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Do neurocognitive deficits in decision making differentiate conduct disorder subtypes?

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Abstract

The present study aimed to test whether neurocognitive deficits involved in decision making underlie subtypes of conduct-disorder (CD) differentiated on the basis of callous-unemotional (CU) traits. Eighty-five participants (M age = 10.94 years) were selected from a sample of 1200 children based on repeated assessment of CD and CU traits. Participants completed a multi-method battery of well-validated measures of risky decision making and associated constructs of selective attention and future orientation (Stroop, Stoplight, and Delay-Discounting Tasks). Findings indicated that impaired decision making, selective attention, and future orientation contribute to the antisocial presentations displayed by children with CD, irrespective of level of CU traits. Youth high on CU traits without CD showed less risky decision making, as indicated by their performance on the Stoplight laboratory task, than those high on both CD and CU traits, suggesting a potential protective factor against the development of antisocial behavior.

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References

  1. Frick PJ (2009) Extending the construct of psychopathy to youth: implications for understanding, diagnosing, and treating antisocial children and adolescents. Can J Psychiatr 54:803–812

    Google Scholar 

  2. Frick PJ, Ray JV, Thornton LC, Kahn RE (2014) Annual research review: a developmental psychopathology approach to understanding callous-unemotional traits in children and adolescents with serious conduct problems. J Child Psychol Psychiatr 55(6):532–548

    Article  Google Scholar 

  3. APA (2013) Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association, Arlington

    Google Scholar 

  4. Blair RJ, Leibenluft E, Pine DS (2014) Conduct disorder and callous-unemotional traits in youth. New Engl J Med 371:2207–2216

    Article  CAS  PubMed  Google Scholar 

  5. Syngelaki EM, Fairchild G, Moore SC, Savage JC, van Goozen SHM (2013) Affective startle potentiation in juvenile offenders: the role of conduct problems and psychopathic traits. Soc Neurosci 8:112–121

    Article  PubMed  Google Scholar 

  6. Viding E, Sebastian CL, Dadds MR, Lockwood PL, Cecil CA, De Brito SA, McCrory EJ (2012) Amygdala response to preattentive masked fear in children with conduct problems: the role of callous-unemotional traits. Am J Psychiatr 169:1109–1116

    Article  PubMed  Google Scholar 

  7. Birbaumer N et al (2005) Deficient fear conditioning in psychopathy: a functional magnetic resonance imaging study. Arch Gen Psychiatr 62:799–805

    Article  PubMed  Google Scholar 

  8. Fairchild G, Van Goozen SH, Stollery SJ, Goodyer IM (2008) Fear conditioning and affective modulation of the startle reflect in male adolescents with early onset, adolescence-onset conduct disorder and healthy control subjects. Biol Psychiatr 63:279–285

    Article  Google Scholar 

  9. Blair RJ (2013) The neurobiology of psychopathic traits in youths. Nat Rev Neurosci 14(11):786–799

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Steinberg L, Albert D, Banich M, Cauffman E, Graham S, Woolard J (2008) Age differences in sensation seeking and impulsivity as indexed by behavior and self-report: evidence for a dual systems model. Dev Psychol 44(6):1764–1778

    Article  PubMed  Google Scholar 

  11. White SF, Pope K, Sinclair S, Fowler KA, Brislin SJ, Williams WC, Pine DS, Blair RJR (2013) Disrupted expected value and prediction error signaling in youths with disruptive behavior disorders during a passive avoidance task. Am J Psychiatr 170:315–323

    Article  PubMed  PubMed Central  Google Scholar 

  12. Scheres A, Milham MP, Knutson B, Castellanos FX (2007) Ventral striatal hyporesponsiveness during reward anticipation in attention-deficit/hyperactivity disorder. Biol Psychiatr 61:720–724

    Article  Google Scholar 

  13. Ströhle A, Stoy M, Wrase J et al (2008) Reward anticipation and outcomes in adult males with attention-deficit/hyperactivity disorder. Neuroimage 39:966–972

    Article  PubMed  Google Scholar 

  14. Clark C, Prior M, Kinsella GJ (2000) Do executive function deficits differentiate between adolescents with ADHD and oppositional defiant/conduct disorder? J Abnorm Child Psychiatr 28:403–414

    Article  CAS  Google Scholar 

  15. Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF (2005) Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatr 57:1336–1346

    Article  Google Scholar 

  16. Herba CM, Tranah T, Rubia K, Yule W (2006) Conduct problems in adolescence: three domains of inhibition and effect of gender. Dev Neuropsychol 30:659–695

    Article  PubMed  Google Scholar 

  17. Cauffman E, Kimonis ER, Dmitrieva J, Monahan KC (2009) A multimethod assessment of juvenile psychopathy: comparing the predictive utility of the PCL:YV, YPI, and NEO PRI. Psychol Assess 21:528

    Article  PubMed  PubMed Central  Google Scholar 

  18. Steinberg L, Graham S, O’Brien L, Woolard J, Cauffman E, Banich M (2009) Age differences in future orientation and delay discounting. Child Dev 80:28–44

    Article  PubMed  Google Scholar 

  19. White SF, Clanton R, Brislin SJ, Meffert H, Hwang S, Sinclair S, Blair JR (2014) Temporal discounting and conduct disorder in adolescents. J Personal Disord 28:5–18

    Article  Google Scholar 

  20. Kimonis ER, Skeem JL, Cauffman E, Dmitrieva J (2011) Are secondary variants of juvenile psychopathy more reactively violent and less psychosocially mature than primary variants? Law Human Behav 35(5):381

    Article  Google Scholar 

  21. Melanko S (2008) Impulsivity and psychopathy in adolescent smokers and nonsmokers (Doctoral dissertation). Retrieved from https://kb.osu.edu/dspace/handle/1811/31786

  22. Fanti KA (2013) Individual, social, and behavioral factors associated with co-occurring conduct problems and callous-unemotional traits. J Abnorm Child Psych 41:811–824

    Article  Google Scholar 

  23. Fanti KA, Panayiotou G, Lazarou C, Michael R, Georgiou G (2015) 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. Dev Psychopathol. doi:10.1017/S0954579415000371

  24. Gadow KD, Sprafkin J (2002) Child Symptom Inventory–4 screening and norms manual. Checkmate Plus, Stony Brook

    Google Scholar 

  25. Frick PJ (2004) Inventory of callous–unemotional traits. Unpublished rating scale, University of New Orleans, New Orleans, LA

  26. Reilly MP, Greenwald MK, Johanson CE (2006) The Stoplight task: a procedure for assessing risk taking in humans. Psychol Rec 56:191–204

    Google Scholar 

  27. Benthin A, Slovic P, Severson H (1993) A psychometric study of adolescent risk perception. J Adolesc 16(2):153–168

    Article  CAS  PubMed  Google Scholar 

  28. Stroop JR (1935) Studies of interference in serial verbal reactions. J Exp Psychol 18:643–662

    Article  Google Scholar 

  29. Banich MT, Crowley TJ, Thompson LL, Jacobson BL, Liu X et al (2007) Brain activation during the Stroop task in adolescents with severe substance and conduct problems: a pilot study. Drug Alcohol Depend 90:175–182

    Article  PubMed  PubMed Central  Google Scholar 

  30. Ohmura Y, Takahashi T, Kitamura N, Wehr P (2006) Three-month stability of delay and probability discounting measures. Exp Clin Psychopharm 14:318–328

    Article  Google Scholar 

  31. Wechsler D (1999) Wechsler abbreviated scale of intelligence. San Antonio: Psychological Corporation

  32. Erkut S (2010) Developing multiple language versions of instruments for intercultural research. Child Dev Perspect 4(1):19–24

    Article  PubMed  PubMed Central  Google Scholar 

  33. Cohen J (1992) A power primer. Psychol Bull 112:155–159

    Article  CAS  PubMed  Google Scholar 

  34. Frick PJ, Morris AS (2004) Temperament and developmental pathways to conduct problems. J Clin Child Adolesc 33(1):54–68

    Article  Google Scholar 

  35. Hare RD (1993) Without conscience: the disturbing world of the psychopaths among us. The Guilford Press, New York

    Google Scholar 

  36. Cleckley H (1941) The mask of sanity; an attempt to reinterpret the so-called psychopathic personality. Mosby, Oxford

    Google Scholar 

  37. Fowles DC, Dindo L (2006) A dual-deficit model of psychopathy. In: Patrick CJ (ed) Handbook of psychopathy. Guildford Press, New York, pp 14–34

    Google Scholar 

  38. Hall JR, Benning SD (2006) The “successful” psychopath. In: Patrick CJ (ed) Handbook of psychopathy. Guilford, New York, pp. 459–478

  39. Gao Y, Raine A (2010) Successful and unsuccessful psychopaths: a neurobiological model. Behav Sci Law 28(2):194–210

    PubMed  Google Scholar 

  40. Ishikawa SS, Raine A, Lencz T, Bihrle S, Lacasse L (2001) Autonomic stress reactivity and executive functions in successful and unsuccessful criminal psychopaths from the community. J Abnorm Psychol 110:423–432

    Article  CAS  PubMed  Google Scholar 

  41. van Mourik R, Papanikolau A, vanGellicum-Bijlhout J, van Oostenbruggen J, Veugelers D et al (2009) Interference control in children with attention deficit/hyperactivity disorder. J Abnorm Child Psych 37:293–303

    Article  Google Scholar 

  42. Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF (2005) Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psych 57:1336–1346

    Article  Google Scholar 

  43. Fanti KA, Henrich 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. Dev Psychol 46:1159

    Article  PubMed  Google Scholar 

  44. Dodge KA (1993) Social-cognitive mechanisms in the development of conduct disorder and depression. Annu Rev Psychol 44(1):559–584

    Article  CAS  PubMed  Google Scholar 

  45. Riggs NR, Greenberg MT, Kusché CA, Pentz MA (2006) The mediational role of neurocognition in the behavioral outcomes of a social-emotional prevention program in elementary school students: the PATHS curriculum. Prev Sci 7:91–102

    Article  PubMed  Google Scholar 

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Correspondence to Kostas A. Fanti.

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All human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Fanti, K.A., Kimonis, E.R., Hadjicharalambous, MZ. et al. Do neurocognitive deficits in decision making differentiate conduct disorder subtypes?. Eur Child Adolesc Psychiatry 25, 989–996 (2016). https://doi.org/10.1007/s00787-016-0822-9

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  • DOI: https://doi.org/10.1007/s00787-016-0822-9

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