Callous unemotional traits mediate the presence of challenging behaviors in adults with autism spectrum disorder and intellectual disability
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2023
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Taylor and Francis Group
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María Álvarez-Couto, Domingo García-Villamisar & Araceli del Pozo (2023): Callous unemotional traits mediate the presence of challenging behaviors in adults with autism spectrum disorder and intellectual disability, International Journal of Developmental Disabilities, DOI: 10.1080/20473869.2023.2171756
Abstract
Background: Callous-unemotional traits (CUT) are an antisocial personality trait, which can be present in people with autism spectrum disorder (ASD), especially in relation to difficulties in empathy. These traits are related to challenging behaviors, such as aggressive behavior, which may occur in people with ASD. Method: This study aimed to expand the understanding of the role of CUT in adults with ASD and intellectual disability (ID). Eighty-three adults with a diagnosis of ASD and ID participated in the study. Results: Mediation analyses found that CUT indirectly mediated the relationship between ASD symptomatology and the frequency of self-injuries and stereotypies, but not aggression. Conclusions: It is considered that CUT may have a protective effect on the presence of individual challenging behaviors in adults with ASD and ID. The apparent relationship between CUT and executive functioning was discussed. CUT traits may be considered as a variable to contemplate in relation to interventions in challenging behaviors in the ASD population, especially in those individuals who show aggression-related behaviors and who have a higher executive level.
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Referencias bibliográficas:
• American Psychiatric Association (APA). 2013. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association.
• Bakker-Huvenaars, M. J., Greven, C. U., Herpers, P., Wiegers, E., Jansen, A., van der Steen, R., van Herwaarden, A. E., Baanders, A. N., Nijhof, K. S., Scheepers, F., Rommelse, N., Glennon, J. C. and Buitelaar, J. K. 2020. Saliva oxytocin, cortisol, and testosterone levels in adolescent boys with autism spectrum disorder, oppositional defiant disorder/conduct disorder and typically developing individuals. European Neuropsychopharmacology: The Journal of the European College of Neuropsychopharmacology, 30, 87–101.
• Bedford, R., Gliga, T., Hendry, A., Jones, E. J. H., Pasco, G., Charman, T., Johnson, M. H. and Pickles, A. and The BASIS Team. 2019. Infant regulatory function acts as a protective factor for later traits of autism spectrum disorder and attention deficit/hyperactivity disorder but not callous unemotional traits. Journal of Neurodevelopmental Disorders, 11, 14.
• Conners, C. K. Erhardt, D. and Sparrow, E. 1999. CAARS. Adult ADHD Rating Scales. Technical manual. Multi-Health Systems.
• Danielsson, H., Henry, L. A., Rönnberg, J. and Nilsson, L.G. 2010. Executive functions in individuals with intellectual disability. Research in Developmental Disabilities, 31, 1299–1304.
• Dotterer, H. L., Tomlinson, R. C., Burt, S. A., Weigard, A. S., Klump, K. L. and Hyde, L. W. 2021. Neurocognitive abilities associated with antisocial behavior with and without callous-unemotional traits in a community sample. Neuropsychology, 35, 374–387.
• Frick, P.J. 2004. The inventory of callous-unemotional traits. New Orleans, LA: University of New Orleans.
• Graziano, P. A., Landis, T., Maharaj, A., Ros-Demarize, R., Hart, K. C. and Garcia, A. 2019. Differentiating preschool children with conduct problems and callous-unemotional behaviors through emotion regulation and executive functioning. Journal of Clinical Child and Adolescent Psychology, 51, 170–182.
• Hawes, D. J., Dadds, M. R., Brennan, J., Rhodes, T. and Cauchi, A. 2013. Revisiting the treatment of conduct problems in children with callous-unemotional trait. The Australian and New Zealand Journal of Psychiatry, 47, 646–653.
• Herpers, P. C., Klip, H., Rommelse, N. N. J., Greven, C. U. and Buitelaar, J. K. 2016. Associations between high callous–unemotional traits and quality of life across youths with non-conduct disorder diagnoses. European Child & Adolescent Psychiatry, 25, 547–555.
• Ibrahim, K., Eilbott, J. A., Ventola, P., He, G., Pelphrey, K. A., McCarthy, G. and Sukhodolsky, D. G. 2019. Reduced amygdala–prefrontal functional connectivity in children with autism spectrum disorder and co-occurring disruptive behavior. Biological Psychiatry. Cognitive Neuroscience and Neuroimaging, 4, 1031–1041.
• Kirst, S., Bögl, K., Gross, V. L., Diehm, R., Poustka, L. and Dziobek, I. 2021. Subtypes of aggressive behavior in children with autism in the context of emotion recognition, hostile attribution bias, and dysfunctional emotion regulation. Journal of Autism and Developmental Disorders, 52, 5367–5382.
• Klapwijk, E. T., Aghajani, M., Colins, O. F., Marijnissen, G. M., Popma, A., van Lang, N. D. J., van der Wee, N. J. A. and Vermeiren, R. R. J. M. 2016. Different brain responses during empathy in autism spectrum disorders versus conduct disorder and callous-unemotional traits. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 57, 737–747.
• La Malfa, G., Lassi, S., Bertelli, M., Pallanti, S. and Albertini, G. 2008. Detecting attention-deficit/hyperactivity disorder (ADHD) in adults with intellectual disability. The use of Conners’ Adult ADHD Rating Scales (CAARS). Research in Developmental Disabilities, 29, 158–164.
• Leno, C. V., Bedford, R., Chandler, S., White, P., Yorke, I., Charman, T., Pickles, A. and Simonoff, E. 2021. Callous–unemotional traits in youth with autism spectrum disorder (ASD): Replication of prevalence estimates and associations with gaze patterns when viewing fearful faces. Development and Psychopathology, 33, 1220–1228.
• Leno, V. C., Charman, T., Pickles, A., Jones, C. R. G., Baird, G., Happé, F., and Simonoff, E. 2015. Callous–unemotional traits in adolescents with autism spectrum disorder. The British Journal of Psychiatry: The Journal of Mental Science, 207, 392–399.
• López, B. 2022. Commentary on Autism and the double-empathy problem: Implications for development and mental health. The British Journal of Developmental Psychology, 40, 368–370.
• Mazza, M., Pino, M. C., Mariano, M., Tempesta, D., Ferrara, M., De Berardis, D., Masedu, F. and Valenti, M. 2014. Affective and cognitive empathy in adolescents with autism spectrum disorder. Frontiers in Human Neuroscience, 8, 791.
• Milton, D. E. 2012. On the ontological status of autism: The ‘double empathy problem’. Disability and Society, 27, 883–887.
• Mitchell, P., Sheppard, E. and Cassidy, S. 2021. Autism and the double empathy problem: Implications for development and mental health. The British Journal of Developmental Psychology, 39, 1–18.
• Nicholls, G., Hastings, R. P. and Grindle, C. 2019. Prevalence and correlates of challenging behavior in children and young people in a special school setting. European Journal of Special Needs Education, 35, 40–54.
• Pasalich, D. S., Dadds, M. R. and Hawes, D. J. 2014. Cognitive and affective empathy in children with conduct problems: Additive and interactive effects of callous–unemotional traits and autism spectrum disorders symptoms. Psychiatry Research, 219, 625–630.
• Pijper, J., de Wied, M., van Rijn, S., van Goozen, S., Swaab, H. and Meeus, W. 2016. Callous unemotional traits, autism spectrum disorder symptoms and empathy in boys with oppositional defiant disorder or conduct disorder. Psychiatry Research, 245, 340–345.
• Platje, E., Huijbregts, C. J., van Goozen, S. H. M., Popma, A., Cima, M. and Swaab, H. T. J. 2018. Executive functioning, reward/punishment sensitivity, and conduct problems in boys with callous-unemotional traits. International Journal of Offender Therapy and Comparative Criminology, 62, 4008–4023.
• Rodrigues, A.R., Santos, S., Rodrigues, A., Estevens, M. and Sousa, E. 2019. Executive profile of adults with intellectual disability and psychomotor intervention’ effects on executive functioning. Physiotherapy Research International, 3, 1–7.
• Rogers, J., Viding, E., Blair, R. J., Frith, U. and Happé, F. 2006. Autism spectrum disorder and psychopathy: Shared cognitive underpinning or double hit? Psychological Medicine, 36, 1789–1798.
• Rojahn, J., Rowe, E. W., Sharber, A. C., Hastings, R., Matson, J. L., Didden, R., Kroes, D. B. H. and Dumont, E. L. M. 2012a. The behavior problems inventory-short form for individuals with intellectual disabilities. Part I: Development and provisional clinical reference data. Journal of Intellectual Disability Research: JIDR, 56, 527–545.
• Rojahn, J., Rowe, E. W., Sharber, A. C., Hastings, R., Matson, J. L., Didden, R., Kroes, D. B. H. and Dumont, E. L. M. 2012b. The behavior problems inventory-short form for individuals with intellectual disabilities. Part II: Reliability and validity. Journal of Intellectual Disability Research: JIDR, 56, 546–565.
• Rong, Y., Yang, C.J., Jin, Y. and Wang, Y. 2021. Prevalence of attention-deficit/hyperactivity disorder in individuals with autism spectrum disorder: A meta-analysis. Research in Autism Spectrum Disorders, 83, 101759.
• Rosello, R., Martínez-Raga, J., Mira, A., Pastor, J. C., Solmi, M. and Cortese, S. 2021. Cognitive, social, and behavioral manifestations of the co-occurrence of autism spectrum disorder and attention-deficit/hyperactivity disorder: A systematic review. Autism, 26, 743–760.
• Sappok, T., Budczies, J., Dziobek, I., Bölte, S., Dosen, A. and Diefenbacher, A. 2014. The missing link: Delayed emotional development predicts challenging behavior in adults with intellectual disability. Journal of Autism and Developmental Disorders, 44, 786–800.
• Schwenck, C., Mergenthaler, J., Keller, K., Zech, J., Salehi, S., Taurines, R., Romanos, M., Schecklmann, M., Schneider, W., Warnke, A. and Freitag, C. M. 2012. Empathy in children with autism and conduct disorder: Group-specific profiles and developmental aspects. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 53, 651–659.
• Squillaci, M. and Benoit, V. 2021. Role of callous and unemotional (CU) traits on the development of youth with behavioral disorders: A systematic review. International Journal of Environmental Research and Public Health, 18, 4712.
• Svensson, O., Sörman, K., Durbeej, N., Lichtenstein, P., Anckarsäter, H., Kerekes, N. and Nilsson, T. 2018. Associations between conduct disorder, neurodevelopmental problems and psychopathic personality traits in a Swedish Twin Youth Population. Journal of Psychopathology and Behavioral Assessment, 40, 586–592.
• Turygin, N. C., Matson, J. L., MacMillan, K. and Konst, M. 2013. The relationship between challenging behavior and symptoms of depression in intellectually disabled adults with and without autism spectrum disorders. Journal of Developmental and Physical Disabilities, 25, 475–484.
• Tye, C., Bedford, R., Asherson, P., Ashwood, K. L., Azadi, B., Bolton, P. and McLoughlin, G. 2017. Callous-unemotional traits moderate executive function in children with ASD and ADHD: A pilot event-related potential study. Developmental cognitive Neuroscience, 26, 84–90.
• Vilas, S. P., Reniers, R. L. E. P. and Ludlow, A. K. 2021. An investigation of behavioural and self-reported cognitive empathy deficits in adolescents with autism spectrum disorders and adolescents with behavioural difficulties. Frontiers in Psychiatry, 12, 717877.
• Wall, T. D., Frick, P. J., Fanti, K. A., Kimonis, E. R. and Lordos, A. 2016. Factors differentiating callous-unemotional children with and without conduct problems. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 57, 976–983.
• Zaki, J. and Ochsner, K. N. 2012. The neuroscience of empathy: Progress, pitfalls and promise. Nature neuroscience, 15, 675–680.
• Zhang, J., Li, W., Zhang, H., Wilson, A., Shuai, L., Xia, W., Wang, Z., Qiu, M. and Wang, Y. 2021. Callous–unemotional traits in Chinese preschool children with attention-deficit/hyperactivity disorder. Child and Adolescent Psychiatry and Mental Health, 15, 35.