Differentiating Preschool Children with Conduct Problems and Callous-Unemotional Behaviors through Emotion Regulation and Executive Functioning.

Differentiating Preschool Children with Conduct Problems and Callous-Unemotional Behaviors through Emotion Regulation and Executive Functioning.
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DOI:
10.1080/15374416.2019.1666399
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发表时间:
2022-03
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:
--
通讯作者:
Garcia A
Garcia A
中科院分区:
其他
文献类型:
--
作者:
Graziano PA;Landis T;Maharaj A;Ros-Demarize R;Hart KC;Garcia A

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冷酷无情(CU)特征是识别严重行为问题(CP)模式的重要特征。目前的研究集中在a)识别表现出CP和CU行为组合的幼儿亚群,以及b)检验执行功能(EF)和情绪调节(ER)与CU行为的关联程度。参与者包括249名学龄前儿童(N=249,78%男孩,年龄4.95岁;81%拉丁裔/西班牙裔)因外在行为问题而接受治疗。通过教师/家长评定量表的组合测量CU行为和CP。采用多方法测量EF和ER,包括家长/教师评定量表、神经心理学和观察性任务。父母/教师评价和观察到的较差的ER与较高的CU行为水平相关。潜伏期分析确定了三个亚组:a)低CU/低CP,b)中CU/中CP,c)高CU/高CP。与所有其他组相比,高CU/高CP组儿童的ER评分显著降低,与低CU/低CP组相比,观察到的ER更差。探索性分析发现,与低CU/高CP组儿童相比,高CU/高CP组儿童在标准化神经心理任务中的ER水平略低,但EF表现明显好于低CU/高CP组儿童。与CU行为和CP水平较低的儿童相比,CU行为和CP水平较高的儿童表现出较差的ER,但可能表现出相对较好的EF表现。
Callous-unemotional (CU) traits are important characteristics for identifying severe patterns of conduct problems (CP). The current study focused on a) identifying subgroups of young children displaying a combination of CP and CU behaviors and b) examining the extent to which executive functioning (EF) and emotion regulation (ER) are associated with CU behaviors. Participants included 249 preschoolers (N = 249, 78% boys, Mage = 4.95 years; 81% Latino/Hispanic) referred to treatment due to externalizing behavior problems. CU behaviors and CP were measured via a combination of teacher/parent rating scales. A multi-method approach was used to measure EF and ER including parent/teacher rating scales, neuropsychological, and observational tasks. Poorer ER as rated by parents/teachers and observed was associated with greater levels of CU behaviors. Latent profile analyses identified three subgroups of children displaying a) low CU/low CP, b) moderate CU/moderate CP, and c) high CU/high CP. Children in the high CU/high CP group were rated as having significantly poorer rated ER compared to all other groups and poorer observed ER compared to the low CU/low CP group. Exploratory analyses found that children in the high CU/high CP group displayed marginally lower levels of rated ER but significantly better EF performance on standardized neuropsychological tasks compared to children in a low CU/high CP group. Children with higher levels of reported CU behaviors and CP display poorer ER yet may display relatively better EF performance compared to children with lower levels of CU behaviors and CP.
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