Characterising youth with callous-unemotional traits and concurrent anxiety: evidence for a high-risk clinical group.
Characterising youth with callous-unemotional traits and concurrent anxiety: evidence for a high-risk clinical group.
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DOI：
10.1007/s00787-017-1086-8
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发表时间：
2018-07
影响因子：
6.4
通讯作者：
Viding E
中科院分区：
文献类型：
--
作者：
Cecil CAM;McCrory EJ;Barker ED;Guiney J;Viding E
越来越多的证据支持存在两种具有高度冷酷无情（CU）特征的青年变体，这些青年具有明显不同的风险特征和结果，对风险评估和治疗方案具有潜在影响。到目前为止，研究已经确定了CU青年的变体，主要是使用基于CU特征和共现焦虑水平的数据驱动聚类方法。然而，这种知识在多大程度上可以转化为临床实践尚不清楚。为此，本研究采用了一种基于严重程度的，截止的方法，系统地将CU组在一系列临床信息领域，包括创伤史，精神病学，情感功能，依恋风格和行为风险。分析的基础上，从社区样本的高风险青年（n = 155，M = 18岁）的多额定数据。与以前的研究一致，我们发现，虽然变体显示出相当水平的反社会行为，但那些同时具有高CU和高焦虑的人报告了更严重的儿童虐待，心理困扰，ADHD行为学和行为风险，包括药物使用，自杀意念和不安全性行为。此外，这些年轻人表现出更大的依恋不安全感和情感失调，这是由易怒和述情障碍的水平所指示的。总之，研究结果表明，（1）创伤史是区分CU青年高与低焦虑变体的关键因素，（2）不同变体之间个体功能的差异表明需要量身定制的临床评估工具和干预策略。重要的是，目前的研究结果表明，CU青年的变体可以有意义地区分使用截断为基础的方法，在临床评估中使用的平行方法。
Growing evidence supports the existence of two variants of youth with high callous–unemotional (CU) traits who present with markedly different risk profiles and outcomes, with potential implications for risk assessment and treatment formulation. So far, studies have identified variants of CU youth mainly using data-driven cluster approaches based on levels of CU traits and co-occurring anxiety. Yet, the extent to which this knowledge may be translated into clinical practice is unclear. To this end, the present study employed a severity-based, cut-off approach to systematically characterise CU groups across a range of clinically informative domains, including trauma history, psychiatric symptomatology, affective functioning, attachment style and behavioural risk. Analyses were based on multi-rated data from a community sample of high-risk youths (n = 155, M = 18 years). Consistent with previous studies, we found that, whereas variants show comparable levels of antisocial behaviour, those who present with both high CU and high anxiety report more severe childhood maltreatment, psychological distress, ADHD symptomatology and behavioural risk—including substance use, suicidal ideation and unsafe sex. In addition, these youth show greater attachment insecurity and affective dysregulation, as indexed by levels of irritability and alexithymia. Together, findings indicate that (1) trauma history is a key factor that differentiates variants of CU youth high vs. low on anxiety, and (2) differences in individual functioning across variants point to the need for tailored clinical assessment tools and intervention strategies. Importantly, the present findings indicate that variants of CU youth can be meaningfully differentiated using cut-off based approaches that parallel methods used in clinical assessments.
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影响因子：
11
作者：
Cecil, C. A. M.;Lysenko, L. J.;Jaffee, S. R.;Pingault, J-B;Smith, R. G.;Relton, C. L.;Woodward, G.;McArdle, W.;Mill, J.;Barker, E. D.
通讯作者：
Barker, E. D.
DOI：
10.1080/15374416.2014.979934
发表时间：
2016-09
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Docherty M;Boxer P;Huesmann LR;O'Brien M;Bushman BJ
通讯作者：
Bushman BJ
影响因子：
4.7
作者：
BAGBY, RM;PARKER, JDA;TAYLOR, GJ
通讯作者：
TAYLOR, GJ
影响因子：
4
作者：
Goulter, Natalie;Kimonis, Eva R.;Hipwell, Alison E.
通讯作者：
Hipwell, Alison E.
影响因子：
3.8
作者：
Essau, Cecilia A.;Sasagawa, Satoko;Frick, Paul J.
通讯作者：
Frick, Paul J.