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Burke JD, Butler EJ, Shaughnessy S, Karlovich AR, Evans SC. Evidence-Based Assessment of DSM-5 Disruptive, Impulse Control, and Conduct Disorders. Assessment 2024; 31:75-93. [PMID: 37551425 DOI: 10.1177/10731911231188739] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/09/2023]
Abstract
The assessment of oppositional defiant disorder, conduct disorder, antisocial personality disorder, and intermittent explosive disorder-the Disruptive, Impulse Control and Conduct Disorders-can be affected by biases in clinical judgment, including overestimating concerns about distinguishing symptoms from normative behavior and stigma associated with diagnosing antisocial behavior. Recent nosological changes call for special attention during assessment to symptom dimensions of limited prosocial emotions and chronic irritability. The present review summarizes best practices for evidence-based assessment of these disorders and discusses tools to identify their symptoms. Despite the focus on disruptive behavior disorders, their high degree of overlap with disruptive mood dysregulation disorder can complicate assessment. Thus, the latter disorder is also included for discussion here. Good practice in the assessment of disruptive behavior disorders involves using several means of information gathering (e.g., clinical interview, standardized rating scales or checklists), ideally via multiple informants (e.g., parent-, teacher-, and self-report). A commitment to providing a full and accurate diagnostic assessment, with careful and attentive reference to diagnostic guidelines, will mitigate concerns regarding biases.
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López-Romero L, Cutrín O, Maneiro L, Salekin RT. Proposed Specifiers for Conduct Disorder-Short Version (PSCD-SV): Psychometric Properties, Concurrent Correlates and Parenting Predictors. Child Psychiatry Hum Dev 2023; 54:1258-1273. [PMID: 35212858 PMCID: PMC10435417 DOI: 10.1007/s10578-022-01335-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/08/2022] [Indexed: 01/08/2023]
Abstract
The present study aims to further examine the four-factor model of psychopathy in adolescence with a new alternate model for the assessment of psychopathic traits and conduct disorder (CD): The Proposed Specifiers for Conduct Disorder-Short version (PSCD-SV). Data were collected in a sample of 414 adolescents (49.2% females) aged 12-15 at the first assessment who were then followed-up 2 years later. Results supported the usefulness of the PSCD-SV to assess the broader construct of psychopathy showing good psychometric properties, including adequate reliability and validity, while accounting for all its dimensions. In addition, the study showed close associations between psychopathic traits and adolescent behavioral, emotional and psychosocial maladjustment. Finally, the findings elucidated the PSCD's connection to parental support and psychological control, and reinforced the potential role of parenting practices as predictors that can act as mechanisms of change in the development of psychopathy. Overall, current findings shed light on conceptual and developmental models of psychopathy that may have implications for assessment, diagnostic classification, prevention, and intervention.
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Affiliation(s)
- Laura López-Romero
- Department of Clinical Psychology and Psychobiology, Facultad de Psicología, Universidade de Santiago de Compostela, Campus Sur, 15782, Santiago de Compostela, Spain.
| | - Olalla Cutrín
- Department of Clinical Psychology and Psychobiology, Facultad de Psicología, Universidade de Santiago de Compostela, Campus Sur, 15782, Santiago de Compostela, Spain
| | - Lorena Maneiro
- Department of Clinical Psychology and Psychobiology, Facultad de Psicología, Universidade de Santiago de Compostela, Campus Sur, 15782, Santiago de Compostela, Spain
- Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands
| | - Randall T Salekin
- Department of Psychology, The University of Alabama, Tuscaloosa, USA
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Psychopathic traits and emotion processing in a clinical sample of children with disruptive behavior disorder. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03138-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Muratori P, Buonanno C, Gallani A, Grossi G, Levantini V, Milone A, Pisano S, Salekin RT, Sesso G, Masi G, Nocentini A. Validation of the Proposed Specifiers for Conduct Disorder (PSCD) Scale in a Sample of Italian Students. CHILDREN (BASEL, SWITZERLAND) 2021. [PMID: 34828733 DOI: 10.3390/children81111020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
This study aimed to further validate the self-reported version of the Proposed Specifiers Conduct Disorder (PSCD) scale, testing the associations between the PSCD with a scale that measures emotional/behavioral difficulties and prosocial behaviors (Strength and Difficulties Questionnaire, SDQ). A total of 536 Italian students (47.76% male; 11-14 years) completed the PSCD, while their caregivers and teachers completed the SDQ. A series of confirmatory factor analyses to test the best fitting model were run. The internal consistency of the PSCD was evaluated, and the correlations between the PSCD self-reported scores and SDQ Parent and Teacher report scores were examined. A bi-factor model was fitted with a refined 19-item version of the scale, which showed adequate fit indices. The PSCD total score was strongly associated with higher parent- and teacher-rated conduct problems, hyperactivity, and lower prosocial behavioral symptoms. In conclusion, this study indicated that the self-report PSCD shows preliminary promise as a reliable, easy-to-use tool, for measuring psychopathic traits in Italian children and young adolescents.
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Affiliation(s)
- Pietro Muratori
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy
| | | | - Anna Gallani
- Specialized Centre for Learning Disabilities, Uonpia Ausl, 40127 Ferrara, Italy
| | | | - Valentina Levantini
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy
| | - Annarita Milone
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy
| | - Simone Pisano
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy
| | - Randall T Salekin
- Department of Psychology, The University of Alabama, P.O. Box 870348, Tuscaloosa, AL 35487, USA
| | - Gianluca Sesso
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy
| | - Gabriele Masi
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy
| | - Annalaura Nocentini
- Department of Sciences of Education and Psychology, University of Florence, 50121 Firenze, Italy
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Muratori P, Buonanno C, Gallani A, Grossi G, Levantini V, Milone A, Pisano S, Salekin RT, Sesso G, Masi G, Nocentini A. Validation of the Proposed Specifiers for Conduct Disorder (PSCD) Scale in a Sample of Italian Students. CHILDREN (BASEL, SWITZERLAND) 2021; 8:children8111020. [PMID: 34828733 PMCID: PMC8622648 DOI: 10.3390/children8111020] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 10/27/2021] [Accepted: 11/03/2021] [Indexed: 12/19/2022]
Abstract
This study aimed to further validate the self-reported version of the Proposed Specifiers Conduct Disorder (PSCD) scale, testing the associations between the PSCD with a scale that measures emotional/behavioral difficulties and prosocial behaviors (Strength and Difficulties Questionnaire, SDQ). A total of 536 Italian students (47.76% male; 11-14 years) completed the PSCD, while their caregivers and teachers completed the SDQ. A series of confirmatory factor analyses to test the best fitting model were run. The internal consistency of the PSCD was evaluated, and the correlations between the PSCD self-reported scores and SDQ Parent and Teacher report scores were examined. A bi-factor model was fitted with a refined 19-item version of the scale, which showed adequate fit indices. The PSCD total score was strongly associated with higher parent- and teacher-rated conduct problems, hyperactivity, and lower prosocial behavioral symptoms. In conclusion, this study indicated that the self-report PSCD shows preliminary promise as a reliable, easy-to-use tool, for measuring psychopathic traits in Italian children and young adolescents.
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Affiliation(s)
- Pietro Muratori
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy; (P.M.); (V.L.); (A.M.); (G.S.)
| | - Carlo Buonanno
- Scuola Psicoterapia Cognitiva, 00185 Roma, Italy; (C.B.); (G.G.)
| | - Anna Gallani
- Specialized Centre for Learning Disabilities, Uonpia Ausl, 40127 Ferrara, Italy;
| | - Giuseppe Grossi
- Scuola Psicoterapia Cognitiva, 00185 Roma, Italy; (C.B.); (G.G.)
| | - Valentina Levantini
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy; (P.M.); (V.L.); (A.M.); (G.S.)
| | - Annarita Milone
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy; (P.M.); (V.L.); (A.M.); (G.S.)
| | - Simone Pisano
- Department of Translational Medical Sciences, Federico II University, 80138 Naples, Italy;
| | - Randall T. Salekin
- Department of Psychology, The University of Alabama, P.O. Box 870348, Tuscaloosa, AL 35487, USA;
| | - Gianluca Sesso
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy; (P.M.); (V.L.); (A.M.); (G.S.)
| | - Gabriele Masi
- IRCCS Stella Maris, Scientific Institute of Child Neurology and Psychiatry, 56128 Pisa, Italy; (P.M.); (V.L.); (A.M.); (G.S.)
- Correspondence: ; Tel.: +39-05-08861-11
| | - Annalaura Nocentini
- Department of Sciences of Education and Psychology, University of Florence, 50121 Firenze, Italy;
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Rose K, Woodworth M, Minton J. An exploration of individual differences in a sample of youth charged with violent sexual and non-sexual crimes. PSYCHIATRY, PSYCHOLOGY, AND LAW : AN INTERDISCIPLINARY JOURNAL OF THE AUSTRALIAN AND NEW ZEALAND ASSOCIATION OF PSYCHIATRY, PSYCHOLOGY AND LAW 2020; 27:44-60. [PMID: 32284779 PMCID: PMC7144301 DOI: 10.1080/13218719.2019.1687043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Youth who engage in violent crime, including sexual offences, remain understudied. Research conducted on adults suggests that factors linked to antisocial and violent behaviour may enhance the current understanding of sexual offences. These factors include a consideration of how dark personality traits (such as psychopathy) and childhood maltreatment may inform the likelihood of sexual offending. Utilizing a sample of juvenile alleged violent offenders (n = 113), the present study examines the construct of adolescent psychopathy, with abuse as a potential moderator, in relation to offence perpetration. Contrary to some of the literature on adults, the findings indicate that neither psychopathy nor experience of abuse differentiates sexual from non-sexual violent offenders. They also suggest that scoring higher on psychopathy relates to violence more broadly. The importance of tailored programming for youth who may be at risk of offending or who require treatment in the justice system is explored.
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Affiliation(s)
- Katherine Rose
- Department of Psychology, University of British Columbia, Okanagan, Kelowna, BC, Canada
| | - Michael Woodworth
- Department of Psychology, University of British Columbia, Okanagan, Kelowna, BC, Canada
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Developmental Associations between Psychopathic Traits and Childhood-Onset Conduct Problems. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2020. [DOI: 10.1007/s10862-019-09779-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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