Title of article :
Callous–unemotional traits as a cross-disorders construct
Author/Authors :
Pierre C. M. Herpers، نويسنده , , Nanda N. J. Rommelse، نويسنده , ,
Danie¨lle M. A. Bons، نويسنده , , Jan K. Buitelaar، نويسنده , ,
Floor E. Scheepers، نويسنده ,
Issue Information :
ماهنامه با شماره پیاپی سال 2012
Abstract :
Purpose Callous–unemotional (CU) traits are currently
viewed as the defining signs and symptoms of juvenile
psychopathy. It is unclear, however, whether CU traits
have validity only in the context of conduct disorder (CD)
as proposed by Frick and Moffitt (A proposal to the DSMV
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,
Washington, DC, 2010), or also outside CD, either in
combination with other forms of psychopathology or as a
stand-alone construct.
Methods The current review systematically studied the
existent literature on CU traits in juveniles to examine their
validity inside and outside CD according to the framework
regarding the validity of a psychiatric diagnosis provided
by Robins and Guze (Am J Psychiatry 126:983–987, 1970).
Results Inside youth with conduct problems, and CD
specifically, it seems that CU traits meet the Robins and
Guze criteria. As many of the reviewed studies included
youth with ODD and ADHD as well, there are indications
the same might be true for ODD and ADHD, although
probably to a lesser extent. In other disorders, CU traits
may be present as well, but their role is not firmly established.
As stand-alone construct, data are lacking or are
scarce on all of the above-mentioned criteria.
Conclusions CU traits are a useful specifier in CD, and
possibly also in disruptive behaviour disorders (DBDs)
more generally. High CU traits outside DBDs exist but it is
as yet unknown if there is a clinical need for defining CU
traits as a stand-alone construct.
Keywords :
Callous–unemotional traits Juvenilepsychopathy Conduct disorder Validity
Journal title :
Social Psychiatry and Psychiatric Epidemiology (SPPE)
Journal title :
Social Psychiatry and Psychiatric Epidemiology (SPPE)