional traits: The role of fearlessness and psychopathic personality dimensions. Child Psychiatry & Human Development, 47(2), 236–247. https://doi.org/10.1007/s10578-015-0560-0
Kramer, M. D., Patrick, C. J., Krueger, R. F., & Gasperi, M. (2012). Delineating physiologic defensive reactivity in the domain of self-report: Phenotypic and etiologic structure of dispositional fear. Psychological Medicine, 42(6), 1305–1320. https://doi.org/10.1017/S0033291711002194
Kreibig, S. D., Wilhelm, F. H., Roth, W. T., & Gross, J. J. (2007). Cardiovascular, electrodermal, and respiratory response patterns to fear-and sadness-inducing films. Psychophysiology, 44(5), 787–806. https://doi.org/10.1111/j.1469-8986.2007.00550.x
Kyranides, M. N., Fanti, K. A., Petridou, M., & Kimonis, E. R. (2020). In the eyes of the beholder: Investigating the effect of visual probing on accuracy and gaze fixations when attending to facial expressions among primary and secondary callous-unemotional variants. European Child & Adolescent Psychiatry, 29, 1441–1451. https://doi.org/10.1007/s00787-019-01452-z
Kyranides, M., Fanti, K. A., Sikki, M., & Patrick, C. (2016). Triarchic Dimensions of Psychopathy in young adulthood: Associations with Clinical and Physiological Measures after accounting for Adolescent Psychopathic Traits. Personality Disorders: Theory, Research, and Treatment, 8(2), 140–149. https://doi.org/10.1037/per0000193
Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (1997). International affective picture system (IAPS): Technical manual and affective ratings. NIMH Center for the Study of Emotion and Attention, 1, 39–58. https://www2.unifesp.br/dpsicobio/adap/instructions.pdf
López-Romero, L., Molinuevo, B., Bonillo, A., Andershed, H., Colins, O. F., Torrubia, R., & Romero, E. (2019). Psychometric properties of the Spanish version of the Child Problematic Traits Inventory in 3-to 12-year-old Spanish children. European Journal of Psychological Assessment, 35(6), 842–854. https://doi.org/10.1027/1015-5759/a000458
López, R., Poy, R., Patrick, C. J., & Moltó, J. (2013). Deficient fear conditioning and self-reported psychopathy: The role of fearless dominance. Psychophysiology, 50(2), 210–218. https://doi.org/10.1111/j.1469-8986.2012.01493.x
Lorber, M. F. (2004). Psychophysiology of aggression, psychopathy, and conduct problems: A meta-analysis. Psychological Bulletin, 130(4), 531–552. https://doi.org/10.1037/0033-2909.130.4.531
Marsden, J., Glazebrook, C., Tully, R., & Völlm, B. (2019). Do adult males with antisocial personality disorder (with and without co-morbid psychopathy) have deficits in emotion processing and empathy? A systematic review. Aggression and Violent Behavior, 48, 197–217. https://doi.org/10.1016/j.avb.2019.08.009
MacDougall, E. A., Salekin, R. T., & Gillen, C. T. (2019). Adolescent psychopathy, heart rate, and skin conductance. Psychophysiology, 56(6), e13344. https://doi.org/10.1111/psyp.13344
McManis, M. H., Bradley, M. M., Berg, W. K., Cuthbert, B. N., & Lang, P. J. (2001). Emotional reactions in children: Verbal, physiological, and behavioral responses to affective pictures. Psychophysiology, 38(2), 222–231. https://doi.org/10.1111/1469-8986.3820222
Norman, G. J., Berntson, G. G., & Cacioppo, J. T. (2014). Emotion, somatovisceral afference, and autonomic regulation. Emotion Review, 6(2), 113–123. https://doi.org/10.1177/1754073913512006
Pardini, D. A. (2006). The callousness pathway to severe violent delinquency. Aggressive BehavIor, 32, 1–9. https://doi.org/10.1002/ab.20158
Patrick, C. J. (1994). Emotion and psychopathy: Startling new insights. Psychophysiology, 31(4), 319–330. https://doi.org/10.1111/j.1469-8986.1994.tb02440.x
Patrick, C. J., Cuthbert, B. N., & Lang, P. J. (1994). Emotion in the criminal psychopath: Fear image processing. Journal of Abnormal Psychology, 103(3), 523–534. https://doi.org/10.1037/0021-843X.103.3.523
Pfabigan, D. M., Seidel, E. M., Wucherer, A. M., Keckeis, K., Derntl, B., & Lamm, C. (2015). Affective empathy differs in male violent offenders with high-and low-trait psychopathy. Journal of Personality Disorders, 29(1), 42–61. https://doi.org/10.1521/pedi_2014_28_145
Quevedo, K., Benning, S. D., Gunnar, M. R., & Dahl, R. E. (2009). The onset of puberty: Effects on the psychophysiology of defensive and appetitive motivation. Development and Psychopathology, 21(1), 27–45. https://doi.org/10.1017/S0954579409000030
Salekin, R. T., & Frick, P. J. (2005). Psychopathy in children and adolescents: The need for a developmental perspective. Journal of Abnormal Child Psychology, 33(4), 403–409. https://doi.org/10.1007/s10802-005-5722-2
Schneider, W., Eschman, A., & Zuccolotto, A. (2002). E-Prime: User’s guide. Psychology Software Incorporated.
Thomson, N. D., Aboutanos, M., Kiehl, K. A., Neumann, C., Galusha, C., & Fanti, K. A. (2019). Physiological reactivity in response to a fear induced virtual reality experience: Associations with psychopathic traits. Psychophysiology, 56, e13276. https://doi.org/10.1111/psyp.13276
Vaidyanathan, U., Patrick, C. J., & Cuthbert, B. N. (2009). Linking dimensional models of internalizing psychopathology to neurobiological systems: Affect-modulated startle as an indicator of fear and distress disorders and affiliated traits. Psychological Bulletin, 135(6), 909–942. https://doi.org/10.1037/a0017222
Vrana, S. R., Spence, E. L., & Lang, P. J. (1988). The startle probe response: A new measure of emotion? Journal of Abnormal Psychology, 97(4), 487–491. https://doi.org/10.1037/0021-843X.97.4.487
Wang, P., Baker, L. A., Gao, Y., Raine, A., & Lozano, D. I. (2012). Psychopathic traits and physiological responses to aversive stimuli in children aged 9–11 years. Journal of Abnormal Child Psychology, 40(5), 759–769. https://doi.org/10.1007/s10802-011-9606-3
Wang, M. C., Colins, O. F., Deng, Q., Deng, J., Huang, Y., & Andershed, H. (2018). The Child Problematic Traits Inventory in China: A multiple informant-based validation study. Psychological Assessment, 30(7), 956–966. https://doi.org/10.1037/pas0000545
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Appendix
Appendix
The International Affective Picture System (IAPS) identification numbers are as follows. Happy: 1710, 1750, 1920, 2000, 2010, 7330, 7350, 7410, 8496, 8540. Sad: 2095, 2276, 2703, 2800, 2900, 3220, 3301, 9041, 9220, 9421. Neutral: 2190, 2200, 2210, 7000, 7002, 7006, 7009, 7010, 7025, 7035. Fear: 1050, 1205, 1300, 1321, 1931, 2100, 2110, 2120, 2682, 6250.
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Fanti, K.A., Mavrommatis, I., Georgiou, G. et al. Extending the Construct of Psychopathy to Childhood: Testing Associations with Heart Rate, Skin Conductance, and Startle Reactivity. J Psychopathol Behav Assess 44, 26–38 (2022). https://doi.org/10.1007/s10862-021-09946-4
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DOI: https://doi.org/10.1007/s10862-021-09946-4