Current understanding of the predictive validity of callous-unemotional (CU) traits is limited by (a) the focus on externalizing psychopathology and antisocial behaviors, (b) a lack of long-term prospective longitudinal data, (c) samples comprised of high-risk or low-risk individuals. We tested whether adolescent CU traits and conduct problems were associated with theoretically relevant adult outcomes 12–18 years later. Participants were drawn from two studies: higher-risk Fast Track (FT; n = 754) and lower-risk Child Development Project (CDP; n = 585). FT: conduct problems positively predicted externalizing and internalizing psychopathology and partner violence, and negatively predicted health, wellbeing, and education. Three conduct problems × CU traits interaction effects were also found. CDP: CU traits positively predicted depression and negatively predicted health and education; conduct problems positively predicted externalizing and internalizing psychopathology and substance use, and negatively predicted wellbeing. CU traits did not provide incremental predictive validity for multiple adult outcomes relative to conduct problems.

目前对冷酷无情（CU）特征的预测有效性的理解受到以下因素的限制：（a）关注外在的精神病理学和反社会行为，（b）缺乏长期前瞻性纵向数据，（c）样本由高风险或低风险个体。我们测试了青少年 CU 特征和行为问题是否与 12-18 年后理论上相关的成人结果相关。参与者来自两项研究：高风险快速通道（FT；n =  754）和低风险儿童发展项目（CDP；n  = 585）。FT：行为问题正向预测外化和内化精神病理学和伴侣暴力，并负向预测健康、福祉和教育。还发现了三个品行问题×CU特质的交互效应。CDP：CU 特征正向预测抑郁症，负向预测健康和教育；行为问题正向预测外化和内化精神病理学和物质使用，并负向预测幸福感。CU 特征没有为与行为问题相关的多种成人结果提供增量预测有效性。