The road forward for research on callous-unemotional traits: reply to Lahey (2014)

Psychological Bulletin
Paul J FrickRachel E Kahn

Abstract

Lahey (2014) provides a thoughtful and scholarly discussion of our review of the research on the potential utility of callous-unemotional (CU) traits for designating a distinct subgroup of children and adolescents with severe conduct problems. In this reply, we attempt to clarify several issues raised in Lahey's commentary. Specifically, by focusing largely on only 1 part of the research review (i.e., implications for evaluating the new specifier included for the diagnosis of conduct disorder in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders; American Psychiatric Association, 2013), the commentary underestimates the available empirical support for the utility of these traits for designating an important subgroup of children and adolescents with severe conduct problems. Furthermore, we highlight a number of studies that provide data inconsistent with the model proposed by Lahey in which CU traits are best considered as solely a marker of more severe conduct problems. Finally, we highlight limitations in estimating the stability of CU traits based solely on the number of individuals who continue to fall above and below a diagnostic cutoff at 2 points in time.

Citations

Feb 18, 2015·International Journal of Law and Psychiatry·Pedro PechorroCristina Nunes
Aug 28, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·M John BroulidakisEdmund J S Sonuga-Barke
May 25, 2016·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Ralph Wettach, Marcel Aebi
May 21, 2014·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Richard Rowe
Oct 18, 2020·Journal of the American Academy of Child and Adolescent Psychiatry·Olivier F ColinsHenrik Andershed

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