Kostas A. Fanti

Trajectories of pure and co-occurring internalizing and externalizing problems from age 2 to age 12: Findings from the National Institute of Child Health and Human Development Study of Early Child Care

How and why do internalizing and externalizing problems, psychopathological problems from different diagnostic classes representing separate forms of psychopathology, co-occur in children? We investigated the development of pure and co-occurring internalizing and externalizing problems from ages 2 to 12 with the use of latent class growth analysis. Furthermore, we examined how early childhood factors (temperament, cognitive functioning, maternal depression, and home environment) and early adolescent social and behavioral adjustment variables were related to differential trajectories of pure and co-occurring internalizing and externalizing problems. The sample (National Institute of Child Health and Human Development Study of Early Child Care) consisted of 1,232 children (52% male). Mother reports on the Child Behavior Checklist (Achenbach, 1991, 1992) were used to construct the trajectories of externalizing and internalizing problems. Analyses identified groups of children exhibiting pure and co-occurring internalizing and externalizing problems. Children exhibiting continuous externalizing or continuous co-occurring internalizing and externalizing problems across the 10-year period under investigation were more likely to (a) engage in risky behaviors, (b) be associated with deviant peers, (c) be rejected by peers, and (d) be asocial with peers at early adolescence. However, children exhibiting pure internalizing problems over time were only at higher risk for being asocial with peers as early adolescents. Moreover, the additive effects of individual and environmental early childhood risk factors influenced the development of chronic externalizing problems, although pure internalizing problems were uniquely influenced by maternal depression. Results also provided evidence for the concepts of equifinality and multifinality.

Schools, Parents, and Youth Violence: A Multilevel, Ecological Analysis

Using data from the National Longitudinal Study of Adolescent Health (Add Health), this study utilized an ecological approach to investigate the joint contribution of parents and schools on changes in violent behavior over time among a sample of 6,397 students (54% female) from 125 schools. This study examined the main and interactive effects of parent and school connectedness as buffers of violent behavior within a hierarchical linear model, focusing on both students and schools as the unit of analysis. Results show that students who feel more connected to their schools demonstrate reductions in violent behavior over time. On the school level, our findings suggest that school climate serves as a protective factor for student violent behavior. Finally, parent and school connectedness appear to work together to buffer adolescents from the effects of violence exposure on subsequent violent behavior.

A longitudinal study of cyberbullying: Examining riskand protective factors

The objective of the current study was to examine possible risk (school-bullying and victimization, exposure to media violence, callous-unemotional traits, impulsivity and narcissism) and protective (family, peer and school social support) factors that might be associated with cyberbullying and cyber-victimization by employing a longitudinal, two-wave design. The sample consisted of 1,416 (50.1% girls) adolescents living in Cyprus. The findings suggested cross-sectional and longitudinal associations between school-bullying and cyberbullying and between school-victimization and cyber-victimization. Furthermore, callous-unemotional traits were longitudinally related to cyberbullying. Media violence exposure was a risk factor leading to both cyberbullying and cyber-victimization, while family social support was a protective factor for both types of adjustment problems. Finally, family social support protected adolescents living in single-parent households from being cyber-victimized when their friendships were not supportive.

Desensitization to media violence over a short period of time

This study investigated the desensitization to violence over a short period of time. Participants watched nine violent movie scenes and nine comedy scenes, and reported whether they enjoyed the violent or comedy scenes and whether they felt sympathetic toward the victim of violence. Using latent growth modeling, analyses were carried out to investigate how participants responded to the different scenes across time. The findings of this study suggested that repeated exposure to media violence reduces the psychological impact of media violence in the short term, therefore desensitizing viewers to media violence. As a result, viewers tended to feel less sympathetic toward the victims of violence and actually enjoy more the violence portrayed in the media. Additionally, desensitization to media violence was better represented by a curvilinear pattern, whereas desensitization to comedy scenes was better represented by a linear pattern. Finally, trait aggression was not related to the pattern of change over time, although significant effects were found for initial reports of enjoyment and sympathy.

Maltreatment profiles among incarcerated boys with callous-unemotional traits.

Callous-unemotional (CU) traits in youth are believed to be a developmental precursor to adult psychopathy, tapping its affective dimension. There is growing support for the existence of variants of psychopathy that can be distinguished based on the presence of anxiety, maltreatment histories, and comorbid psychopathology. The purpose of the present study was to examine whether primary and secondary variants of CU traits could be differentiated according to their experiences of distinct types of childhood maltreatment among a sample of 227 incarcerated adolescent boys. Results indicated that variants of youth scoring high on CU traits could be identified which were consistent with theory and prior research. Greater sexual abuse histories, violent and property delinquency, and a sexually motivated index offense distinguished secondary variants, whereas greater neglect distinguished primary variants of youth with CU traits. Psychopathy variants were behaviorally indistinguishable with respect to their levels of aggression and drug delinquency, although they differed in several important ways from youth scoring low on CU traits. Variants also showed distinct patterns of scores on the measure of CU traits. These findings are important to informing developmental theories of psychopathy and have practical and policy implications for intervening with maltreated and antisocial youth.

The better of two evils? Evidence that children exhibiting continuous conduct problems high or low on callous-unemotional traits score on opposite directions on physiological and behavioral measures of fear

The present study examines whether heterogeneous groups of children identified based on their longitudinal scores on conduct problems (CP) and callous-unemotional (CU) traits differ on physiological and behavioral measures of fear. Specifically, it aims to test the hypothesis that children with high/stable CP differentiated on CU traits score on opposite directions on a fear-fearless continuum. Seventy-three participants (M age = 11.21; 45.2% female) were selected from a sample of 1,200 children. Children and their parents completed a battery of questionnaires assessing fearfulness, sensitivity to punishment, and behavioral inhibition. Children also participated in an experiment assessing their startle reactivity to fearful mental imagery, a well-established index of defensive motivation. The pattern of results verifies the hypothesis that fearlessness, assessed with physiological and behavioral measures, is a core characteristic of children high on both CP and CU traits (i.e., receiving the DSM-5 specifier of limited prosocial emotions). To the contrary, children with high/stable CP and low CU traits demonstrated high responsiveness to fear, high behavioral inhibition, and high sensitivity to punishment. The study is in accord with the principle of equifinality, in that different developmental mechanisms (i.e., extremes of high and low fear) may have the same behavioral outcome manifested as phenotypic antisocial behavior.

Callous-unemotional traits in incarcerated adolescents.

The presence of callous-unemotional (CU) traits designates a subgroup of antisocial youth at risk for severe, aggressive, and stable conduct problems. As a result, these traits should be considered as part of the criteria for conduct disorder. The present study tests 2 possible symptom sets (4- and 9-item criteria sets) of CU traits that could be used in diagnostic classification, assessed using self-report with a sample of 643 incarcerated adolescent (M age = 16.50, SD = 1.63 years) boys (n = 493) and girls (n = 150). Item response theory analysis was employed to examine the unique characteristics of each criterion comprising the 2 sets to determine their clinical utility. Results indicated that most items comprising the measure of CU traits demonstrated adequate psychometric properties. Whereas the 9-item criteria set provided more information and was internally consistent, the briefer 4-item set was equally effective at identifying youth at-risk for poor outcomes associated with the broader CU construct. Supporting the clinical utility of the criteria sets, incarcerated boys and girls who endorsed high levels of CU symptoms across criteria sets were particularly at-risk for proactive aggression and violent delinquency.

Effects of Self-Esteem and Narcissism on Bullying and Victimization during Early Adolescence.

The current study investigates the longitudinal association, across a 1-year period, between self-esteem and narcissism with bullying and peer victimization. The sample consisted of 1,416 (50.1% girls) Greek Cypriot early adolescents (M age = 12.89) who completed a battery of self-report measures. The small correlation found between self-esteem and narcissism suggests that the two constructs are distinct from one another. Results from the Hierarchical Linear Regression analyses suggested that the combination of low self-esteem (i.e., fragile self-concept) with high narcissism (i.e., grandiose self-view) may contribute to the continuation of both bullying and victimization. Person-centered analyses clarified narcissism predicted membership into “bully” and “bully-victim” groups, although “bullies” were distinguished by low self-esteem when compared with uninvolved children. Current findings can help provide an explanation of the inconsistency reported in the literature in terms of the association between self-esteem and bullying behavior, in that low self-esteem is more strongly associated with bullying for narcissistic youth.

PSYCHOPATHIC PERSONALITY IN THE GENERAL POPULATION: DIFFERENCES AND SIMILARITIES ACROSS GENDER

This study aimed to identify distinct subgroups of adults in a general population sample (N = 2,500; 52.6% females) based on their scores on three psychopathy dimensions. Using latent profile analysis, five groups were identified among males and females separately, including a psychopathic personality group. Multivariate analyses of variance showed that this latter group had higher levels of aggression, offending, substance use, attention-deficit/hyperactivity symptoms, internalizing problems, and maltreatment than most of the other groups. Associated features of males and females with a psychopathic personality were very similar; however, salient gender differences did emerge. Specifically, females with a psychopathic personality were more frequently exposed to sexual abuse, expressed more emotional difficulties, and engaged in higher levels of relational aggression. In conclusion, person-oriented analyses identified adults with a personality that looks like psychopathy, and furthered our understanding of gender similarities and differences in these adults.

Stability and Change in Callous-Unemotional Traits : Longitudinal Associations With Potential Individual and Contextual Risk and Protective Factors

This longitudinal study examines developmental heterogeneity in callous-unemotional (CU) traits in a large sample of school-age children in Cyprus. Latent Class Growth Analysis revealed 4 trajectory groups of CU traits across 3 time points: stable high, increasing, decreasing, and low. Findings suggested that children in the stable high CU trajectory were more likely to (a) exhibit high and stable levels of conduct problems, attention-deficit/hyperactivity disorder symptoms, impulsivity and narcissism, (b) experience low parental involvement and high parental distress, (c) report low peer support and school connectedness, and (d) score lower on academic performance, executive functioning, social competence, and self-regulation compared to children with low, decreasing, and increasing CU traits. These findings were verified by both parent and child reports. Repeated analysis of variance suggested that increases and decreases in CU traits were associated with similar changes in conduct problems, narcissism, impulsivity, and maternal involvement. Further, children in the decreasing trajectory group were not differentiated from children in the low risk group on measures of executive functioning, academic performance, school connectedness, and peer social support at the last wave of measurement. These findings provide evidence for the importance of taking longitudinal change into account for understanding developmental heterogeneity in CU traits and the association of these traits with possible protective (e.g., stable high maternal involvement) and risk (e.g., decreases in maternal involvement and increases in conduct problems, impulsivity and narcissism) variables.