Assessing Callous-Unemotional Traits in Adolescents: Validity of the Inventory of Callous-Unemotional Traits Across Gender, Age, and Community/Institutionalized Status
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Callous-unemotional (CU) traits identify adolescents at high risk for severe and recurrent antisocial behaviour and are included in the DSM-5 as a specifier to conduct disorder. The Inventory of Callous-Unemotional Traits (ICU) might be the most cost-effective screening instrument for detecting CU traits in youth. We aimed to address an important gap in research by comparing the factor structure and psychometric properties of ICU scores across gender, age, and setting (community versus institutionalized). Community-based (n = 397) and institutionalized (n = 164) adolescent boys and girls completed self-reported measures of psychopathic traits (including the ICU), externalizing problems and aggression, and a laboratory measure of emotional recognition; the staff reported antisocial behavior for institutionalized children. Factor-analytic results indicated that a three-factor bifactor model best fit the data across samples, with measurement invariance across gender, age, and setting, supporting the construct validity of the ICU. In support of its criterion validity, across groups ICU scores were positively correlated with analogous dimensions from the Youth Psychopathic Traits Inventory, measures of proactive aggression, and self- and staff-reported antisocial behavior, and were associated with poorer accuracy in recognizing distress-related emotions. Our findings thus support the overall utility of the ICU for assessing CU traits in adolescent populations regardless of gender, age, and community or institutionalized status, but suggest a need for refining its assessment of the shallow affect dimension.
KeywordsCallous-unemotional traits Adolescence Community Conduct disorder Psychometrics
We express our warmest thanks to the Swiss National Science Foundation (#100014-130553, awarded to the first author) and the Swiss Ministry of Justice (project “Clarification and goal attainment in Swiss youth welfare and juvenile justice institutions”, awarded to the third author) for their financial support, as well as to Maya Suter, Pascale Spicher and Jill De Ridder, Elena Bayboerek, Cybèle Bertoni, Tamara Borovicanin, Marcello Cantarella, Margaux Clément, Malika Dessibourg, Virginie Dyens, Amélie Eggertswyler, Tatiana Mabillard, Pamela Monnet, Sheila Ramos, Vanessa Pralong, Krisztina Prébandier, and Yoann Uehlinger for their very valuable help during data collection, to the staff of the forensic institutions Valmont and Time-Out and of the private boarding schools Maya-Joie and Don Bosco, and last but not least to all participants who made this research possible.
Conflict of Interest
S. Pihet, S. Etter, M. Schmid and E.R. Kimonis declare that they have no conflict of interest.
All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
- Achenbach, T. M. (1991). Manual for the youth self-report and 1991 profiles. Burlington: University of Vermont, Department of Psychiatry.Google Scholar
- Andershed, H., Kerr, M., Stattin, H., & Levander, S. (2002). Psychopathic traits in non referred youths: A new assessment tool. In E. Blaauw & L. Sheridan (Eds.), Psychopaths: Current International Perspectives (pp. 131–158). The Hague: Elsevier.Google Scholar
- Blonigen, D. M., Hicks, B. M., Krueger, R. F., Patrick, C. J., & Iacono, W. G. (2006). Continuity and change in psychopathic traits as measured via normal-range personality: A longitudinal-biometric study. Journal of Abnormal Psychology, 115(1), 85–95. doi: 10.1037/0021-843X.115.1.85.PubMedCentralPubMedCrossRefGoogle Scholar
- Card, N. A., Stucky, B. D., Sawalani, G. M., & Little, T. D. (2008). Direct and indirect aggression during childhood and adolescence: A meta-analytic review of gender differences, intercorrelations, and relations to maladjustment. Child Development, 79(5), 1185–1229. doi: 10.1111/j.1467-8624.2008.01184.x.PubMedCrossRefGoogle Scholar
- Chambers, W. J., Puig-Antich, J., Hirsh, M., Paez, P., Ambrosini, P. J., Tabrizi, M. A., et al. (1985). The assessment of affective disorders in children and adolescents by semistructured interview. Test-retest reliability of the schedule for affective disorders and schizophrenia for school-age children, present episode version. Archives of General Psychiatry, 42(7), 696–702.PubMedCrossRefGoogle Scholar
- Ciucci, E., Baroncelli, A., Franchi, M., Golmaryami, F. N., & Frick, P. J. (2014). The association between callous-unemotional traits and behavioral and academic adjustment in children: Further validation of the Inventory of Callous-Unemotional Traits. Journal of Psychopathology and Behavioral Assessment. doi: 10.1007/s10862-013-9384-z.Google Scholar
- D’Acremont, M., Van der Linden, M., Axelson, H., Flykt, A., & Vonèche, J. (2002). French version of the Youth Psychopathic Inventory. Unpublished manuscript.Google Scholar
- Dawel, A., O’Kearney, R., McKone, E., & Palermo, R. (2012). Not just fear and sadness: Meta-analytic evidence of pervasive emotion recognition deficits for facial and vocal expressions in psychopathy. Neuroscience and Biobehavioral Reviews, 36(10), 2288–2304. doi: 10.1016/j.neubiorev.2012.08.006.PubMedCrossRefGoogle Scholar
- Fairchild, G., Van Goozen, S. H. M., Calder, A. J., Stollery, S. J., & Goodyer, I. M. (2009). Deficits in facial expression recognition in male adolescents with early-onset or adolescence-onset conduct disorder. Journal of Child Psychology and Psychiatry, 50(5), 627–636. doi: 10.1111/j.1469-7610.2008.02020.x.PubMedCentralPubMedCrossRefGoogle Scholar
- Feilhauer, J., Cima, M., & Arntz, A. (2012). Assessing Callous-Unemotional traits across different groups of youths: Further cross-cultural validation of the Inventory of Callous-Unemotional traits. International Journal of Law and Psychiatry, 35(4), 251–262. doi: 10.1016/j.ijlp.2012.04.002.PubMedCrossRefGoogle Scholar
- Frick, P. J. (2004). The inventory of callous-unemotional traits. Unpublished manuscript.Google Scholar
- 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. American Psychiatric Association.Google Scholar
- 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. doi: 10.1023/A:1023899703866.PubMedCrossRefGoogle Scholar
- Frick, P. J., Ray, J. V., Thornton, L. C., & Kahn, R. E. (2014). Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. Psychological Bulletin, 140(1), 1–57. doi: 10.1037/a0033076.PubMedCrossRefGoogle Scholar
- 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. doi: 10.1007/s10802-007-9136-1.PubMedCrossRefGoogle Scholar
- Kimonis, E. R., Frick, P. J., Muñoz, L. C., & Aucoin, K. J. (2008a). Callous-unemotional traits and the emotional processing of distress cues in detained boys: Testing the moderating role of aggression, exposure to community violence, and histories of abuse. Development and Psychopathology, 20(2), 569–589. doi: 10.1017/s095457940800028x.PubMedCrossRefGoogle Scholar
- Kimonis, E. R., Frick, P. J., Skeem, J. L., Marsee, M. A., Cruise, K., Muñoz, L. C., et al. (2008b). Assessing callous-unemotional traits in adolescent offenders: Validation of the Inventory of Callous-Unemotional Traits. International Journal of Law and Psychiatry, 31(3), 241–252. doi: 10.1016/j.ijlp.2008.04.002.PubMedCrossRefGoogle Scholar
- Lynam, D. R., Caspi, A., Moffitt, T. E., Loeber, R., & Stouthamer-Loeber, M. (2007). Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy. Journal of Abnormal Psychology, 116(1), 155–165. doi: 10.1037/0021-843X.116.1.155.PubMedCentralPubMedCrossRefGoogle Scholar
- Marsh, A. A., Finger, E. C., Mitchell, D. G. V., Reid, M. E., Sims, C., Kosson, D. S., et al. (2008). Reduced amygdala response to fearful expressions in children and adolescents with callous-unemotional traits and disruptive behavior disorders. American Journal of Psychiatry, 165(6), 712–720. doi: 10.1176/appi.ajp.2007.07071145.PubMedCrossRefGoogle Scholar
- Milfont, T. L., & Fischer, R. (2010). Testing measurement invariance across groups: Applications in cross-cultural research. International Journal of Psychological Research, 3(1), 111–121.Google Scholar
- Pihet, S., Suter, M., Meylan, N., & Schmid, M. (2014). Factor structure of the Youth Psychopathic Traits Inventory in community and institutionalized adolescents: Using the total score, three scale scores, and/or 10 subscale scores. Criminal Justice and Behavior, 41(10), 1214-1231. doi: 10.1177/0093854814540287.
- Rescorla, L., Achenbach, T. M., Ivanova, M. Y., Dumenci, L., Almqvist, F., Bilenberg, N., et al. (2007). Epidemiological comparisons of problems and positive qualities reported by adolescents in 24 countries. Journal of Consulting and Clinical Psychology, 75(2), 351–358. doi: 10.1037/0022-006X.75.2.351.PubMedCrossRefGoogle Scholar
- Schermelleh-Engel, K., & Moosbrugger, H. (2003). Evaluating the fit of structural equation models: Test of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8, 23–74.Google Scholar
- Vermeersch, S., & Fombonne, E. (1997). Le child behavior checklist: Résultats préliminaires de la standardisation de la version française. Neuropsychiatrie de l’Enfance et de l’Adolescence, 45, 615–620.Google Scholar