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School-aged children with conduct problems and high levels of callous–unemotional (i.e., lack of empathy, guilt, and lack of caring behaviors) traits (CP + CU) tend to yield less benefit from traditional interventions than do their low-CU counterparts, particularly with respect to conduct problem (CP) outcomes. To date, little is known about treatment response among young children with CP + CU, particularly those with or at risk for developmental delay. Components of parent–child interaction therapy (PCIT), a parent training program effective at reducing CP in young children, have compelling theoretical support for addressing core deficits unique to children with CP + CU and have been used successfully with young children with developmental delay. Our first aim was to test the psychometric properties of a measure of CU traits in preschool children with and without developmental delay. Our second aim was to test whether CU traits predicted post-treatment CP after controlling for initial levels of CP. Participants were 63 families of young children (mean age = 3.87 years), with or at risk for developmental delay, who presented with elevated CP and were treated in a hospital-based outpatient clinic. Results indicated that developmentally delayed children with high levels of CU traits, but not children at risk for delay due to premature birth, showed significantly poorer CP outcomes following treatment with PCIT than did children scoring low on CU traits, even after controlling for initial CP severity. The implications of these findings with regard to treating and preventing severe disruptive behaviors among young children with CP + CU are discussed.
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Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA Preschool Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
Bagner, D. M., Graziano, P. A., Jaccard, J., Sheinkopf, S. J., Vohr, B. R., & Lester, B. M. (2012). An initial investigation of respiratory sinus arrhythmia as a moderator of treatment outcome for young children born premature with externalizing behavior problems. Behavior Therapy, 43, 652–665. PubMedCentralPubMedCrossRef
Bagner, D. M., Sheinkopf, S. J., Vohr, B. R., & Lester, B. M. (2010). Parenting intervention for externalizing behavior problems in children born premature: An initial examination. Journal of Developmental and Behavioral Pediatrics, 31, 209–216. doi: 10.1097/DBP.0b013e3181d5a294. PubMedCentralPubMedCrossRef
Baker, B. L. (1996). Parent training. In J. J. J. A. Mulick (Ed.), Manual of diagnosis and professional practice in mental retardation (pp. 289–299). Washington, DC: American Psychological Association. CrossRef
Bayley, N. (2006). Manual for the Bayley Scales of Infant Development (3rd ed.). San Antonio, TX: The Psychological Corporation.
Blair, R. J. R., Peschardt, K. S., Budhani, S., Mitchell, D. G. V., & Pine, D. S. (2006). The development of psychopathy. Journal of Child Psychology and Psychiatry and Allied Disciplines, 47(3), 262–275. CrossRef
Boggs, S. R., Eyberg, S. M., Edwards, D. L., Rayfield, A., Jacobs, J., Bagner, D., et al. (2004). Outcomes of parent-child interaction therapy: A Comparison of treatment completers and study dropouts one to three years later. Child & Family Behavior Therapy, 26(4), 1–22. doi: 10.1300/J019v26n04_01.
Briggs, S. R., & Cheek, J. M. (1986). The role of factor analysis in the evaluation of personality scales. Journal of Personality, 54, 106–148. CrossRef
Caldwell, M., Skeem, J., Salekin, R., & Van Rybroek, G. (2006). Treatment response of adolescent offenders with psychopathy features: A 2-year follow-up. Criminal Justice and Behavior, 33, 571–596. CrossRef
Christian, R. E., Frick, P. J., Hill, N. L., & Tyler, L. (1997). Psychopathy and conduct problems in children: II. Implications for subtyping children with conduct problems. Journal of the American Academy of Child & Adolescent Psychiatry, 36(2), 233–241. doi: 10.1097/00004583-199702000-00014.
Dadds, M., Cauchi, A., Wimalaweera, S., Hawes, D., & Brennan, J. (2012). Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood. Psychiatry Research, 199(3), 201–207. doi: 10.1016/j.psychres.2012.04.033.
Dadds, M. R., & Rhodes, T. (2008). Aggression in young children with concurrent callous–unemotional traits: Can the neurosciences inform progress and innovation in treatment approaches? Philosophical Transactions of the Royal Society B, 363, 2567–2576. CrossRef
Dunn, J., Brown, J., & Maguire, M. (1995). The development of children’s moral sensibility: Individual differences and emotion understanding. Developmental Psychology, 31, 649–659. CrossRef
Eyberg, S. M., & Bussing, R. (2010). Parent–child interaction therapy for preschool children with conduct problems. In R. C. Murrihy, A. D. Kidman, & T. H. Ollendick (Eds.), Clinical handbook of assessing and treating conduct problems in youth. New York: Springer.
Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for child and adolescent with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37, 215–237. CrossRef
Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory-revised: Professional Manual. Odessa, FL: Psychological Assessment Resources.
Fisher, L. L., & Blair, R. R. (1998). Cognitive impairment and its relationship to psychopathic tendencies in children with emotional and behavioral difficulties. Journal of Abnormal Child Psychology, 26(6), 511–519. doi: 10.1023/A:1022655919743.
Frick, P. J., & Hare, R. (2001). Antisocial process screening device. Toronto: Multi-Health Systems.
Frick, P. J., & Loney, B. R. (1999). Outcomes of children and adolescents with oppositional defiant disorder and conduct disorder. In H. C. Quay & A. E. Hogan (Eds.), Handbook of disruptive behavior disorders (pp. 507–524). Dordrecht, Netherlands: Kluwer Academic Publishers.
Frick, P. J., & Marsee, M. A. (2006). Psychopathy and developmental pathways to antisocial behavior in youth. In C. J. Patrick (Ed.), Handbook of psychopathy (pp. 355–374). New York: Guilford.
Frick, P. J., & White, S. F. (2008). Research review: The importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior. Journal of Child Psychology and Psychiatry, 49(4), 359–375. doi: 10.1111/j.1469-7610.2007.01862.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 Educational Development, 14, 67–81. CrossRef
Handen, B. L. (1998). Mental retardation. In E. J. Mash & R. A. Barkley (Eds.), Treatment of childhood disorders (2nd ed., pp. 369–415). New York: Guilford.
Harwood, M. D., & Eyberg, S. M. (2004). Therapist verbal behavior early in treatment: Relation to successful completion of parent–child interaction therapy. Journal of Clinical Child & Adolescent Psychology, 33(3), 601–612. CrossRef
Kahn, R. E., Frick, P. J., Youngstrom, E., Findling, R. L., & Youngstrom, J. K. (2012). The effects of including a callous–unemotional specifier for the diagnosis of conduct disorder. Journal of Child Psychology and Psychiatry, 53(3), 271–282. doi: 10.1111/j.1469-7610.2011.02463.x. PubMedCentralPubMedCrossRef
Kimonis, E. R., Frick, P. J., Boris, N. W., Smyke, A. T., Cornell, A. H., Farrell, J. M., et al. (2006a). Callous–unemotional features, behavioral inhibition, and parenting: Independent predictors of aggression in a high-risk preschool sample. Journal of Child and Family Studies, 15(6), 745–756. CrossRef
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. Special Issue: Gender and Psychopathy Volume 2, 24(1), 21–37.
Kimonis, E. R., Frick, P. J., Muñoz, L. C., & Aucoin, K. J. (2007). Can a laboratory measure of emotional processing enhance the statistical prediction of aggression and delinquency in detained adolescents with callous–unemotional traits? Journal of Abnormal Child Psychology, 35(5), 773–785. PubMedCrossRef
Kochanska, G. (1995). Children’s temperament, mothers’ discipline, and security of attachment: Multiple pathways to emerging internalization. Child Development, 66, 597–615. CrossRef
Kochanska, G., & Thompson, R. A. (1997). The emergence and development of conscience in toddlerhood and early childhood. In J. E. Grusec & L. Kuczynski (Eds.), Parenting and children’s internalization of values: A handbook of contemporary theory (pp. 53–77). New York: Wiley.
Kolko, D. J., Dorn, L. D., Bukstein, O. G., Pardini, D., Holden, E. A., & Hart, J. (2009). Community vs. clinic-based modular treatment of children with early-onset ODD or CD: A clinical trial with 3-year follow-up. Journal of Abnormal Child Psychology, 37(5), 591–609. doi: 10.1007/s10802-009-9303-7. PubMedCrossRef
Kotler, J. S., & McMahon, R. J. (2010). Assessment of child and adolescent psychopathy. In R. T. Salekin & D. R. Lynam (Eds.), The handbook of child and adolescent psychopathy (pp. 79–112). New York: Guilford Press.
Kroneman, L. M., Hipwell, A. E., Loeber, R., Koot, H. M., & Pardini, D. A. (2011). Contextual risk factors as predictors of disruptive behavior disorder trajectories in girls: The moderating effect of callous–unemotional features. Journal of Child Psychology and Psychiatry, 52, 167–175. PubMedCentralPubMedCrossRef
Loney, B. R., Frick, P. J., Ellis, M., & McCoy, M. G. (1998). Intelligence, psychopathy, and antisocial behavior. Journal of Psychopathology and Behavioral Assessment, 20, 231–247. CrossRef
McDonald, R., Dodson, M. C., Rosenfeld, D., & Jouriles, E. N. (2011). Effects of a parenting intervention on features of psychopathy in children. Journal of Abnormal Child Psychology. doi: 10.1007/s10802-011-9512-8.
Moffitt, T. E. (1994). Natural histories of delinquency. In E. G. M. Weitekamp & K. J. Kerner (Eds.), Cross-national longitudinal research on human development and criminal behavior (pp. 3–61). Netherlands: Kluwer Academic Publishers. CrossRef
Pachter, L. M., Auinger, P., Palmer, R., & Weitzman, M. (2006). Do parenting and the home environment, maternal depression, neighborhood, and chronic poverty affect child behavioral problems differently in different racial-ethnic groups? Pediatrics, 117(4), 1329–1338.
Pardini, D. A., Lochman, J. E., & Powell, N. (2007). The development of callous-unemotional traits and antisocial behavior in children: Are there shared and/or unique predictors? Journal of Clinical Child and Adolescent Psychology, 36(3), 319–333. doi: 10.1080/15374410701444215.
Reid, J. B. (1993). Prevention of conduct disorder before and after school entry: Relating interventions to developmental findings. Development and Psychopathology, 5, 243–262. CrossRef
Salekin, R. T. (2010). Treatment of child and adolescent psychopathy: Focusing on change. In R. T. Salekin & D. R. Lynam (Eds.), Handbook of child and adolescent psychopathy (pp. 343–373). New York, NY: Guilford Press.
Waschbusch, D. A., Carrey, N. J., Willoughby, M. T., King, S., & Andrade, B. F. (2007). Effects of methylphenidate and behavior modification on the social and academic behavior of children with disruptive behavior disorders: The moderating role of callous/unemotional traits. Journal of Clinical Child and Adolescent Psychology, 36, 629–644. PubMedCrossRef
Webster-Stratton, C., & Hammond, M. (1997). Treating children with early-onset conduct problems: A comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology, 65(1), 93–109.
Wechsler, D. (2002). Wechsler preschool and primary scale of intelligence (3rd ed.). San Antonio, TX: The Psychological Corporation.
White, S. F., Frick, P. J., Lawing, S. K., & Bauer, D. (2011). Improvement of Children with Callous– Unemotional Traits in Functional Family Therapy. Paper presented at the Poster presented at the biennial Society for the Scientific Study of Psychopathy conference, Montreal, Canada.
Willoughby, M. T., Waschbusch, D. A., Moore, G. A., & Propper, C. B. (2011). Using the ASEBA to screen for callous unemotional traits in early childhood: Factor structure, temporal stability, and utility. Journal of Psychopathology and Behavioral Assessment, 33(1), 19–30. doi: 10.1007/s10862-010-9195-4. PubMedCentralPubMedCrossRef
- Parent Training Outcomes Among Young Children with Callous–Unemotional Conduct Problems with or at Risk for Developmental Delay
Eva R. Kimonis
Daniel M. Bagner
Clair A. Blake
- Springer US