Drs. Moran, Maughan, Scott, Goodman, Ms. Flach, and Ms. Briskman are with the Institute of Psychiatry, King's College London; Dr. Rowe is with the University of Sheffield; and Dr. Ford is with the Peninsula College of Medicine and Dentistry.
Drs. Moran, Maughan, Scott, Goodman, Ms. Flach, and Ms. Briskman are with the Institute of Psychiatry, King's College London; Dr. Rowe is with the University of Sheffield; and Dr. Ford is with the Peninsula College of Medicine and Dentistry.
J Am Acad Child Adolesc Psychiatry. 2009 Nov;48(11):1079-1084. doi: 10.1097/CHI.0b013e3181b766ab.
Callous-unemotional (CU) traits in children and adolescents are increasingly recognized as a distinctive dimension of prognostic importance in clinical samples. Nevertheless, comparatively little is known about the longitudinal effects of these personality traits on the mental health of young people from the general population. Using a large representative sample of children and adolescents living in Great Britain, we set out to examine the effects of CU traits on a range of mental health outcomes measured 3 years after the initial assessment.
Parents were interviewed to determine the presence of CU traits in a representative sample of 7,636 children and adolescents. The parents also completed the Strengths and Difficulties Questionnaire, a broad measure of childhood psychopathology. Three years later, parents repeated the Strengths and Difficulties Questionnaire.
At 3-year follow-up, CU traits were associated with conduct, hyperactivity, emotional, and total symptom scores. After adjusting for the effects of all covariates, including baseline symptom score, CU traits remained robustly associated with the overall levels of conduct problems and emotional problems and with total psychiatric difficulties at 3-year follow-up.
Callous-unemotional traits are independently associated with future psychiatric difficulties in children and adolescents. An assessment of CU traits adds small but significant improvements to the prediction of future psychopathology.
在临床样本中，儿童和青少年的冷酷无情（CU）特征越来越被认为是预后重要性的一个独特维度。然而，对于这些人格特征对一般人群中年轻人的心理健康的纵向影响，人们知之甚少。本研究使用英国一个具有代表性的大样本儿童和青少年群体，旨在研究 CU 特征对一系列心理健康结果的影响，这些结果是在初始评估 3 年后测量的。
通过对 7636 名儿童和青少年的代表性样本进行访谈，确定 CU 特征的存在。父母还完成了长处与困难问卷，这是一种广泛测量儿童期精神病理学的方法。3 年后，父母再次填写长处与困难问卷。
在 3 年的随访中，CU 特征与行为、多动、情绪和总分症状有关。在调整了所有协变量的影响后，包括基线症状评分，CU 特征与行为问题和情绪问题的总体水平以及 3 年随访时的整体精神病理学困难仍保持显著相关。
冷酷无情特征与儿童和青少年未来的精神病理学困难独立相关。对 CU 特征的评估对未来精神病理学的预测有微小但显著的改善。
