title: Distinguishing primary and secondary variants of callous-unemotional traits among adolescents in a clinic-referred sample.
abstract: The current study used model-based cluster analyses to determine if there are 2 distinct variants of adolescents (ages 11-18) high on callous-unemotional (CU) traits that differ on their level of anxiety and history of trauma. The sample (n = 272) consisted of clinic-referred youths who were primarily African American (90%) and who came from low-income families. Consistent with hypotheses, 3 clusters emerged, including a group low on CU traits, as well as 2 groups high on CU traits that differed in their level of anxiety and past trauma. Consistent with past research on incarcerated adults and adolescents, the group high on anxiety (i.e., secondary variant) was more likely to have histories of abuse and had higher levels of impulsivity, externalizing behaviors, aggression, and behavioral activation. In contrast, the group low on anxiety (i.e., primary variant) scored lower on a measure of behavioral inhibition. On measures of impulsivity and externalizing behavior, the higher scores for the secondary cluster were found only for self-report measures, not on parent-report measures. Youths in the primary cluster also were perceived as less credible reporters than youths in the secondary cluster (i.e., secondary variant) or cluster low on CU traits. These reporter and credibility differences suggest that adolescents within the primary variant may underreport their level of behavioral disturbance, which has important assessment implications.
authors: Department of Psychology.
authors: Rachel E
authors: RE
authors: Kahn
authors: Paul J
authors: PJ
authors: Frick
authors: Eric A
authors: EA
authors: Youngstrom
authors: Jennifer
authors: J
authors: Kogos Youngstrom
authors: Norah C
authors: NC
authors: Feeny
authors: Robert L
authors: RL
authors: Findling
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000374:Aggression / Q000523:psychology; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000523:psychology; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D002648:Child; D004644:Emotions; D004645:Empathy; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011599:Psychopathology / Q000379:methods
references: J Abnorm Psychol. 2002 Nov;111(4):610-9
references: 12428774
references: Br J Psychiatry. 2006 Sep;189:280-1
references: 16946366
references: Annu Rev Clin Psychol. 2012;8:77-107
references: 22035245
references: Psychol Assess. 2004 Sep;16(3):276-88
references: 15456383
references: J Abnorm Child Psychol. 2010 Apr;38(3):381-93
references: 19941050
references: Assessment. 2000 Sep;7(3):281-96
references: 11037394
references: J Abnorm Psychol. 1998 Aug;107(3):527-32
references: 9715587
references: J Abnorm Psychol. 2010 Nov;119(4):713-25
references: 21090875
references: Bipolar Disord. 2005 Dec;7(6):507-17
references: 16403176
references: J Abnorm Psychol. 1990 Aug;99(3):250-9
references: 2212275
references: Psychol Assess. 2000 Dec;12(4):382-93
references: 11147105
references: J Child Psychol Psychiatry. 2012 Mar;53(3):271-82
references: 21950481
references: J Am Acad Child Adolesc Psychiatry. 1997 Jul;36(7):980-8
references: 9204677
references: Am J Psychiatry. 1948 Mar;104(9):523-34
references: 18911629
references: Child Abuse Negl. 2005 Feb;29(2):107-33
references: 15734178
references: J Abnorm Psychol. 1997 Nov;106(4):563-75
references: 9358687
references: J Abnorm Child Psychol. 2011 May;39(4):541-52
references: 21188627
references: J Consult Clin Psychol. 2005 Aug;73(4):737-41
references: 16173862
references: J Child Psychol Psychiatry. 2008 Apr;49(4):359-75
references: 18221345
references: J Child Psychol Psychiatry. 2009 May;50(5):599-606
references: 19445007
references: Psychol Bull. 2005 Jul;131(4):483-509
references: 16060799
references: Pers Individ Dif. 2009 Dec 1;47(8):812-816
references: 20161080
references: Dev Psychopathol. 2012 Aug;24(3):1091-103
references: 22781873
references: J Clin Child Adolesc Psychol. 2007 Jul-Sep;36(3):334-46
references: 17658978
references: Law Hum Behav. 2011 Oct;35(5):381-91
references: 20703785
references: Law Hum Behav. 2010 Apr;34(2):150-63
references: 19390956
references: J Am Acad Child Adolesc Psychiatry. 1997 Aug;36(8):1080-8
references: 9256587
references: J Abnorm Psychol. 1991 Aug;100(3):391-8
references: 1918618
references: J Am Acad Child Adolesc Psychiatry. 2003 Mar;42(3):364-71
references: 12595791
references: Behav Sci Law. 2006;24(5):633-44
references: 16705655
references: Psychol Bull. 1987 Mar;101(2):213-32
references: 3562706
references: Psychol Rep. 2009 Aug;105(1):275-92
references: 19810454
references: J Abnorm Child Psychol. 1992 Feb;20(1):51-63
references: 1548394
references: J Abnorm Psychol. 2010 May;119(2):389-400
references: 20455611
references: Curr Psychiatry Rep. 2006 Feb;8(1):59-72
references: 16513044
references: J Abnorm Psychol. 2005 May;114(2):319-23
references: 15869363
references: Br J Psychiatry. 2012 Mar;200(3):175-6
references: 22383761
references: J Abnorm Psychol. 2007 Feb;116(1):155-65
references: 17324026
references: J Child Adolesc Psychopharmacol. 2011 Oct;21(5):407-15
references: 22040186
references: J Clin Child Adolesc Psychol. 2007 Oct-Dec;36(4):629-44
references: 18088220
references: Law Hum Behav. 2007 Feb;31(1):53-75
references: 17019617
references: J Am Acad Child Adolesc Psychiatry. 1997 Apr;36(4):554-65
references: 9100431
references: J Clin Child Adolesc Psychol. 2008 Jan;37(1):105-30
references: 18444055
references: Assessment. 2007 Mar;14(1):57-64
references: 17314180
references: J Pers Soc Psychol. 1997 Jun;72(6):1413-28
references: 9177023
references: Can J Psychiatry. 2009 Dec;54(12):803-12
references: 20047719
references: J Am Acad Child Adolesc Psychiatry. 2009 Nov;48(11):1079-1084
references: 19797982
references: Personal Disord. 2011 Oct;2(4):293-315
references: 22448803
references: J Am Acad Child Adolesc Psychiatry. 2010 Nov;49(11):1134-44
references: 20970701
references: J Am Acad Child Adolesc Psychiatry. 1998 Jun;37(6):585-93
references: 9628078
references: J Am Acad Child Adolesc Psychiatry. 2010 Jul;49(7):656-64
references: 20610135
references: J Abnorm Child Psychol. 2012 Oct;40(7):1099-110
references: 22453863
references: J Child Psychol Psychiatry. 2010 Jun;51(6):688-95
references: 20039995
references: Law Hum Behav. 2008 Feb;32(1):28-45
references: 17629778
references: J Abnorm Psychol. 1957 Jul;55(1):6-10
references: 13462652
references: J Consult Clin Psychol. 1988 Apr;56(2):227-32
references: 3372830
references: Dev Psychopathol. 2009 Fall;21(4):1111-31
references: 19825260
references: J Am Acad Child Adolesc Psychiatry. 2001 Apr;40(4):450-5
references: 11314571