Abstract
Conduct problems (CP) and callous-unemotional (CU) traits can have a long-lasting negative impact into adulthood. Importantly, among youth with CP, those high on CU traits engage in a more severe, aggressive, and persistent pattern of antisocial behavior. The current study investigates the co-occurrence between CP and CU traits among a large sample of Greek-Cypriot adolescents (N = 1,674; 50.1 % girls). Five distinct groups were identified with Latent Profile Analysis: low risk (48.7 %), average risk (33.8 %), co-occurring high CP-high CU (5.4 %), high CP-low CU (5.2 %), and low CP-high CU (6.9 %). Although more boys were identified in the higher risk groups, boys and girls within each group were not differentiated on levels of CP or CU traits during early adolescence. Youth in the identified groups were compared on early (Mean age = 12.12) and middle (Mean age = 14.02) adolescence individual and contextual factors. Youth with high CP-high CU were at higher risk for behavioral (bullying and substance use), individual (inattention, impulsivity, narcissism), and contextual (low family-support) problems compared to youth in the high CP-low CU and low CP-high CU groups, providing evidence that the combination of CP and CU traits might constitute a pathological group. These findings demonstrate the usefulness of sub-typing CP based on CU traits for the forthcoming fifth edition of the Diagnostic and Statistical Manual. Additional novel findings suggested that adolescents scoring high on CP, irrespective of CU, were not differentiated on hyperactivity, victimization, and anxiety/depression, and adolescents scoring high on CU traits, with or without CP, reported similar low levels of self-esteem and peer and family social-support.
Similar content being viewed by others
References
Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL14-18, YSR and TRF profiles. Burlington: University of Vermont, Department of Psychiatry.
Andershed, H., Gustafson, S. B., Kerr, M., & Stattin, H. (2002). The usefulness of self-reported psychopathy-like traits in the study of antisocial behaviour among non-referred adolescents. European Journal of Personality, 16(5), 383–402.
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.
Bauer, D. J., & Curran, P. J. (2004). The integration of continuous and discrete latent variables models: potential problems and promising opportunities. Psychological Methods, 9, 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, 5–33.
Cale, E. M., & Lilienfeld, S. O. (2006). Psychopathy factors and risk for aggressive behavior: a test of the “threatened egotism” hypothesis. Law and Human Behavior, 30(1), 51.
Cillessen, A. H. N., & Rose, A. J. (2005). Understanding popularity in the peer system. Current Directions in Psychological Science, 14(2), 102–105.
Colledge, E., & Blair, R. J. R. (2001). The relationship in children between the inattention and impulsivity components of attention deficit and hyperactivity disorder and psychopathic tendencies. Personality and Individual Differences, 30(7), 1175–1187.
Costa, P., Jr., Terracciano, A., & McCrae, R. R. (2001). Gender differences in personality traits across cultures: robust and surprising findings. Journal of Personality and Social Psychology, 81(2), 322–331.
Essau, C. A., Sasagawa, S., & Frick, P. J. (2006). Callous-unemotional traits in community sample of adolescents. Assessment, 13, 454–469.
Fanti, K. A., & Avraamides, M. (2011). Desensitization to media violence. In M. Paludi (Ed.), The psychology of teen violence and victimization (pp. 121–133). Santa Barbara: Praeger.
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.
Fanti, K. A., & Kimonis, E. (2012). Bullying and victimization: the role of conduct problems and psychopathic traits. Journal of Research on Adolescence. doi:10.1111/j.1532-7795.2012.00809.
Fanti, K. A., Brookmeyer, K. A., Henrich, C. C., & Kuperminc, G. (2009). Aggressive behavior and quality of friendships: linear and curvilinear associations. Journal of Early Adolescence, 29(6), 826–838.
Fanti, K. A., Vanman, E., Henrich, C. C., & Avraamides, M. N. (2009). Desensitization to media violence over a short period of time. Aggressive Behavior, 35(2), 179–187.
Fanti, K. A., Demetriou, A., & Hawa, V. (2012). A longitudinal study of cyber-bullying: risk and protective factors. The European Journal of Developmental Psychology, 9(2), 168–181.
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.
Fowler, T., Langley, K., Rice, F., Whittinger, N., Ross, K., van Goozen, S., et al. (2009). Psychopathy traits in adolescents with childhood attention-deficit hyperactivity disorder. The British Journal of Psychiatry, 194(1), 62–67.
Frick, P. J. (2004). The inventory of callous-unemotional traits. Unpublished rating scale.
Frick, P. J., & Dantagnan, A. (2005). Predicting the stability of conduct problems in children with and without callous-unemotional traits. Journal of Child and Family Studies, 14, 469–485.
Frick, P. J., & Hare, R. D. (2001). The antisocial process screening device. Toronto: Multi-Health Systems.
Frick, P. J., & Moffitt, T. E. (2010). A proposal to the DSM-V childhood disorders and the ADHD and disruptive behavior disorders work groups to include a specifier to the diagnosis of conduct disorder based on the presence of callous-unemotional traits. Washington, DC: APA.
Frick, P. J., & White, S. (2008). The importance of callous-unemotional traits for the development of aggressive and antisocial behavior. Journal of Child Psychology and Psychiatry, 49, 359–375.
Frick, P. J., Lilienfeld, S. O., Ellis, M., Loney, B., & Silverthorn, P. (1999). The association between anxiety and psychopathy dimensions in children. Journal of Abnormal Child Psychology, 27(5), 383–392.
Frick, P. J., Cornell, A. H., Barry, C. T., Bodin, S. D., & Dane, H. E. (2003). Callous-unemotional traits and conduct problems in the prediction of conduct problem 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. (2003). Callous-unemotional traits and developmental pathways to severe conduct problems. Developmental Psychology, 39(2), 246–260.
Frick, P. J., Kimonis, E. R., Dandreaux, D. M., & Farell, J. M. (2003). The 4 year stability of psychopathic traits in non-referred youth. Behavioral Sciences & the Law, 21(6), 713–736.
Frick, P. J., Barry, C. T., & Kamphaus, R. W. (2010). Clinical Assessment of Child and Adolescent Personality and Behavior (Vol. 3). New York.
Funk, J. B., Bechtoldt-Baldacci, H., Pasold, T., & Baumgartner, J. (2004). Violence exposure in real-life, video games, television, movies, and the internet: Is there desensitization? Journal of Adolescence, 27, 23–39.
Gadow, K., & Sprafkin, J. (1997). Adolescent symptom inventory-4 screening manual. Stony Brook: Checkmate Plus.
Keenan, K., & Shaw, D. (1997). Developmental and social influences on young girls’ early problem behavior. Psychological Bulletin, 121(1), 95–113.
Keenan, K., Loeber, R., & Green, S. (1999). Conduct disorder in girls: a review of the literature. Clinical Child and Family Psychology Review, 2(1), 3–19.
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., 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; Law and Human Behavior, 35(5), 381–391.
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.
Lynam, D. R. (1996). Early identification of chronic offenders: Who is the fledgling psychopath? Psychological Bulletin, 120(2), 209–234.
Lynam, D. R., Charnigo, R., Moffitt, T. E., Raine, A., Loeber, R., & Stouthamer-Loeber, M. (2009). The stability of psychopathy across adolescence. Development and Psychopathology, 21(4), 1133–1153.
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.
Miller, J. D., Lyman, D. R., Widiger, T. A., & Leukefeld, C. (2001). Personality disorders as extreme variants of common personality dimensions: Can the Five factor model adequately represent psychopathy? Journal of Personality, 69(2), 253–276.
Muthén, B. (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 applications in substance use research (pp. 113–140). Hillsdale: Erlbaum.
Muthén, L. K., & Muthén, B. (2010). Mplus user’s guide. Los Angeles: Muthén & Muthén.
Nagin, D. S. (2005). Group-based modeling of development. Cambridge: Harvard University Press.
Nylund, K. L., Asparouhov, T., & Muthen, B. (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.
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 Individual Differences, 30, 903–916.
Pardini, D. A., & Loeber, R. (2008). Interpersonal callousness trajectories across adolescence. Criminal Justice and Behavior, 35(2), 173–196.
Pardini, D. A., Lochman, J. E., & Frick, P. J. (2003). Callous/unemotional traits and social-cognitive processes in adjudicated youths. Journal of the American Academy of Child and Adolescent Psychiatry, 42(3), 364–371.
Procidano, M. E., & Heller, K. (1983). Measures of perceived social support from friends and from family: three validation studies. American Journal of Community Psychology, 11(1), 1–24.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton: Princeton University Press.
Roussos, A., Francis, K., Zoubou, V., Kiprianos, S., Prokopiopu, A., & Richardson, C. (2001). The standardization of Achenbach’s Youth Self-Report in Greece in a national sample of high school students. European Journal of Child and Adolescent Psychiatry, 10, 47–53.
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.
Silverthorn, P., Frick, P. J., & Reynolds, R. (2001). Timing of onset and correlates of severe conduct problems in adjudicated girls and boys. Journal of Psychopathology and Behavioral Assessment, 23(3), 171–181.
Varjas, K., Meyers, J., & Hunt, M. H. (2006). Student survey of bullying behavior –revised 2 (SSBB-R2). Atlanta: Georgia State University, Center for Research on School Safety, School Climate and Classroom Management.
Verona, E., Sadeh, N., & Javdani, S. (2010). The influences of gender and culture on child and adolescent psychopathy. In R. T. Salekin & D. R. Lynam (Eds.), Handbook of child and adolescent psychopathy (pp. 317–342). New York: Guilford Press.
Viding, E., Simmonds, E., Petrides, K., & Frederickson, N. (2009). The contribution of callous-unemotional traits and conduct problems to bullying in early adolescence. Journal of Child Psychology and Psychiatry, 50(4), 471–481.
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.
Wymbs, B. T., McCarty, C. A., King, K. M., McCauley, E., Vander Stoep, A., Baer, J., et al. (2012). Callous-unemotional traits as unique prospective risk factors for substance use in adolescent boys and girls. Journal of Abnormal Child Psychology. doi:10.1007/s10802-012-9628-5. Advance online publication.
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.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30–41.
Conflicts of interest
The author declares that he has no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
This research was funded by the European Community’s Seventh Framework Programme (FP7-PEOPLE-2007-4-3-IRG) under grant agreement n° 224903
Rights and permissions
About this article
Cite this article
Fanti, K.A. Individual, Social, and Behavioral Factors Associated with Co-Occurring Conduct Problems and Callous-Unemotional Traits. J Abnorm Child Psychol 41, 811–824 (2013). https://doi.org/10.1007/s10802-013-9726-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10802-013-9726-z