Predicting Antisocial Behavior: How Callous-unemotional Traits Moderate Common Risk Factors

Callous-unemotional (CU) traits are associated with severe and aggressive youth antisocial behavior (ASB) and are under consideration as a potential specifier for the diagnosis of Conduct Disorder in DSM-5 (Frick & Moffitt, 2010). This proposal demands more inquiry into the impact that CU traits have on behavioral subtypes of youth ASB. Normal-range personality traits, trait levels of anxiety, and hormonal stress reactivity (i.e., changes in the stress hormone, cortisol) are all factors that have been studied extensively in relation to ASB, but these relationships have not yet been considered in combination with CU traits. The purpose of the current set of studies was to examine the extent to which CU traits moderated links between these three factors and both overall and behavioral subtypes of ASB. In the first study, data were collected on children’s personality, CU traits, and three behavioral categories of ASB (physical aggression, relational aggression and non-violent rule-breaking behavior) for community (N = 742) and clinical (N = 183) samples of children. In the community sample, CU traits moderated links between Neuroticism, Extraversion, Agreeableness, Openness to Experience and ASB overall and externalizing behaviors, between Neuroticism, Extraversion and physical aggression and between Agreeableness, Extraversion and rule-breaking behaviors. In the clinical sample, CU traits moderated the link between Agreeableness and externalizing behaviors. In the second study, data were collected on children’s trait anxiety, CU traits, and the same three behavioral categories of ASB in a follow-up adolescent community sample (N = 145). Reactivity of cortisol in response to an unanticipated social stress test was also measured. Results revealed that CU traits moderated links between trait anxiety and ASB overall, externalizing behaviors and physical aggression. In females only, CU traits also moderated links between cortisol reactivity and ASB overall and externalizing behaviors. Combined, the results of these studies support the proposal that CU traits are a clinically useful diagnostic specifier with different implications for behavioral subtypes of ASB. Further, the present findings allow recommendations to be made for future research to further our understanding of the role CU traits play in CD, and to develop targeted interventions.Ph