Abstract
Callous-unemotional traits are believed to be a childhood precursor to psychopathy, and among youth with conduct problems they designate those showing a particularly severe, stable, and aggressive pattern of antisocial behavior. Youth with callous-unemotional traits are a heterogeneous population and, analogous to adults with psychopathy, research suggests that lower anxious primary and high-anxious secondary variants exist. Using a community sample of 2,306 Greek-Cypriot adolescents (M age = 16 years; 49.7 % female), the first aim of the study was to examine whether variants of callous-unemotional traits could be identified using latent profile analysis of scores on measures of callous-unemotional traits, conduct problems, and anxiety. Additional aims of the study were to compare the identified clusters on external measures theorized to distinguish them (i.e., self-esteem, narcissism, impulsivity, sensation seeking and proactive/reactive aggression) and social factors relevant to adolescent development. Results indicated that, in addition to low risk (i.e., low scores on callous-unemotional traits, conduct problems, and anxiety) and anxious (i.e., high scores on anxiety, low scores on callous-unemotional traits and conduct problems) subgroups, two groups of youth scoring high on callous-unemotional traits and conduct problems were identified. High-anxious secondary callous-unemotional variants were distinguished by lower self-esteem in combination with greater narcissism, aggression, and markedly higher conduct problems, whereas lower anxious primary variants showed higher self-esteem. Secondary callous-unemotional variants also reported greater susceptibility to peer pressure and popularity striving than primary variants. Both variants exhibited poorer outcomes relative to low risk and anxious youth, although anxious youth reported lower self-esteem and higher impulsivity and reactive aggression scores in comparison with low risk youth. Findings integrate two lines of inquiry focused on subtyping children and adults with psychopathic traits and antisocial behaviors. They also support the utility of subtyping callous-unemotional traits based on conduct problems and anxiety levels and provide information on common and distinct risk factors associated with primary and secondary callous-unemotional variants in a community sample of adolescent boys and girls.
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References
Adler, P. A., & Adler, P. (1998). Peer power: Preadolescent culture and identity. New Brunswick, NJ: Rutgers University Press.
Allen, J. P., Porter, M. R., & McFarland, F. C. (2006). Leaders and followers in adolescent close friendships: Susceptibility to peer influence as a predictor of risky behavior, friendship instability, and depression. Development and Psychopathology, 18, 155–172.
Allen, J. P., Porter, M. R., McFarland, F. C., Marsh, P., & McElhaney, K. B. (2005). The two faces of adolescents’ success with peers: Adolescent popularity, social adaptation, and deviant behavior. Child Development, 76, 747–760.
Andershed, H. A., Kerr, M., Stattin, S., & Levander, S. (2002). Psychopathic traits in non-referred youths: A new assessment tool. In E. Blaauw & L. Sheridan (Eds.), Psychopaths: Current international perspectives (pp. 131–158). The Hague: Elsevier.
Bamaca, M. Y., & Umana-Taylor, A. J. (2006). Testing a model of resistance to peer pressure among Mexican-Origin adolescents. Journal of Youth and Adolescence, 35(4), 631–645.
Barry, C. T., Frick, P. J., & Killian, A. L. (2003). The relation of narcissism and self-esteem to conduct problems in children: A preliminary investigation. Journal of Clinical Child and Adolescent Psychology, 32(1), 139–152.
Barry, C. T., Pickard, J. D., & Ansel, L. L. (2009). The associations of adolescent invulnerability and narcissism with problem behaviors. Personality and Individual Differences, 47(6), 577–582.
Bauer, D. J., & Curran, P. J. (2004). The integration of continuous and discrete latent variable models: Potential problems and promising opportunities. Psychological Methods, 9(1), 3–29.
Baumeister, R. F., Smart, L., & Boden, J. M. (1996). Relation of threatened egotism to violence and aggression: The dark side of high self-esteem. Psychological Review, 103(1), 5–53.
Blackburn, R. (1975). An empirical classification of psychopathic personality. The British Journal of Psychiatry, 127, 456–460.
Blackburn, R. (1987). Two scales for the assessment of personality disorder in antisocial populations. Personality and Individual Differences, 8, 1–93.
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.
Burnett, S., Sebastian, C., Kadosh, K. C., & Blakemore, S. J. (2011). The social brain in adolescence: Evidence from functional magnetic resonance imaging and behavioral studies. Neuroscience Biobehavioral Revision, 35, 1654–1664.
Bushman, B. J., & Baumeister, R. F. (1998). Threatened egotism, narcissism, self-esteem, and direct and displaced aggression: Does self-love or self-hate lead to violence? Journal of Personality and Social Psychology, 75, 219–229.
Cleckley, H. (1941/1976). The mask of sanity. St. Louis, MO: C.V. Mosby Co.
Cohen, G. L., & Prinstein, M. J. (2006). Peer contagion of aggression and health risk behavior among adolescent males: An experimental investigation of effects on public conduct and private attitudes. Child Development, 77, 967–983.
Crapanzano, A. M., Frick, P. J., & Terranova, A. M. (2010). Patterns of physical and relational aggression in a school-based sample of boys and girls. Journal of Abnormal Child Psychology, 38, 433–445.
Erickson, K., Crosnoe, R., & Dornbusch, S. M. (2000). A social process model of adolescent deviance: Combining social control and differential association perspectives. Journal of Youth and Adolescence, 29, 395–425.
Essau, C. A., Sasagawa, S., & Frick, P. J. (2006). Callous–unemotional traits in community sample of adolescents. Assessment, 13, 454–469.
Falkenbach, D., Poythress, N., & Creevy, C. (2008). The exploration of subclinical psychopathic subtypes and the relationship with types of aggression. Personality and Individual Differences, 44, 821–832.
Fanti, K. A. (2011). The association of Callous-unemotional traits to Oppositional Defiant disorder and Attention Deficit Hyperactivity Disorder: Taking resilience into account. Proceedings of the 15th European conference on Developmental psychology, Medimond International Proceedings, 551-557.
Fanti, K. A. (2013). Individual, social, and behavioral factors associated with co-occurring conduct problems and callous-unemotional traits. Journal of Abnormal Child Psychology,. doi:10.1007/s10802-013-9726-z.
Fanti, K. A., Frick, P. J., & Georgiou, S. (2009). Linking callous-unemotional traits to instrumental and non-instrumental forms of aggression. Journal of Psychopathological Behavior Assessment, 31, 285–298.
Fanti, K. A., & Henrich, C. C. (2010). Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the NICHD Study of Early Child Care. Developmental Psychology, 46(5), 1159–1175.
Fink, B. C., Tant, A. S., Tremba, K., & Kiehl, K. A. (2012). Assessment of psychopathic traits in an incarcerated adolescent sample: A methodological comparison. Journal of Abnormal Child Psychology, 1–16.
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.
Forth, A. E., Kosson, D. S., & Hare, R. D. (2003). Hare psychopathy checklist: Youth version (PCL: YV). Toronto, ON: Multi-Health Systems.
Frick, P. J. (1995). Callous-unemotional traits and conduct problems: A two-factor model of psychopathy in children. Issues in Criminal & Legal Psychology, 24, 47–51.
Frick, P. J. (2004). The inventory of callous-unemotional traits. Unpublished rating scale: University of New Orleans.
Frick, P. J. (2006). Developmental pathways to conduct disorder. Child and Adolescent Psychiatric Clinical of North America, 15(2), 311–331.
Frick, P. J., Barry, C. T., & Kamphaus, R. W. (2010). Clinical Assessment of Child and Adolescent Personality and Behavior (Vol. 3). New York: Springer.
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 problems severity, aggression and self-report of delinquency. Journal of Abnormal Child Psychology, 31(4), 457–470.
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(2), 246–260.
Frick, P. J., & Dickens, C. (2006). Current perspectives on conduct disorder. Current Psychiatry Reports, 8(1), 59–72.
Frick, P. J., & Ellis, M. (1999). Callous unemotional traits and subtypes of conduct disorder. Clinical Child and Family Psychology Review, 2(3), 149–168.
Frick, P. J., & Hare, R. D. (2001). The antisocial process screening device. Toronto: Multi-Health Systems.
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(4), 471–487.
Frick, P. J., & White, S. F. (2008). Research review: The importance of callous-unemotional traits for the development of aggressive and antisocial behavior. Journal of Child Psychology and Psychiatry, 49, 359–375.
Gadow, K. D., & Sprafkin, J. (1999). Youth’s Inventory -4. Checkmate plus, Ltd.
Gadow, K. D., Sprafkin, J., Carlson, G. A., Schneider, J., Nolan, E. E., Mattison, R. E., et al. (2002). A DSM-IV referenced, adolescent self-report rating scale. Journal of the American Academy of Child and Adolescent Psychiatry, 41(6), 671–679.
Hare, R. D. (2003). Hare psychopathy checklist: revised (PCL-R). Toronto: Multi-Health Systems.
Hare, R. D., & Neumann, C. S. (2010). The role of antisociality in the psychopathy construct: Comment on Skeem and Cooke. Psychological Assessment, 22(2), 446–454.
Hicks, B. M., Markon, K. E., Patrick, C. J., Krueger, R. F., & Newman, J. P. (2004). Identifying psychopathy subtypes on the basis of personality structure. Psychological Assessment, 16, 276–288.
Hicks, B. M., Vaidyanathan, U., & Patrick, C. J. (2010). Validating Female Psychopathy Subtypes. Personality Disorders: Theory, research, and treatment, 1(1), 38–57.
Howard, A. L., Kimonis, E. R., Munoz, L. C., & Frick, P. J. (2012). Violence exposure mediates the relation between callous-unemotional traits and offending patterns in adolescence. Journal of Abnormal Child Psychology, 40(8), 1237–1247.
Karpman, B. (1941). On the need of separating psychopathy into two distinct clinical types: The symptomatic and the idiopathic. Journal of Criminology and Psychopathology, 3, 112–137.
Karpman, B. (1948a). Conscience in the psychopath: Another version. American Journal of Orthopsychiatry, 18(3), 455–491.
Karpman, B. (1948b). The myth of the psychopathic personality. American Journal of Psychiatry, 104, 523–534.
Karpman, B. (1955). Criminal psychodynamics: A platform. Archives of Criminal Psychodynamics, 1, 3–100.
Kerr, M., Van Zalk, M., & Stattin, H. (2011). Psychopathic traits moderate peer influence on adolescent delinquency. Journal of Child Psychology and Psychiatry, 53, 826–835.
Kimonis, E. R., Fanti, K. A., Isoma, Z., & Donoghue, K. (2013). Maltreatment profiles among incarcerated boys with callous-unemotional traits. Child Maltreatment,. doi:10.1177/1077559513483002.
Kimonis, E. R., Frick, P. J., Cauffman, E., Goldweber, A., & Skeem, J. (2012a). Primary and secondary variants of juvenile psychopathy differ in emotional processing. Development and Psychopathology, 24, 1091–1103.
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.
Kimonis, E. R., Frick, P. J., Skeem, J. L., Marsee, M. A., Cruise, K., Munoz, L. C., et al. (2008). Assessing callous-unemotional traits in adolescent offenders: Validation of the Inventory of Callous-Unemotional Traits. International Journal of Law and Psychiatry, 31(3), 241–252.
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, 381–391.
Kimonis, E. R., Tatar, J. R, I. I., & Cauffman, E. (2012b). Substance-related disorders among juvenile offenders: What role do psychopathic traits play? Psychology of Addictive Behaviors, 26(2), 212.
Kosson, D. S., & Newman, J. P. (1995). An evaluation of Mealey’s hypotheses based on psychopathy checklist: Identified groups. Behavioral and Brain Sciences, 18(03), 562–563.
Lewinsohn, P. M., Gotlib, I. H., Lewinsohn, M., Seeley, J. R., & Allen, N. B. (1998). Gender differences in anxiety disorders and anxiety symptoms in adolescents. Journal of Abnormal Psychology, 107(1), 109.
Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88, 767–778.
Loeber, R., Burke, J. D., Lahey, B. B., Winters, A., & Zera, M. (2000). Oppositional defiant and conduct disorder: A review of the past 10 years, part I. Journal of the American Academy of Child and Adolescent Psychiatry, 39(12), 1468–1484.
Luthar, S. S., & McMahon, T. J. (1996). Peer reputation among inner-city adolescents: Structure and correlates. Journal of Research on Adolescence, 6(4), 581–603.
Lykken, D. T. (1995). The antisocial personalities. Hillsdale: Lawrence Erlbaum Associates, Inc.
Lynam, D. R. (1996). Early identification of chronic offenders: Who is the fledgling psychopath? Psychological Bulleting, 120(2), 209–234.
Lynam, D. R. (1997). Pursuing the psychopath: Capturing the fledgling psychopath in a nomological net. Journal of Abnormal Psychology, 106(3), 425–438.
Lynam, D. R., & Miller, J. D. (2004). Personality pathways to impulsive behavior and their relations to deviance: Results from three samples. Journal of Quantitative Criminology, 20(4), 319–341.
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(6), 803–817.
Mealey, L. (1995). The sociobiology of sociopathy: An itergrated evolutionary model. The Behavioral and Brain Sciences, 18(3), 523–599.
Muñoz, L. C., & Frick, P. J. (2007). The reliability, stability, and predictive utility of the self-report version of the Antisocial Process Screening Device. Scandinavian Journal of Psychology, 48(4), 299–312.
Muthén, B. O. (2000). Methodological issues in random coefficient growth modeling using a latent variable framework: Applications to the development of heavy drinking. In J. Rose, L. Chassin, C. Presson, & J. Sherman (Eds.), Multivariate application is substance use research (pp. 113–140). Hillsdale, NJ: Erlbaum.
Muthén, L. K., & Muthén, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.
Nagin, D. S. (2005). Group-based modeling of development. Cambridge, MA: Harvard University Press.
Newman, J. P., MacCoon, D. G., Vaughn, L. J., & Sadeh, N. (2005). Validating a distinction between primary and secondary psychopathy. Journal of Abnormal Psychology, 114(2), 319–323.
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling. A Monte Carlo simulation study. Structural Equation Modeling, 14, 535–569.
Olweus, D. (1995). Bullying or peer abuse at school: Facts and interventions. Current Directions in Psychological Science, 4, 196–200.
Pakaslahti, L., & Keltikangas-Jarvinen, L. (2000). Peer-attributed prosocial behavior among aggressive/preferred, aggressive/non-preferred, non-aggressive/preferred and non-aggressive/nonpreferred adolescents. Personality and IndividualDifferences, 30, 903–916.
Parkhurst, J. T., & Hopmeyer, A. (1998). Sociometric popularity and peer-perceived popularity two distinct dimensions of peer status. The Journal of Early Adolescence, 18(2), 125–144.
Pastor, D. A., Barron, K. E., Miller, B. J., & Davis, S. L. (2007). A latent profile analysis of college students’ achievement goal orientation. Contemporary Educational Psychology, 32(1), 8–47.
Porter, S. (1996). Without conscience or without active conscience? The etiology of psychopathy Revisited. Aggression and Violent Behavior, 1, 179–189.
Poythress, N. G., Lilienfeld, S. O., Skeem, J. L., Douglas, K. S., Edens, J. F., Epstein, M., et al. (2010). Using PCL-R to help estimate the validity of two self-report measures of psychopathy with offenders. Assessment, 17(2), 206–219.
Raine, A., Dodge, K., Loeber, R., Gatzke-Kopp, L., Lynam, D., Reynolds, C., et al. (2006). The reactive-proactive aggression questionnaire: Differential correlates of reactive and proactive aggression in adolescent boys. Aggressive Behavior, 32, 159–171.
Ray, J. V., Poythress, N. G., Weir, J. M., & Rickelm, A. (2009). Relationships between psychopathy and impulsivity in the domain of self-reported personality features. Personality and Individual Differences, 46, 83–87.
Rodkin, P. C., Farmer, T. W., Pearl, R., & Van Acker, R. (2000). Heterogeneity of popular boys: Antisocial and prosocial configurations. Developmental Psychology, 36(1), 14–24.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
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.
Salmivalli, C. (2001). Feeling good about oneself, being bad to others? Remarks on self-esteem, hostility, and aggressive behavior. Aggression and Violent Behavior, 6(4), 375–393.
Santor, D. A., Messervey, D., & Kusumakar, V. (2000). Measuring peer pressure, popularity, and conformity in young adolescent boys and girls: predicting school performance, sexual attitudes, and substance use. Journal of Youth and Adolescence, 29, 163–182.
Skeem, J. L., & Cooke, D. J. (2010). Is criminal behavior a central component of psychopathy? Conceptual directions for resolving a debate. Psychological Assessment, 22, 433–445.
Skeem, J., Johansson, P., Andershed, H., Kerr, M., & Louden, J. E. (2007). Two subtypes of psychopathic violent offenders that parallel primary and secondary variants. Journal of Abnormal Psychology, 116(2), 395–409.
Skeem, J. L., Poythress, N., Edens, J. F., Lilienfeld, S. O., & Cale, E. M. (2003). Psychopathic personality or personalities? Exploring potential variants of psychopathy and their implications for risk assessment. Aggression and Violent Behavior, 8(5), 513–546.
Steinberg, L., & Monahan, K. C. (2007). Age difference in resistance to peer influence. Journal of Developmental Psychology, 43(6), 1531–1543.
Swogger, M. T., & Kosson, D. S. (2007). Identifying subtypes of criminal psychopaths: A replication and extension. Criminal Justice and Behavior, 34, 953–970.
Tatar, J. R., Cauffman, E., Kimonis, E. R., & Skeem, J. L. (2012). Victimization history and post-traumatic stress: An analysis of psychopathy variants in male juvenile offenders. Journal of Child and Adolescent Trauma, 5, 102–113. doi:10.1080/19361521.2012.671794.
Thomaes, S., Bushman, B. J., de Castro, B. O., Cohen, G. L., & Denissen, J. A. (2009). Reducing narcissistic aggression by buttressing self-esteem: An experimental field study. Psychological Science, 20, 1536–1542.
Thomaes, S., Bushman, B. J., Stegge, H., & Olthof, T. (2008). Trumping shame by blasts of noise: Narcissism, self-esteem, shame, and aggression in young adolescents. Child Development, 79, 1792–1801.
Vassileva, J., Kosson, D. S., Abramowitz, C., & Conrod, P. (2005). Psychopathy versus psychopathies in classifying criminal offenders. Legal and Criminological Psychology, 10, 27–43.
Vaughn, M. G., Edens, J. F., Howard, M. O., & Smith, S. T. (2009). An investigation of primary and secondary psychopathy in a statewide sample of incarcerated youth. Youth Violence and Juvenile Justice, 7(3), 172–188.
Verduin, T. L., & Kendall, P. C. (2008). Peer perceptions and liking of children with anxiety disorders. Journal of Abnormal Child Psychology, 36(4), 459–469.
Vondra, J., Barnett, D., & Cicchetti, D. (1989). Perceived and actual competence among maltreated and comparison school children. Development and Psychopathology, 1(03), 237–255.
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(2), 139–153.
Wink, P. (1996). Narcissism. Personality characteristics of the personality disordered, pp 146–172.
Zahn-Waxler, C. (2000). The development of empathy, guilt and the internalization of distress. In R. Davidson (Ed.), Anxiety, depression and emotion (pp. 222–265). New York: Oxford University Press.
Zuckerman, M. (1994). Behavioral expressions and biosocial bases of sensation seeking. New York: Cambridge University Press.
Zuckerman, M., Eysenck, S., & Eysenck, H. J. (1978). Sensation seeking in England and America: cross-cultural age and sex comparisons. Journal of Consulting and Clinical Psychology, 46, 139–149.
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This work was supported by the University of Cyprus (Internal Research Grant awarded to the first author).
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KF and CD conceived of the study, participated in its design and coordination and performed the measurement; KF, CD, and EK participated in the statistical analysis, interpretation of the data and drafted the manuscript. All authors read and approved the final manuscript.
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Fanti, K.A., Demetriou, C.A. & Kimonis, E.R. Variants of Callous-Unemotional Conduct Problems in a Community Sample of Adolescents. J Youth Adolescence 42, 964–979 (2013). https://doi.org/10.1007/s10964-013-9958-9
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DOI: https://doi.org/10.1007/s10964-013-9958-9