What are the associations between parenting, callous-unemotional traits, and antisocial behavior in youth? A systematic review of evidence.

A growing body of research has examined callous-unemotional (CU) traits among samples of antisocial youth. Debate surrounds the malleability of CU traits and their responsiveness to parenting and parent-focused interventions. This review examines evidence from studies that have investigated various relationships between parenting, CU traits, and antisocial behavior (AB). Studies were categorized according to five distinct research questions each addressing associations among parenting, CU traits, and AB in a different way. The results suggest that dimensions of parenting are prospectively related to changes in CU traits. Subgroups of youth with both high levels of CU traits and AB also appear to have experienced negative parenting practices. However, negative parenting is not consistently related to AB in cross-sectional studies for youth with high levels of CU traits. At the same time, parenting-focused interventions appear effective in reducing the level of AB and CU traits in youth. The findings and implications for future studies are critically discussed as they pose challenges for current etiological theories of AB.

[1]  D. Pardini,et al.  Community vs. Clinic-Based Modular Treatment of Children with Early-Onset ODD or CD: A Clinical Trial with 3-Year Follow-Up , 2009, Journal of abnormal child psychology.

[2]  J. Lochman,et al.  The Development of Callous-Unemotional Traits and Antisocial Behavior in Children: Are There Shared and/or Unique Predictors? , 2007, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[3]  R. Blair,et al.  A Selective Impairment in the Processing of Sad and Fearful Expressions in Children with Psychopathic Tendencies , 2001, Journal of abnormal child psychology.

[4]  Robert Plomin,et al.  Evidence for substantial genetic risk for psychopathy in 7-year-olds. , 2005, Journal of child psychology and psychiatry, and allied disciplines.

[5]  M Knapp,et al.  Financial cost of social exclusion: follow up study of antisocial children into adulthood , 2001, BMJ : British Medical Journal.

[6]  J. Edens,et al.  Psychopathic Features Moderate the Relationship Between Harsh and Inconsistent Parental Discipline and Adolescent Antisocial Behavior , 2008, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[7]  D. Pardini,et al.  ODD dimensions, ADHD, and callous-unemotional traits as predictors of treatment response in children with disruptive behavior disorders. , 2010, Journal of abnormal psychology.

[8]  J. Bradford,et al.  The neurobiology, neuropharmacology, and pharmacological treatment of the paraphilias and compulsive sexual behaviour. , 2001, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[9]  P. Frick,et al.  Parental monitoring and youth behavior problems: moderation by callous-unemotional traits over time , 2011, European Child & Adolescent Psychiatry.

[10]  S. White.  Examining the Influence of Callous-Unemotional Traits on Outcomes in an Evidence-based Treatment Program for Delinquent Adolescents , 2010 .

[11]  Jennifer L. Skeem,et al.  Treatment Response of Adolescent Offenders With Psychopathy Features , 2006 .

[12]  L. Hyde,et al.  Do harsh and positive parenting predict parent reports of deceitful-callous behavior in early childhood? , 2012, Journal of child psychology and psychiatry, and allied disciplines.

[13]  E. Viding,et al.  Negative parental discipline, conduct problems and callous-unemotional traits: monozygotic twin differences study. , 2009, The British journal of psychiatry : the journal of mental science.

[14]  D. Pine,et al.  Neurobiology of Aggression in Children , 2005 .

[15]  R. Loeber,et al.  Callous-Unemotional Behaviors in Young Girls: Shared and Unique Effects Relative to Conduct Problems , 2007, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[16]  E. Jouriles,et al.  Effects of a Parenting Intervention on Features of Psychopathy in Children , 2011, Journal of abnormal child psychology.

[17]  D. Lynam,et al.  The development of psychopathy. , 2005, Annual review of clinical psychology.

[18]  D. Farrington,et al.  Antisocial Behavior and Mental Health Problems: Explanatory Factors in Childhood and Adolescence , 1998 .

[19]  Wesley G. Jennings,et al.  Effects of early family/parent training programs on antisocial behavior and delinquency , 2008 .

[20]  E. Leibenluft,et al.  Reduced amygdala response to fearful expressions in children and adolescents with callous-unemotional traits and disruptive behavior disorders. , 2008, The American journal of psychiatry.

[21]  A. Raine,et al.  Child psychopathic traits moderate relationships between parental affect and child aggression. , 2011, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  Christopher T. Barry,et al.  Callous-unemotional traits and delinquent peer affiliation. , 2004, Journal of consulting and clinical psychology.

[23]  R. Loeber,et al.  Influences and Adult Outcomes Interpersonal Callousness Trajectories Across Adolescence : Early Social , 2008 .

[24]  R. Prinz,et al.  Understanding and Improving the Validity of Self-Report of Parenting , 2006, Clinical child and family psychology review.

[25]  H. Andershed,et al.  Callous–unemotional traits are associated with clinical severity in referred boys with conduct problems , 2005, Nordic journal of psychiatry.

[26]  R. Loeber,et al.  Interpersonal Callousness, Hyperactivity/Impulsivity, Inattention, and Conduct Problems as Precursors to Delinquency Persistence in Boys: A Comparison of Three Grade-Based Cohorts , 2006, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[27]  Charlotte Wilson,et al.  The Role of Mother–Child Joint Play in the Early Development of Children's Conduct Problems: A Longitudinal Observational Study , 2003 .

[28]  F. Gardner.  Methodological Issues in the Direct Observation of Parent–Child Interaction: Do Observational Findings Reflect the Natural Behavior of Participants? , 2000, Clinical child and family psychology review.

[29]  H. Koot,et al.  Contextual risk factors as predictors of disruptive behavior disorder trajectories in girls: the moderating effect of callous-unemotional features. , 2011, Journal of child psychology and psychiatry, and allied disciplines.

[30]  M. Willoughby,et al.  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 , 2007, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[31]  P. Frick,et al.  The 4 year stability of psychopathic traits in non-referred youth. , 2003, Behavioral sciences & the law.

[32]  P. Frick,et al.  Ineffective parenting and childhood conduct problems : The moderating role of callous-unemotional traits , 1997 .

[33]  F. Petermann†,et al.  Inkonsistentes Erziehungsverhalten: Ein Risikofaktor für aggressives Verhalten? , 2008 .

[34]  J. Hughes,et al.  Callous/Unemotional Traits Moderate the Relation Between Ineffective Parenting and Child Externalizing Problems: A Partial Replication and Extension , 2003, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[35]  Melanie Eisner,et al.  No effects in independent prevention trials: can we reject the cynical view? , 2009 .

[36]  Avital E Falk,et al.  Parenting Behavior and Conduct Problems in Children with and Without Attention-Deficit/Hyperactivity Disorder (ADHD): Moderation by Callous-Unemotional Traits , 2012 .

[37]  Aaron D. J. Frost,et al.  Do Childhood Callous-Unemotional Traits Drive Change in Parenting Practices? , 2011, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[38]  Robert D. Hare,et al.  The Hare Psychopathy Checklist-Revised , 1996 .

[39]  P. Frick,et al.  Assessment of parenting practices in families of elementary school-age children , 1996 .

[40]  H. Andershed.  Stability and change of psychopathic traits: What do we know? , 2010 .

[41]  T. Dishion,et al.  The family check-up with high-risk indigent families: preventing problem behavior by increasing parents' positive behavior support in early childhood. , 2008, Child development.

[42]  P. Frick,et al.  Psychopathy and conduct problems in children. , 1994, Journal of abnormal psychology.

[43]  P. Frick.  Effective Interventions for Children and Adolescents with Conduct Disorder , 2001, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[44]  R. Blair,et al.  Somatic Markers and Response Reversal: Is There Orbitofrontal Cortex Dysfunction in Boys with Psychopathic Tendencies? , 2001, Journal of abnormal child psychology.

[45]  M. Dadds,et al.  Stability and Malleability of Callous-Unemotional Traits During Treatment for Childhood Conduct Problems , 2007, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[46]  P. Frick,et al.  Research review: the importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior. , 2008, Journal of child psychology and psychiatry, and allied disciplines.

[47]  A. Stringaris,et al.  Longitudinal outcome of youth oppositionality: irritable, headstrong, and hurtful behaviors have distinctive predictions. , 2009, Journal of the American Academy of Child and Adolescent Psychiatry.

[48]  E. Viding,et al.  Callous—Unemotional Traits and Antisocial Behavior , 2008 .

[49]  E. Viding,et al.  The impact of prenatal maternal risk, fearless temperament and early parenting on adolescent callous-unemotional traits: a 14-year longitudinal investigation. , 2011, Journal of child psychology and psychiatry, and allied disciplines.

[50]  L. Hyde,et al.  Dimensions of callousness in early childhood: Links to problem behavior and family intervention effectiveness , 2013, Development and Psychopathology.

[51]  Joanna E Cohen,et al.  Universities and tobacco money , 2001, BMJ : British Medical Journal.

[52]  R. Hare,et al.  Antisocial Process Screening Device , 2011 .

[53]  B. af Klinteberg,et al.  Antisocial process screening device: validation on a Russian sample of juvenile delinquents with the emphasis on the role of personality and parental rearing. , 2008, International journal of law and psychiatry.

[54]  L. Hyde,et al.  Adolescent dispositions for antisocial behavior in context: the roles of neighborhood dangerousness and parental knowledge. , 2009, Journal of abnormal psychology.

[55]  G. Kochanska,et al.  Mutually responsive orientation between mothers and their young children: implications for early socialization. , 1997, Child development.

[56]  Carla Counts-Allan,et al.  A preliminary examination of the intergenerational continuity of maternal psychopathic features. , 2007, Aggressive behavior.

[57]  Aaron D. J. Frost,et al.  Disentangling the underlying dimensions of psychopathy and conduct problems in childhood: a community study. , 2005, Journal of consulting and clinical psychology.

[58]  R. Larson,et al.  Daily companionship in late childhood and early adolescence: changing developmental contexts. , 1991, Child development.

[59]  P. Frick,et al.  Callous-unemotional traits and response to functional family therapy in adolescent offenders. , 2013, Behavioral sciences & the law.

[60]  Y. Elizur,et al.  Promoting self-regulation and cooperation in pre-kindergarten children with conduct problems: a randomized controlled trial. , 2012, Journal of the American Academy of Child and Adolescent Psychiatry.

[61]  C. Neumann,et al.  Ineffective Parenting: A Precursor to Psychopathic Traits and Delinquency in Hispanic Females , 2003, Annals of the New York Academy of Sciences.

[62]  R. Goodman.  The Strengths and Difficulties Questionnaire: a research note. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[63]  M. Dadds,et al.  Do callous-unemotional traits moderate the relative importance of parental coercion versus warmth in child conduct problems? An observational study. , 2011, Journal of child psychology and psychiatry, and allied disciplines.

[64]  M. Dadds,et al.  The treatment of conduct problems in children with callous-unemotional traits. , 2005, Journal of consulting and clinical psychology.

[65]  T. Moffitt,et al.  Predictors and outcomes of joint trajectories of callous-unemotional traits and conduct problems in childhood. , 2011, Journal of abnormal psychology.