Department of Clinical Child and Adolescent Studies, Leiden University, Leiden, The Netherlands.
Int J Law Psychiatry. 2010 May-Jun;33(3):164-70. doi: 10.1016/j.ijlp.2010.03.006. Epub 2010 Apr 9.
A two-dimensional instrument to screen egocentric and unemotional traits in children was tested in this study, and the associations with the aggressive and the antisocial symptoms of conduct disorder were determined. To this end the narcissistic-egocentric and callous-unemotional characteristics associated with psychopathy were, along with the symptoms of conduct disorder, rated by teachers in a general community sample of 1179 four-to-eighteen-year-old Dutch children, and by professional care takers in a sample of 145 twelve-to eighteen-year-old incarcerated adolescents. Confirmatory factor analysis showed that the ratings of the psychopathic characteristics indeed clustered into a dimension with egocentric characteristics and a dimension with unemotional characteristics. Both dimensions were reliable and stable across age and gender groups. In both samples aggressive behavior was primarily linked to the interaction of egocentric and unemotional characteristics, while antisocial behavior was primarily linked to egocentric characteristics only. The incarcerated adolescents showed substantially more characteristics on both psychopathic dimensions than a comparable age and gender matched group with adolescents from the general community sample. The discrimination between normal and incarcerated adolescent youngsters and the linkage with aggressive behavior suggests the existence of a subtype of conduct disordered children displaying narcissism, deficient affect and disruptive social problem behavior.
本研究测试了一种用于筛查儿童自我中心和缺乏情感特质的二维工具,并确定了其与品行障碍的攻击和反社会症状之间的关联。为此,研究人员在一个由 1179 名 4 至 18 岁荷兰儿童组成的普通社区样本中,由教师对自恋-自我中心和冷漠-缺乏情感特质(与精神病态有关)以及品行障碍的症状进行了评定,在一个由 145 名 12 至 18 岁被监禁的青少年组成的样本中,由专业护理人员进行了评定。验证性因素分析表明,精神病态特征的评定确实聚集在一个以自我中心特征为特征的维度和一个以无情感特征为特征的维度上。这两个维度在年龄和性别组之间都是可靠和稳定的。在两个样本中,攻击性行为主要与自我中心和缺乏情感特征的相互作用有关,而反社会行为主要与自我中心特征有关。与普通社区样本中的青少年相比,被监禁的青少年在两个精神病态维度上表现出的特征明显更多。正常青少年和被监禁的青少年之间的区别以及与攻击行为的联系表明,存在一种表现出自恋、情感缺失和破坏性行为的品行障碍儿童亚类。