scholarly journals Clinical Characteristics of Preschool Children with Oppositional Defiant Disorder and Callous-Unemotional Traits

PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0139346 ◽  
Author(s):  
Lourdes Ezpeleta ◽  
Roser Granero ◽  
Núria de la Osa ◽  
Josep M. Domènech
Keyword(s):  
Preschool Children ◽  
Oppositional Defiant Disorder ◽  
Clinical Characteristics ◽  
Callous Unemotional ◽  
Oppositional Defiant ◽  
Callous Unemotional Traits ◽  
Unemotional Traits

scholarly journals Love, eye contact and the developmental origins of empathy v. psychopathy

2012 ◽  
Vol 200 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Mark R. Dadds ◽  
Jennifer L. Allen ◽  
Bonamy R. Oliver ◽  
Nathan Faulkner ◽  
Katherine Legge ◽  
...  
Keyword(s):  
Oppositional Defiant Disorder ◽  
Eye Contact ◽  
Necessary Condition ◽  
Control Group ◽  
Maternal Behaviour ◽  
Callous Unemotional ◽  
Oppositional Defiant ◽  
Callous Unemotional Traits ◽  
Unemotional Traits ◽  
Low Levels

BackgroundA propensity to attend to other people's emotions is a necessary condition for human empathy.AimsTo test our hypothesis that psychopathic disorder begins as a failure to attend to the eyes of attachment figures, using a ‘love’ scenario in young children.MethodChildren with oppositional defiant disorder, assessed for callous–unemotional traits, and a control group were observed in a love interaction with mothers. Eye contact and affection were measured for each dyad.ResultsThere was no group difference in affection and eye contact expressed by the mothers. Compared with controls, children with oppositional defiant disorder expressed lower levels of affection back towards their mothers; those with high levels of callous–unemotional traits showed significantly lower levels of affection than the children lacking these traits. As predicted, the former group showed low levels of eye contact toward their mothers. Low eye contact was not correlated with maternal coercive parenting or feelings toward the child, but was correlated with psychopathic fearlessness in their fathers.ConclusionsImpairments in eye contact are characteristic of children with callous–unemotional traits, and these impairments are independent of maternal behaviour.

scholarly journals Callous-unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jinsong Zhang ◽  
Wei Li ◽  
Huifeng Zhang ◽  
Amanda Wilson ◽  
Lan Shuai ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Preschool Children ◽  
Attention Deficit ◽  
Incremental Validity ◽  
Behavioural Problems ◽  
Hyperactivity Disorder ◽  
Cu Traits ◽  
Callous Unemotional ◽  
Oppositional Defiant ◽  
Callous Unemotional Traits

Abstract Background Children with early onset of Callous-Unemotional (CU) traits are at a higher risk for long-term, persistent psychosocial problems. The current study aimed to explore the characteristics of CU in preschool children with Attention Deficit Hyperactivity Disorder (ADHD) and the diagnostic significance of CU traits in ADHD. Methods A total of 176 preschool children (89 with ADHD and 87 Typically Developing Children [TDC]) aged 4–5 years old were recruited to the study. The participants were assessed for CU traits, emotional and behavioral problems, and how their executive functioning was associated with ADHD using multiple assessment scales. Multiple linear regression analysis was performed to assess the incremental validity of the Inventory of Callous-Unemotional Traits (ICU), adjusting for possible covariates by child’s sex, conduct problems, and oppositional defiant symptoms. Results The results showed that there was a significant difference of ICU scores between the ADHD and TDC groups (F = 30.12, P < 0.001). In terms of callousness, ADHD + Oppositional Defiant Disorder (ODD) group showed a significant high score, and the ADHD only group scored significantly higher than the TDC group (F = 20.42, P < 0.001). The ICU was negatively associated with the prosocial behaviour subscale (γ = − 0.57, P < 0.01) and showed low to moderate positive correlations with emotional and behavioural problems, as well as executive function (γ = 0.24–0.67, P < 0.05). The ICU scores explained 6% of the incremental validity in ADHD symptoms. The diagnostic value of the ICU for ADHD was medium and acceptable. Conclusions The current study indicated that early identification of CU traits may help clinicians better understand symptoms and behavioural problems in children with ADHD. CU traits therefore could be considered as a useful assessment tool for ADHD.

Conduct disorders and antisocial personality disorder in childhood and adolescence

2020 ◽  
pp. 1265-1276
Author(s):  
Stephen Scott ◽  
Melanie Palmer
Keyword(s):  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Academic Failure ◽  
Conduct Disorders ◽  
Drug Misuse ◽  
Antisocial Personality ◽  
Callous Unemotional ◽  
Oppositional Defiant ◽  
Callous Unemotional Traits ◽  
Unemotional Traits

Oppositional defiant and conduct disorders are the most common mental health problems in childhood. They have a poor prognosis if left untreated, with increased crime, violence, drug misuse, academic failure, dependence on state welfare, psychosis, and early death. A number of children additionally have callous-unemotional traits, and they are at risk for going on to develop antisocial personality disorder, which has its origins in childhood. Children with comorbid callous-unemotional traits or attention-deficit/hyperactivity disorder (ADHD) symptoms have a high genetic contribution to their problems and reduced functioning in the limbic and prefrontal areas. There have been over 100 randomized controlled trials of interventions, with evidence-based parenting programmes repeatedly being shown to be effective in both the short and the longer term. There is emerging evidence that they may help prevent personality disorder. In the absence of ADHD, medication has no role to play in the routine management of oppositional defiant and conduct disorders.

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