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Research on Child and Adolescent Psychopathology

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07-01-2023

Testing Three New Scoring Methods to Identify Detained Adolescent Girls with Elevated Levels of Callous-Unemotional Traits

Auteur: Olivier F. Colins

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 5/2023

Abstract

Different scoring methods have been proposed to identify adolescents with high levels of callous-unemotional (CU) traits as measured by the Inventory of Callous-Unemotional traits (ICU). This is the first study to scrutinize the usefulness of the normative, empirical, and DSM-5 with Limited Prosocial Emotions (LPE) scoring methods in criminal justice-involved girls (N = 192). Girls (M_age = 15.74) completed the ICU and other self-report questionnaires. A diagnostic interview was used to determine the presence of conduct disorder (CD) and other psychiatric disorders. Official arrest and rearrest data were also collected. The three scoring methods designated girls with (versus without) CU traits who scored higher on various indices of past and future antisocial behavior, exhibited higher rates of (childhood-onset) CD and higher levels of psychopathic traits, and displayed lower levels of agreeableness and conscientiousness. It was only when the normative and empirical scoring methods were applied that girls with CU traits had higher rates of substance use disorders and were less anxious, depressed, and/or neurotic. In a subsample of girls with CD (N = 119), the three scoring methods captured a more severely antisocial subgroup. Other expected group differences emerged, though mainly when the normative scoring method was used. Results provided support for the clinical utility of the three scoring methods but also showed that the normative scoring method most aligns with theoretical expectations. Research is warranted to explore if this normative scoring method serves as a better categorically-defined specifier for CD than the specifier that is incorporated in the DSM-5.

vorige artikel The Underlying Mechanisms in the Association Between Traumatic Brain Injury in Childhood and Conduct Disorder Symptoms in Late Adolescence

volgende artikel Commonality and Specificity in Chinese Parental Emotion Socialization and Adolescents’ Psychological Functioning: A Bifactor Approach

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Work on the LPE specifier relied on the method that was used to develop this specifier (Frick & Moffitt, 2010). Hence, it is not surprising that researchers used few items and did not consider lower ratings on positively-worded items as more meaningful than higher ratings on negatively-worded items (Ray et al., 2016).

Various explanations have been provided for these mixed findings, such as the likely existence of primary and secondary variants of CU, with the first group showing normative or low levels of anxiety/depression and the second group showing high levels of anxiety/depression (e.g., Deskalo et al., 2021; Docherty et al., 2016; Fanti et al., 2013; Roşan et al., 2015).

This cutoff resembles the ROC derived cutoff score of 28 for the ICU youth self-report version recommended by Docherty et al., (2017).

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Titel: Testing Three New Scoring Methods to Identify Detained Adolescent Girls with Elevated Levels of Callous-Unemotional Traits
Auteur: Olivier F. Colins
Publicatiedatum: 07-01-2023
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 5/2023
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-022-01008-x

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