Youth psychopathy: Differential correlates of callous-unemotional traits,narcissism, and impulsivity

Research supports the validity of the dimensional approach to psychopathy in both children and adults. The occurrence of severe aggressive and antisocial behavior in combination with callous-unemotional traits (CU traits) designates a group of children that is particularly at risk to develop psychopathy. However, most studies did not investigate the role of the remaining psychopathy dimensions (i.e. narcissism and impulsivity) in comparison. The present text reviews the newest developments in the dimensional study of psychopathy in relation to cognition, behavior and affect in clinical and detained child and adolescent samples. Findings support the role of the callous-unemotional dimension (CU traits) in the development of psychopathy. Additionally, they also underscore the importance of the narcissistic and impulsive dimensions for the understanding of psychopathy in children and adolescents and for the identification of different psychopathy profiles. Understanding differential correlates of the underlying dimensions of psychopathy is an important step in formulating interventions for those most at risk.     

Psychometric properties of the inventory of callous-unemotional traits short version (ICU-12) among detained female juvenile offenders and community youths*

The presence of callous-unemotional (CU) traits delineates a subgroup of male youth with severe conduct problems and antisocial behavior. To date however, existing research into these features among females is markedly limited. Drawing on 377 female adolescents (103 selected from forensic settings and 274 selected from school settings) from Portugal, the current study is the first to simultaneously examine the psychometric properties of the 12-item shortened version of the Inventory of Callous-Unemotional Traits (ICU-12) in incarcerated and community female youth. Results provide support for the construct validity and reliability of the ICU-12 among this unique sample. Findings from this study also reveal evidence of convergent and discriminant validity with a number of theoretically relevant constructs (e.g. psychopathic features, aggression, and substance use). Clinical implications for using the ICU-12 with females are discussed.     

Assessing callous-unemotional traits in adolescent offenders: validation of the Inventory of Callous-Unemotional Traits

The presence of callous-unemotional (CU) traits designates an important subgroup of antisocial youth. To improve upon existing measures, the Inventory of Callous-Unemotional Traits (ICU) was developed to provide an efficient, reliable, and valid assessment of CU traits in samples of youth. The current study tests the factor structure and correlates of the ICU scale in a sample (n=248) of juvenile offenders (188 boys, 60 girls) between the ages of 12 and 20 (M=15.47, SD=1.37). Confirmatory factor analyses are consistent with the presence of three independent factors (i.e., Uncaring, Callousness, and Unemotional) that relate to a higher-order callous-unemotional dimension. Also, CU traits overall showed associations with aggression, delinquency, and both psychophysiological and self-report indices of emotional reactivity. There were some important differences across the three facets of the ICU in their associations with these key external criteria.     

Personality Correlates of Aggression: Evidence From Measures of the Five-Factor Model, UPPS Model of Impulsivity, and BIS/BAS

Although many studies of personality and aggression focus on multidimensional traits and higher order personality disorders (e.g., psychopathy), lower order, unidimensional traits may provide more precision in identifying specific aspects of personality that relate to aggression. The current study includes a comprehensive measurement of lower order personality traits in relation to three forms of aggression: reactive, proactive, and relational. Traits related to interpersonal antagonism and impulsivity, especially impulsive behavior in the context of negative affect, were consistently related to aggression across multiple indices. These findings suggest that certain lower order traits are of critical importance to understanding who engages in aggressive behavior and why this behavior occurs.     

Self-Reported Aggression and Impulsivity in Forensic and Non-Forensic Populations: The Role of Gender and Experience

Gender differences in aggressive behavior are traditionally seen as extremely robust. Yet, on closer inspection, the reasons for these differences appear to be incredibly complex as a wide range of moderating variables appears to influence the behaviour. Further, the effect of these variables is often gender specific. We examined aggressive beliefs and self-rated aggressive behaviour and impulsivity in forensic (115 males, 133 females at three closed prisons in the North of England) and non-forensic populations (114 males, and 122 females at the University of Leeds). Participants completed the Revised EXPAGG Questionnaire, the Buss-Perry Aggression Questionnaire, the Aggressive Acts Questionnaire and the Barratt Impulsivity Scale. Violent men and women, while more aggressive than both undergraduates and non-violent offenders, were equally likely to report their involvement in physical acts of aggression and showed similar levels of aggression and impulsivity. Previous experience of aggression, together with elevated levels of anger and impulsivity were better predictors of aggressive behavior than gender in all participants. These results suggest that gender differences in self-report measures (on cognitive, affective, and behavioral dimensions) in forensic populations may be less clear-cut than many have previously believed, particularly in the most aggressive individuals.     

The testosterone–cortisol ratio: A hormonal marker for proneness to social aggression

Social aggression is an escalating hazard for individuals and society. It is most frequently observed as impulsive–reactive aggression in antisocial personality disorder (APD), but in psychopathic aggressive personalities instrumental social aggression is more prominent. However, the psychobiological mechanisms underlying human social aggression are still poorly understood. Here we propose a psychobiological mechanism that may explain human social aggression wherein the steroid hormones cortisol and testosterone play a critical role. High levels of testosterone and low levels of cortisol have been associated with social aggression in several species but it seems that in those individuals wherein these hormonal markers combine social aggression is most violent. In this review we discuss fundamental and clinical research which underscores the potential of the testosterone–cortisol ratio as a possible marker for criminal aggressive tendencies.     

Self-reported personality traits in forensic populations: a meta-analysis

The current study covers a systematic review and meta-analysis of the prevalence of self-reported deviant or disruptive personality traits: anger, aggression, hostility, antisocial traits, psychopathy, and impulsivity in forensic populations worldwide. A computer-based search of titles was carried out using the PubMed electronic database for articles published in English that included a self-report instrument for personality characteristics in combination with a forensic population (i.e. detained in remand, sentenced and/or in enforced treatment, or on parole). The final sample consisted of 39 studies (N?=?11,716) that together used 17 different instruments and reported on 32 subscales or constructs that fitted our current interest. Results showed significantly higher levels of self-reported antisocial and psychopathic features in forensic samples, including a significant effect of the assessment instrument and subscale used. No significant differences were found for self-reported impulsivity, anger, aggression, or hostility in forensic populations compared to norm scores of non-forensic samples. Possible explanations, including suggestions that forensic populations are prone to providing socially desirable answers on self-report questionnaires, possibly to gain advantages such as a lower prison sentence or to avoid enforced treatment, are discussed, as well as limitations, and suggestions for future research and clinical practice.     

Youth and parental attitudes toward fighting

Certain parenting behaviors have been linked with youth aggression and violence, but less is known about whether parents' attitudes toward fighting are a risk factor for children's aggressive behavior problems and future injury risk. Social cognitive theory suggests that parents' beliefs about fighting and retaliation may influence their children's attitudes toward fighting and aggression. The authors examined the associations among parental and youth attitudes toward fighting, parent-child relationships, and youth aggressive behavior in adolescents at great risk for future interpersonal violence. Data came from 72 parents and their adolescents (aged 12 to 17 years, 89% African American), who presented to an emergency department for youth's assault-related injuries. Analyses revealed an association between parents' and youth's attitudes toward fighting. Youth's and parents' attitudes were positively correlated with aggressive behavior, fighting, and school suspension. Parents' attitudes predicted youth's aggressive behavior, even after controlling for youth's attitudes. The findings suggest that interventions for high-risk youth should target the fighting-related attitudes of both parents and youth.     

Understanding motives for aggression in forensic psychiatric patients: a preliminary study

The primary aim of this study was to explore motivations underpinning aggression among men detained within conditions of high security. Thirty men residing at a high secure psychiatric hospital completed self-report measures, including the Aggression Motivation Questionnaire, Revised EXPAGG and Barratt Impulsiveness Scale-IIr. The Historical items of the Historical, Clinical and Risk-Management (HCR-20) and the Psychopathy Checklist-Screening Version were rated. A subsample of participants agreed to complete a functional assessment on an aggressive incident that had occurred during their placement (n = 9). Increased psychopathy and impulsivity, and the presence of historical risk items were predicted to associate with higher levels of both aggression motivation and beliefs supportive of aggression. Young age at first violent incident and personality disorder related positively to aggression motivation. Thematic analysis conducted on the functional assessments identified social recognition, emotion regulation, communication and protection as functions underpinning aggression. Results are discussed with regards to their implication for violence treatment and assessment, with a focus on motivation recommended.     

The relation of ADHD and violent aggression: What can we learn from epidemiological and genetic studies?

Disruptive behavior includes psychopathological and behavioral constructs like aggression, impulsivity, violence, antisociality and psychopathy and is often closely related with diagnostic categories like conduct disorder (CD), attention deficit disorder (ADHD) and antisocial personality disorder (ASP). There is now clear evidence that neurobiological and environmental factors contribute to these phenotypes. A mounting body of evidence also suggests interactive effects of genetic and environmental risks.In this selective review we give an overview over epidemiological aspects of the relation between ADHD and antisocial behavior, including violent aggression and psychopathy. Moreover, we summarize recent findings from molecular genetic studies and particularly discuss pleiotropic effects of a functional polymorphism of the serotonin transporter promoter gene (5HTTLPR) and childhood adversity on ADHD and violent behavior. The reported gene–environment interactions are not only informative for understanding the neurobiological underpinnings of disruptive behavior, but also throw some light on the relation between ADHD and violent behavior from a genetic perspective. The impact of genetic research on forensic psychiatry and future directions of neurobiological research are discussed.     

HEART RATE AND ANTISOCIAL BEHAVIOR: THE MEDIATING ROLE OF IMPULSIVE SENSATION SEEKING

Although a low resting heart rate is considered the best‐replicated biological correlate of antisocial behavior, the mechanism underlying this relationship remains largely unknown. Sensation‐seeking and fearlessness theories have been proposed to explain this relationship, although little empirical research has been conducted to test these theories. This study addressed this limitation by examining the relationship between heart rate and antisocial behavior in a community sample of 335 adolescent boys. Heart rate was measured during a series of cognitive, stress, and rest tasks. Participants also completed self‐report measures of state fear, impulsive sensation seeking, and both aggressive and nonaggressive forms of antisocial behavior. As expected, increased levels of aggression and nonviolent delinquency were associated with a low heart rate. Impulsive sensation seeking, but not fearlessness, significantly mediated the association between heart rate and aggression. This study is the first to show that impulsive sensation seeking partly underlies the relationship between aggression and heart rate, and it is one of the few to examine the mechanism of action linking heart rate to antisocial behavior. Findings at a theoretical level highlight the role of impulsive sensation seeking in understanding antisocial behavior and at an intervention level suggest it as a potential target for behavioral change.     

Psychopathy and violence in juvenile delinquents: what are the associated factors?

The purpose of the present study was a) to examine the discriminative power of the Antisocial Process Screening Device (APSD), aggressive traits, impulsiveness, antisocial attitudes and alcohol-related problems between subgroups of Russian juvenile delinquents (n=175) with low versus high levels of violent behavior; and b) to compare the predictive value of these variables in two subgroups defined by higher versus lower levels of psychopathic traits. Results demonstrated that the APSD score, traits of physical aggression and alcohol-related problems were able to discriminate between groups with various levels of violence. Furthermore, the level of violence was the only variant factor when comparing levels of psychopathy. Finally, different sets of predictors emerged for the group with higher versus lower psychopathy scores. The results are discussed in relation to specific features of psychopathy and environmental factors in general and the use of alcohol in particular.     

Ethnic differences in the relationship between psychopathy and (re)offending in a sample of juvenile delinquents

The present study focused on the relationship between psychopathy and delinquency in a multiethnic sample of juvenile offenders (N=207, n=105 native Dutch, and n=102 immigrants) referred to a treatment program. Aims were (1) to examine the cross-ethnic equivalence of the Antisocial Process Screening Device (APSD); (2) to compare the mean levels of psychopathic traits in native Dutch and immigrant juvenile delinquents and (3) the strength of the associations between psychopathic traits and delinquency in both the native Dutch and immigrant samples. Measurement invariance was established for APSD factors assessing callous-unemotional (CU) traits and impulsivity. However, there were ethnic differences in the factor structure of narcissism. No differences were found between ethnic groups in mean levels of CU traits and impulsivity. Finally, the association between impulsivity and self-reported delinquency was stronger for native Dutch than for immigrant juveniles. Further research is needed in order to make the treatment of juvenile delinquents with psychopathic traits in ethnic minority groups more effective according to the specific needs of these juveniles.     

Correlates of adolescent fire setting: examining the role of fire interest,fire-related attentional bias,impulsivity, empathy and callous–unemotional traits

Little is known about potential correlates of problematic fire setting that could guide risk assessments and intervention. The current study measured aspects of fire-setting behaviour, fire interest, attentional bias towards fire-related words on a modified Stroop task, impulsivity, cognitive and affective empathy and callous–unemotional traits among adolescent fire setters, non-fire-setting antisocial adolescents and age-matched school controls. Results showed that current fire setting was associated with earlier onset of lighter/match play and unsanctioned fire setting. Fire-setting adolescents were also characterised by high impulsivity, callousness, uncaring traits and low cognitive empathy. Fire-setting frequency was best predicted by high impulsivity. Fire interest correlated negatively with accuracy on fire-related words on the fire Stroop task. These findings suggest that impulsivity may be important in the assessment and treatment of problematic fire setting, and encourage further research on modified Stroop tasks as a novel means to assess fire interest.     

Callous and unemotional traits and social cognitive processes in a sample of community-based aggressive youth

Psychopathic traits are associated with violent, aggressive behaviors and recidivism in adulthood. To increase positive treatment outcomes, it is arguably beneficial to identify and treat psychopathy as early as possible. Furthermore, because research shows that the effectiveness of behavior modification is likely to be affected by the social information-processing patterns of aggressive children, it is important to understand the relationship between conduct-disordered traits and social cognitions. The results of this study showed that callous/unemotional traits in a community-based sample of behavior-disordered youth (57 male, 19 female; 10-19 years of age; 63% African American) significantly predicted values in obtaining a tangible reward and getting into trouble or being punished. However, callous/unemotional traits, impulsivity/conduct problems, and narcissism failed to predict positive expectations regarding receiving a tangible reward, reducing aversive treatment, and demonstration of dominance. Implications for these results are presented.     

Violence: a product of biosocial interactions

All behavior is seen to be a result of interactions between the brain on the one hand and environmental challenges and endogenous drives on the other. Intergenerational transfer theory fails to explain cases of habitual aggression that have no identifiable social origin, and there is compelling evidence for the existence of brain-environmental interaction. The key roles that may be played by age, gender, neurological factors, and biological defects in aggressive and antisocial behavior are reviewed.     

Alcohol and Violence Related Cognitive Risk Factors Associated with the Perpetration of Intimate Partner Violence

The primary aim of this study is to determine the association between alcohol, violence related cognitive risk factors, and impulsivity with the perpetration of partner violence among current drinkers. A probability sample (n = 1468) of White, Black, and Hispanic couples 18 years of age or older in the United States household population was interviewed in 1995 with a response rate of 85%. The risk factors of interest included the alcohol and violence related cognitions of approval of marital aggression, alcohol as an excuse for misbehavior, and aggressive expectations following alcohol consumption as well as impulsivity. In all, 15% (216/1468) of the respondents reported perpetration of domestic violence. In addition, 24% (7/29) of those who approved of marital violence, 11% (126/1163) of those who reported alcohol use as an excuse for misbehavior, 10% (128/1257) of those who reported aggressive expectations following alcohol consumption, and 14% (99/716) of those who reported impulsivity also reported perpetration of domestic violence. Bivariate analysis indicated that all of the cognitive risk factors were significantly more common in those who reported perpetration of intimate partner violence (IPV) (p < 0.05). However, multivariate analysis controlling for ethnicity, education, income, age, gender, and impulsivity indicated that those who reported strong or very strong expectations of aggressive behavior following alcohol consumption were 3.2 (95% CI = 1.3–7.9) times more likely to perpetrate IPV. Although all of the alcohol and violence related cognitive risk factors were associated with the perpetration of domestic violence, expectations of aggressive behavior following alcohol consumption appeared to be the strongest predictor of the perpetration of IPV among current drinkers. Therefore, alcohol expectancy may be an important factor to assess when attempting to identify and treat perpetrators of domestic violence who are also current drinkers.     

Structured Community Activities and Moral Engagement as Deterrents to Youth Violence: a Mediation Analysis

This study assessed whether youth involvement in structured community activities (scouting, team sports, volunteer work, and church-related endeavors) and a morally engaged belief system deterred future aggressive behavior in 1170 male delinquents. It was hypothesized that moral engagement would mediate the relationship between involvement in structured community activities and aggression but involvement in structured community activities would not mediate the relationship between moral engagement and aggression. A three-wave path analysis, in which structured community activities and moral engagement were cross-lagged at Waves 0 (baseline) and 1 and correlated with aggression at Wave 2, provided support for this hypothesis. Results showed that involvement in structured community activities encouraged moral engagement, which, in turn, inhibited aggressive behavior. Consistent with previous research, a social cognitive factor (moral engagement) did a significantly better job of mediating behavior (involvement in structured community activities) than behavior did of mediating a social cognitive factor.