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Variants of Girls and Boys with Conduct Disorder: Anxiety Symptoms and Callous-Unemotional Traits

Euler, Felix ; Jenkel, Nils ; Stadler, Christina ; Schmeck, Klaus ; Fegert, Jörg ; Kölch, Michael ; Schmid, Marc

In: Journal of Abnormal Child Psychology, 2015, vol. 43, no. 4, p. 773-785

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    Titre
    • Variants of Girls and Boys with Conduct Disorder: Anxiety Symptoms and Callous-Unemotional Traits
    Auteur
    • Euler, Felix. Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, Wilhelm Klein-Strasse 27, 4012, Basel, Switzerland
    • Jenkel, Nils. Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, Wilhelm Klein-Strasse 27, 4012, Basel, Switzerland
    • Stadler, Christina. Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, Wilhelm Klein-Strasse 27, 4012, Basel, Switzerland
    • Schmeck, Klaus. Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, Wilhelm Klein-Strasse 27, 4012, Basel, Switzerland
    • Fegert, Jörg. Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Steinhoevelstrasse 5, 89075, Ulm, Germany
    • Kölch, Michael. Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Ulm, Steinhoevelstrasse 5, 89075, Ulm, Germany
    • Schmid, Marc. Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, Wilhelm Klein-Strasse 27, 4012, Basel, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Journal of Abnormal Child Psychology, 2015, vol. 43, no. 4, p. 773-785. Springer US; http://www.springer-ny.com
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:332047
    Summary
    Recent research suggests that among the group of aggressive and antisocial adolescents, there are distinct variants who exhibit different levels of anxiety symptoms and callous-unemotional traits (CU traits). The purpose of the present study was to examine whether such variants are also present in male and female adolescents diagnosed with conduct disorder (CD). We used model-based cluster analysis to disaggregate data of 158 adolescents with CD (109 boys, 49 girls; mean age =15.61years) living in child welfare and juvenile justice institutions. Three variants were identified: (1) CD only, (2) CD with moderate CU traits and anxiety symptoms, and (3) CD with severe CU traits. Variants differed in external validation measures assessing anger and irritability, externalizing behavior, traumatic experiences, and substance use. The CD variant with moderate CU traits and anxiety symptoms had the most severe pattern of psychopathology. Our results also indicated distinct profiles of personality development for all three variants. Gender-specific comparisons revealed differences between girls and boys with CD on clustering and external validation measures and a gender-specific cluster affiliation. The present results extend previously published findings on variants among aggressive and antisocial adolescents to male and female adolescents diagnosed with CD.