Socioemotional development in children with callous-unemotional traitsa case study of a multimodal intervention

  1. María del Mar Gallego-Matellán 1
  2. Laura López-Romero 2
  3. Ana C. León-Mejía 3
  1. 1 Official College of Psychologists of Castile and Leon, Spain
  2. 2 Örebro University, Sweden
  3. 3 University of La Rioja, Spain
Mostrar afiliaciones +
Revista:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Año de publicación: 2019

Volumen: 6

Número: 1

Páginas: 57-63

Tipo: Artículo

DOI: 10.21134/RPCNA.2019.06.1.8 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista de Psicología Clínica con Niños y Adolescentes

Resumen

A subgroup of children with conduct disorder (CD) has callous unemotional traits (CU, e.g., lack of empathy, caring behaviours and remorse), which predicts a negative evolution of this disorder. Responses to empirically supported interventions are very low in children with CD and CU traits. This case study presents an individualized intervention with an 11-year-old child who shows a stable and aggressive pattern of disruptive behaviour (CD and attention-deficit/hyperactivity disorder) and severe CU traits. The goals of the intervention focused on both emotion recognition and parent training. The results of the treatment presented in this case study show advances in socioemotional development along with a decrease of problematic conduct, which improve the child’s ability to adapt to his environment. The need of personalizing and adjusting treatments aimed at modifying problematic conduct in children with CU is discussed to shed light on future approaches to clinical intervention.

€ Ver financiación

Información de financiación

Laura López-Romero’s contribution to this paper was partially supported by the Programa de Axudas á Etapa Posdou-toral da Xunta de Galicia (Consellería de Cultura, Educación e Ordenación Universitaria).

Financiadores

Referencias bibliográficas

  • American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed.). Washington, DC: Author.
  • Blair, R. J. R. (2001). Neurocognitive models of aggression, the antisocial personality disorders, and psychopathy. Journal of Neurology, Neurosurgery and Psychiatry, 71(6), 727-731. doi: 10.1136/jnnp.71.6.727
  • Blair, R. J. R. (2013). The neurobiology of psychopathic traits in youths. Nature reviews. Neuroscience, 14(11), 786-799. doi: 10.1038/nrn3577
  • Blair, R. J. R., Leibenluft, E., & Pine, D. S. (2014). Conduct Disorder and Callous–Unemotional Traits in Youth. New England Journal of Medicine, 371(23), 2207-2216. doi: 10.1056/NEJMra1315612
  • Colins, O. F., Andershed, H., Frogner, L., Lopez-Romero, L., Veen, V., & Andershed, A.-K. (2014). A new measure to assess psychopathic personality in children: The Child Problematic Traits Inventory. Journal of Psychopathology and Behavioral Assessment, 36(1), 4-21. doi:10.1007/s10862-10013-19385-y
  • Dadds, M. R., Allen, J. L., McGregor, K., Woolgar, M., Viding, E., & Scott, S. (2014). Callous-unemotional traits in children and mechanisms of impaired eye contact during expressions of love: a treatment target? Journal of Child Psychology and Psychiatry, 55(7), 771-780. doi: 710.1111/jcpp.12155
  • Dadds, M. R., Allen, J. L., Oliver, B. R., Faulkner, N., Legge, K., Moul, C., . . . Scott, S. (2012). Love, eye contact and the developmental origins of empathy v. psychopathy. The British Journal of Psychiatry, 200(3), 191-196. doi:110.1192/bjp.bp.1110.085720
  • Dadds, M. R., Cauchi, A. J., Wimalaweera, S., Hawes, D. J., & Brennan, J. (2012). Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood. Psychiatry Research, 199(3), 201-207. doi: 210.1016/j.psychres.2012.1004.1033
  • Dadds, M. R., El Masry, Y., Wimalaweera, S., & Guastella, A. J. (2008). Reduced eye gaze explains “fear blindness” in childhood psychopathic traits. Journal of the American Academy of Child & Adolescent Psychiatry, 47(4), 455-463. doi: 410.1097/CHI.1090b1013e31816407f31816401
  • Elizur, Y., Somech, L. Y., & Vinokur, A. D. (2016). Effects of Parent Training on Callous-Unemotional Traits, Effortful Control, and Conduct Problems: Mediation by Parenting. Journal of Abnormal Child Psychology, 1-12. doi: 10.1007/s10802-10016-10163-10807
  • Fanti, K. A., Frick, P. J., & Georgiou, S. (2009). Linking callous-unemotional traits to instrumental and non-instrumental forms of aggression. Journal of Psychopathology and Behavioral Assessment, 31(4), 285-298. doi: 10.1007/s10862-008-9111-3
  • Fernández-Berrocal, P., Extremera, N., & Ramos, N. (2004). Validity and reliability of the Spanish modified version of the Trait Meta-Mood Scale. PsychoLogical Reports, 94(3), 751-755. doi:710.2466/pr2460.2494.2463.2751-2755
  • Forehand, R., Lafko, N., Parent, J., & Burt, K. B. (2014). Is parenting the mediator of change in behavioral parent training for externalizing problems of youth? Clinical Psychology Review, 34(8), 608-619. doi: 610.1016/j. cpr.2014.1010.1001
  • Frederickson, N., Jones, A. P., Warren, L., Deakes, T., & Allen, G. (2013). Can developmental cognitive neuroscience inform intervention for social, emotional and behavioural difficulties (SEBD)? Emotional and Behavioural Difficulties, 18(2), 135-154. doi:110.1080/13632752.13632012.13757097
  • Frick, P. J. (2001). Effective interventions for children and adolescents with conduct disorder. The Canadian Journal of Psychiatry, 46(7), 597-608. doi :510.1177/070674370104600703
  • Frick, P. J., & Ellis, M. (1999). Callous-unemotional traits and subtypes of conduct disorder. Clinical Child and Family Psychology Review, 2(3), 149-168. doi: 10.1023/a:1021803005547
  • Frick, P. J., & Morris, A. S. (2004). Temperament and Developmental Pathways to Conduct Problems. Journal of Clinical Child & Adolescent Psychology, 33(1), 54-68. doi: 10.1207/s15374424jccp3301_6
  • Frick, P. J., Ray, J. V., Thornton, L. C., & Kahn, R. E. (2014). Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. Psychological Bulletin, 140(1), 1-57. doi: 10.1037/a0033076
  • Garaigordobil, M. (2000). Intervención psicológica con adolescentes. Un programa para el desarrollo de la personalidad y la educación en derechos humanos. Madrid: Pirámide.
  • Garaigordobil , M. (2005). Diseño y evaluación de un programa de intervención socioemocional para promover la conducta prosocial y prevenir la violencia (Vol. 160): Ministerio de Educación.
  • Garaigordobil, M., & Maganto, C. (2011). Empatía y resolución de conflictos durante la infancia y la adolescencia: Empathy and conflict resolution during infancy and adolescence. Revista Latinoamericana de Psicología, 43(2), 255-266.
  • Hawes, D. J., Price, M. J., & Dadds, M. R. (2014). Callous-unemotional traits and the treatment of conduct problems in childhood and adolescence: a comprehensive review. Clinical Child and Family Psychology Review 17(3), 248-267 doi: 210.1007/s10567-10014-10167-10561
  • Högström, J., Enebrink, P., & Ghaderi, A. (2013). The moderating role of child callous-unemotional traits in an Internet-based parent-management training program. Journal of Family Psychology, 27(2), 314-323. doi: 10.1037/a0031883
  • Kimonis, E. R., Bagner, D. M., Linares, D., Blake, C. A., & Rodriguez, G. (2014). Parent Training Outcomes among Young Children with Callous-Unemotional Conduct Problems with or At-Risk for Developmental Delay. Journal of Child and Family Studies, 23(2), 437-448. doi:410.1007/s10826- 10013-19756-10828
  • Kolko, D. J., Dorn, L. D., Bukstein, O. G., Pardini, D., Holden, E. A., & Hart, J. (2009). Community vs. clinic-based modular treatment of children with early-onset ODD or CD: A clinical trial with 3-year follow-up. Journal of Abnormal Child Psychology, 37(5), 591-609. doi:510.1007/s10802-10009- 19303-10807
  • Leist, T., & Dadds, M. R. (2009). Adolescents’ ability to read different emotional faces relates to their history of maltreatment and type of psychopathology. Clinical Child Psychology and Psychiatry, 14(2), 237-250. doi: 210.1177/1359104508100887.
  • Lockwood, P. L., Sebastian, C. L., McCrory, E. J., Hyde, Z. H., Gu, X., De Brito, S. A., & Viding, E. (2013). Association of Callous Traits with Reduced Neural Response to Others’ Pain in Children with Conduct Problems. Current Biology, 23(10), 901-905. doi: 10.1016/j.cub.2013.04.018
  • Lopez-Romero, L., Romero, E., & Andershed, H. (2015). Conduct problems in childhood and adolescence: developmental trajectories, predictors and outcomes in a six-year follow up. Child Psychiatry and Human Development, 46(5), 762-773. doi: 10.1007/s10578-014-0518-7
  • López-Romero, L., Romero, E., & Gómez-Fraguela, X. A. (2012). Rasgos psicopáticos y prácticas educativas en la predicción de los problemas de conducta infantiles. Anales de Psicología, 28(2), 629-637. doi:610.6018/ analesps.6028.6012.147591
  • Maganto, C., & Garaigordobil, M. (2009). El diagnóstico infantil desde la expresión gráfica: el test de Dos Figuras Humanas (T2F). Clínica y Salud, 20(3), 237-248.
  • McDonald, R., Dodson, M. C., Rosenfield, D., & Jouriles, E. N. (2011). Effects of a parenting intervention on features of psychopathy in children. Journal Abnormal Child Psychology, 39(7), 1013-1023. doi:1010.1007/s10802-10011
  • Michelson, D., Davenport, C., Dretzke, J., Barlow, J., & Day, C. (2013). Do evidence-based interventions work when tested in the “real world?” A systematic review and meta-analysis of parent management training for the treatment of child disruptive behavior. Clinical Child and Family Psychology Review, 16(1), 18-34 doi: 10.1007/s10567-10013-10128-10560
  • Oliva , A., Antolín, L., Pertegal, M. A., Ríos, M., Parra, A., Hernando, Á., & Reina, M. d. C. (2011). Instrumentos para la evaluación de la salud mental y el desarrollo positivo adolescente y los activos que lo promueven. Recuperado de http://www.formajoven.org/AdminFJ/doc_recursos/201241812465364.pdf
  • Pasalich, D. S., Waschbusch, D. A., Dadds, M. R., & Hawes, D. J. (2014). Emotion socialization style in parents of children with callous–unemotional traits. Child Psychiatry & Human Development, 45(2), 229-242. doi: 210.1007/s10578-10013-10395-10575
  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual Research Review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345-365. doi: 10.1111/jcpp.12381
  • Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: Exploring emotional intelligence using the Trait Meta-Mood Scale. Emotion, Disclosure, and Health, 125, 125-154. doi:110.1037/10182-10006
  • Shaffer, A., Lindhiem, O., Kolko, D. J., & Trentacosta, C. J. (2013). Bidirectional Effects Between Parenting Practices and Child Externalizing Behavior: A Cross-Lagged Panel Analysis in the Context of a Psychosocial Treatment and 3-Year Follow-Up. Journal of Abnormal Child Psychology, 41(2), 199- 210. doi: 10.1007/s10802-012-9670-3
  • Viding, E., Catherine L. Sebastian, Mark R. Dadds, Patricia L. Lockwood, Charlotte A.M. Cecil, Stephane A. De Brito, & Eamon J. McCrory. (2012). Amygdala Response to Preattentive Masked Fear in Children With Conduct Problems: The Role of Callous-Unemotional Traits. American Journal of Psychiatry, 169(10), 1109-1116. doi: 10.1176/appi.ajp.2012.12020191
  • Weir, K., & Duveen, G. (1981). Further development and validation of the prosocial behaviour questionnaire for use by teachers. Journal of Child Psychology and Psychiatry, 22(4), 357-374. doi: 310.1111/j.1469-7610.1981.tb00561.x
  • Wilkinson, S., Waller, R., & Viding, E. (2016). Practitioner Review: Involving young people with callous unemotional traits in treatment – does it work? A systematic review. Journal of Child Psychology and Psychiatry, 57(5), 552-565. doi: 10.1111/jcpp.12494
Fuente de los datos: Dialnet