Dataset Information

Longitudinal association between callous-unemotional traits and friendship quality among adjudicated adolescents.

ABSTRACT:

Introduction

Youth with callous-unemotional (CU) traits show severe and chronic forms of antisocial behavior, as well as deficits in socioaffiliative processes, such as empathy, guilt, and prosocial behavior. Adolescence represents a critical developmental window when these socioaffiliative processes can help to deepen the strength of supportive peer friendships. However, few studies have explored the relationship between CU traits and friendship quality during adolescence. In the current study, we used data from the Pathways to Desistance dataset to examine reciprocal and longitudinal associations between CU traits and friendship quality at three assessment points separated by 6 months each during adolescence.

Methods

The sample included adolescents who had interacted with the justice system (age at baseline, M = 16.04, SD = 1.14; N = 1354; 13.6% female). CU traits were assessed using the callousness scale of the self-reported Youth Psychopathic Traits Inventory and friendship quality using a scale adapted from the Quality of Relationships Inventory. Models accounted for co-occurring aggression, impulsive-irresponsible traits, grandiose-manipulative traits, age, gender, location, and race.

Results

At every assessment point, CU traits were uniquely related to lower friendship quality. Moreover, we found evidence for reciprocal effects between the first two assessment points, such that CU traits were related to decreases in friendship quality over time, while lower friendship quality simultaneously predicted increases in CU traits across the same period.

Conclusions

Interventions for CU traits could benefit from including specific modules that target the social processes associated with adaptive and successful friendships, including empathic listening and other-orientated thinking.

SUBMITTER: Miron CD

PROVIDER: S-EPMC7260103 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundSome conduct-disordered youths have high levels of callous unemotional traits and meet the DSM-5's "with limited prosocial emotions" (LPE) specifier. These youths often do aggressive, self-benefitting acts that cost others. We previously developed a task, the AlAn's game, which asks participants to repeatedly decide whether to accept or reject offers in which they will receive money but a planned charity donation will be reduced. In our prior work, more "costly helping" (i.e., rejecting the offered money and protecting the donation) was associated with lower callous unemotional traits. Here we extend that prior work in a larger sample of adolescent male patients with serious conduct problems and controls, and test whether this association is mediated specifically by a Moral Elevation response (i.e., a positive emotional response to another's act of virtue).MethodsThe adolescent male participants were: 45 patients (23 with LPE) and 26 controls, who underwent an extensive phenotypic assessment including a measure of Moral Elevation. About 1 week later participants played the AlAn's game.ResultsAll AlAn's game outcomes demonstrated significant group effects: (1) money taken for self (p = 0.02); (2) money left in the charitable donation (p = 0.03); and, (3) costly helping (p = 0.047). Controls took the least money and did the most costly helping, while patients with LPE took the most money and did the least costly helping. Groups also significantly differed in post-stimulus Moral Elevation scores (p = 0.005). Exploratory analyses supported that the relationship between callous unemotional traits and costly helping on the AlAn's game may be mediated in part by differences in Moral Elevation.ConclusionsThe AlAn's game provides a standardized behavioral measure associated with callous unemotional traits. Adolescents with high levels of callous unemotional traits engage in fewer costly helping behaviors, and those differences may be related to blunting of positive emotional responses.